임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제18권2호
  • /
  • Pages.251-263
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  • 2012
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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신생아중환자 분류도구 개발을 위한 간호활동 규명 및 표준간호시간 조사연구

A Study on Identifying Nursing Activities and Standard Nursing Practice Time for Developing a Neonatal Patient Classification System in Neonatal Intensive Care Unit

  • 고범자 (건국대학교병원 간호교육행정팀) ;
  • 유미 (남서울대학교 간호학과) ;
  • 강진선 (강동경희대병원 신생아중환자실) ;
  • 김동연 (서울성모병원 신생아중환자실) ;
  • 복정희 (분당서울대학교병원 신생아중환자실) ;
  • 장은경 (세브란스병원 신생아중환자실) ;
  • 박선자 (서울아산병원 신생아중환자실) ;
  • 오순자 (삼성서울병원 신생아중환자실) ;
  • 최윤진 (서울대학교병원 신생아중환자실)
  • Ko, Bum Ja (Department of Nursing Executive & Education, Konkuk University Medical Center) ;
  • Yu, Mi (Department of Nursing, Namseoul University) ;
  • Kang, Jin Sun (NICU, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Dong Yeon (NICU, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Bog, Jeong Hee (NICU, Seoul National University Bundang Hospital) ;
  • Jang, Eun Kyung (NICU, Severance Hospital, Yonsei University Health System) ;
  • Park, Sun Ja (NICU, Asan Medical Center Children's Hospital) ;
  • Oh, Sun Ja (NICU, Samsung Medical Center) ;
  • Choi, Yun Jin (NICU, Seoul National University Hospital)
  • 투고 : 2012.05.14
  • 심사 : 2012.06.26
  • 발행 : 2012.08.31
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초록

Purpose: It was necessary for developing a neonatal classification system based on nursing needs and direct care time. This study was, thus, aimed at identifying nursing activities and measuring the standard nursing practice time for developing a neonatal patient classification system in Neonatal Intensive Care Unit (NICU). Methods: The study was taken place in 8 general hospitals located in Seoul and Kyungi province, South Korea from Dec, 2009 to Jan, 2010. By using 'the modified Workload Management System for critical care Nurses' (WMSN), nursing categories, activities, standard time, and task frequencies were measured with direct observation. The data were analyzed by using descriptive statistics. Results: Neonatal nursing activities were categorized into 8 areas: vital signs (manual), monitoring, activity of daily living (ADL), feeding, medication, treatment and procedure, respiratory therapy, and education-emotional support. The most frequent and time-consuming area was an ADL, unlike that of adult patients. Conclusion: The findings of the study provide a foundation for developing a neonatal patient classification system in NICU. Further research is warranted to verify the reliability and validity of the instrument.

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