• 제목/요약/키워드: Paramedic

검색결과 284건 처리시간 0.035초

임상 1급응급구조사의 특성과 업무범위 간의 상관관계 (Correlation between scope of practice and clinical paramedic properties)

  • 엄태환;박상규
    • 한국산학기술학회논문지
    • /
    • 제13권12호
    • /
    • pp.5968-5975
    • /
    • 2012
  • 본 연구의 목적은 임상 응급구조사 특성과 업무범위 간의 상관관계를 밝히는데 있다. 2012년 4월 9일부터 5월 12일까지 181명의 1급응급구조사가 성별, 학력, 경력, 실행업무, 의료지도 등의 조사내용에 무기명으로 답변한 자료를 대상으로 1종오류를 범할 확률 ${\alpha}$=0.05 수준에서 양측 검정으로 상관관계 등을 분석하였다. 실행하고 있거나 필요하다고 보는 업무는 32가지로 구분되었으며 응급환자를 위한 처치로 의료인이 행하는 침습적인 처치가 주를 이루었다. 1급응급구조사 업무범위에 대한 수행능력이 우수하다고 판단하면 법에 따른 업무, 실행하고 있는 업무, 필요한 업무에서 통계적으로 유의하게 업무범위가 확대되는 것으로 나타났다. 경력이 늘면 법에 따른 업무, 필요한 업무에서 통계적으로 유의하게 업무범위가 확대되는 것으로 나타났다. 그렇지만 전반적으로 상관계수는 0.238이하로 낮았다. 능력과 경력에 따라서, 1급응급구조사로 하여금 의사-환자 사이의 매개역할을 원활히 형성하도록 지원해 주는 의료지도체계가 빨리 확립되어 의료서비스의 질을 높이고 효율성을 기해야 하며, 1급응급구조사가 지도의사의 교육, 훈련, 지침, 근무규정 등에 의해 업무를 수행하게 하고 처치 활동은 질관리를 하면 처치의 안정성을 높일 수 있을 것으로 보인다.

응급구조학과 학생의 응급분만 시뮬레이션 교육 만족도 영향요인 (Factors Affecting the Satisfaction of Simulation Education about Emergency Delivery for Paramedic Students)

  • 백미례
    • 한국화재소방학회논문지
    • /
    • 제28권5호
    • /
    • pp.98-103
    • /
    • 2014
  • 본 연구는 응급분만 시뮬레이션 교육에 참여한 응급구조학과 학생 41명의 자신감, 심리적 안전감과 만족도를 알아보았다. 시각적 상사 척도로 교육 전후 자신감의 변화를 측정하였고, 21 문항의 교육 만족도 측정도구와 10 문항의 심리적 안전감 측정도구로 분석하였다. 연구결과 일반적 특성에 따른 만족도는 나이(t = -2.22, p = 0.03)에서, 심리적 안전감은 성별(t = 3.70, p = 0.00)과 나이(t = -3.65, p = 0.00)에서 유의한 차이를 나타났다. 시뮬레이션 교육 전 후 자신감은 교육 후 6.22점으로 높아졌고 통계적으로 유의하게 높았다(t = -5.878, p = 0.000). 만족도와 심리적 안전감간은 강한 정의 상관관계(r = 0.516, p = 0.001)가 나타났다. 교육만족도의 영향요인은 심리적 안전감(t = 3.021, p = 0.005)과 교육 후 자신감 (t = 1.936, p = 0.061)으로 나타났다. 본 연구결과 시뮬레이션 교육이 적절한 대안교육임을 알 수 있지만 현장 맞춤형 응급구조사 교육을 위해서는 다양한 시나리오개발, 충분한 인력과 교육시간을 통한 반복교육이 필요하다.

병원 내 1급 응급구조사의 이직의도 영향 요인 (Influencing factors of the turnover intention in hospital paramedics)

  • 장효진;백미례
    • 한국응급구조학회지
    • /
    • 제17권3호
    • /
    • pp.39-51
    • /
    • 2013
  • Purpose: The purpose of the study is to investigate the influencing factors of turnover intention in hospital paramedics. The factors included the job condition, job stress, and turnover intention. Methods: The subjects were 200 paramedics in hospital. Data were analyzed using frequency, t-test or one way ANOVA, Pearson's correlation, and multiple regression analysis with SPSS WIN 20.0 program. Results: Job stress was 3.59 points; job condition, 2.96 points; turnover intention 3.64 points. When the job stress was high, the satisfaction with job condition was very low and the turnover intention increased. When the job satisfaction was high, turnover intention decreased. factors affecting the turnover intention were annual income, turnover frequency, workload, and working department, role conflict, and personal relationship. Conclusion: It is necessary to establish the job description of paramedics and improve the working condition in the hospitals.

체외형 자동 제세동기(AED)와 심전도계(ECG)를 위한 통신 프로토콜의 설계 및 사용자 인터페이스 구현 (Communication Protocol Design and U/I Implementation for Automated External Defibrillator and ECG System)

  • 김남훈;권희중;권호열;나학록
    • 산업기술연구
    • /
    • 제24권A호
    • /
    • pp.133-138
    • /
    • 2004
  • In this paper, we studied Automated External Defibrillator and Electro- Cardiogram System. Proposed System, CU-EX1, is a PC-based AED/ECG system that manages the data acquired by Paramedic CU-ER1. The system controls the transfer of data from the Paramedic CU-ER1 and the storage of the data in a local host computer. Patient data could be entered as soon as the rescue data is stored in a local computer. The system also displays the data on a local computer and facilitates review of rescue events.

  • PDF

응급구조(학)과 학생들의 구급현장실습 표준 평가도구의 유용성에 관한 연구 (A study on the usefulness of standard evaluation tools for ambulance ride practices of paramedic students)

  • 홍성기
    • 한국응급구조학회지
    • /
    • 제24권3호
    • /
    • pp.41-53
    • /
    • 2020
  • Purpose: This study tests the validity of a standard evaluation tool of ambulance ride practices with new evaluation items and supports its application by 119 preceptors. Methods: We tested the validity of standard evaluation items collected from 19 on-site professionals assessing ambulance ride practices. New evaluation items, 'understanding of emergency rescue equipment' and 'ability to communicate', were added as additional criteria. The modified Delphi technique was used to test the three evaluation areas and ten evaluation items. We used the analytic hierarchy process to analyze the weighting value of the reconstructed evaluation tool model. Results: All three evaluation areas and 10 evaluation items within the standard evaluation tools used for ambulance ride practices corresponded with the consistency index, degree of convergence, and agreement in the modified Delphi panel. Conclusion: These results provide evidence of the consistency and usefulness behind preceptors' use of this standard evaluation tool in ambulance ride practice.

특수구급차 성능 개선을 위한 조사 연구 (A study on improving the performance of special ambulances)

  • 윤병길;양현모;김경용
    • 한국응급구조학회지
    • /
    • 제26권1호
    • /
    • pp.87-99
    • /
    • 2022
  • Purpose: This study aimed to provide basic data for the improvement of the standards related to the performance improvement of the firefighting equipment standards for special ambulances. Methods: Among the domestic firefighting equipment standards, the special ambulance standard was compared with the NFPA 1917 standard for the United States automobile ambulance 2019 and European Union European standard EN 1789 medical vehicle and its equipment, a road ambulance. Results: Anti-skid performance based on indoor noise standards, performance standards for interior lights, seat belt warning device, child car seat fixing device, safety handle, auxiliary footrest, and flooring materials should be supplemented. Conclusion: It is necessary to strengthen the production and performance standards for improvement to a level corresponding to the national standards, such as the United States and European Union.

국내·외 응급구조사의 보수교육프로그램 비교조사 (Comparison of Continuing Education Program for Emergency Medical Technician in Korea and Abroad)

  • 신동민;장문순;강보라;윤병길;탁양주;이인수
    • 한국응급구조학회지
    • /
    • 제14권3호
    • /
    • pp.95-105
    • /
    • 2010
  • Purpose: This study aims to investigate the operation of continuing education system and continuing education program for emergency medical technician in Korea, Japan and United States and develop reasonable operating scheme of continuing education and curriculum in order to provide the base data for the improvement of continuing education for the improved practice capability and its maintenance, Method: The overall review of continuing education for domestic 1st class emergency medical technician was performed and also the content of continuing education for Emergency Medical Technician - Paramedic in the United States and Paramedics of Fire Department with the license for the paramedic in Japan, have been analyzed through literature, books, articles, agencies' data, laws, and internet date. Result: Hours for domestic continuing education was 4-8 hours and it was only 3-11% compared to 72 hours in the United States and 128 hours in the Japan. And with respect to the types and methods of programs, there were differences both in quantity and quality. Conclusion: As an education, providing and supplementing the changed content and technical information for the improvement of the capability and qualification of emergency medical technician, selection of education hours and various continuing education should be continuously and regularly provided and conducted. The introduction of various continuing education system and programs for this is considered to be required.

  • PDF