가정간호과정생의 가정간호에서의 감염관리에 대한 지식

정인숙,정재심,신용애,강규숙,김명자,조복희,김금순,황선경,Jeong, Ihn-Sook,Jeong, Jae-Shim,Shin, Yong-Ae,Kang, Kyu-Sook,Kim, Myung-Ja,Jo, Bok-Hee,Kim, Keum-Soon,Hwang, Sun-Kyng 한국가정간호학회 2002 가정간호학회지 Vol.9 No.1

This study was conducted to assess need for education on the infection control by examining the knowledge on infection control in home care of the home care trainees who had completed an infection control course. Using 64 items questionnaire. home care trainees of eight home care education institutions who took classes related with infection control. The level of knowledge evaluated subjectively was 4.24point (full mark: 5 point). The correct answer rates for handwashing and gloving. cleaning patients' rooms. preventing sharp injury, preventing exposure to potential infectious agents, home care bag technique were 84.5% 86.4% 70.7% 65.3% 76.2% representatively. For the knowledge on the infection control principles to prevent catheter related infection, indwelling catheter related infection, tracheal tube related pneumonia. L-tube related infection, oxygen therapy related infection. and wound infection were 62.8% 27.8% 39.1% 87.8% 76.5% 80.5% representatively. The correct answer rates varied depending upon the educational institutes (p< = .0001), educational levels (p= .001), workplaces (p<.0001), and the experience of infection control education (p= .001). Considering these results. a standardized curriculum must be developed and implemented after analyzing the existing infection control curricula of the home care education institutes. and guide books for infection control in home care should be developed and distributed. In addition. continuous infection control education be provided to the home care nurses through reeducation so they can acquire new knowledge needed for carrying out infection control activities effectively.

한.양방협진에 대한 의.한의.간호대학생의 태도비교

정인숙,임병묵,이원철,Jeong, Ihn-Sook,Lim, Byung-Mook,Lee, Won-Chul 대한예방한의학회 2010 대한예방한의학회지 Vol.14 No.1

Objectives : This study was aimed to investigate attitude of western medicine(WM), Korean medicine (KM), and nursing school students toward the east-west collaborative medical practices(EWCMP). Methods : The participants were 185 WM students, 123 KM students, and 230 nursing students belonging to two universities (P and D) in Busan metropolitan city, Korea. Data were collected with self-administered questionnaires and analyzed with descriptive statistics, $X^2$ test, t-test and ANOVA with SPSS win 14.0. Results : Of 538 participants, overall 87.1% has heard EWCMP. Preferred type of EWCMP was significantly different by participants' backgrounds. WM students preferred (western) medical treatment with minor supportive Korean medical care(85.5%). However, KM students emphasized EWCMP with the same weight in both medical and Korean medical treatment(59.0%), and nursing students were in between two schools. Intention to recommend EWCMP for the consumer was 67.4%, and also showed very different between WM students and others, 37.3% of WM students, 89.4% of KM students, and 83.9% of nursing students. WM students showed more negative opinion on the EWCMP than KM and nursing students, Conclusions : The attitude of WM, KM, and nursing school students toward EWCMP was very similar to that of WM doctors, KM doctors, and nurses, respectively. WM students showed big difference in the overall attitude toward EWCMP from that of KM and nursing students. It is recommended to introduce the joint curriculum or exchange programs between WM and KM schools.

일반 주민의 한.양방협진이용 경험과 태도

정인숙,김윤진,이원철,Jeong, Ihn-Sook,Kim, Yun-Jin,Lee, Won-Chul 대한예방한의학회 2010 대한예방한의학회지 Vol.14 No.2

Objectives : This study aimed to investigate the attitude of healthcare consumers toward the East-West Collaborative Medical Practices(hereafter EWCMP). Method : The participants were 245 healthcare consumers who visited outpatient clinic of an university hospital, and attended at an emergency rescue educational program held by an emergency medical center, Busan. Data were collected by interviewing or self-reporting with questionnaires and analyzed with descriptive statistics and $X^2$ test with SPSS win 14.0. Results : 53.1 percent of 245 participants has heard, 13.9 percent has ever used, and 82.4 percent wanted to use EWCMP in the future. For participants who has used EWCMP, the decision to use it was made by themselves(58.8%), 26.5% of them was satisfied with EWCMP, and 79.4% showed the intention to introduce EWCMP to others. The use of EWCMP was significantly different by gender($X^2$=4.702, p=0.030) and having job or not($X^2$=14.305, p<0.001). Preferred type of EWCMP was to use both medical and Korean medical treatment at the same time(42.4%). Musculoskeletal disease(51.0%) and circulatory disease(51.0%) were expected to be the most effective when the EWCMP applied to them. Utilization of EWCMP was expected to be effective in disease treatment(88.2%), diagnosis(83.3%), and prevention(75.1%), and to increase medical cost(66.1%). Intention to use of EWCMP was not significantly different by demographic characteristics. Conclusion : Considering low proportion of utilization of and positive attitude toward the EWCMP among general populations, it is needed to introduce or advertise EWCMP to them.

한.양방협진 코디네이터의 현황 및 발전방안

정인숙,신병철,이원철,Jeong, Ihn-Sook,Shin, Byung-Cheul,Lee, Won-Chul 대한예방한의학회 2010 대한예방한의학회지 Vol.14 No.1

Objectives : This study aimed to investigate the current job-related characteristics coordinators in East-West Collaborative Medical Practices(EWCMP) and to develop activation plans for them. Method : The participants were 51 personnel who were supporting EWCMP in the 28 institutions. Data were collected with self-administered questionnaires and analyzed with descriptive statistics. Results : The major role of the participants was educating and consulting patients(74.5%) and followed by supporting collaborating physician(70.6%). They assumed to be helpful to make the patients easy to use EWCMP(98%) and to give patients full information what they asked(96%). However, participants responded lack of adequate educational programs and role ambiguity as chief complaints(91.7%). They showed relatively high level of job importance(78.7points on 100points) and job satisfaction(72.8points on 100points). Coordinators were expected to have bachelor and more than 8 years clinical career, and communication skill. Conclusions : Coordinators have played key roles in giving information for the patients and coordinating EWCMP. However their roles and job description was not clear, and educational programs was insufficient as required. Therefore, it is needed to clarify their roles and job description and establish professional educational programs for supporting coordinators.

시험자와 의뢰자의 임상연구코디네이터의 근무환경과 활용방안에 대한 인식

정인숙,최상민,윤지향,윤은화,Jeong, Ihn-Sook,Choe, Sang-Min,Yoon, Ji-Hyang,Yun, Eun-Hwa 대한임상약리학회 2012 臨床藥理學會誌 Vol.20 No.1

Background: This study was aimed to investigate the perception on working conditions and utilization of clinical research coordinators (CRCs) among investigators and sponsors. Methods: The participants of this cross-section study were 114 investigators and 138 sponsors including clinical research associates (CRAs) who have worked with CRCs. Data was collected with paper or electronic form of self-administered questionnaires and analyzed with descriptive statistics and ${\chi}^2$ test or t test. Results: Among investigators and sponsors, 56.1% and 95.0% perceived regular full-time positions as proper type of CRC employment, respectively. Those who perceived monthly salary with incentive as proper payment system were 67.5% of investigators and 68.8% of sponsors. The proper salary for 2-year CRCs and 5-year CRCs were significantly higher in sponsors than investigators. Investigators perceived CRCs could handle 3 studies as the same time and 5 studies per year. In regard to the difficulty in utilizing CRCs, 68.4% of investigators perceived lack of experienced CRCs and 84.8% of sponsors did frequent turnover. Those who responded pooling CRCs by hospital or clinical trial centers as a good solution to hire CRCs easily were 81.6% of investigators and 58.0% of sponsors. Conclusion: Almost all investigators and sponsors perceived CRCs were helpful for improving the quality of clinical trials. We recommend each institution or clinical trial centers could introduce the central CRCs' employment and management with proper salary and workload based on the results to maintain experienced CRCs and lessen the turnover of CRCs.

아동의 말초정맥관 삽입 부위 관찰창 확보가 침윤조기감지에 미치는 효과

정인숙(Jeong, Ihn Sook),박순미(Park, Soon Mi),박경주(Park, Kyung Ju) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.4

Purpose: The aim of this study was to identify the effect of an observation window (OW) at peripheral intravenous (Ⅳ) catheter sites on early detection of Ⅳ infiltration among hospitalized children. Methods: This was a retrospective observational study with history control group design. Participants were children who had IV infiltration after peripheral catheterization when hospitalized from January to May, 2014 and January to May, 2015 at a children’s hospital located in Yangsan city, Korea. The 193 patients, who were hospitalized from January to May, 2014 formed the control group and did not have OW, and the 167 patients, who were hospitalized from January to May, 2015 formed the window group and had OW. Data were analyzed using χ²-test, independent samples t-test and multiple logistic regression. Results: First stage Ⅳ infiltration was 39.5% for the window group and 25.9% for the control group, which was significantly different (p =.007). The likelihood of 2<SUP>nd</SUP> stage and above Ⅳ infiltration decreased by 44% in the window group, which was significantly different (p =.014). Conclusion: OW at the peripheral Ⅳ catheter site was found to be an effective measure in early recognition of Ⅳ infiltration. Considering the effect of OW, we recommend that nurses should make an OW with transparent dressing during stabilization of the Ⅳ catheter site in hospitalized children in clinical settings.

기본간호학 연구동향

정인숙(Jeong Ihn-Sook),강규숙(Kang Kyu-Sook),김경희(Kim Kyung-Hee),김금순(Kim Keum-Soon),김원옥(Kim Won-Ock),변영순(Byun Young-Soon),송경애(Sohng Kyeong-Yae),손영희(Son Yeong-Hee),양선희(Yang Sun-Hee),조현숙(Jo Hyun-Sook) 기본간호학회 2001 기본간호학회지 Vol.8 No.2

간호사의 주사바늘자상 후 보고실태

정인숙(Jeong, Ihn Sook),서정민 대한의료관련감염관리학회 2010 의료관련감염관리 Vol.15 No.1

Background: Nurses are often exposed to needlestick and sharp-object injuries (NSIs). This study aimed to investigate the post-exposure reporting rate of NSIs among nurses. Methods: The subjects were 84 nurses from 4 hospitals (3 hospitals with 300 or more beds and 1 hospital with less than 300 beds) who had experienced at least 1 NSI within a 6-month period. The instrument was a self-administered questionnaire, which was based on the EPINet report form and a questionnaire for NSIs among resident physicians,which was used by Choi et al. Data were collected between April 9 and June 15, 2009, and analyzed using descriptive statistics and the χ2 test, which was performed using SPSS with a significance level of 0.05. Results: Among the 84 nurses who had experienced at least 1 NSI within 6 months, only 14.3% had reported the NSIs, and 58.4% of these subjects reported the NSI immediately after sustaining the injury. The most common reason for not reporting was “the patients were found out to be uninfectious” (81.9%) followed by “too busy” (65.3%). The incidence of post-exposure reporting was negatively related to the number of NSIs (χ2=13.871, P<0.001) and positively related to assessments of infectivity of the patients (χ2=4.248, P=0.039) and other persons’recommendations to report NSIs (χ2=4.092, P=0.043). Conclusion: The post-exposure reporting rate was very low. The factors responsible for this low rate should be investigated in a more systematic manner, and more measures should be undertaken to increase the reporting rate among nurses.

일개 대학병원 신생아 중환자실 간호사의 손씻기에 관한 조사 연구

정인숙(Jeong Ihn Sook),이영희(Yi Young Hee) 기본간호학회 1997 기본간호학회지 Vol.4 No.2

임상연구에서 피험자 서면동의의 질 평가

정인숙 ( Jeong Ihn Sook ),손지홍 ( Shoh Ji Hong ),신재국 ( Shin Jae Gook ) 한국의료윤리학회 2010 한국의료윤리학회지 Vol.13 No.1

This study was designed to assess the quality of the informed consent process in clinical research by measuring subjects` understanding of informed consent. A convenience sample of 188 subjects aged 20 and above participated in bioequivalence studies at the Inje regional clinical trial center in Busan (South Korea). The study instruments were self-reported questionnaires, which were modified versions of the Quality of IC (QuIC) questionnaire developed by Joffe et al. (2001) and the Informed Consent Questionnaire-4 items (ICQ-4) developed by Guarino et al. (2006). The data were collected from February to May, 2007 and analyzed with descriptive statistics to assess the quality of the informed consent process and also with a t-test, X2 test, and paired t-test to identify correlates of increased understanding of informed consent. Prior to the subjects` participation in these clinical trials, the mean QuIC objective knowledge score (QuIC-A) was 68.7 points (maximum: 100 points) and the perceived (subjective) understanding score (QuIC-B) was 78.7; after the clinical trials were completed, the mean scores for (QuIC-A) and (QuIC-B) were 68.7 and 80.4 respectively. The general quality of informed consent (ICQ-4) was measured after the clinical trials were completed; the score was 78.3 points (maximum: 100 points). Higher objective knowledge (QuIC-A) scores were associated with age (25 years old and above, p=0.043), and education (college and above, p=0.001). Higher QuIC-B scores were associated with previous experience with clinical trials (p=0.028) and memorization of the date of the signed consent (p=0.037). The quality of informed consent measured in this study is significantly lower than that reported in similar studies conducted in the US and Australia. Thus, this study suggests that it is there is a need to develop strategies to improve subjects` understanding of informed consent.