• 제목/요약/키워드: Basic Nursing Science

검색결과 805건 처리시간 0.03초

일개 상급종합병원 응급중환자실 내 심정지 후 저체온요법을 적용한 환자의 말초 청색증 발생 현황 (Incidence of Peripheral Cyanosis in Patients with Therapeutic Hypothermia after Cardiac Arrest in the Acute Care Unit of a Tertiary General Hospital)

  • 방수연;이영희
    • 중환자간호학회지
    • /
    • 제14권3호
    • /
    • pp.128-140
    • /
    • 2021
  • Purpose : This study aimed to identify the incidence of peripheral cyanosis and the characteristics and clinical results of patients with therapeutic hypothermia after a cardiac arrest. Methods : Data were collected from April to June 2021 via the electrical medical records of 95 patients with therapeutic hypothermia for 72 hours after a cardiac arrest admitted to an acute care unit at a tertiary hospital between January 1, 2016, and December 31, 2019. The data were analyzed using descriptive statistics and a t-test, Mann-Whitney U test, Chi-squared test, Fisher's exact test, and logistic regression using SPSS/WIN. Results : The incidence of peripheral cyanosis was 20%. In the peripheral cyanosis group, peripheral vascular disease, fibrinogen, vasopressor, infection, disseminated intravascular coagulation, acute physiology, chronic health evaluation II score on the second hospital day, nursing intervention, and mortality on the seventh hospital day were higher. The level of fibrinogen and use of vasopressors affected the occurrence of peripheral cyanosis. Conclusion : Considering the influencing variables, careful observation is necessary for patients with high fibrinogen levels and vasopressor use. These results provide basic data to recognize the need for nursing intervention for peripheral cyanosis and encourage nurses to deliver them during therapeutic hypothermia.

대학생 스마트폰 중독에 따른 정신건강과 신체건강 (Mental Health and Physical Health by College Students' Smartphone Addiction)

  • 윤현서;권명순;유정순
    • 한국보건간호학회지
    • /
    • 제32권3호
    • /
    • pp.411-423
    • /
    • 2018
  • Purpose: This study was to form a healthy smartphone culture and serve as basic materials for developing smartphone addiction intervention program by understanding mental health and physical health of college students caused by smartphone addiction. Methods: The data collected from 261 college students at G and S city universities who understood the purpose of this study and consented to take part in the study were analyzed on mean, standard deviation, frequency, Chi square test and t-test using SPSS 20.0. Results: The result showed that the level of smartphone addiction was significantly different according to gender, age, type of college, satisfaction with college life and satisfaction with family life. The smartphone addiction risk group showed higher score in life stress, depression, social avoidance and distress than the general user group and the physical health was also higher in the risk group than the general user group. Conclusion: It is necessary to develop and apply customized intervention plan per each person's characteristics and level of addiction to prevent addiction and improve health condition from overuse of smartphone.

진료협력간호사의 역할규명을 위한 직무분석 - 교육상담간호사와 진료코디네이터간호사 중심 - (Job Analysis for Role Identification of Clinical Nurses with Expanded Role - Clinical Nurse with Education and Clinical Nurse with Coordination -)

  • 성영희;임난영;박광옥;정정희;권인각;김을순;황문숙
    • 임상간호연구
    • /
    • 제15권2호
    • /
    • pp.139-155
    • /
    • 2009
  • Purpose: The purpose of this study was to identify role through job analysis (duties and tasks) of nurses who work as clinical nurses with education and clinical nurse with patient coordination within the hospital. Methods: The DACUM committee was organized with 8 nurses each, clinical nurses with education and clinical nurses with coordination. The committee derived the duties and tasks of the two groups of clinical nurses from their actual work in the hospital through a DACUM workshop. Validity of the derived duties and tasks was tested by 12 nurses at each of 3 hospital. Results: For clinical nurse with education, 8 duties and 45 tasks were identified, which included patient education and consultation, patient advocacy, management of the therapeutic process, direct nursing care, activities work directed at improvement, management of health promotion events, administration work, and self-improvement. For clinical nurse with coordination, 10 duties and 54 tasks were identified, and included client consultation, client education, direct nursing care, coordination of therapeutic flow, employee education, public relations with the community, planning and operation of meetings, administration work, work directed at improvement, and self-improvement. Conclusion: The results of this study contribute to not only the work of the participants but also basic data for human resource management in the hospital.

DACUM 직무분석 기법을 이용한 외래간호사의 직무분석 (Job Description of the Nurses Working in Outpatient Department by DACUM Technique)

  • 조경숙;강현숙;김주현;손행미;한혜자;성영희;박정원;송말순
    • 임상간호연구
    • /
    • 제14권2호
    • /
    • pp.31-45
    • /
    • 2008
  • Purpose: The purposes of this study were: (a) to identify role definition, tasks, and duties of the nurses who work in outpatient department (OPD), (b) to do Development a Curriculum(DACUM) chart, and (c) to compare duties and tasks among nurses, nurse's assistants, and doctors. Method: The DACUM committee was organized with 10 nurses who worked in OPD. The committee derived the duties and tasks of OPD nurses from what they had done at workplace. Validity of the derived duties and tasks was tested by 23 nurses at 15 university hospitals. Results: Eleven kinds of duties were identified: preparation for outpatient's medical examination; support for outpatient's medical examination; management of outpatients; outpatient education; outpatient counseling; special examination of outpatient; OPD administration; management of OPD supplies; management of facilities and environments of OPD; management of OPD personnel, and self-improvement. Ninety-two tasks were classified. Conclusion: The abilities for education and emergency care of OPD nurses should be empowered. The results of this study would not only contribute to the effective OPD nursing care, but also be useful as basic data in hospital management.

  • PDF

기초생활보장 수급 노인의 삶의 질 (Quality of Life in Low Income Korean Aged)

  • 김혜령;오가실;오경옥;이선옥;이숙자;김정아;전화연;강정희
    • 대한간호학회지
    • /
    • 제38권5호
    • /
    • pp.694-703
    • /
    • 2008
  • Purpose: The purpose of this study was to identify the quality of life and its predictors in low income Korean aged. Methods: This was a predictive correlational study. An accessible sample from the population of people who were 65 and over and were supported by the basic livelihood security system was 1,040. Quota sampling with strata of state division in the nation was chosen. Quality of life and its predictors in the subjects were measured. Results: The mean quality of life in the subjects was 47.0$\pm$10.7. Predictors of this study significantly explained 54.3% of the total variance of quality of life. Depression was the most significant predictor of quality of life. Health problems, district, social support, leisure activity, and health behavior had effects on quality of life. Conclusion: This finding indicates that quality of life in lower income Korean aged is different from other populations by economic status. Demographics, health status and social status were predictors of quality of life in the aged with a small income.

3년제 간호교육과정의 실험실습 기자재 기준 개발 (A STUDY ON THE DEVELOPMENT OF STANDARD CRITERIA OF EQUIPMENT FOR 3 YEAR NURSING EDUCATION)

  • 전시자;권숙희;김연화;박연숙;오세영;이숙희;인경선;최병순;추수경;홍영혜
    • 대한간호
    • /
    • 제37권3호
    • /
    • pp.78-91
    • /
    • 1998
  • This descriptive study was conducted in order to develop a standard criteria for nursing laboratory facilities and equipment for use by the 3 year nursing colleges. The data was collected from Aug. 28 to Sept. 30, 1997 by mail from 44 3 year nursing schools. To develop a standard criteria, the syllabi for Fundamentals of Nursing laboratory and for Physical Assessment were collected and analyzed. The following information was elicited and analyzed by the researchers : 1. for each procedure in the syllabus, the percentage of schools using the procedures 2. the facilities and equipment recognized as necessary and the percentage of schools which possess each item 3. calculation of the standard criteria for size of the nursing laboratory together with a list of the necessary facilities and equipment. The results of the study were as follows : 1. The Size of facility was 181.2m2 for fundamentals of Nursing laboratory and 56.4m2 for the storage room. For those whose number of students exceed 120, 1.98m2 is required for each students. 2. The number of items included in the standard criteria was 92 for Fundamentals of Nursing and Physical Assessment and 47 for other nursing subjects. The items made of rubber, plastic and the disposable ones were suggested but excluded from the standard criteria. Based on the above findings, the following suggestions were made : 1. Periodic review of the standard criteria is necessary to update the standard. 2. A study on the standardization of the curriculum for basic science laboratory, including experiment and a standard criteria of equipment, is necessary. 3. A study to develop a computer program for management of nursing laboratory facilities and equipment is needed.

  • PDF

간호간병통합서비스 병동 입원 환자의 만족도와 서비스 평가를 위한 ICT 기반 통계분석 (Statistical Analysis Based on ICT for the Satisfaction and Service Evaluation of Patients Admitted to a Nursing Care Integrated Service Ward)

  • 남순열
    • 한국전자통신학회논문지
    • /
    • 제12권1호
    • /
    • pp.229-236
    • /
    • 2017
  • 간호간병통합서비스는 적정 간호인력 배치를 통한 팀 간호체계의 총체적인 전문 간호 제공과 병동 환경개선 및 환자 안전관리 등 제반 여건을 갖춘 병동에서 제공하는 입원 서비스이다. 연구 대상은 경기도내 일 종합병원의 해당 병동 입원환자로서 연구 목적을 이해하고 참여하기를 동의한 92명이며, 연구방법은 ICT 기반의 설문 자료를 SPSS/WIN 21.0 프로그램을 활용하여 빈도, 백분율, 평균, 표준편차, t-test, ANOVA을 적용하였으며, 사후검정은 Scheffe test를 하였다. 또한, 간호만족도와 서비스 평가의 상관관계는 Pearson's correlation으로 분석하였다. 본 논문은 만족도의 중요성을 재확인하고 간호간병통합서비스 병동 입원 환자들의 서비스의 질 향상을 위한 기초자료를 제시했다는 점에서 그 의의가 있다.

간호학생들의 에이즈 환자 간호의도에 영향을 미치는 요인 (A Study for Investigating Predictors of AIDS and Patients Care Intention Among Nursing Students)

  • 이종경
    • 대한간호학회지
    • /
    • 제31권2호
    • /
    • pp.292-303
    • /
    • 2001
  • The purpose of the study was to find out the level of knowledge, attitude, subjective norm, social interaction, and behavioral intention of nursing students regarding AIDS. It also identified factors that predict behavioral intentions and to provide care for patients with AIDS using Theory of Reasoned Action. The subjects consisted of 117 nursing students at three universities. Data was collected with self reporting in a questionnaire of with 67 items. Data was analyzed by an SPSS pc+ program. The results were as follows; 1. The mean age of the subjects was 20.98 years. The mean score for HIV/AIDS knowledge was 24.444 out of 32. Mostly Korean students were quite knowledgeable about the basic facts and symptoms of AIDS but confused about the made of transmission such as public toilets, prevention methods, and especially infection control. 2. This study found that social interaction, attitudes and subjective norms of Korean nursing students explained the intention to care for AIDS patients. The students who had a more positive attitude toward caring for AIDS patients and those who perceived more support from their significant others for caring the AIDS patients reported a more positive intention to care for AIDS patients. 3. In stepwise multiple regression analysis, 47.58% of the variance in AIDS patient care intention was accounted for by social interaction (33.41%), attitude (9.1%), and subjective norm (5.0 %). According to the finding of this study, and social interaction are the most significant predictors of intentions. Therefore it can be suggested that a HIV/AIDS prevention program should focus on transmission modes and prevention methods, especially in infection control. AIDS education efforts aimed at nursing students should place greater emphasis on correcting these kinds of misconceptions. Nursing intenvention for reducing fear of contagion, improving perception of social interaction, fostering positive attitudes and increasing intention to care for AIDS patients should be provided for nursing students. They also recommended that nursing students be adequately prepared to care for AIDS patients because of the increasing probability that they will encounter AIDS patients. Therefore it is important that education about HIV/AIDS should be incorporated within current undergraduate curriculum.

  • PDF

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구 (Investigation of Espoused Theories in Nursing Practice)

  • 서문자;김혜숙;이은희;박영숙;조경숙;강현숙;임난영;김주현;이소우;조복희;이명화;지성애;하양숙;손영희;권성복;김희진;추진아
    • 성인간호학회지
    • /
    • 제13권1호
    • /
    • pp.53-69
    • /
    • 2001
  • As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.

  • PDF

산욕기 어머니의 스트레스와 영아지각과의 관계 (The Relationship of Stress and Infant Perception of Mothers in Postpartum Period)

  • 이영은;강양희;박혜선;강인선
    • 부모자녀건강학회지
    • /
    • 제9권2호
    • /
    • pp.91-100
    • /
    • 2006
  • Purpose: This study was done to investigate into the relationship between mother's stress in postpartum period and perception of infant in order to provide basic data for developing nursing intervention program. Methods: The data were collected from September 1, 2004 to October 15, from one women's hospital and three facilities for taking care of women's health after delivery located in B metropolitan city, and analyzed by SPSS/12.0 program frequency, percentage rate, mean, standard deviation, average, the maximum value, the minimum value and Person's correlation coefficient. Results: 1. The degree of stress of subjects was $75.6{\pm}38.3$(0-376) in average, and $.8{\pm}\;.4$(0-4) of average point, and the degree of perception of infant was $-5.8{\pm}5.6$(15-75) in average and $-\;.4{\pm}.4$(1-5) of average point. The relationship of degrees between the stress of subject and conception of infants that showed weak reverse relation(r= .210, p= .030). That is, the more the stress of subject was high, the more the perception of infant is relatively indefinite. Conclusion: As a result, The stress of mother in postpartum period was a level to be in need of management and the perception of infant was slightly negative. thus, the introduction of nursing assistance program is necessary to relive the stress of mother in postpartum period to promote the affirmative perception of infant.

  • PDF