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국내 응급전문간호사의 업무 수행빈도, 중요성, 자율성 및 지각된 수행능력
안숙희,이은남,송라윤,박진희,김복자,성미혜,이은자,김민주,김성숙,Ahn, Suk Hee,Lee, Eun Nam,Song, Rhayun,Park, Jin-Hee,Kim, Bok-Ja,Sung, Mi Hae,Lee, Eun Ja,Kim, Minju,Kim, Sung Sook 한국중환자간호학회 2015 중환자간호학회지 Vol.8 No.1
Purpose: The purpose of the study was to identify the frequency and importance of task performance and the perceived competence to perform of the emergency nurse practitioners (ENPs) certified in Korea. Method: This cross-sectional study was conducted with 41 ENPs certified by March 2012. The questionnaire to identify frequency, importance, autonomy, and perceived competence to perform 131 typical ENP task elements was developed on the basis of the standardized role of an ENP defined by the Korean Accreditation Board of Nursing Education. The data were analyzed using descriptive statistics. Results: The professional nursing practice showed the highest scores for performance frequency, task importance, autonomy, and perceived competence to perform as compared to other job categories. Clinical decision making was the most frequently performed duty. Data collection was the duty with highest levels of importance, autonomy, and perceived competence for the ENPs. However, the ENPs reported that research was the duty with the lowest levels of frequency, importance, autonomy, and perceived competence Conclusion: ENPs in Korea perform various tasks. In order to improve their position in the field, it is necessary to clarify their job description and enhance their competence to perform evidencebased professional nursing practices.
안숙희,An, Sook Hee 한국임상약학회 2020 한국임상약학회지 Vol.30 No.3
Objective: This study aimed to investigate pharmaceutical care for critically ill neonates and suggest targeted strategies compatible with the Korean health-system pharmacy. Methods: Articles that reported pharmacy practices for critically ill neonates were reviewed. Pharmaceutical care practices and roles of neonatal pharmacists were identified, and criteria were developed for neonates in need of specialized care by clinical pharmacists. Results: Neonatal pharmacists play many roles in the overall medication management pathway. For clinical decision support, multidisciplinary ward rounds, clinical pharmacokinetic services, and consultation for pharmacotherapy and nutrition support were conducted. Prevention and resolution of drug-related problems through review of medication charts contributed to medication safety. Pharmaceutical optimization of intravenous medication played an important role in safe and effective therapy. Information on the use of off-label medicine, recommended dosage and dosing schedules, and stability of intravenous medicine was provided to other health professionals. Most clinical practices for neonates in Korea included therapeutic drug monitoring and nutrition support services. Reduction in medication errors and adverse drug reactions, shortening the duration of weaning medicines, decreasing the use and cost of antimicrobials, and improvement in nutrition status were reported as the outcomes of pharmacist-led interventions. The essential criteria of pharmaceutical care, including for patients with potential high-risk factors for drug-related problems, was developed. Conclusion: Pharmaceutical care for critically ill neonates varies widely. Development and provision of standardized pharmaceutical care for Korean neonates and a stepwise strategy for the expansion of clinical pharmacy services are required.
안숙희,최기선,김백조,신승숙,Ahn. Suk-Hee,Choi. Ki-Seon,Kim. Baek-Jo,Shin. Seung-Sook 한국방재학회 2008 한국방재학회 학술발표대회논문집 Vol.2008 No.1
The purpose of this study is to find out the characteristics of disasters caused by typhoons passing through the sea area around the Korean Peninsula. It analyzed two cases, that is, in WEST and EAST cases. These include the typhoons passing through the Yellow Sea, west of the Peninsula and East Sea, east of the Peninsula without landing on the Peninsula. FCM (Fuzzy Clustering Method) analysis was performed on typhoons affecting the Korean Peninsula from 1951 to 2006. The analysis shows that WEST case`s cluster has the curved track of NE-S, and EAST case`s cluster has the straight track of NE-SW. Typhoons that pass through the Yellow Sea have little change in frequency and the weak intensity. On the other hand, the frequency and the intensity of typhoons passing through the East Sea show the increasing trend. The characteristic of disasters by typhoons affecting the Korean Peninsula from 1973 to 2006 appears differently for each case: EAST cases caused significant damage in flooding, while WEST cases did damage in houses, ships, roads, and bridges. Rainfall amount and maximum wind speed data are analyzed in order to understand the impact of the typhoons, and the result indicates that the WEST cases are influenced by the wind, and East cases by precipitation. The result of this study indicates that the characteristic of disasters is distinctive according to the Typhoon`s track. If applied to establish the disaster prevention plan, this result could make a contribution to the damage reduction.
스트레스 환경에서 단백질 대사 변화와 Glutamine 공급
안숙희 ( Sook Hee An ) 한국정맥경장영양학회 2014 한국정맥경장영양학회지 Vol.6 No.2
Stress conditions such as sepsis, trauma, burn, fracture, and major surgery are associated with hypermetabolism and hypercatabolism. Protein is mobilized for energy and uptake of amino acids by muscle tissue is decreased in stress conditions. The metabolic response to stress causes movement of amino acids (predominantly alanine and glutamine) from peripheral reserves to metabolically active tissues. Glutamine is a conditionally essential amino acid during stress. Glutamine plays a role in maintenance of intestinal immune function and reinforcement of wound repair. Supplementation of parenteral glutamine (0.3 0.5 g/kg/day) as a component of nutrition support may improve clinical outcomes in appropriate patients. In patients with multiorgan failure, supplementation with a high dose of glutamine (>0.5 g/kg/day) in the acute phase of critical illness is not recommended. In stress conditions, provision of adequate protein is essential and glutamine supplementation should be considered in patients without specific contraindications.
간호학생의 여성건강간호학 임상실습 경험 및 만족도 조사
김윤미 ( Yun Mi Kim ),전나미 ( Na Mi Chun ),이은희 ( Eun Hee Lee ),조인숙 ( In Sook Cho ),안숙희 ( Suk Hee Ahn ),김증임 ( Jeung Im Kim ),허명행 ( Myung Haeng Hur ),이숙희 ( Sook Hee Lee ),이혜경 ( Hae Kyung Lee ),정재원 ( Chae Weo 여성건강간호학회 2011 여성건강간호학회지 Vol.17 No.3
Purpose: The purpose of this study was to identify students` experiences of performance and their satisfaction with clinical nursing practice in Women`s health nursing. Methods: Data was collected using questionnaire consisting of 104; 89,; and 82 nursing activities with 12; 10; and 7 domains for delivery floor, obstetric, and gynecologic wards retrospectively. Five hundred ninety nursing students from 10 four year and one three year colleges, were recruited and selected for data collection. Results: Site specific core nursing activities among top 15 items of performed experience were: interpreting fetal monitoring; massage for pain reduction; breathing technique; perineal pad change; non stress test; manual check for uterine contraction; and position change for the delivery floor. Experiences of clinical nursing practice for the obstetric ward and the gynecologic ward were identified and ranked as well. Observation of delivery, measurement & test during labor and observation of anesthesia and operation were the highest ranked activity domains of satisfaction for delivery floor, obstetric and gynecologic wards retrospectively. Conclusion: Discussions are needed to standardize curriculum for clinical practice in women`s health nursing initiated at the level of Korean Society of Womens` Health Nursing by reflecting this result. Strategic approaches are emphasized in order to enhance a collaboration between clinical fields and colleges.