Browse > Article
http://dx.doi.org/10.14400/JDC.2021.19.12.567

Importance-Performance Analysis about Early Mobilization after Abdominal Surgery Patients in Surgical Ward Nurses  

Kim, Bo Eun (Department of Nursing, Asan Medical Center)
Choi, Hye-Ran (Department of Clinical Nursing, University of Ulsan)
Publication Information
Journal of Digital Convergence / v.19, no.12, 2021 , pp. 567-575 More about this Journal
Abstract
This study was aimed to identify surgical ward nurses' importance-performance awareness toward early mobilization after abdominal surgery patients. The date were collected from 162 nurses and the importance and performance of early mobilization were analyzed by the IPA method. The collected data were analyzed using the SPSS/WIN 25.0 by implementing descriptive statistics, independent t-test, paired t-test, and ANOVA. Early mobilization was divided into exercise of pulmonary complications and early ambulation. As a result of the study, the areas requiring concentration were 'check risk of aspiration', and areas requiring improvement were 'oral care', 'check lung sound', 'percussion/vibration', 'suction', and 'reinforcement exercise in bed'. Therefore, each item of early mobilization is recommended to reduce the gap between importance and performance in clinical care.
Keywords
Exercise of Pulmonary Complications; Early Ambulation; Importance-Performance Analysis; Abdominal Surgery Patients; Nurses;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 B. H. Jeong et al. (2014). Development of a prediction rule for estimating postoperative pulmonary complications. Public Library of Science, 9(12), e113656. DOI : 10.1371/journal.pone.0113656   DOI
2 D. M. Needham, & R. Korupolu. (2010). Rehabilitation quality improvement in an intensive care unit setting: implementation of a quality improvement model. Topics in Stroke Rehabilitation, 17(4), 271-281. DOI : 10.1310/tsr1704-271   DOI
3 Y. S. Chau et al. (2005). A nurse-led walking exercise program for Hong Kong chinese diabetic patients: implications for facilitating self-efficacy beliefs. Journal of Clinical Nursing, 14(10), 1257-1259.   DOI
4 A. C. Lunardi, D. M. Paisani, C. C. Muarques da Silva, D. P. Cano, C. Tanaka & C. R. Carvalho. (2015). Comparison of lung expansion techniques on thoracoabdominal mechanics and incidence of pulmonary complications after upper abdominal surgery: A randomized and controlled trial. Chest, 148(4), 1003-1010. DOI : 10.1378/chest.14-2696   DOI
5 R. Dubb et al. (2016). Barriers and strategies for early mobilization of patients in intensive care units. Annals of the American Thoracic Society, 13(5), 724-730. DOI : 10.1513/AnnalsATS.201509-586CME   DOI
6 J. W. Park, J. I. Lee & J. W. Kim. (2009). The difference of the nurses' perception on the importance and performance of rehabilitation nursing service. Korean Journal of Rehabilitation Nursing, 12(1), 30-38.
7 S. H. Byun & D. H. S. Kang. (2019). Perception of patient safety culture, knowledge and performance of standard precaution among long-term care hospitals nurses. Journal of Digital Convergence, 17(9), 231-240. DOI : 10.14400/JDC.2019.17.9.231   DOI
8 Y. H. Chae, W. H, Lee, Y. M. Min, A. M. Shin & H. M. Kim. (2013). Nurse's role performance and perception of the importance of role among nurses practicing in a cancer care facility. Journal of Korean Clinical Nursing Research, 19(3), 407-418. DOI : 10.22650/JKCNR.2013.19.3.407   DOI
9 I. A. Kim & H. J. Lee. (2014). Effects of a progressive walking program on physical activity, exercise tolerance, recovery, and post-operative complications in patients with a lung resection. Journal of Korean Academy of Nursing, 44(4), 381-390. kttp://dx.doi.org/10.4040/jkan.2014.44.4.381   DOI
10 R. D. Basset, K. M. Vollman, L. Brandwene, & T. Murray. (2012). Integrating a multidisciplinary mobility programme into intensive care practice (IMMPTP): a multicentre collaborative. Intensive and Critical Care Nursing, 28(2), 88-97. DOI : 10.1016/j.iccn.2011.12.001   DOI
11 N. Y. Yang & J. S. Choi. (2011). Nurse's knowledge, attitude and practice of skin disinfection. Korean Journal of Adult Nursing, 23(3), 278-287.
12 H. S. Park, N. H. Kim & E. S. Kim. (2009). The effects of walking-support program on the pulmonary ventilatory functions of elders following upper-abdominal surgery. Journal of Korean Academy of Fundamentals of Nursing, 16(2), 214-222.
13 Y. H. Yang. (1997). The comparison of the perceived needs between patients with cancer, their caregivers, and nurses according to the cancer patient's phases of illness. Journal of Korean Academy of Nursing, 27(4), 787-795.
14 J. Martilla & J. James. (1977). Importance-performance analysis. Journal of Marketing, 41(1), 77-79.   DOI
15 C. Lim, H. Cho & S. H. Chang. (1997). The effect of deep breathing exercise and incentive spirometry to prevent postoperative pulmonary complications after abdominal surgery in geriatric patients. Korean Journal of Anesthesiology, 21(1), 13-20. DOI: 10.4097/kjae.1997.33.6.1185   DOI
16 Y. Chung, K. J. Lee & S. K. Kim. (2014). A study of utilizing IPA of agenda priority for nursing service research and development. Journal of Korean Academy of Nursing Administration, 21(1), 99-110.
17 Y. K. Jung & E. Y. Yoo. (2020). Analysis of the health care empowerment educational needs of the elderly with hypertension. Journal of Digital Convergence, 18(11), 409-415. DOI : 10.14400/JDC.2020.18.11.409   DOI
18 C. Kim, S. Kim, J. Yang & M. Choi. (2019). Nurses' perceived barriers and educational needs for early mobilization of critical ill patients. Australian Critical Care, 32(6), 451-457. DOI : 10.1016/j.aucc.2018.11.065   DOI
19 S. M. Shin & H. R. Choi. (2017). Practice guideline to prevent postoperative pulmonary complications for abdominal surgery. Evidence and Nursing, 5(1), 27-37.
20 H. Y. Park, Y. J. Kim & S. H. Chu. (2019). Importance-performance analysis(IPA) to improve emergency care for novice nurses. Journal of Korean Academy of Fundamentals of Nursing, 26(3), 155-165. DOI : 10.7739/jkafn.2019.26.3.155   DOI
21 F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.   DOI
22 Y. H. Sung, M. S. Song & J. H. Park. (2007). Estimation of nursing costs by a patient classification system(PCS) in ICU. Journal of Korean Academy of Nursing, 37(3), 370-380.
23 W. Kim. (2018). Rehabilitation in intensive care unit. Journal of Acute Care Surgery, 8(1), 2-6. https://doi.org/10.17479/jacs.2018.8.1.2   DOI
24 K. Stonecypher. (2010). Ventilator-associated pneumonia: the importance of oral care in intubated adults. Critical Care Nursing Quarterly, 33(4), 339-347.   DOI
25 T. H. Lee et al. (2017). Risk factors for postoperative ileus following orthopedic surgery: the role of chronic constipation. Journal of Neurogastroenterology and Motility, 21(1), 121-125. DOI : 10.5056/jnm14077   DOI
26 J. W. Park, Y. O. Suh, J. I. Lee & J. W. Kim. (2009). The difference of the nurses' perception on the importance and performance of rehabilitation nursing service. Korean Journal of Rehabilitation Nursing, 12(1), 30-38.
27 E. H. Lawson et al. (2013). Association between occurrence of a postoperative complication and readmission. Annals of Surgery, 258(1), 10-18.   DOI
28 Y. I. Kim. (2019). Statistical yearbook of major surgery 2018(ISSN 1976-619X), Wonju: National Health Insurance Service.
29 J. L. Thanavaro, & B. J. Foner. (2013). Postoperative pulmonary complications: reducing risks for noncardiac surgery. The Nurse Practitioner, 38(7), 38-47.   DOI