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임상간호연구 update

Journal of Korean clinical nursing research

  • : 병원간호사회
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임상간호연구

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KCI등재

1간호사가 경험한 언어폭력이 조직몰입에 미치는 영향: 회복탄력성의 매개효과 중심으로

저자 : 윤미순 ( Yun Mi Soon ) , 이미영 ( Lee Miyoung )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 1-9 (9 pages)

6,500원

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Purpose: This study was conducted to provide fundamental data on increasing organizational commitment of clinical nurses by verifying the mediation effects of resilience in the correlation between the verbal violence experienced by nurses and their organizational commitment. Methods: Participants were 167 nurses working in 2 university hospitals and 3 general hospitals located in D city Nurse managers were excluded. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis based on the three-step mediation effect verification procedures proposed by Baron and Kenny. SPSS 24.0 program was used. The significance of mediation effect was verified by performing the Sobel test. Results: The resilience was confirmed to have a partial mediating effect in the relationship between verbal violence experience and organizational commitment (β=.25, p=.001), and verified by Sobel test (Z=-1.95, p=.026). Conclusion: The results verifiying that verbal violence experience, organizational commitment, and resilience are correlated with each other, and showing that the organizational culture needs to be improved and the hospital environment needs to be changed to decrease verbal violence experiences and increase resilience in order to enhance organizational commitment.

KCI등재

2경장영양 간호실무지침 개정

저자 : 조용애 ( Cho Yong Ae ) , 구미옥 ( Gu Mee Ok ) , 은영 ( Eun Young ) , 유미 ( Yu Mi ) , 김정연 ( Kim Jung Yeon ) , 이현희 ( Lee Hyun Hee ) , 민자경 ( Min Ja Kyung ) , 송정미 ( Song Jung Mi )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 10-25 (16 pages)

6,500원

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Purpose: The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.

KCI등재

3데이컴 기법을 이용한 일개 권역응급의료센터 간호사의 직무 분석

저자 : 윤희제 ( Yun Hee Je ) , 정은희 ( Jung Eun Hee ) , 정운선 ( Jung Woon Seon ) , 이상림 ( Lee Sang Rim ) , 권영옥 ( Kwon Young Ok )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 26-46 (21 pages)

6,500원

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Purpose: This study aimed to establish the role of and to analyze the job of nurses in a regional emergency center using the Developing a Curriculum(DACUM) process, a job analysis technique. Methods: The DACUM committee was organized, and three workshops were held from June 1st to July 4th, 2016. One hundred two nurses in a regional emergency center participated in a survey from October 3rd to 10th, 2016. The frequency, importance and difficulty of each tasks and task elements in the DACUM were investigated on a Likert scale. Results: The roles of nurses in a regional emergency center were identified and the DACUM chart was developed with 6 duties, 29 tasks and 153 task elements. According to the survey, some tasks such as 'CPR,' 'acute respiratory distress care,' and 'drug administration' showed high frequency and importance or difficulty in all nursing units in common, and different results reflected the characteristics of each nursing unit were also found. Conclusion: The results showed the feature of the regional emergency center. Based on these results, it is necessary to develop educational programs for practice.

KCI등재

4시뮬레이션기반 고유량산소요법 교육 프로그램이 임상간호사의 지식, 임상수행능력 및 교육만족도에 미치는 효과

저자 : 장경순 ( Jang Kyung Soon ) , 류경희 ( Ryu Kyeong Hee ) , 강현모 ( Kang Hyeon Mo ) , 강인화 ( Kang In Hwa ) , 권정희 ( Kwon Jeong Hui ) , 이경미 ( Lee Gyeong Mi ) , 남윤정 ( Nam Yun Jung ) , 서미혜 ( Seo Mi Hye ) , 김지연 ( Kim Ji Yeon ) , 정지윤 ( Jung Ji Yun ) , 김현지 ( Kim Hyun Ji ) ,

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 47-58 (12 pages)

6,500원

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Purpose: The aim of this study was to develop a simulation-based High Flow Nasal Cannula Oxygen Therapy training program based on NLN/ISF to identify the effect on knowledge, clinical performance, and educational satisfaction compared to a group who had traditional High Flow Nasal Cannula Oxygen Therapy training after applying it to clinical nurses. Methods: 31 experimental groups and 33 control groups were conducted from August 2019 to September 2019 for inexperienced nurses over 4 months to 5 years with no experience using high-flow oxygen therapy. Educational programs were developed in scenarios according to Airvo2 and Optiflow, such as facilitator, participant, educational condition, design, characteristics, and educational outcomes. The education application was conducted in advanced for knowledge and clinical performance ability after watching therapy video. Since then, a total of 90 minutes have been conducted for respiratory failure theory training, airvo2 and optiflow simulation training, and debriefing. After applying the education, the medical institution measured nurses' knowledge, clinical performance, and education satisfaction. Data were analyzed using descriptive statistics, with the SPSS/WIN 22.0 program. Results: Both knowledge and educational satisfaction were higher in the experimental group than in the control group (t=-14.09, p<.001), (t=-12.99, p<.001). The clinical performance for both use of Optiflow and Airvo2 were higher in the experimental group than in the control group (t=-11.39, p<.001), (t=-11.38, p<.001) . Conclusion: Results showed that the simulation-based High Flow Nasal Cannula Oxygen Therapy training was effective with the experimental group having increased scores for every area of this study.

KCI등재

5신규간호사의 정맥주입요법 교육 현황과 교육요구도 분석

저자 : 윤주희 ( Yun Ju Hee ) , 서민정 ( Seo Minjeong )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 59-74 (16 pages)

6,500원

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Purpose: The purpose of this study is to investigate new nurses' needs for intravenous infusion therapy training by analyzing the current training status. Methods: This study examined the needs for intravenous infusion therapy training with 159 new nurses. The measurement tool consisted of 93 items developed based on intravenous therapy-related studies, and was evaluated on a 4-point Likert scale. For data analysis, SPSS/WIN 25.0 was used, and frequency, percentage, average, standard deviation, paired t-test, were performed. Results: The demand for intravenous therapy education was analyzed using a questionnaire composed of 8 areas, 16 sub-areas, and 93 items. According to the findings, post-ward placement intravenous therapy education(83.7%) is conducted more often than in preliminary education (72.2%). The demand for intravenous infusion therapy education did not differ significantly in preliminary and post-ward placement education (t=-.89, p=.376). While therapy skills were preferred in preliminary education, there were high demands for education content related to blood transfusion, central venous catheter, and drug use in continuing education. As for preferred teaching methods, lecture (38.2%) and simulation (26.7%) were most answered for preliminary education, while a range of methods were preferred for continuing education including lecture (31.1%), clinical practice (20.6%), preceptor training (19.8%), simulation (16.8%), and self-study (11.6%). Conclusion: For efficient training, it is required to provide different education contents and methods for each stage.

KCI등재

6일반간호사의 임금격차 현황과 표준임금 가이드라인 개발

저자 : 김진현 ( Kim Jin Hyun ) , 하상근 ( Ha Sang Keun ) , 박영우 ( Park Young Woo ) , 김연희 ( Kim Yeon Hee ) , 이선미 ( Yi Sun Mi ) , 권현정 ( Kwon Hyun Jeong )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 75-85 (11 pages)

6,500원

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Purpose: The purpose of this study is to develop a nursing salary guideline for Korean hospitals. Methods: Literature review and a mobile survey were conducted regarding staff nurses' salary. Regression analysis and simulation model were applied to develop the nurses' salary guideline. Results: The United Kingdom, Australia, and Germany have standard salary guidelines which demonstrated the standard salary of nurses. These were determined mainly by nursing experience and expertise. The results of the mobile survey indicated that the maximum to minimum ratio of the salary was as high as 4.5 among staff nurses working in Korean hospitals. Two models (exponential and linear) for a standard nursing salary guideline were developed and the simulation results demonstrated an improved salary structure for staff nurses. Conclusion: This developed salary guideline for staff nurses is recommended to be applied in Korean hospitals which provide total nursing care services.

KCI등재

7중년기 성인의 품위 있는 죽음에 대한 태도와 사전연명의료의향서에 대한 지식 및 태도

저자 : 유혜인 ( Yoo Hye In ) , 이영희 ( Yi Young Hee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 86-96 (11 pages)

6,500원

초록보기

Purpose: The purpose of study was to provide basic data for developing interventions that could help middle-aged adults prepare for dignified death in the future by examining their attitudes toward death and advance directives (AD), and knowledge of AD. Methods: Data were collected through a survey of 211 middle-aged adults from January 28 to February 28, 2019, in a city located in Gangwon Province. To analyze the data, descriptive statistics, t-test, one-way ANOVA, Scheffe? test, Pearson's correlation coefficient and stepwise linear regression were utilized using SPSS/WINdows 21.0. Results: The average score of the participants' attitudes toward death and AD, and knowledge of AD was 91.82±10.89, 15.53±4.27, 46.00±9.45, respectively. There were positive correlations between attitudes toward dignified death and attitudes toward AD, and knowledge of AD. Factors that influence attitudes toward AD were shown in the order of attitudes toward dignified death, knowledge of AD, and intentions to write AD (Adjusted R2=.24). Conclusion: For the dignified death in the future, it is necessary to provide middle-aged adults with an opportunity to think about the need of AD. In addition, extensive education and promotion of AD are required to correct the misunderstanding of AD.

KCI등재

8중환자실 생존자의 외상 후 스트레스장애 발생정도와 영향요인

저자 : 김소혜 ( Kim So Hye ) , 주현옥 ( Ju Hyeon Ok )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 97-106 (10 pages)

6,500원

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Purpose: This study was conducted to investigate the incidence and associated factors with post-traumatic stress disorders (PTSD) in patients with intensive care units (ICU) admission experience. Methods: This study is a retrospective observational study using self-reporting questionnaire. Patients who were admitted to ICU more than 72 hours and agreed to participate were enrolled in this study. PTSD were assessed by Korean version of post-traumatic diagnosis scale, and PTSD was defined as 20 points or more. Medical records of participants were reviewed to identify influencing factors of PTSD. To analyzed the data, descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test and gamma regression were utilized using SPSS/WIN 23.0 program. Results: A total of 128 patients participated in the study. Mean age of participants was 58.3±11.7 years and 50 patients (39.1%) were female. Mean duration of ICU stay was 8.43±8.09 days and PTSD was diagnosed in 12 patients (9.4%). In the results of a Gamma regression analysis, Psychiatric history (B=1.09, p=.002), APACHEII score (B=.04, p=.005), CPR experience (B=1.65, p=.017) and physical restraint (B=.68, p=.049) were independently associated with PTSD occurrence. Conclusion: The results of this study suggest that a various factors influencing PTSD should be identified to prevent PTSD in patients who requires ICU care. In addition, post-ICU care programs are required to assess and reduce PTSD.

KCI등재

9한국형 응급환자 분류도구의 간호사-응급구조사 간 신뢰도 평가

저자 : 손정아 ( Son Jeong Ah ) , 이은자 ( Lee Eun Ja )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 107-116 (10 pages)

6,500원

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Purpose: This study was a prospective survey to evaluate the Korean Triage and Acuity Scale (KTAS) inter-rater reliability and to identify discordant areas in the KTAS classification between nurses and paramedics in emergency department (ED). Methods: Inter-rater reliability were evaluated using triage deta from January 11 to May 31, 2019. A convinience sample of a total of 800 patients who visited an emergnecy medical center in Incheon (400 adult and 400 pediatric patients in this study) were selected. The triages of this study a pair of one nurse and one paramedic performed triage at the same time, using the KTAS, Inter-rater reliability for the KTAS was evaluated with the weighted kappa. Results: The inter-rater reliability of the KTAS evaluated by weighted Kappa between nurse-paramedic KTAS score of adult patients was .71, and .66 for pediatric patients. Both were in the level considered as substantial. Among causes of triage discordance, the most frequently identified discordant item in triaging adults was the difference in the measurement of pain intensity (28.0%). For both adult and pediatric patients, multiple chief complaint was identified as the major discordant factor. In triaging pediatric patients the body temperature assessment by subjective judgments was the highest discordant item (50.7%). Conclusion: The study result suggested that the KTAS demonstrated a reasonable level of inter-rater reliability and functioned as a standardized triage tool for emergency medical services. In order to improve the inter-rater reliability and classification competence, it is necessary to revise the current all-integrated KTAS provider course to be differentiated for each job group.

KCI등재

10한국형 환자참여 간호사 침상인계 프로토콜 개발 및 평가

저자 : 이태화 ( Lee Tae Wha ) , 지윤정 ( Ji Yoon Jung ) , 장연수 ( Jang Yeon Soo ) , 도현옥 ( Do Hyun Ok ) , 오경환 ( Oh Kyoung Hwan ) , 김창경 ( Kim Chang Kyung ) , 천자혜 ( Chun Ja Hye ) , 신혜경 ( Shin Hae Kyung ) , 조미영 ( Cho Mee Young ) , 배정임 ( Bae Jung Im )

발행기관 : 병원간호사회 간행물 : 임상간호연구 26권 1호 발행 연도 : 2020 페이지 : pp. 117-130 (14 pages)

6,500원

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Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.

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