• 한국융합학회논문지
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• 제12권4호
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• pp.317-326
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• 2021

본 연구는 국내 갑상선질환자를 대상으로 한 중재 연구 프로그램의 특성과 결과변수를 분석하기 위한 체계적 문헌고찰 연구이다. 국내 5개의 데이터베이스에서 2019년까지 발표된 문헌을 체계적으로 고찰하였다. 확인한 824편 중 선정기준에 맞는 6편을 추출하였다. 본 연구의 결과 프로그램은 교육, 활동, 상담으로 분류되었다. 교육 및 상담요법은 심리사회적인 변수와 신체생리적인 변수에 유의한 영향을 미치고 있었다. 활동요법은 신체생리적 변수에 유의한 영향을 나타내었다. 본 연구는 국내 갑상선질환자를 위한 다양한 중재 프로그램의 개발과 운영방안에 대한 근거를 제시하였다는 것에 의의가 있으며 향후 갑상선질환자의 신체생리적 기능과 심리사회적 문제를 고려한 융합적 프로그램개발연구에 활용될 수 있을 것이다.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5993-6000
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• 2012

본 연구는 국내 혈액투석환자의 이행 관련 선행연구들을 체계적으로 고찰하여 이행 측정도구와 관련변인을 파악하고, 중재의 효과크기를 분석하여 혈액투석 환자를 위한 근거중심의 실무프로그램 개발 및 향후 연구 방향을 제시하기 위하여 시도되었다. 10개의 데이터베이스에서 검색한 437편의 연구 중 37편의 연구를 최종 선택하였으며, 5편의 중재연구를 메타 분석하였다. 연구결과, 사용된 이행 측정도구는 11개의 원 도구로부터 도출된 것으로 나타났으며, 관련변인은 총 20개 변인이 검색되었다. 중재방법은 개별교육프로그램, SMS, 이메일 및 전화 상담을 이용한 자가간호프로그램, 지지간호프로그램, 약물교육프로그램 등으로 분류되었고, 임의효과모형(random effect model)을 이용하여 분석한 중재의 효과크기는 1.04(95% CI: 0.60, 1.49, p<.00001)로 중재프로그램의 효과가 큰 것으로 나타났다.

• 성인간호학회지
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• 제24권4호
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• pp.358-369
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• 2012

Purpose: This study was performed to compare the costs of nursing interventions implemented for the obstetrical and gynecological patients using Korean Reimbursement System and ABC codes system developed in the US for costing out interventions performed by health care professional. Methods: First, the narrative data on nursing interventions were extracted from electronic medical record system of a tertiary university and mapped with Nursing Intervention Classification (NIC) by two researchers until 100% consent was reached. Narrative nursing interventions mapped with NIC were then remapped with ABC codes system using the electronic program developed in the research. The mapping data were analyzed with real numbers, frequency, percentage, mean, and standard deviation. Results: More nursing interventions were mapped with ABC codes than Korean reimbursement system. Total of 97 different types of narrative interventions could be mapped with NIC, 43 NIC interventions could be reimbursed by ABC code but only 16 NIC interventions were reimbursed by Korea Reimbursement System. Conclusion: Korean medical insurance fee system needs amendment to include more comprehensively interventions performed by nurses which are very important to patient outcomes. Further study is needed to develop strategies to costing out nursing interventions.

• 한국멀티미디어학회논문지
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• 제9권8호
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• pp.1054-1066
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• 2006

본 연구는 의료기관 간 정보공유를 위해 간호분류체계를 기반으로 임상문서구조(Clinical Document Architecture, CDA)의 생성과 새로운 패러다임의 병원정보시스템을 제안하였다. 간호정보 CDA는 간호진단, 간호중재 및 수행과 관련된 코딩시스템을 포함하였고 표준문서의 생성을 위해 CDA생성도구를 개발하였다. 본 연구의 목표는 개인의 필요한 간호정보를 간호전문가에게 실시간으로 제공하여 적정 간호를 제공하며 건강 증진을 도와 생산적인 삶의 질을 향상하는 것이다. 본 연구가 가지는 의의는 첫째, 국제 표준인 HL7 임상문서구조를 사용하기 위한 확장과 정제과정의 연구를 했으며, 둘째, 임상문서구조를 사용할 수 있는 웹 기반의 차세대 병원정보시스템의 구조를 제안하였다. 결론적으로, 임상문서구조에 대한 본 연구로 말미암아 평생전자의무기록(Electronic Health Record)과 임상데이터저장소(Clinical Data Repository)를 포함하여 다양한 보건의료기관 간 간호정보 공유의 기반이 될 것이다.

• Journal of Korean Biological Nursing Science
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• 제23권4호
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• pp.257-266
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• 2021

Purpose: The purpose of this study was to analyze the content of nursing interventions applied to patients with thoracic injury who visited a trauma emergency room (TER) or an emergency room (ER). Methods: Of 3,938 trauma patients admitted to this hospital between January 1, 2019 and December 31, 2020, 320 adult patients with thoracic injury (94 to TER, 226 to ER) who met the inclusion criteria were enrolled. Patients' data were acquired from their electronic medical records. General and clinical characteristics of these subjects along with nursing interventions were analyzed. Results: There were statistically significant differences in the length of stay, treatment outcome, and level of consciousness between thoracic injury patients who visited TER and ER. Average thoracic Abbreviated Injury Scale score and average Injury Severity Score of thoracic injury patients who visited TER were 3.13 and 13.54, respectively, which were significantly higher than those of patients who visited ER. The numbers of nursing actions applied was 4,819 for TER and 3,944 for ER, which were classified into five domains, 18 classes, and 56 interventions. The most domain of interventions carried out in both TER and ER was physiological: complex. Classes including Crisis management and Thermoregulation were not carried out in ER. On average, 16 more types of interventions were carried out in TER than in ER. Conclusion: This study demonstrated characteristics of thoracic injury patients and nursing interventions by emergency room type. Based on results of this study, standardized nursing interventions need be applied to thoracic injury patients visiting TER and ER.

• 의료커뮤니케이션
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• 제13권2호
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• pp.205-216
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• 2018

Background: The purpose of the study was to analyze the contents and importance of clinical practicum education in adult health nursing. Methods: This is a descriptive study using content analysis for identifying the items of clinical nursing checklists gathered from 13 university nursing programs accredited by Korean Accreditation Board of Nursing Education. Items in the checklist were standardized in accordance with the Nursing Intervention Classification (NIC) and categorized into simple-technical skill, complex-technical skill, and disease-specific care. The perceived significance of each item was examined by surveying nurses who in charge of nurse education from various clinical setting. Results: A total of 182 items in the clinical practicum contents were analyzed, and the terminologies of each item were variously described among nursing schools. Fifty percent of the total items were categorized into simple-technical skill. In terms of clinical importance, expert validity results showed that nurses considered infection control, infection protection, and fall prevention as the most significant items, which was not the same as the most common items in the clinical nursing checklist. Conclusion: These findings suggest that standardized nursing terminologies are needed to describe a nursing practicum checklist. Clinical importance of each item in the checklist should be taken into consideration in developing a clinical nursing checklist to assist the students in achieving the competencies as a clinical nurse.

• 성인간호학회지
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• 제20권2호
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• pp.296-310
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• 2008

Purpose: The purpose of this study was to compare the importance and performance of nursing interventions linked to five nursing diagnoses in CVA patients. Methods: First, total 37 nursing diagnoses were identified from the analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions. Second, each intervention was compared in terms of importance and performance by 80 nurses working at neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS program. Results: Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the interventions were scored higher in importance than performance and most of independent interventions were not performed as frequently as it perceived in importance. The interventions which scored high in performance were the interventions ordered by physician or interventions related to medication behavior. Conclusion: We identified which nursing interventions should be performed more frequently and more critically important to nursing diagnoses. We recommend further research that enhances the performance of nursing interventions to provide better quality of nursing services to the patients in practice.

• 한국콘텐츠학회논문지
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• 제14권6호
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• pp.219-228
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• 2014

목적 본 연구는 간질 아동에게 제공된 심리사회적 중재들의 효과에 대한 연구동향을 밝혀 추후 간질아동을 위한 간호중재의 기초자료로 활용하기 위함이다. 방법 PRISMA 문헌선택 흐름도에 따라 데이터베이스(Ovid-MEDLINE, EMBASE, PubMed, CINAHL, The Cochrane library, KMbase, and Koreamed)를 통해 454개의 논문들이 검색되었고 선정 및 제외기준에 의해 7개의 논문이 최종적으로 선택되었다. 2명의 연구자가 분석에 포함된 모든 연구를 독립적으로 검토하였고, 방법론적인 질 평가를 위해 코크란의 Risk of Bias 도구와 국내의 Risk of Bias Assessment tool for Non-randomized Study 도구를 이용하였다. 결과 중재 전략의 형태는 4가지로 분류되었다: 교육; 상담; 인지행동치료; 신체활동. 중재의 목표들은 매우 다양하였다. 결론 각각의 중재들은 간질관련 건강 결과에 부분적으로 긍정적인 효과를 보여주었지만 불충분한 중재 정보, 타당도가 떨어지는 결과 측정법, 적은 표본 수, 연구 설계의 제한점과 같은 방법론적인 약점들이 있었다.

• 한국엔터테인먼트산업학회논문지
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• 제14권5호
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• pp.255-266
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• 2020

본 연구는 간호대학생을 대상으로 환자안전 관련 교육프로그램의 종류와 구성 내용을 알아보기 위해 체계적 문헌고찰을 실시하였다. PRISMA를 사용하여 체계적으로 연구를 수행하였으며, 연구대상은 간호대학생, 중재방법은 환자안전교육, 결과는 도구를 사용하여 측정한 결과의 수치화된 보고 또는 서술적 보고, 연구유형은 무작위실험설계, 유사실험설계, 단일군 연구설계, 설문조사, 질적연구를 포함하여 수행하였다. Medline, Embases, CINAHL, DBpia, Riss, KISS를 통해 논문을 검색하였다. 검색 결과 총 2,468편의 논문이 검색되었으며, PICO에 따라 자료를 추출한 결과 총 9편의 논문이 분석에 사용되었다. 간호대학생의 환자안전교육의 특성을 교육 방법과 기간, 결과변수 및 측정도구에 따라 분류하였다. 그 결과 환자안전교육은 다양한 주제로 이루어졌으며, 강의식, 임상실습, 실험실, 그리고 시뮬레이션 등을 통해 교육되고 있었다. 교육 기간 또한 다양하였다. 결과변수는 지식, 태도, 기술 여부를 주로 확인하였는데, 이를 측정한 도구는 다양하였다. 간호대학생을 대상으로 환자안전교육은 국내외에서 다양한 주제, 방법, 기간을 통해 이루어지고 있었으므로, 환자안전 역량을 갖춘 간호인력을 배출하기 위해 교육기관과 실무기관에서 일관되고 통합적인 환자안전교육 확립을 위한 지속적인 연구가 필요하다.

• 성인간호학회지
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• 제12권4호
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• pp.606-618
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• 2000

The purpose of the study was to investigate the characteristics of the clients registered in the department of home health care nursing in a hospital and to analyze nursing intervention activities recorded in charts by application of Nursing Intervention Classification (NIC) system. For the descriptive survey study, data were collected by reviewing charts of 572 home health care clients between May, 1997 and July, 2000 at K hospital in Seoul. The average age of the clients was 66 years and the number of clients in their 70s ranked first with 28.2 percent(158 people). The mean length of home care service was 47 days with the highest frequency of less than four weeks (56 %). With regard to medical diagnosis, cancer showed the highest frequency (48%, 271 people), followed by cerebrovascular disease (19%), and pulmonary disease (6.9%). According to analysis of nursing interventions by the NIC system, the most frequently used nursing interventions in level 1 were interventions in the Physiological: Complex domain which were used 3,663 times (33%) among 11,107 total interventions. The Safety domain was the second most frequently used intervention, followed by the Physiological: Basic, and the Behavioral domains. In level 2, the Risk Management class was the most frequently used interventions with 3,108 interventions (27.9%), followed by Drug Management, and Tissue Perfusion Management classes. In level 3 interventions, Vital Sign Monitoring was the most frequently used intervention, 569 times (5.1%), followed by Health Screening, and Neurological Monitoring interventions. In sum, half of the clients in the study had cancer and were in their 70s. The most frequent reason for ending home care was death (40%), followed by readmission (28%). These findings represent clients with severe conditions referred to the home care nursing department as it was a University teaching hospital. Further research on analyzing nursing interventions performed in each institution needs to be conducted to develop a standardized list of nursing interventions to use in home health care settings.