DOI QR코드

DOI QR Code

아동간호사의 말초정맥주입 관리에 대한 인지 및 수행 관련 영향요인

Factor Affecting on Recognition and Performance of Peripheral Intravenous Infusion Management among Pediatric Nurses

  • 투고 : 2019.11.14
  • 심사 : 2019.12.20
  • 발행 : 2019.12.28

초록

본 연구는 아동간호사의 말초정맥주입관리에 대한 인지 및 수행 관련 영향요인 규명을 위해 시행되었다. 수집된 자료를 SPSS/WIN 24.0으로 분석한 결과. 인지와 수행은 4점 만점에 각각 3.34±0.39, 3.42±0.37점이었고, 인지 및 수행 각각의 하위영역 중 '유지와 교환' 및 '교육'이 가장 낮았다. 말초정맥주입관리에 따른 인지와 수행은 근무부서에 따라 유의한 차이를 보였고(p=.039, p<.001), 인지와 수행 간 정적 상관관계(r=.591, p<.001)가 있었다. 위계적 다중회귀분석 결과, 인지에는 수행(β=.57)과 근무부서(β=.22)가, 수행에는 인지(β=.57)와 피교육경험(β=.19)이 영향요인이었고, 인지 및 수행에 대한 각 변수들의 설명력은 각각 41.2%와 41.4%이었다. 결론적으로 말초정맥주입관리의 인지와 수행은 상호 간 영향을 미치는 요인이므로, 말초정맥주입관리의 인지를 향상시킬 방안을 마련함으로써 수행의 증가를 도모할 필요가 있다.

This study was to find factors affecting on recognition and performance of peripheral intravenous infusion management among pediatric nurses. In analysis using SPSS/Win 24.0, the average scores of recognition and performance were 3.34±0.39, 3.42±0.37 out of 4 each. 'Maintenance and exchange' and 'education' were the lowest each among subdomains. There're significant differences in recognition and performance according to working departments et. al.(p=.039, p<.001), and there's a positive correlation between recognition and performance(r=.591, p<.001). Factors affecting on recognition were performance(β=.57) and working department(β=.22), and on performance were recognition(β=.57) and educated experience(β=.19). And explanation rate were 41.2%, 41.4% each in stepwise multiple regression. In conclusion, recognition and performance were mutually influencing factors. Therefore, it is needed to increase performance by preparing measures to improve recognition of peripheral intravenous infusion management.

키워드

참고문헌

  1. H. K. Choi, M. J. Kang, H. J. Kang, E. H. Kim & K. S. Bang. (2016). Development of an Evidence-Based Nursing Protocol for Management of Peripheral Catheters in Children. Journal of Korean Clinical Nursing Research, 22(1), 56-67. DOI : 10.22650/JKCNR.2016.22.1.56
  2. H. Sung & H. S. Kim. (2007). Risk Factors of Intravenous Infiltration in Children. Clinical Nursing Research, 13(2), 61-72.
  3. L. A. Oishi. (2001). The necessity of routinely replacing peripheral intravenous catheters in hospitalized children. A review of the literature. Journal of Intravenous Nursing, 24(3), 174-179.
  4. J. S. Kim, Y. R. Lee & N. S. Kim. (2012). Effects of the Structured Nursing Intervention for Caregivers on Maintenance of Intravenous Infusions in Infants. Korean Journal of Child Health Nursing, 18(3), 135-142. DOI : 10.4094/jkachn.2012.18.3.135
  5. I. S. Jeong, S. M. Park & K. J. Park. (2016). Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children. Korean Academic Nursing, 46(4), 534-541. DOI : 10.4040/jkan.2016.46.4.534
  6. N. Root. (2007). Creating a safe environment for pediatric ED patients. Journal of Emergency Nursing, 33(3), 286-289. DOI : 10.1016/j.jen.2006.11.005
  7. D. Milutinović, D. Simin & D. Zec. (2015). Risk factor for phlebitis: A questionnaire study of nurses' perception. Revista Latino-Americana De Enfermagem, 23(4), 677-684. DOI : 10.1590/0104-1169.0192.2603
  8. E. S. Im & J. S. Kim. (2014). Distraction Techniques for Children Undergoing Procedures: A Critical Review of Korean Intervention Research. Child Health Nursing Research, 20(4), 340-349. DOI : 10.4094/chnr.2014.20.4.340
  9. M. L. Czarnecki, H. N. Turner, P. M. Collins, D. Doellman, S. Wrona & J. Reynolds. (2011). Procedural pain management: A position statement with clinical practice recommendations. Pain Management Nursing, 12(2), 95-111. DOI : 10.1016/ j.pmn.2011.02.003
  10. K. L. McCullen, & B. Pieper. (2006). A retrospective chart review of risk factors for extravasation among neonates receiving peripheral intravascular fluids. Journal of Wound, Ostomy, and Continence Nursing, 33(2), 133-139. http://insights.ovid.com/pubmed?pmid=16572012 https://doi.org/10.1097/00152192-200603000-00006
  11. M. O. Gu et al. (2017). Evidence-Based Clinical Nursing Practice Guidline; Intravenous Infusion. Hospital Nurses Association. http://www.khna.or.kr/web/information/guide.php
  12. S. Dolan et al. (2010). APIC position paper: Safe injection, infusion, and medication vial practices in health care. American Journal of Infection Control, 38(3), 167-172. DOI : 10.1016/j.ajic.2010.01.001
  13. J. I. Kim, J. H. Lee & O. J. Chang. (2013). Perceived Importance and Performance of Intravenous Fluid Therapy by Nurses in Small-Medium General Hospitals. Journal of Korean Academy of Fundamentals of Nursing, 20(4), 372-380. DOI : 10.7739/jkafn.2013.20.4.372
  14. M. R. Jeong. (2010). Perception and Performance on the Prevention Management of Peripheral Intravenous Therapy Complications. Ajou University, Su-won.
  15. S. A. Ryu et al. (2012). Nurses' Knowledge and Performance for the Prevention of Intravascular Catheter-related Infections according to the Strength of Recommendations of Evidence based Guidelines. Korean Journal of Adult Nursing, 24(5), 546-555. DOI : 10.7475/kjan.2012.24.5.546
  16. H. K. Choi, M. J. Kang, H. J. Kang, E. H. Kim & K. S. Bang. (2017). The Application and Effect of the Nursing Protocol of Pediatric Peripheral Intravenous Infusion. Perspectives in Nursing Science, 14(2), 45-54. DOI : 10.16952/pns.2017.14.2.45
  17. H. S. Park. (2005). A study om Accessibility, Usefulness, Barriers of Evidence Based Nursing of Clinical Nurse. Keimyung University, Dae-gu.
  18. K. N. Kim. (2017). Factors affecting the nursing performance of nurses on the prevention and management of peripheral vascular complications. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(10), 621-630. DOI : 10.14257/ajmahs.2017.10.05
  19. J. M. Kim & Y. S. Choi. (2018). Awareness and performance about nosocomial infection management; a early stage nurse in small and medium hospitals. Journal of the Korea Academia-Industrial cooperation Society, 19(8), 492-500. DOI : 10.5762/KAIS.2018.19.8.492
  20. Y. H. Lee & I. S. Kim. (2002). A Study on the Awareness and Performance Levels on the Prevention of Hospital Infection among Intensive Care Unit Nurses. Journal of the Korean Society of Maternal and Child Health, 6(2), 197-210. http://www.richis.org
  21. H. S. Cho & K. H. Yoo. (2001). A Study on the Level of Recognition and Performance of the Clinical Nurses about the Prevention of Nosocomial Infection. Korean Journal of Occupational Health Nursing, 10(1), 5-23.
  22. H. J. Kim. (2000). Evaluation on Recognition & Performance Levels for the Prevention of Nosocomial Infection among Nurses. Soonchunhyang University, A-san.
  23. S. A. Chung, E. H. Choi, K. S. Lee & K. A. Chung. (2016). Nurses' Knowledge and Performance for Prevention of Extravasation at Peripheral Intravenous Therapy. Journal of the Korea Academia-Industrial cooperation Society, 17(8), 183-191. DOI : 10.5762/KAIS.2016.17.8.183
  24. K. C. Lim et al. (2011). Registered Nurses' Knowledge, Attitudes, and Practice about Evidence-Based Practice at General Hospitals in Korea. Journal of Korean Clinical Nursing Research, 17(3), 375-387. http://khna.or.kr/web/information/article_search.ph
  25. Y. H. Suh & H. Y. Oh. (2010). Knowledge, Perception, Safety Climate, and Compliance with Hospital Infection Standard Precautions among Hospital Nurses. Journal of Korean Clinical Nursing Research, 16(1), 61-70. http://khna.or.kr/bbs/bbs/board.php
  26. J. Y. Yun, S. O. Kim & I. S. Kim. (2014). Influencing Factors on Practice of Healthcare-associated Infection Control among Clinical Nurses. Korean Journal of Occupational Health Nursing, 23(4), 208-218. DOI : 10.5807/kjohn.2014.23.4.208