• Title/Summary/Keyword: Emergency room nurse

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A study on factors associated with job stress and drinking levels in emergency room nurses (응급실 간호사의 직무스트레스와 음주 관계 연구)

  • Kwak, Eun-mi;Lee, Joo Young;Yun, Heejang
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.145-152
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    • 2020
  • The objective of this study was to examine the degree of job stress and drinking levels among emergency room nurses and to investigate the association between these variables. Data were collected using self-reported questionnaires completed by 106 nurses working in emergency room of hospitals from 3 different cities. The collected data were analyzed using SPSS 21.0 program. The results showed that the mean job stress score was 45.93±6.81 points, while 18.9% of the subjects were in the disordered alcohol use group. Differences in drinking levels were found according to the work experience of the nurses (χ2=8.249, p=.041), while significant differences in job stress scores were found according to marital status (t=-2.72, p=.008) and desire to continue working (t=-2.272, p=.025). There was a significant correlation between job stress and drinking level (r=-.147, p= .000). Measures to lower job stress among emergency room nurses are need based on the findings in the study and it is expected that decreasing the drinking level of nurse would contribute to this.

How to Improve the Emergency Medical Service System: Levels of Knowledge and Techniques in Prehospital Care for 119 Relief Squad Members and Emergency Room Nurses (병원 전 단계 응급의료 서비스 개선방안에 관한 연구 : 119 구급대원과 응급실 간호사의 응급처치 지식 및 기술 숙련도 비교)

  • Kwon, Hay-Ran
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.249-261
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    • 1998
  • During the past decade or so in Korea, 119 relief squad members were supposed to respord first urgent or emergency cases. The primary purpose of this study was to assess what levels of knowledge and techniques in prehospital care the 119 relief squad members showed. Data regarding the knowledge and technique levels were collected from both the 119 relief squad members (n=63) and the emergency room nurses(n=46). The Results indicated that the 119 relief squad when compared to emergency nurses, showed higher scores for knowledge and techniques in some areas of prehospital care but not in other areas, However, no differences in knowledge and technique were found when the ANOVAs were calculated with two covariates : duration of their career in emergency medical services and frequency of their exposure to lectures on emergency medical technology. In addition, many respondents in the 119 relief squad group rated themselves poorly in knowledge and techniques of prehospital care, The findings imply that qualitatively better curricula should be given to the 119 relief squad members before they are allowed to play an important role in the emergency medical service system. These findings are also discussed in the context of improving the emergency medical service system.

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Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner (응급전문간호행위에 대한 건강보험 상대가치 수가개발 및 경제성 평가)

  • Kim, Jin Hyun;Kim, Kyung Sook;Kim, Mi Won;Lee, Kyoung-A
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.275-288
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    • 2013
  • Purpose: The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor. Methods: First, we developed ENP's RVS for 25 advanced nursing services based on ENP's workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP's RVS. The share of ENP's contribution to fee-for-service in emergency setting was also analyzed. Results: Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%. Conclusion: The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP's services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room.

Study on Reality of Field Practice and Improvements by Students of Dep. of Emergency Medical Technology (응급구조과 학생 현장실습의 실제와 개선방안 연구)

  • Kwon, Hayrran
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.15-26
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    • 2002
  • As a result of analyzing problems in field practice and its effects, the following conclusions can be obtained. Man students were more satisfied with their choice of this department than woman students and woman students recognized the importance of hospital practice although they felt the need of fire fighting station practice and man students felt the necessity of hospital practice, but they answered the fire fighting station practice was important. Departments of field practice are emergency and nurse departments in hospitals and emergency aid section in fire fighting stations. And it is found that field practice was performed well in relation to major subject. Areas of practice included emergency room, operation room and extensive cure unit and the experience of ambulance was more in fire fighting station than in hospital. Clinical guidance of professor was preferred to once a week and the students answered they felt satisfaction with practice through conference. Answer that field practice was helpful in understanding class was very high as 96.8% and its connection with employment was low as 12.8%. It is found that a proper timing of field practice was winter vacation for hospital practice after completing the second semester of the first year and summer vacation for fire fighting station practice after the first semester of the second year. The most difficult department in field practice was nurse department in hospital because 'respondents were practice students' and administrative department in fire fighting stations because 'they lacked recognition of paramedic'. In making practice diary, 'describing measure results' was difficult most and the respondents wanted to keep the diary in their custody.

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Development of an In-service Education Program for Emergency Room Nurses According to Their Career Ladders (응급실 간호사의 업무분석을 통한 경력등급별 실무교육안 개발)

  • Lee, Eun Nam;Kim, Bog Ja;Kim, Sung Sook;Kang, Kyung Hee;Kim, Young Soon
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.99-111
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    • 2008
  • Purpose: This study was done to provide basic data for developing an in-service education program to improve nurses' quality. First, frequency of nursing activities and competency levels of emergency nurses according to their career ladders were compared through job analysis and then practical education programs were presented on based of the results. Method: Data were collected from 335 nurses working in emergency rooms in 31 tertiary hospitals. Data collection was done from September to November 2005 using the job analysis questionnaire. Results: There were 41 nursing activities that showed differences in frequency and 78 activities that showed differences in perceived competency level. Irrespective of emergency nurses' careers, activities that show high frequency but low competency were sputum liquefying therapy, assessment of cranial nerve function, identification of diagnostic radiology, and communication with various departments. In-service education content according to nurse's career ladders was presented by adding high frequency nursing activities and activities with low competency level even though having high frequency. Conclusion: There is a need to develop and provide in-service education programs, which consider nurses' difference in frequency and competency level for their career ladders.

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Noise and Room Acoustic Conditions in a Tertiary Referral Hospital, Seoul National University Hospital

  • Cho, Wan-Ho;Jeong, Cheol-Ho;Chang, Ji-Ho;Lee, Seong-Hyun;Park, Moo Kyun;Suh, Myung-Whan;Han, Jae Joon
    • Journal of Audiology & Otology
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    • v.23 no.2
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    • pp.76-82
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    • 2019
  • Background and Objectives: Noise levels and room acoustic parameters at a tertiary referral hospital, Seoul National University Hospital (SNUH) in Korea, are investigated. Materials and Methods: Through a questionnaire, acoustically problematic rooms are identified. Noise levels in emergency rooms (ERs) and intensive care units (ICUs) are measured over about three days. Acoustically critical and problematic rooms in the otolaryngology department are measured including examination rooms, operating rooms, nurse stations, receptions, and patient rooms. Results: The A-weighted equivalent noise level, LAeq, ranges from 54 to 56 dBA, which is at least 10 dB lower than the noise levels of 65 to 73 dBA measured in American ERs. In an ICU, the noise level for the first night was 66 dBA, which came down to 56 dBA for the next day. The noise levels during three different ear surgeries vary from 57 to 62 dBA, depending on the use of surgical drills and suctions. The noise levels in a patient room is found to be 47 dBA, while the nurse stations and the receptions have high noise levels up to 64 dBA. The reverberation times in an operation room, examination room, and single patient room are found to be below 0.6 s. Conclusions: At SNUH, the nurse stations and receptions were found to be quite noisy. The ERs were quieter than in the previous studies. The measured reverberation times seemed low enough but some other nurse stations and examination rooms were not satisfactory according to the questionnaire.

Noise and Room Acoustic Conditions in a Tertiary Referral Hospital, Seoul National University Hospital

  • Cho, Wan-Ho;Jeong, Cheol-Ho;Chang, Ji-Ho;Lee, Seong-Hyun;Park, Moo Kyun;Suh, Myung-Whan;Han, Jae Joon
    • Korean Journal of Audiology
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    • v.23 no.2
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    • pp.76-82
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    • 2019
  • Background and Objectives: Noise levels and room acoustic parameters at a tertiary referral hospital, Seoul National University Hospital (SNUH) in Korea, are investigated. Materials and Methods: Through a questionnaire, acoustically problematic rooms are identified. Noise levels in emergency rooms (ERs) and intensive care units (ICUs) are measured over about three days. Acoustically critical and problematic rooms in the otolaryngology department are measured including examination rooms, operating rooms, nurse stations, receptions, and patient rooms. Results: The A-weighted equivalent noise level, LAeq, ranges from 54 to 56 dBA, which is at least 10 dB lower than the noise levels of 65 to 73 dBA measured in American ERs. In an ICU, the noise level for the first night was 66 dBA, which came down to 56 dBA for the next day. The noise levels during three different ear surgeries vary from 57 to 62 dBA, depending on the use of surgical drills and suctions. The noise levels in a patient room is found to be 47 dBA, while the nurse stations and the receptions have high noise levels up to 64 dBA. The reverberation times in an operation room, examination room, and single patient room are found to be below 0.6 s. Conclusions: At SNUH, the nurse stations and receptions were found to be quite noisy. The ERs were quieter than in the previous studies. The measured reverberation times seemed low enough but some other nurse stations and examination rooms were not satisfactory according to the questionnaire.

Factors Affecting Emergency Room Nurse Job in Small and Medium Sized Hospitals (중소병원 응급실 간호사 업무에 대한 영향요인)

  • Shin, Hyun-Sik;Kim, Jisoo
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.4
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    • pp.386-392
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    • 2015
  • Purpose: The purpose of this study was to identify the job of emergency room (ER) nurses working in small and medium sized hospitals and to explore factors affecting their job. Methods: The survey data were collected between January 2014 and May 2014 and participants were 159 nurses working in Seoul, Kyunggi, Incheon, and Chungnam in hospitals of less than 500 beds. Results: The score for nurses job was 2.12/4.0, and emergency treatment (1.87/4.0) followed basic nursing (3.51/4.0) and counseling (2.32/4.0). The nursing job was significantly different depending on the age, education level, position, resident doctor(emergency medicine specialty or other) and grade of ER (regional ER or local ER). In the multiple regression, education level (${\beta}=.18$), position (${\beta}=.24$), hospital size (${\beta}=.20$), and grade of ER (${\beta}=.21$) explained 17.0% of variance in ER nurses' job in small and medium sized hospitals. Conclusion: The findings indicate that ER nurses in vulnerable areas do more nursing practice including emergency treatment as well as the usual independent nursing practice. Accordingly, a systematic assignment of nursing professionals is needed to reduce loading of ER nurses in small and medium sized hospitals.

Factors Affecting the Retention Intention of the Emergency Room Nurse to Promote Life Care (응급실 간호사의 라이프케어 증진을 위한 재직의도에 영향을 미치는 요인)

  • Jung, Ji-Hyeon;Park, Huyn-Jung
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.4
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    • pp.287-297
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    • 2021
  • This study was to investigate the relationship of job stress, health status, and health promotion behavior, retention intention and to identify the influencing factors on retention intention of nurse in Emergency Room(ER). The subjects were 155 ER nurses working at 15 general hospital in Gwangju, Korea. The data were collected from October 15, 2020 to November 3, 2020. The result, there were negative correlation between job stress and health promotion behavior(r=-0.310, p=<.000), between job stress and retention intention(r=-0.220, p=.006), between health status, and health promotion behavior(r=-0.448, p=<.000), between health status and retention intention(r=-0.296, p=<.000), but there were positive correlation between job stress and health status(r=0.368, p=<.000), between health promotion behavior and retention intention(r=0.229, p=.004). Factors influencing retention intention were fatige and health status with R2 value 22.7%. Considering these results, it seems that important factors determining the retention intention of nurses in ER are Spiritual health status, heavy workload due to job stress, fatigue and social health status by nurse. Therefore, in order to increase the retention intention of nurse in ER, it is a need for strategies to improve the working environment and develop programs to reduce job stress and fatigue through work adjustment, and to maintain and promote health.