글로버메뉴 바로가기 본문 바로가기 하단메뉴 바로가기

논문검색은 역시 페이퍼서치

임상간호연구검색

Journal of Korean clinical nursing research


  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기: 연3회
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 1598-9186
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 25권 1호 (2019)

간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발

은영 ( Eun Young ) , 유미 ( Yu Mi ) , 구미옥 ( Gu Mee Ok ) , 조용애 ( Cho Yong Ae ) , 김경숙 ( Kim Kyung Sook ) , 김태희 ( Kim Tae Hee ) , 이현희 ( Lee Hyun Hee ) , 전미진 ( Jeon Mi Jin )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 1-14 ( 총 14 pages)
5,400
초록보기
Purpose: This study was done to develop a evidence-based guideline for pain assessment and management in Korea by adapting previously developed pain guidelines. Methods: The guideline adaptation process was conducted using 24 steps according to the guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed pain management guideline consisted of 9 domains and 234 recommendations. The number of recommendations in each domain was: 13 general instruction items, 51 pain assessments, 14 pain interventions, 66 pharmacological interventions for acute pain, 41 pharmacological interventions for chronic cancer pain, 35 pharmacological interventions for chronic noncancer pain, 21 non-pharmacological interventions, 2 documentations, 10 nursing education items, for pain. Conclusion: The findings suggest that the new pain management guideline can be used to address pain in hospital settings.

내분비요법 중인 폐경 전 유방암 환자의 디스트레스 영향 요인

김지영 ( Kim Jiyoung ) , 강윤희 ( Kang Younhee )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 15-24 ( 총 10 pages)
4,500
초록보기
Purpose: The purpose of this study was to investigate relationships among menopausal symptoms, functional status, and distress and to identify factors influencing distress in premenopausal breast cancer patients who had been on endocrine therapy. Methods: A descriptive correlational study was conducted. Data were collected using questionnaires from 140 patients with breast cancer undergoing endocrine therapy at a general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Tukey HSD test, Pearson’s correlation analysis and hierarchical regression analysis. Results: The mean scores for menopausal symptom, functional status, and distress were 19.65±7.86, 2.67±0.33 and 3.69±2.19, respectively. The menopausal symptoms and distress were positively correlated (r=.76, p<.001). The menopausal symptoms and functional status (r=-.43, p<.001) and functional status and distress (r=-.31, p<.001) were negatively correlated. The most influential factor for distress was menopausal symptoms (β=.79, p<.001). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and distress are recommended.

미숙아 어머니의 어머니 역할 수행 자신감과 모아 애착 증진을 위한 프로그램 개발 및 적용 효과

김은숙 ( Kim Eun Sook ) , 이영희 ( Yi Young Hee ) , 이은정 ( Lee Eun Jung ) , 이정윤 ( Lee Jung Yoon )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 25-33 ( 총 9 pages)
4,500
초록보기
Purpose: This study was done to develop a program to promote maternal role confidence and maternal attachment for mothers of premature infants and to evaluate the effects in a neonatal intensive care unit (NICU). Methods: This program was developed through a literature review and validation of an expert group, and tested with 60 preterm infants (experimental group 30, control group 30) in a NICU in South Korea. Data were collected from December 2017 to March 2018 and analyzed using descriptive statistics, t-test, x2-test and Fisher’s exact test with the SPSS/Win statistical program. Results: Maternal role confidence for the experimental group increased significantly compared to the control group (t=3.22, p=.002). Maternal attachment in the experimental group increased significantly compared to the control group (t=2.30, p=.025). Conclusion: The program developed in this study should be effective in promoting maternal role confidence and maternal attachment in mothers of premature infants.

병원간호사의 재직의도에 영향을 미치는 요인: 진정성 리더십과 간호조직문화를 중심으로

박현정 ( Park Hyunjung ) , 김필자 ( Kim Phill Ja ) , 이혜영 ( Lee Hye Young ) , 신윤정 ( Shin Yoon Jung ) , 오경환 ( Oh Kyoung Hwan ) , 이태화 ( Lee Tae Wha ) , 성정순 ( Seong Jeong Soon ) , 홍은영 ( Hong Eun-young )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 34-42 ( 총 9 pages)
4,500
초록보기
Purpose: The purpose of this study was to examine the relationships of authentic leadership and nursing organizational culture to the intention of hospital nurses to stay in their current position. Methods: The participants of this study were 503 nurses in 8 hospitals. We collected data using questionnaires for assessing authentic leadership, nursing organization culture and intention to stay. For data analysis, t-test, ANOVA, Cronbach's α, Pearson's correlation coefficient, Tukey test, Multiple regression were performed using SAS ver.9.4 (SAS Institute Inc., Cary, NC, USA). Results: Authentic leadership (β=.12, p=.008) and relation-oriented culture (β=.13, p=.009) affected the intention of the hospital nurses to stay. These variables accounted for 29% of the variance in the intention to stay among hospital nurses. Conclusion: The finding of this study shows that the authentic leadership and nursing organizational culture especially relation-focused can influence nurses’ intention to stay in their current position. For retaining nurses, it is suggested to use an authentic leadership training program for nursing leaders and to make efforts to establish a relation-focused culture in the hospital.

병원 간호사의 혈액매개감염 예방지식과 이행: 직무경력을 기준으로

차효성 ( Cha Hyo Sung ) , 이경미 ( Lee Kyung Mi )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 43-54 ( 총 12 pages)
5,200
초록보기
Purpose: Exposure to blood and body fluids represents a significant occupational risk for nurses. This study was done to identify the level of knowledge of and compliance with blood-borne pathogen prevention of hospital nurses according to clinical experience, and to identify factors affecting compliance with blood-borne pathogen prevention. Methods: A descriptive correlational study was conducted in which self-reported knowledge of and compliance with blood-borne pathogen prevention was assessed. The relationships between variables were examined. Registered nurses who were employed (n=345) were surveyed. Data were analyzed using, t-test, ANOVA, Pearson correlation, and multiple linear regression. Results: Nurses with more than 5 years experience had greater knowledge of blood-borne pathogen prevention than nurses with less than 5 years experience. However, there was no significant difference in compliance with blood-borne pathogen prevention between the two groups. No significant correlation was found between knowledge and compliance with blood-borne pathogen prevention according to experience standards. In nurses with less than 5 years experience, gender, age, reported exposure to a blood-borne pathogen, and compliance with principles of prevention had a significant impact on compliance with blood-borne pathogen prevention. For nurses with more than 5 years experience, reporting after exposure to blood-borne pathogen was a contributing factor to compliance with blood-borne pathogen prevention. Conclusion: The study results show that to improve the implementation of preventive measures against blood-borne pathogens different strategies are needed, depending on clinical experience of the nurses.

상급종합병원과 여성전문병원 간호사의 산후 간호중재 조사

박현순 ( Park Hyunsoon ) , 김하운 ( Kim Ha Woon ) , 김희정 ( Kim Hee Jeong ) , 김순익 ( Kim Soon Ick ) , 박은혜 ( Park Eun Hye ) , 강남미 ( Kang Nam Mi )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 55-66 ( 총 12 pages)
5,200
초록보기
Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women’s hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. x2 (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at α= .05. Results: According to the KPCS-1 (Korean Patient Classification System-1), women’s hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women’s hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women’s hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women’s hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women’s hospitals need to be benchmarked with each other.

욕창간호 실무지침 개정

박경희 ( Park Kyung Hee ) , 김정윤 ( Kim Jung Yoon ) , 박옥경 ( Park Ok Kyoung ) , 박주희 ( Park Joo Hee ) , 이윤진 ( Lee Yun Jin ) , 황지현 ( Hwang Ji Hyeon )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 67-79 ( 총 13 pages)
5,300
초록보기
Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline in management of pressure injury in South Korea. Methods: The update process underwent the 22 steps according to the update method based on the international standards. Results: The updated nursing practice guideline for pressure injury consists of 4 domains and 436 recommendations. The numbers of recommendations in each domain were 25 for hospital policies, 51 for assessment, 350 for prevention and management, and 10 for education. There were 2.5% of A, 13.3% of B, 84.2% of C in terms of grading of recommendations. Among these, the major revision was done in 32 recommendations (7.4%). A total of 299 recommendations (68.6%) were added newly. Minor revisions, such as change or addition of some words, were also made in 25 recommendations(5.7%). No change was made in 80 recommendations (18.3%) compared to the previous ones. Conclusion: The nursing practice guideline for pressure injury has been updated. This updated guideline can be used as educational materials for both healthcare workers and patients with pressure injury.

텍스트 네트워크 분석을 이용한 임상간호연구 게재논문의 연구동향 분석: 2000년부터 2017년까지

김연희 ( Kim Yeon Hee ) , 문성미 ( Moon Seong Mi ) , 권인각 ( Kwon In Gak ) , 김광성 ( Kim Kwang Sung ) , 정금희 ( Jeong Geum Hee ) , 신은숙 ( Shin Eun Suk ) , 오향순 ( Oh Hyang Soon ) , 김수현 ( Kim Soo Hyun )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 80-90 ( 총 11 pages)
5,100
초록보기
Purpose: The aim of this study was to identify the research trends of articles published in the Journal of Korean Clinical Nursing Research from 2000 to 2017 by a text network analysis using keywords. Methods: This study analyzed 600 articles. The R program was used for text mining that extracted frequency, centrality rank, and keyword network. Results: From 2000 to 2009, keywords with high-frequency were ‘nurse’, ‘pain’, ‘anxiety’, ‘knowledge’, ‘attitude’, and so on. ‘Pain’, ‘nurse’, and ‘knowledge’ showed a high centrality. ‘Fatigue’ showed no high frequency but a high centrality. Keywords such as ‘nurse’, ‘knowledge’, and ‘pain’ also showed high frequency and centrality between 2010 and 2017. ‘Hemodialysis’ and ‘intensive care unit’ were added to keywords with high frequency and centrality during the period. Conclusion: The frequency and centrality of keywords such as ‘nurse’, ‘pain’, ‘knowledge’, ‘hemodialysis’, and ‘intensive care unit’ reflect the research trends in clinical nursing between 2000 and 2017. Further studies need to expand the keyword networks by connecting the main keywords.

혈액종양 환자의 골수검사 후 침상안정 시간에 따른 불편감 및 출혈

이혜연 ( Lee Hye Youn ) , 정진영 ( Jung Jin Young ) , 박세연 ( Park Se Yeon ) , 조은미 ( Jo Eun Mi ) , 장창섭 ( Jang Chang Seob ) , 김향선 ( Kim Hyang Seon ) , 박미정 ( Park Mi Jeong ) , 황유민 ( Hwang Yu Min ) , 서은영 ( Suh Eun Young )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 91-97 ( 총 7 pages)
4,500
초록보기
Purpose: The purpose of this study was to investigate hemato-oncology patients’ discomfort and bleeding in relation to the bedrest time after bone marrow examination. Methods: A descriptive correlational study was conducted. The data were collected using self- report questionnaire from total of 131 patients who underwent bone marrow examination from January 2017 to September 2017. Data were analyzed with descriptive statistics, Wilcoxon Signed-rank test, McNemar's test and logistic regression. Results: The level of discomfort after 4 hours of bedrest was significantly higher when compared to 2 hours of bedrest(p<.001). The occurrence of bleeding after 2 hours of bedrest was significantly higher than 4 hours of bedrest(p<.001), however the degree of bleeding was slight. No bleeding occurred in 84% of the patients after 2 hours of bedrest. Conclusion: The results of this study demonstrated that shortening the bed rest time after bone marrow examination was helpful in improving the patient's well-being. Bedrest time could be shortened according to the site of bone marrow examination and patient's condition.

혈액투석실 간호사의 전문직관, 조직의사소통이 환자안전문화에 미치는 영향

정수진 ( Jung Su Jin ) , 정정희 ( Jeong Jeong Hee )
병원간호사회|임상간호연구  25권 1호, 2019 pp. 98-105 ( 총 8 pages)
4,500
초록보기
Purpose: The study was conducted to investigate correlation between professionalism, organizational communication the and patient safety culture of nurses in hemodialysis units and verify factors that affect patient safety culture. Methods: Data were collected from 109 nurses working in hemodialysis units located in Seoul and Gyeonggi-do. collected data were analyzed using descriptive statistics including t-test, one-way ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS 21.0 program. Results: The Professionalism of participants was significantly correlated with patient safety culture while the Organizational communication was also correlated with patient safety culture. Factors influencing participants’ patient safety culture included professionalism, organizational communication, employment history in current hospital, and the number of patients per nurse. These factors explained 57.8% of patient safety culture. Conclusion: The research findings suggest that in order to increase the awareness of patient safety culture of nurses in hemodialysis units, strategic efforts are needed to enhance professionalism and organizational communication satisfaction of nurses in hemodialysis units.
1