• Title/Summary/Keyword: 간호중재

Search Result 1,500, Processing Time 0.035 seconds

International Comparison of Nursing Interventions Performed by Neurologic and Orthopaedic Nurses (신경기계와 정형외과 근무간호사의 간호중재에 대한 국제적 비교)

  • Lee, Eunjoo
    • Korean Journal of Adult Nursing
    • /
    • v.13 no.4
    • /
    • pp.517-528
    • /
    • 2001
  • 목적: 본 연구의 목적은 미국 아이오와 대학에서 개발된 Nursing Interventions Classification (NIC)을 사용하여 신경기계 병동과 정형외과 병동에 근무하는 간호사들이 가장 빈번히 수행하는 간호중재를 파악함으로서 이러한 부서의 간호중재 리스트를 개발하는데 있다. 그리고 확인된 간호중재의 리스트를 미국 간호협회의 핵심 간호중재 목록과 비교함으로써 양국간의 간호중재의 유사성과 차이를 비교함으로써 한국간호의 발전을 도모하는데 있다. 방법: 8개의3차병원 및 종합병원 근무하는 간호사에게 NIC을 번역하여 소개한 뒤 가장 자주 수행하는 간호중재 30개를 선택하게 하였다. 선택된 간호중재는 빈도와 백분율 이용하여 분석하였고 미국의 핵심간호 중재목록과 영역(domain)별, 분류군 (class)별로 비교하였다. 결과: 신경기계 병동은 30개의 간호중재를 정형외과 병동은 34개를 핵심간호중재로 확인하였다. 한국과 미국의 간호중재를 비교해본 결과 신경기계 병동의 간호중재와 미국American Association of Neuroscience Nurses (AANN) 의 핵심간호중재 목록과는 단지 5개의 간호중재가 일치하였지만 정형외과 병동의 간호중재목록은 미국의 National Association of orthopaedic Nurses (NAON) 의 핵심중재목록과 27개의 간호중재가 일치되어 더 많은 유사성을 나타내었다. 두 나라의 간호중재를 영역(domain)별로 비교해보면 한국 간호사의 간호중재는 미국간호단체의 핵심간호 중재 목록보다 신체적 간호에 보다 많은 편중을 보였다. 결론: 한국간호사의 간호중재가 신체적 간호중재에 집중되어 있으므로 환자간호에 보다 전인적인 간호중재가 수행될 수 있도록 노력해야 할 것이다. 그리고 본 연구를 통해 개발된 핵심 간호중재 목록은 병원의 간호정보시스템을 개발하는데 사용될 수 있으며, 간호지식의 확장이나 staffing, 간호 수가화, 그리고 궁극적으로는 간호의 효과성 연구를 자극할 수 있을 것이다.

  • PDF

Nursing Interventions In Korea (한국의 간호사들이 행하는 간호중재)

  • Yom, Young-Hee
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.4 no.1
    • /
    • pp.33-71
    • /
    • 1998
  • 본 연구의 목적은 한국의 간호사들이 행하는 간호중재를 규명하는 것이다. 연구대상은 한국의 2 병원에서 일하는 수 간호사와 평 간호사를 포함한 443면의 간호사이며, 연구도구는 Iowa Intervention Project Team 이 개발한 336 문항의 5점 척도로 이루어진 "간호중재"설문지를 사용하였다. 5점 척도는 다음과 같다 : (a) 거의 행하지 않는다 : (b) 거의 한달에 한번 행한다 : (c) 거의 일주일에 한 번 행한다 : (d) 거의 하루에 한 번 행한다 : (e) 하루에 여러 번 행한다. 한국자료를 위해 설문지는 본 연구자에 의해 한글로 번역되었고, Back-translation을 이용하여 한글로 번역한 설문지는 다시 bilingual nurse에 의해 영어로 옮겨졌고, 마지막으로 영어로 옮겨진 설문지를 원래의 영문으로 된 설문지와 비교한 후에(Equivalence Test) 수정${\cdot}$보완하여 사용하였다. 한국 간호사들은 336 간호중재 모두를 행하고 있으며, 21개의 간호중재가 적어도 하루에 한 번 정도는 이루어지고 있었다. 간호사들은 "생리적 : 복합영역"에 속하는 간호중재를 가장 빈번하게 행하였고, 이 중에서 "비경구적 투약"은 일주일에 거의 11번 정도로 가장 많이 행하여졌다. 가장 적게 행하는 간호중재는 "동물이용요법"이었다. 간호사들은 교육을 많이 받을수록, 임상경험이 많을수록 더 많은 간호중재를 빈번하게 행했다. 특히, 석사학위를 받은 간호사는 "행위 영역"에 속한 간호중재를 더 많이 행했는 데, 예를 들면 "적극적 경청", "적응 증진", "의사결정지지"등이다. 또한 4년제 대학을 졸업한 간호사들은 "생리적 : 복합영역"에 속한 간호중재들을 전문대학을 졸업한 간호사보다 더 많이 행했는 데, 예를 들면, "뇌부종 관리", "반사 장애 관리", "기구를 사용한 호흡"등이다. 10년 이상의 경험을 가진 간호사들은 "행위 영역"에 속한 간호중재를 임상 경험이 1년 미만이거나 또는 1-5년 사이의 경험을 가진 간호사보다 더 많이 행했는 데, 예를 들면, "죄책감 극복 증진", "진실 말하기"등이다. 또한 6-10년 사이의 임상경험을 가진 간호사들은 "자가 간호영역"에 속한 "옷 입히기", "두발 간호", "구강건강 유지" 등을 임상경험이 1년 미만인 간호사들보다 더 빈번하게 행했다. 이 연구는 간호중재 규명이 간호원가 산출을 위한 연구와, 간호의 질 향상을 위한 연구, 간호지식 탐구를 위한 연구에 공헌할 것을 기대한다.

  • PDF

A Literature Review for Fall-Prevention Nursing Program Development based on the Fall Information of a Rehabilitation Hospital (일 지역 재활병원의 낙상 정보에 근거한 낙상예방 간호중재 프로그램 개발을 위한 문헌분석 연구)

  • Park, Hee-Ok;Kang, Hee-Kyung
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.8
    • /
    • pp.99-107
    • /
    • 2020
  • This study is to design an effective fall-prevention nursing program. Researchers investigated the current condition and risk factors for falls in the small-medium sized rehabilitation hospital with descriptive research. We conducted integrative literature review to reflect the current approach of fall-prevention nursing program. We found that the risk factors for falls are related to the characteristics of clinical setting of the hospital. We suggested the nursing intervention with applying fall risk assessment scale that is sensitive to the elderly population and the intervention that shows maximum effect. In conclusion, this study proposed the way of selecting an effective fall-prevention nursing program based on a clinical setting and prospective of its application. This will contribute to the improvement in nursing practice with the critical view in hospital fall.

Evolution of Theory Development in Nursing Administration (간호행정학의 이론개발 변천과정)

  • Yom, Young-Hee
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.2 no.2
    • /
    • pp.121-129
    • /
    • 1996
  • 간호 행정학분야에 있어서 이론의 발전 단계는 아직도 초기단계에 있으며 계속 개발되는 중이다. 간호행정의 이론개발은 크게 3 단계로 나눌 수 있는데, 첫째, 다른 학문으로부터 빌려온 이론들을 간호학에서 사용한 단계, 둘째, 간호와 경영지식을 합성화시킨 이론적 모델을 사용한 단계, 셋째, 간호관리를 의한 중재(Management Intervention)개발의 단계이다. 간호행정이론 개발의 새로운 추세인 간호관리를 위한 중재가 어떻게 Middle-Range Theory를 구축하는데 공헌하는지가 서술되며, 그에 대한 예가 제시된다.

  • PDF

Development of Nursing Process Information System for the Home Health Care (가정간호를 위한 간호과정 정보시스템 개발)

  • Cho, Hyun;Kang, In-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.10 no.5
    • /
    • pp.1126-1132
    • /
    • 2009
  • We carried out this study to reduce the gaps between medical institutes and between medical personnels and help to improve medical service quality, by classifying diagnoses and related intervention through the development of standard nursing intervention and by computerizing protocols. We considered two processes: one is the development process of home nursing standard intervention, and the other is the process of computerizing its related protocols. For the former, research covered analysis of home health care practices, development of client assessment protocol, of patients diagnosis protocols, and of patients intervention protocol. For the latter, strategies for home health care information systems should be set up and it constituted four research contents of analysis, design, management and evaluation of the systems. We also trained and educated home nurses who work at home health service center, by making them use the manual of home health care information systems at a certain city of P. In this study, therefore, we developed elements of standard home health care mediation so that they could be included in the forms of home health information note, home health progress note, and home health progress summary, home health discharge summary. Because standard home health care intervention has been developed, it became easier to exchange information between different home heath service center offices, can prevent from missing or redundant information, and contribute to standardization of hospital terminologies when EMR and HMR are developed.

Factors Affecting Intention of Smoking Cessation Intervention among Nursing Students (간호대학생의 금연중재 의도와 관련된 요인)

  • Choi, Sook-Hee;Kim, Yun-Hee
    • The Journal of the Korea Contents Association
    • /
    • v.18 no.1
    • /
    • pp.431-440
    • /
    • 2018
  • The purpose of this study was to examine factors relating intention of smoking cessation intervention among nursing students. The participants were 214 nursing students among two universities in B city and Y city. A self-administered questionnaire was used to collect data. Data were analyzed with t-test, Pearson's correlation and multiple regression by using SPSS 23.0 program. The significant factors relating intention of smoking cessation intervention were self-efficacy of smoking cessation intervention (${\beta}=.634$ p<.001), attitude of smoking cessation intervention (${\beta}=.191$, p=.002), and beliefs of health benefits of smoking cessation (${\beta}=.132$, p=.032). And these factors explained 65.2% of the variance in nursing students' intention to implement smoking cessation intervention. In conclusion, self-efficacy of smoking cessation intervention, attitude of smoking cessation intervention and beliefs of health benefits of smoking cessation had a significant positive influence on the intention to delivery smoking cessation intervention among nursing students. These finding can be used to develop evidence-based smoking cessation intervention training program for nursing students.

Intervention of Virtual Reality of Adult Nursing Practicum for Nursing Students: A Systematic Review (간호대학생의 성인간호실습 가상현실 교육 중재: 체계적 고찰)

  • Kim, Hyun Kyoung;Ko, Eun Jung
    • The Journal of the Convergence on Culture Technology
    • /
    • v.8 no.6
    • /
    • pp.373-380
    • /
    • 2022
  • This study explored the effectiveness of virtual reality education interventions for nursing students in adult nursing practicum. This systematic review extracted intervention methods, research topics, outcome variables, and evidence synthesis of effectiveness. Seven studies were extracted from the databases of PubMed, Cochrane Library, EMBASE, and RISS. This study showed effects on knowledge, performance, attitude, critical thinking, self-efficacy, information assessment ability, problem-solving ability, self-confidence, and efficiency of nursing students. Therefore, virtual reality educational intervention contribute to enhance the competencies in adult nursing practicum.

A convergent meta-analysis of the effect of hospice nursing intervention (호스피스 간호중재 프로그램 효과에 관한 융·복합 메타분석)

  • Kim, Woon Soon
    • Journal of Digital Convergence
    • /
    • v.16 no.11
    • /
    • pp.419-432
    • /
    • 2018
  • The purpose of this study is to develop a hospice intervention program and present basic study data using a method of Meta analysis. Fifteen theses from 2002 to 2017 were collected from the on-line database at Korean Education and Research Information Service and other journals related hospice. Main keywords were 'hospice' and intervention'. The selected 15 theses were analyzed with publication bias, outcome of effect size, non-overlap percentage(U3), 95% confidence intervals and homogeneity. The result of the study is summarized as follows; Publication bias was stable and the effect size of hospice program was significant at. 99. The effective and significant regulation effects were publication years with 2003 to 2007(ES=1.24), publication types with journals(ES=1.33), majors with nursing sciences(ES=1.02), ages with 29 to 30(ES=1.09), later session(ES=1.06) and aroma(ES=1.12). Accordingly, this thesis has its meaning in that it used a Meta-analysis to analyze domestic theses of hospice intervention programs for the first time in Korea. This thesis will prodide specific guidance to researchers trying to develop and utilize hospice intervention programs resulting in helpful usages in professional hospice institutions with implementations of programs.

Analysis of the Nursing Interventions performed by orthopedic surgery care unit using NIC (NIC 간호중재 분류체계를 이용한 간호중재분석;정형외과 간호단위를 중심으로)

  • Kwon, Mi-Suk;Park, Kyung-Sook
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.8 no.4
    • /
    • pp.655-667
    • /
    • 2002
  • Purpose : This study analysis of nursing interventions and core nursing interventions performed orthopedic surgery care unit. Method : The data were collected from 55 nurses of 4 general hospital from July. 10, 2002 to Aug. 30, 2002. The instrument for this study was the Korean translation of 486 nursing intervention classifications developed by McColskey & Bulechek in 2000. In the 486 nursing interventions 350 nursing interventions were selected 8 among the 10 more than 5 years working group in orthopedic surgery care unit. Self frequency checking performed by 350 nursing interventions were used secondary questionnaire In the orthopedic surgery care unit nurses. Results : 1. The most frequently used nursing interventions domains were "Physiological : basic" and then "Physiological: complex", "Health system" "Behavior", "Family", "Safety". 2. Orthopedic surgery care unit core nursing interventions were performed several times a day by 50% or more of orthopedic surgery care unit and this result were 4 of domain, 11 of class, 26 core nursing interventions. This core nursing interventions were 5 of "Physiological : basic", 17 of "Physiological: complex", 1 of "Safety", 3 of "Health system" and have no "Behavior", "Family". Conclusion : This study analyzed nursing intervention of orthopedics and reestablished nursing intervention concept and I hope this study will be helpful for the nurse to be a professional by applying this to actual clinic, for development in qualified nursing and for establishment nursing information system.

  • PDF