• 한국산학기술학회논문지
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• 제19권11호
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• pp.635-644
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• 2018

수술실 욕창 예방을 위한 간호 실무지침 현황 및 적용실태를 조사하기 위한 서술적 조사연구이다. 서울, 인천, 경기지역의 상급 종합병원 4개와 전문병원 3개를 온라인 무작위화 프로그램을 이용하여 선정하였고 선정된 수술실에서 6개월이상 근무경력을 가진 수술에 직접 참여하는 간호사를 대상으로 하였다. 자료 수집 기간은 2018년 1월부터 4월까지였고 설문지는 총 150명에게 배부하여 129명에게 회수(회수율 86%)하였다. 수술실 간호사들은 측위 43명(33.3%), 앙와위 37명(28.7%), 복와위 36명(27.9%)이 수술 체위 대상자들에게 욕창예방 간호 경험을 갖고 있고 주로 사용하는 지지표면은 젤 102명(79.1%), 스폰지 62명(48.1%), 솜 47명(36.4%)이었으며 지지표면 사용 전후로 2회(90명, 69.8%) 피부사정을 실시하지만 욕창위험 사정을 위해 특별한 도구를 사용하지 않았고(76명, 58.9%) 지지표면 사용 여부를 결정하는 요인으로 수술 체위(83명,64.3%)를 지지표면 사용 여부를 결정하는 수술 소요 시간은 2시간 이상(49명,38.0%)임을 확인하였다. 수술실 간호사들이 수술 대상자들에게 욕창예방 간호을 위해 주로 사용하는 지지표면이 젤, 스폰지, 솜이었으며 지지표면 사용 여부를 결정하는 요인으로 수술 체위를 지지표면 사용 여부를 결정하는 수술 소요 시간은 2시간 이상임을 확인하였다.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.345-356
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• 2016

본 연구는 수술실 간호사의 안전역량 도구를 개발하고 타당도와 신뢰도를 검증하고자 시행되었다. 도구의 개발 과정은 문헌고찰을 통한 예비 문항 개발, 예비 문항의 개념적 기틀에 맞는 구성 타당도 검증으로 이루어졌다. 개발된 문항은 전문가 타당도를 거쳐 30개의 문항으로 확정하였다. 377명의 수술실 간호사를 대상으로 30개 문항으로 이루어진 예비 도구의 타당도와 신뢰도를 검증하였다. 도구의 구성요소를 확인하기 위해 탐색적 요인분석과 평행선 분석을 시행하였으며 그 결과 지식, 기술, 태도 3개 요인으로 이루어진 27개 문항을 도출하였다. 도구의 내적 구조를 도식화하기 위해 확인적 요인분석을 시행하였으며 최종 모델의 적합도는 TLI=.90, CFI=.91, RMSEA=.07 SRMR=.07 로 매우 적합하였다. 확인적 요인 분석 결과를 토대로 27문항 3개 요인(지식 6문항, 기술 13문항, 태도 8문항)으로 이루어진 최종 도구를 확정하였다. 최종 도구의 Cronabach' ${\alpha}$ 는 .94로 나타나 내적일관성을 확인하였다. 본 연구에서 개발된 수술실 간호사의 안전역량 도구는 환자 안전에 대한 수술실 간호사의 역량을 사정하고 환자 안전 연구나 경력 개발에 유용하게 사용될 수 있을 것으로 기대한다.

• 임상간호연구
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• 제17권2호
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• pp.204-214
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• 2011

Purpose: This study was aimed to provide information on the awareness of patient safety culture and safety care activities among operating room (OR) nurses and to analyze the factors influencing the safety care activities. Methods: For this descriptive research, self-reported questionnaires were administered to 168 OR nurses who were working at the university-affiliated and general hospitals. The collected data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson's correlation coefficient and Stepwise multiple regression with SPSS/WIN 17.0. Results: The mean score of the awareness on patient safety culture was 3.27 out of 5 points and that of safety care activity was 4.31 out of 5. The statistically significant difference was found between experience of safety education and the awareness on patient safety culture. Also, the scores of safety care activities were significantly different according to OR nurses' position, education levels, and experience of safety education. There was a positive correlation between the awareness of patient safety culture and safety care activity. Their explanatory power on safety care activity was 8.8%, which includes working environment in operating room 3.3% and nursing position 5.5%. Conclusion: Compared to the level of patient safety activities, the OR nurses' awareness on patient safety culture was low. Given the specific characteristics and conditions in each hospital, it needs to increase the OR nurses' awareness on patient safety culture and activities related to patient safety.

• 지역사회간호학회지
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• 제16권3호
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• pp.351-359
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• 2005

Purpose: To find the factors of subjective musculoskeletal symptoms associated with the general characteristics and tasks of operating room nurses (OR nurses) and then to use the factors as basic information for preventing and managing musculoskeletal symptoms in OR nurses. Method: This study was an exploratory research. Data were collected using a self-report questionnaire from OR nurses working at 8 polyclinics in Korea during the period from July 26 2004 to August 19 2004. The questionnaire contains 7 questions on general characteristics and 18 questions on tasks in the operating room. Result: 187 (75.1%) nurses said they 'had' subjective musculoskeletal symptoms. Statistically significant differences were observed according to clinical career, career as an OR nurse, skillfulness, satisfaction with tasks in the operating room, perception on suitable treatment, care of symptoms by the hospital. weight of hospital linen and weight of a basic operation set (p<.05). Conclusion: Musculoskeletal symptoms complained of by OR nurses were significant. This may cause difficulties in nursing tasks in the operating room. Thus, various arrangements should be made for OR nurse with subjective musculoskeletal symptoms at the early stage.

• 대한간호학회지
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• 제45권5호
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• pp.761-772
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• 2015

Purpose: This study was done to evaluate the experience of securing patient safety in hospital operating rooms. Methods: Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'. Conclusion: The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

• 동서간호학연구지
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• 제28권2호
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• pp.112-121
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• 2022

Purpose: This study aimed to identify the factors related to the organizational citizenship behavior of nurses in the operating room (OR). These factors include positive psychological capital, perceived organizational culture, and job characteristics. Methods: A descriptive correlational study design was used. A total of 185 OR nurses from nine general and advanced general hospitals across three metropolitan areas in South Korea completed the questionnaires. The questionnaires included items on organizational citizenship behavior, positive psychological capital, organizational culture, and job characteristics. Descriptive statistics and multiple regression analysis were conducted using SPSS/WIN 21.0. Results: The mean score for organizational citizenship behavior was 3.62 out of 5. Positive psychological capital, relationship-oriented organizational culture, and feedback on job characteristics were verified as influencing factors of OR nurses' organizational citizenship behaviors. The explanatory power of this regression model was 48.2%. Conclusion: Reinforcement of positive psychological capital of individual OR nurses and organizational efforts to endorse relationship-oriented organizational culture is required. It follows that OR nurses' organizational citizenship behavior can be enhanced based on mutual trust, cohesiveness, and feedback on their work performance.

• 임상간호연구
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• 제14권1호
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• pp.71-84
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• 2008

Purpose: The purpose of this study was to develop a performance tool to evaluate operating room nurses. Method: In the first stage, 59 preliminary items were selected after two focus group meetings were carried out using as background a reference review. At this stage 59 items were developed. Next, the selected preliminary items were modified by an expert group of nurses with over 10 years experience, nurses holding doctoral degrees and professors in nursing. In the third and fourth stage, these items were analyzed by the expert group to determine validity and tested by hospital nurses with over 10 years experience to determine reliability Results: For the final tool, the 59 items, 47 items for the performance evaluation dimension and 12 items for the competence evaluation dimension were found to be valid and reliable. Cronbach's $\alpha$ was .9622, a promising alpha value for the total instrument. Conclusion: This tool is an efficient performance evaluation instrument providing meaningful feedback for operating room nurses.

• 한국산학기술학회논문지
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• 제14권4호
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• pp.1781-1791
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• 2013

본 연구는 근무특성이 다른 병동과 수술실에 근무하고 있는 간호사들의 인구사회학적 특성, 건강관련행위 특성, 직업적 특성, 직무스트레스 요인 및 사회심리적 요인에 따른 스트레스와 피로수준을 비교 분석하고자 시도하였다. 연구대상은 대전광역시에 소재하고 있는 4개 대학병원의 병동근무 간호사 220명, 수술실근무 간호사 147명, 합계 367명으로 하였으며, 2012년 7월 1일부터 8월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문조사를 실시하였다. 연구결과, 사회심리적 스트레스에 관련된 요인으로 병동근무 간호사에서는 연령, 주관적인 건강상태, 근무경력, 업무에 대한 만족도, 업무에 대한 적성, 업무요구도, 업무자율성, 동료의 지지도, 자기존중감, 통제신념 및 A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 수면시간, 주관적인 건강상태, 근무경력, 업무의 신체적 부담정도, 업무에 대한 만족도, 업무에 대한 적성, 직업전환의사, 업무요구도, 업무자율성, A형 행동유형이 지적되었다. 피로수준에 관련된 요인으로 병동근무 간호사에서는 연령, 여가시간 여부, 주관적인 건강상태, 업무에 대한 만족도, 직업전환의사, 업무요구도, 통제신념, A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 주관적인 건강상태, 업무의 신체적 부담정도, 상사의 지지도, 동료의 지지도, 통제신념이 지적되었다. 이와 같은 결과를 볼 때 간호사의 근무부서에 따른 스트레스와 피로수준에 관련된 요인에 차이가 있음을 알 수 있으며 근무부서별 스트레스와 피로수준을 적절하게 통제할 수 있는 프로그램개발 및 실행이 필요하다고 생각된다.

• 간호행정학회지
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• 제20권3호
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• pp.313-321
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• 2014

Purpose: The purpose was to compare operating room (OR) nurses and general ward nurses on their communication competence and interpersonal relationship ability within the medical team. Methods: Participants were 276 nurses (OR 122, ward 154) working in one of 4 university hospitals located in I and K areas. Data were collected using a questionnaire and data collection was done in June, 2013. Comparisons between OR nurses and general ward nurses on communication competence and interpersonal relationship ability were analyzed using ANCOVA. Results: There were statistically significant differences between the two groups in communication competence (F=11.96, p=.001) with average score for OR nurses at 3.37 points and ward nurses at 3.53 points. There were statistically significant differences between the two groups in interpersonal relationship ability (F=15.51, p<.001) with the average score for OR nurses at 3.30 points and ward nurses at 3.50 points. Conclusion: The results indicate a need to develop a variety of programs to promote communication competence in OR nurses and to enhance the openness of interpersonal relationship ability in human resource management.

• 임상간호연구
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• 제15권1호
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• pp.93-106
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• 2009

Purpose: The purpose of this study was to develop a valid and reliable instrument to explore and measure job satisfaction as perceived by perioperative nurses, specifically from the perspective of contemporary perioperative nursing in Korea. Method: Items (69) were developed from the responses to two open-ended questions by 168 perioperative nurses in one teaching hospital; (a) reasons that make work enjoyable, (b) reasons that make work unpleasant. Finally 55 items were selected, excluding items with lower correlation with the total scale. The instrument was completed by 885 perioperative nurses from 89 different hospitals nationwide who were attending the annual conference of the Korean Association Operating Room Nurses (KAORN), yielding a response rate of 95.6%. Results: Ten factors were extracted by factor analysis, which explained 60.0% of the total variance; Reliability and internal consistency were established (Cronbach's alpha=.95). A smaller sample of 39 perioperative nurses completed the instrument on two occasions, with a 2-week interval between. Mean scores were computed and two sets of scores were analyzed by Weighted Kappa (W-Kappa=0.680, p=.029). Conclusion: This instrument is a concise, highly practical and flexible tool, which can be used for the perioperative nurse in a wide range of hospital settings.