• 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

• 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.

• 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 Critical Care Nursing
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• v.2 no.1
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• pp.36-47
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• 2009

Purpose: This study was to determine ICU nurses noncompliance of critical care nursing standards in order to provide basic data for education aimed at improvement in practice and evaluation of quality of nursing care in ICU. Methods: Data was collected from 150 nurses who work for three educational hospitals which have more than 800 beds and located in Gyeonggi province using questionnaires from September 2007 to October 2007. Results: The highest categories of noncompliance of critical care nursing standards were admission care($2.71\pm.60$) and infection control($2.31\pm.70$). The main causes of noncompliance critical care nursing standards that nurses regarded as causes were lack of attention(80.7%). ICU nurses mainly reported their noncompliance to charge nurses(89.3%) within 30minutes (84.7%). The reasons they reported were to solve problems rapidly and correctly, to reduce a harm to patients, and to prevent making noncompliance again. The reasons they didn't report were that they thought it might be not a problem and there was no change of patients conditions. Conclusion: ICU nurses noncompliance of critical care nursing standards was determined, therefore it can be used for prevention of further noncompliance.

• Journal of Korean Academy of Nursing
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• v.37 no.3
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• pp.373-380
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• 2007

Purpose: The objective of our study was to figure out costs of nursing services in ICU based on the PCS in order to determine an appropriate nursing fee schedule. Method: Data was collected from 2 hospitals from April 15-16 to April 22-23, 2003. The costs of nursing services in the ICU were analyzed by nursing time based on the nursing intensity. The inpatients in the ICU were classified by a PCS tool developed by the Korean Clinical Nurses Association(2000). Results: The distribution of patients by PCS in the ICU ranged from class IV to Class VI. The higher PCS in ICU consumed more nursing time. As a result, the higher nursing intensity, the more the daily average nursing costs in the ICU. Conclusion: Our study provides evidence to refine the current nursing fee schedule that does not differentiate from the volume of nursing services based on nursing time. We strongly recommend that the current reimbursement system for nursing services should be applied not only to the general nursing units but also to the ICU or other special nursing units.

• Journal of Korean Academy of Nursing
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• v.37 no.4
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• pp.586-593
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• 2007

Purpose: The purpose of this study was to describe patients' anxiety in the ICU and to investigate related factors on the anxiety level. Methods: An exploratory cross-sectional survey design was used. Forty-eight patients participated in the study. Questionnaires were asked to patients who had been cared in the ICUs. Results: Related to the anxiety level, the mean of the total anxiety score was 5.47, and 60% of the patients had moderate or severe level of anxiety. Patients from the coronary care unit had a significantly higher level of anxiety than those from surgical intensive care unit or pulmonary surgery care unit. Moreover, significantly different levels of anxiety were found among patients who had been stayed for 2, 3, or 4 days. Conclusion: Patients who were from the coronary care unit or had been stayed longer (up to 4 days) in the ICU were significantly associated with higher anxiety level.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.2
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• pp.214-223
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• 2017

Purpose: This study was conducted to investigate the factors influencing the competence in intensive and critical care nursing of senior nursing students. Methods: A descriptive survey was used to examine the factors that influence competence in intensive and critical care nursing. The data were collected using self-administered questionnaires; 237 senior nursing students were asked about general characteristics, critical thinking, communication competence, self-esteem, self-resilience, and self-leadership. Results: Multiple regression analysis indicated that self-leadership, self-esteem, and confidence in intensive care unit practice predicted the competence in intensive and critical care nursing (37.8% of explanatory power). Critical thinking, communication competence, and self-resilience were not shown to be significant predictors of, but were positively correlated with, the competence in intensive and critical care nursing. Conclusion: Based on the results, it is suggested that self-leadership, self-esteem, and confidence in intensive care unit practice should be considered in nursing education in order to improve nursing students' level of competence in intensive and critical care nursing.