DOI QR코드

DOI QR Code

The Domains of the Competencies of Trauma Nursing : A Scoping Review

외상간호 역량의 주요 영역 연구 : 범주 문헌고찰

  • Received : 2019.03.08
  • Accepted : 2019.04.16
  • Published : 2019.05.28

Abstract

This study was conducted to identify the domains of the competencies of trauma nursing through a scoping review using the JBI(Joanna Briggs Institute) methodology. The keywords are trauma, $nurs^*$, $competenc^*$, $role^*$, attitude, and knowledge and skill. The review used information from six databases: CINAHL, Pubmed, ProQuest, Web of Science, Scopus, and ERIC. Inclusion and exclusion criteria were identified as strategies to use in this review. 8 studies were eligible for result extraction, as they listed domains of the competencies. These domains among studies were analyzed based on Trauma Care System and Lenburg's COPA(Competency Outcomes and Performance Assessment) model. Domains in 'Prehospital care & transport', 'Hospital care' and 'Rehabilitation' of Trauma Care System were present, but no domain in 'Injury prevention' was.

본 연구는 간호사들이 외상환자를 돌봄에 있어 필요한 역량의 주요 영역을 분석함으로써 간호사 및 외상간호교육이 나아갈 방향을 제시하는 것을 목적으로 한다. 본 연구는 JBI(Joanna Briggs Institute)의 범주 문헌고찰(Scoping review) 매뉴얼에 따라 시행되었다. 주제어로는 trauma, $nurs^*$, $competenc^*$, $role^*$, attitude, knowledge and skills 이었으며, Pubmed, CINAHL, ProQuest, Web of Science, Scopus, ERIC의 6개 데이터베이스를 활용하여 문헌을 검색하였다. 문헌선정기준과 문헌배제기준에 따라 외상간호를 위한 간호사의 역량 도메인을 제시한 논문 8개를 최종 포함시켰다. 최종 논문 8개는 외상진료체계에 따라 분석한 결과 '병원 전 처치와 이송', '병원외상치료', '재활'의 역량을 포함하였으나 '손상예방'의 역량은 찾아볼 수 없었다. 또한 Lenburg의 COPA(Competency Outcomes and Performance Assessment) 모델의 각 역량을 바탕으로 도출된 역량 도메인을 분석하였다.

Keywords

CCTHCV_2019_v19n5_497_f0001.png 이미지

그림 1. 외상환자의 생존고리[6]

CCTHCV_2019_v19n5_497_f0002.png 이미지

그림 2. PRISMA Flow Diagram for the scoping review process

표 1. Lenburg’s COPA model

CCTHCV_2019_v19n5_497_t0001.png 이미지

표 2. 선정기준 및 배제기준

CCTHCV_2019_v19n5_497_t0002.png 이미지

표 3. 최종문헌 분석에 포함된 간호역량의 주요 영역

CCTHCV_2019_v19n5_497_t0003.png 이미지

References

  1. http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv, 2019.02.04.
  2. http://kosis.kr / statisticsList /statistics ListIndex.do?menuId=M_02_01_01&vwcd=MT_RTITLE&parmTabId=M_02_01_01#SelectStatsBoxDiv, 2019.02.04.
  3. P. G. Teixeira, K. Inaba, P. Hadjizacharia, C. Brown, A. Salim, P. Rhee, T. Browder, T. Noguchi, and D. Demetriades, "Preventable or potentially preventable mortality at a mature trauma center," The Journal of trauma Journal Article, Vol.63, No.6, p.1338, 2007. https://doi.org/10.1097/TA.0b013e31815078ae
  4. 김윤, 박수경, 정경원, 조현민, 박찬용, 윤정호, 박주옥, 이기재, 홍기정, 윤한덕, 박종민, 김선월, 은상준, 염석란, 김상철, 예방 가능한 외상사망률 평가 및 외상센터운영활성화, 보건복지부&서울대학교산학협력단, 2017.
  5. 보건복지부, 2013년도 권역외상센터 설치지원 사업안내, 보건복지부, 2013.
  6. 김윤, 강대욱, 노영선, 박수범, 박재현, 박창배, 신상도, 안기옥, 염석란, 오종희, 이의중, 이태식, 조진성, 차원철, 외상진료체계 분야별 구축방안 연구, 보건복지부&서울대학교의과대학, 2011.
  7. E. J. MacKenzie, "Review of evidence regarding trauma system effectiveness resulting from panel studies," Journal Trauma, Vol.47, No.3, Suppl.S34-41, 1999. https://doi.org/10.1097/00005373-199909001-00008
  8. R. L. Gruen, G. J. Jurkovich, L. K. McIntyre, H. M. Foy, and R. V. Maier, "Patterns of Errors Contributing to Trauma Mortality: Lessons Learned From 2594 Deaths," Annals of Surgery, Vol.244, No.3, pp.371-380, 2006. https://doi.org/10.1097/01.sla.0000234655.83517.56
  9. S. Martin, "Designated trauma nurses in the emergency department: do they impact patient outcomes?," J Emerg Nurs, Vol.37, No.4, pp.413-416, 2011. https://doi.org/10.1016/j.jen.2010.11.018
  10. 정윤중, 김영환, 김태현, 금민애, 마대성, 경규혁, 김정재, 홍석경, "외상환자의 치료에서 외상 전문간호사 도입 결과," 대한외상학회, 제25권, 제4호, pp.254-260, 2012.
  11. M. M. Alzghoul, "The experience of nurses working with trauma patients in critical care and emergency settings: A qualitative study from Scottish nurses' perspective," International journal of orthopaedic and trauma nursing, Vol.18, No.1, pp.13-22, 2014. https://doi.org/10.1016/j.ijotn.2013.04.004
  12. D. Harkins, "Trauma Is a Team Sport," Journal of Trauma Nursing, Vol.16, No.2, pp.61-63, 2009. https://doi.org/10.1097/JTN.0b013e3181ac90e8
  13. K. Haley, S. Marti, J. Kilgore, C. Lang, M Rozzell, C. Coffey, S. Eley, A. Light, J. Hubartt, S. Kovach, and S. Deppe, "Establishing Standards for Trauma Nursing Education: The Central Ohio Trauma System's Approach," Journal of Trauma Nursing, Vol.24, No.1, pp.34-41, 2017. https://doi.org/10.1097/JTN.0000000000000260
  14. D. Gunnels and M. Gunnels, "The critical response nurse role: An innovative solution for providing skilled trauma nurses," International Journal of Trauma Nursing, Vol.7, No.1, pp.3-7, 2001. https://doi.org/10.1067/mtn.2001.112179
  15. The Board of Certification for Emergency Nursing, A National Role Delineation Study of the Trauma Nurse Executive Summary, The Board of Certification for Emergency Nursing, 2015.
  16. 조순영, 서유미, 정은경, 최주영, "외상간호교육 요구분석 : 권역외상센터 간호사를 대상으로," 군진간호연구, 제34권, 제2호, pp.52-68, 2016.
  17. 김명희, 박정하, "중증외상환자의 주 손상 부위별 특성과 간호활동," 기초간호자연과학회지, 제15권, 제4호, pp.210-218, 2013.
  18. 채영숙, 권역응급의료센터 중증외상환자의 간호업무 프로토콜 개발, 강릉원주대학교, 석사학위논문, 2013.
  19. 김혜원, 조순영, 홍은지, "권역외상센터 간호사의 핵심역량," 군진간호연구, 제36권, 제2호, pp.29-40, 2018.
  20. C. B. Lenburg, "The Framework, Concepts and Methods of the Competency Outcomes and Performance Assessment(COPA) Model," Online Journal of Issues In Nursing, Vol.4, No.2, pp.1-12, 1999.
  21. 심환희, 외상환자를 돌보는 응급실간호사의 이차외상 경험, 고신대학교, 박사학위논문, 2016.
  22. L. Freeman, F. Fothergill-Bourbonnais, and J. Rashotte, "The experience of being a trauma nurse: a phenomenological study," Intensive and Critical Care Nursing, Vol.30, No.1, pp.6-12, 2014. https://doi.org/10.1016/j.iccn.2013.06.004
  23. R. A. Gosselin, D. A. Spiegel, R. Coughlin, and L. G. Zirkle, "Injuries: the neglected burden in developing countries," Bull World Health Organ, Vol.87, No.4, pp.246-246a, 2009. https://doi.org/10.2471/BLT.08.052290
  24. 정경원, 이국종, 김지영, "외상환자에 대한 손상 중증도 점수체계와 국내 외상성과 연구," Journal of Acute Care Surgery, 제6권, 제1호, pp.11-7, 2016. https://doi.org/10.17479/jacs.2016.6.1.11
  25. R. A. Cowley, "A total emergency medical system for the State of Maryland," Md State Med J, Vol.24, No.7, pp.37-45, 1975.
  26. F. B. Rogers, K. J. Rittenhouse, and B. W. Gross, "The golden hour in trauma: Dogma or medical folklore?," Injury, Vol.46, No.4, pp.525-527, 2015. https://doi.org/10.1016/j.injury.2014.08.043
  27. 대한응급의학회, 대한외상학회,Korean Trauma Assessment And Treatment, 군자출판사, 2016.
  28. Society of Trauma Nurses, "The importance of trauma systems and the vital role of nursing in trauma systems," Journal of trauma nursing, Vol.10, No.4, pp.105-106, 2003. https://doi.org/10.1097/00043860-200310040-00003
  29. Society of Trauma Nurses, Society of Trauma Nurses Position Statement, Qualifications, Competencies, and Continuing Education for Trauma Nurses, Society of Trauma Nurses, 2016.
  30. D. Whiting and E. Cole, "Developing a trauma care syllabus for intensive care nurses in the United Kingdom: A Delphi study," Intensive and Critical Care Nursing, No.36, pp.49-57, 2016.
  31. K. Curtis, T. Wiseman, B. Kennedy, S. Kourouche, and H. Goldsmith, "Implementation and Evaluation of a Ward-Based eLearning Program for Trauma Patient Management," Journal of trauma nursing, Vol.23, No.1, pp.28-35, 2016. https://doi.org/10.1097/JTN.0000000000000177
  32. E. Walter and K. Curtis, "The Role and Impact of the Specialist Trauma Nurse: An Integrative Review," Journal of Trauma Nursing, Vol.22, No.3, pp.153-169, 2015. https://doi.org/10.1097/JTN.0000000000000126
  33. The Joanna Briggs Institute, Reviewers' Manual 2015 Methodology for JBI Scoping Review, The Joanna Briggs Institute, 2015.
  34. B. E. Franklin, K. V. Carr, and D. L. Padden, "Self -assessment of trauma competencies among Arm y family nurse practitioners," Military medicine, Vol.173, No.8, pp.759-764, 2008. https://doi.org/10.7205/MILMED.173.8.759
  35. K. K. Smith, "Critical care nursing in an austere environment," Critical care medicine, Vol.36, Suppl.7, pp.S297-303, 2008. https://doi.org/10.1097/CCM.0b013e31817daa01
  36. B. Lafferty, "Trauma Nurse Practitioners: Variations in Utilization and Role Expansion," Journal of Trauma Nursing, Vol.18, No.2, pp.115-120, 2011. https://doi.org/10.1097/JTN.0b013e31821f647f
  37. J. Santy, J. Rogers, P. Davis, R. Jester, J. Kneale, C. Knight, B. Lucas, and J. Temple, "A competency framework for orthopaedic and trauma nursing," Journal of Orthopaedic Nursing, Vol.9, No.2, pp.81-86, 2005. https://doi.org/10.1016/j.joon.2005.02.003
  38. Royal College of Nursing, A Competence Framework for Orthopaedic and Trauma Practitioners, Royal College of Nursing, 2012.
  39. A. Abelsson, L. Lindwall, B. O. Suserud and I. Rystedt, "Ambulance Nurses' Competence and Perception of Competence in Prehospital Trauma Care," Emergency medicine international, Vol.2018, Article ID.5910342, 2018. https://doi.org/10.1155/2018/5910342
  40. K. Unhasuta, M. V. Robinson, and K. Magily, "Research plan for developing trauma core competencies for nurses in Thailand," International emergency nursing, Vol.18, No.1, pp.3-7, 2010. https://doi.org/10.1016/j.ienj.2009.08.001
  41. V. D. Van, Y. Aungsuroch, and R. Navicharern, "A Study of Trauma Nursing Core Competency among Staff Nurses in Vietnamese general hospitals," Journal of Health Research. Vol.29, No.2, pp.143-151, 2015.
  42. R. J. McClure, K. Mack, N. Wilkins, and T. M. Davey, "Injury prevention as social change," Injury Prevention, Vol.22, No.3, pp.226-229, 2016. http://dx.doi.org/10.1136/injuryprev-2015-041838
  43. P. Violano, I. Weston, and G. Tinkoff, "Approach to a Standardized Injury Prevention Coordinator Training Curriculum," Journal of trauma nursing, Vol.23, No.6, pp.343-346, 2016. https://doi.org/10.1097/JTN.0000000000000245
  44. S. K. Snow, "The Role of the Emergency Nurse in Injury Prevention," Journal of Emergency Nursing, Vol.44, No.6, pp.640-644, 2018. https://doi.org/10.1016/j.jen.2018.10.002
  45. K. Eldredge, "Assessment of trauma nurse knowledge related to forensic practice," Journal of forensic nursing, Vol.4, No.4, pp.157-165, 2008. https://doi.org/10.1097/01263942-200812000-00003
  46. L. A. Wurster, J. I. Groner, and J. Hoffman, "Electronic documentation of trauma resuscitations at a level 1 pediatric trauma center," Journal of trauma nursing, Vol.19, No.2, pp.76-79, 2012. https://doi.org/10.1097/JTN.0b013e31825629ab
  47. T. L. Zakrison, B. Rosenbloom, A. McFarlan, A. Jovicic, S. Soklaridis, C. Allen, C. Schulman, N. Namias, and S. Rizoli, "Lost information during the handover of critically injured trauma patients: a mixed - methods study," BMJ quality & safety, Vol.25, No.12, pp.929-936, 2016. https://doi.org/10.1136/bmjqs-2014-003903
  48. H. R. Nolan, M. Fitzgerald, B. Howard, J. Jarrard, and D. Vaughn, "The Trauma Time-Out: Evaluating the Effectiveness of Protocol - Based Information Dissemination in the Traumatically Injured Patient," Journal of trauma nursing, Vol.24, No.3, pp.170-173, 2017. https://doi.org/10.1097/JTN.0000000000000286
  49. 강경자, 김은만, 류세앙, "일 종합병원 간호사의 간호수행능력 영향 요인," 한국콘텐츠학회논문지, 제11권, 제1호, pp.284-293, 2011. doi:10.5392/JKCA.2011.11.1.284
  50. D. Demetriades, B. Kimbrell, A. Salim, G. Velmahos, P. Rhee, C. Preston, G. Gruzinski, and L. Chan, "Trauma deaths in a mature urban trauma system: is "trimodal" distribution a valid concept?," J Am Coll Surg, Vol.201, No.3, pp.343-348, 2005. https://doi.org/10.1016/j.jamcollsurg.2005.05.003
  51. 이성화, 조석주, 염석란, 류지호, 정진우, 한상균, 김용인, 박맹렬, 김영대, "다발성 중증 외상환자들의 치료에 대한 응급 외상팀 운영의 효과," 대한외상학회, 제22권, 제2호, pp.172-178, 2009.
  52. S. F. Chuang, "Essential skills for leadership effectiveness in diverse workplace development," Online Journal for Workforce Education and Development, Vol.6, No.1, 2013.
  53. C. T. Beck, "Secondary traumatic stress in trauma nurses: a systematic review," Arch Psychiatr Nurs, Vol.25, No.1, pp.1-10, 2011. https://doi.org/10.1016/j.apnu.2010.05.005
  54. A. Kyle, "Do We Have Leaders Among Us?," Journal of Trauma Nursing, Vol.22, No.5, p.231, 2015. https://doi.org/10.1097/JTN.0000000000000147
  55. A. Clements, K. Curtis, L. Horvat, and R. Z. Shaban, "The effect of a nurse team leader on communication and leadership in major trauma resuscitations," International Emergency Nursing, Vol.23, No.1, pp.3-7, 2015. https://doi.org/10.1016/j.ienj.2014.04.004
  56. K. Pidgeon, "The Keys for Success: Leadership Core Competencies," Journal of trauma nursing, Vol.24, No.6, pp.338-341, 2017. https://doi.org/10.1097/JTN.0000000000000322