• The Journal of the Korea Contents Association
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• v.11 no.12
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• pp.998-1006
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• 2011

Purpose: The purpose of this study was to identify the relationships among critical care competence, knowledge related to critical care, and satisfaction with clinical practice from third year college nursing students. Methods: The data were collected from questionnaires concerning critical care competence, knowledge related to critical care, and satisfaction with clinical practice given to 85 nursing students during June 2009. Results: The mean score of total critical care competence was 84.01 (${\pm}14.78$). Total knowledge related to critical care was 6.99 (${\pm}1.97$). Finally, satisfaction with clinical practice was 86.88 (${\pm}9.47$). Regarding critical care competence, common critical care competence was highest followed by neurologic care competence, cardiovascular care competence, and finally respiratory care competence. The mean score of knowledge related to cardiovascular care was highest followed by common critical care knowledge, respiratory care knowledge, and neurologic care knowledge for knowledge related to critical care competence. Critical care competence had a significant positive correlation with satisfaction with clinical practice but had no correlation with knowledge related to critical care. Conclusion: Results of this study suggest that developing educations of clinical practice in hospitals and laboratory practice in colleges for respiratory and cardiovascular critical care is necessary to promote critical care competence and satisfy clinical experiences of nursing students.

• Journal of Korean Critical Care Nursing
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• v.2 no.2
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• pp.79-91
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• 2009

• The Korean Nurse
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• v.20 no.5 s.113
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• pp.51-54
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• 1981

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.3
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• pp.346-354
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• 2011

Purpose: This study examines the effects of integrating Evidence Based Practice (EBP) into a critical care clinical practicum on nursing students' access and use of information resources and EBP competency. Methods: A one-group pretest-posttest design was used. Fifty senior nursing school students from a university participated. A critical care clinical practicum combined with EBP consisted of six full days of clinical practicum in intensive care units with EBP education. Group and individual training in EBP skills, lectures, small group discussion and conferences were provided. Data were analyzed using paired t tests for 50 participants. Results: The scores of evidence based practice competency increased significantly (p<.001) showing significant improvement in searching and classifying the evidence. Nursing students' access and use of research evidence improved (p=.004). Conclusion: This study showed that the integration of EBP into a clinical practicum was effective in improving accessibility and usefulness in research evidence such as guidelines and research articles, and increasing EBP competency in undergraduate students.

• Journal of Korean Clinical Nursing Research
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• v.19 no.1
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• pp.33-44
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• 2013

Purpose: This study was done to develop a valid and reliable Classification System for Critical Care Nursing (CSCCN) to be used in Intensive Care Units (ICUs). Methods: Head nurses and staff nurses of 17 ICUs in 6 hospitals classified 307 patients to verify interrater reliability. To verify construct validity, the staff nurses classified 404 patients according to CSCCN comparing difference in medical department and type of stay in ICU. For conversion index, 78 patients from 4 ICUs of 'S' hospital were classified and nursing time was measured by 107 nurses and 18 nurse aids using stopwatches. Results: The developed CSCCN has 11 categories, 76 nursing activities and 101 criteria. The reliability was verified as having high agreement (r=.946). The construct validity was verified comparing differences in medical department and type of stay in ICU. According to scores, four groups in the CSCCN classification were identified. According to the conversion index, one score on the CSCCN means 7.2 minutes of nursing time. Conclusion: CSCCN can be used to measure diverse and complex nursing demands including psycho-social aspects of ICU patients and convert nursing demands to numbers.

• Journal of Korean Critical Care Nursing
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• v.2 no.2
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• pp.68-78
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• 2009

Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.11
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• pp.5238-5246
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• 2012

This study was done to identify the evaluation of CPSCS for neurocritical patients and provide effective nursing interventions for these patients. Data were collected from medical records of 203 neurocritical patients over 18 years of age who were admitted to the ICU of C University Hospital during the period from January 2008 to May 2009 and from October 2011 to December 2011. Collected data were analyzed through t-test, ANOVA test, Person's correlation analysis, trend analysis, stepwise multiple regression. The average CPSCS score was $112.09{\pm}18.91$ and there was a significant trendency for higher severity to lead to higher CPSCS's scores(survival: J-T:9.795, die: J-T:5.415, p=<.001). The scores of the respective areas follows measurement of vital sign($3.74{\pm}2.15$), monitoring($28.97{\pm}4.31$), activity daily living ($34.99{\pm}3.66$), feeding($.19{\pm}.98$), intravenous infusion ($18.20{\pm}8.27$), treatment/procedure ($16.93{\pm}4.90$), respiratory therapy($8.61{\pm}7.07$). By means of stepwise multiple regression analysis, the intravenous therapy & medication, respiratory therapy, activities of daily living, and monitoring area that contains the model showed a significant (F=2073.963, p<.001), and they explained 98.1% of CPSCS. These findings provide information that is relevant in designing interventions to enhance CPSCS among neurocritical patients in hospital.

• Korean Journal of Adult Nursing
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• v.27 no.4
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• pp.384-396
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• 2015

Purpose: The purpose of this study was to describe the approaches, methods and questions asked in intensive care unit studies published in Korean journals and the American Journal of Critical Care (AJCC) from 1992 to 2011. Only quantitative studies were reviewed. Methods: A total of 144 studies published in four Korean Journals and 521 studies published in American Journal of Critical Care (AJCC) were analyzed using descriptive statistics. Results: The most frequently used research design reported in Korean journals were surveys (83.5%), protocol development (10.1%), and randomized controlled trials (6.2%). In AJCC, the most frequently reported design was survey research (90.4%) and randomized controlled trials (16.1%). The most frequent nursing intervention reported in the AJCC was tube care (10.8%), and in Korean journals the intervention of suctioning (10.8%). In Korea, nurses were more likely to study instrument measurements (31.0%) and positioning (13.5%). In reported studies in the AJCC there were more reports on emotional support, exercise, and measurement research. Conclusion: There is overlap in the type of studies between the two countries in term of study design, whereas the types of nursing problems studied differed in United States and Korea. The result suggests that there were gaps and those more diverse studies and physiological measurements are needed.

• 아동간호학회:학술대회논문집
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• 1996.06a
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• pp.46-53
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• 1996

선천성 심기형 환아의 중환자실 관리를 포함한 술전후 관리를 위하여는 각질환에 대한 해부학적, 혈역학적 욧점을 이해하고, 교정의 내용, 교정후 일어날 수 있는 혈역학적 특징을 간파하여야한다. 그런다음 소아 심장 환아의 중환자 관리상 필요한 각종 지표가 어떤 것들이 있는지 숙지해야하고 이를 바탕으로 시시각각으로 정상 범위를 벗어나려고 하는 각종 지표들을 철저히 감시하여 환아의 상태가 안정권에 돌입할때까지 신속하게 대처하는 것이 중환자 관리 요령이자 목표이다.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.4
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• pp.478-486
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• 2010

Purpose: To explore nurses' compliance with standards for critical care nursing practice in intensive care units (ICUs) and to provide basic data for high quality of critical care nursing. Method: A total of 616 participants from 61 ICUs which are graded from 1 to 7 throughout the nation were surveyed. Data were collected from February 9 to February 27, 2009 using a questionnaire consisting of 58 questions including 50 nursing activities as indicators. Results: The rate of ICU nurses' compliance with standards for critical care nursing practice was high. As for individual standards, compliance with the standard of assessment was the highest, followed by implementation, diagnosis, and planning in that order. There were differences in compliance according to nurses' ICU experience, work place (unit), and ICU grade. A shortage of manpower was considered as a main cause for noncompliance. Conclusion: The present compliance rate with standards for critical care nursing practice by ICU nurses was identified. Therefore, compliance rate can be used to promote quality of critical care nursing and development of educational programs for ICU nurses.