대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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가정전문간호사의 임상적 의사결정 참여도에 관한 연구

A Study on Participation in Clinical Decision Making by Home Healthcare Nurses

  • 투고 : 2010.05.05
  • 심사 : 2010.12.28
  • 발행 : 2010.12.31
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초록

Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. Results: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. Conclusion: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses’ participation in clinical decision making in cases where they can identify and solve the patient health problems.

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참고문헌

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피인용 문헌

  1. 일 상급종합병원 노인 환자의 가정간호 서비스 이용 현황 분석 vol.25, pp.3, 2010, https://doi.org/10.22650/jkcnr.2019.25.3.275
  2. 간호사의 임상의사결정능력 구조모형 vol.49, pp.5, 2010, https://doi.org/10.4040/jkan.2019.49.5.601
  3. 가정전문간호사가 실무에서 경험한 어려움과 대처 vol.31, pp.2, 2010, https://doi.org/10.12799/jkachn.2020.31.2.143
  4. 도뇨관 관리를 위해 가정간호에 의뢰된 환자의 요로감염실태 vol.28, pp.2, 2010, https://doi.org/10.22705/jkashcn.2021.28.2.178