Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Factors Influencing on Prehospital Emergency Nurses' Activities and Procedures in the Field

병원 전 응급간호사의 응급 처치 수행 능력과 영향 요인

  • Kim, Bog-Ja (Department of Clinical Nursing, College of Medicine, University of Ulsan) ;
  • Kang, Kyung-Hee (Department of Emergency Medical Technology, Gachon University of Medicine and Science) ;
  • Lim, Yong-Su (Department of Emergency Medicine, Gachon University Gil Medical Center)
  • 김복자 (울산대학교 의과대학 임상전문간호학) ;
  • 강경희 (가천의과학대학교 응급구조학과) ;
  • 임용수 (가천의과학대학교 길병원 응급의학과)
  • Published : 2009.03.30
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Abstract

Purpose: This study shows the prehospital emergency nursing practices, and analyzes them associated with their individual characteristics and job conditions. Method: Based on a survey of the National Emergency Medical Center in Korea(2008), principal components were extracted from 7 prehospital emergency nursing practices by factor analysis, and some regression analyses of principal components(CPR-AED and V/S-I.V.) were executed on individual characteristics and job conditions. Results: The PENs gave themselves higher order ratings for vital sign check, airway management for loss of consciousness patients, CPR for suspicious cardiac arrest, keeping vein open for shock patients, AED for abnormal pulse rate, AED for suspicious cardiac arrest, and AED for loss of consciousness. Age and duty periods were statistically significant influential factors on the CPR-AED component. Conclusion: The results indicate that the PENs were competent in overall prehospital emergency activities and procedures even some weak self-evaluations, and that the standard curriculum and practice standard for prehospital nursing should be developed in order to increase nursing leadership in prehospital emergency settings.

Keywords

References

  1. 김복자, 강경희, 김성숙, 김순애, 신덕신, 이광옥, 이은남, 이현숙, 이희정 (2005). 응급실 간호사의 업무규명을 위한 연구. 2005년도 정책 연구보고서, 병원간호사회.
  2. 소방방재청 (2008). 2008년도 주요통계 및 자료, 서울.
  3. 이은남, 김복자, 김성숙, 강경희, 김영순 (2008), 응급실 간호사의 업무분석을 통한 경력등급별 실무교육안 개발. 임상간호연구, 14(1), 99-111.
  4. 중앙응급의료센터 (2008). 응급의료서비스 개선을 위한 응급의료서비스 제공자 의견 조사, 서울
  5. 한국간호평가원 (2005). 전문간호사 표준교육과정 개발을 위한 workshop, 서울.
  6. Emergency Flight Nurses Association. (1995). Practice standard for flight nursing. St. Louise. MO : Mosby-Year Book, Inc.
  7. Emergency Nurses Association. (1995). National standard guidelines for prehospital nursing curriculum. Park Ridge, IL.
  8. Emergency Nurses Association. (2003a). ENA guidelines for emergency department nurse staffing. Des Plaines, IL.
  9. Emergency Nurses Association. (2003b). Staffing and productivity in the emergency care Setting. Des Plaines, IL.
  10. Gentil, R. C., Ramos, L. H., & Whitaker, T. Y. (2008). Nurses' training in prehospital care. Rev Lat Am Enfermagem, 16(2), 192-197.
  11. Holleran, R. S. (1994). Prehospital nursing. St. Louise. MO : Mosby-Yearbook, Inc.
  12. Kang, K., Kim, B., & Lee, E. (2007, May). A descriptive study of the perceptions of emergency nursing works by emergency doctors, ICN Conference and CNR 2007, Yokohama, Japan.
  13. Melby, V., & Ryan, A. (2005). Caring for older people in prehopital emergency care: can nurse make a difference? J Clin Nus, 14(9), 1141-1150. https://doi.org/10.1111/j.1365-2702.2005.01222.x
  14. Miller, P. M. (1993). Development of a prehospital nursing curriculum in Maryland. J Emerg Nurs, 19(3), 206-208.
  15. Sbaih, L. C. (2001). Shaping the future: reforming routine emergency nursing work. Accid Emerg Nurs, 9, 266-273. https://doi.org/10.1054/aaen.2001.0292