임상기반 간호학 실험논문의 질 평가

정재심(Jeong, Jae Sim),임경춘(Lim, Kyung Choon),권정순(Kwon, Jeong Soon),곽찬영(Kwak, Chan Yeong),김경희(Kim, Kyung Hee),김성재(Kim, Sung Jae),이경숙(Lee, Kyung-Sook),박광옥(Park, Kwang Ok),김주현(Kim, Joo Hun),김금순(Kim, Keum So 한국근거기반간호학회 2018 근거와 간호 Vol.6 No.1

Purpose: This study was conducted in order to explore quality assessment tools applicable to research in the nursing area and to suggest the results of applying such tools in assessing the quality of experimental studies in nursing. Methods: We selected three experimental and 119 quasi-experimental studies with control groups in the Journal of Korean Clinical Nursing Research. We applied Cochran collaboration’s tool for assessing the quality of randomized controlled studies. Also, items developed by researchers were applied for assessing the quality of experimental studies in nursing. Results: Three studies (2.5%) used an adequate randomized sequence generation and two of them concealed the allocation sequence. The 63.1% of the studies applied blinding and 51% of the studies did not have missing values, or had insignificant missing values. In addition, 85.2% were not likely to report selectively, and 36.1% were assessed to have raised the risk of bias. Conclusion: Many studies had too a high risk of bias to be used as evidence-based data in the designs and methods of experimental studies. We found that it is necessary to inquire into research designs, methods, and quality assessment tools desirable for evidence-based practice in nursing.

전 국민의 손씻기 이행 및 인식 실태

정재심,최준길,정인숙,인혜경,박기동,백경란,Jeong, Jae-Sim,Choi, Jun-Kil,Jeong, Ihn-Sook,In, Hye-Kyung,Park, Ki-Dong,Paek, Kyong-Ran 대한예방의학회 2007 예방의학회지 Vol.40 No.3

Objectives : This study was conducted to evaluate the public's awareness of the importance of hand washing and to compare perceptions on the habit of hand washing with actual hand washing behavior. Methods : Data were collected by observing 2,800 participants washing their hands after using public restrooms in seven cities nationwide and by surveying 1,000 respondents (age > 14 years) through telephone interviews using a structured questionnaire. Results : Although 94% of the survey respondents claimed to mostly or always wash their hands after using public restrooms, only 63.4% of the observed participants did wash their hands after using public restrooms. Significant factors related to increased adherence to hand washing were female gender, approximate ages of 20 to 39 years by their appearance, and the presence of other people from the observation. About 79% of the survey respondents always washed their hands after using bathrooms at home, 73% washed their hands before handling food, and 67% washed their hands upon returning to their home. However, 93.2% and 86.3% of the survey respondents did not wash their hands after coughing or sneezing and after handling money, respectively. Although most of the survey respondents (77.6%) were aware that hand washing is helpful in preventing communicable diseases, 39.6% of the survey respondents did not do so because they were 'not accustomed' to washing their hands and 30.2% thought that washing their hands is 'annoying'. Conclusions : This is the first comprehensive report on hand washing behavior and awareness of the general population in Korea. The result of this study in terms of individual behavior and awareness of hand washing are comparable with similar studies conducted in other countries. However adherence to hand washing is still low and needs to be increased. The results of this study can be used as a baseline in setting up strategies and activities to promote adherence to hand washing.

Coronavirus Disease (COVID-19) 범세계적 유행 관련 근거 고찰

정재심(Jeong, Jae Sim) 한국근거기반간호학회 2020 근거와 간호 Vol.8 No.1

Purpose: To identify epidemiological and disease-related characteristics by searching related literature in the pandemic situation caused by COVID-19. Methods: This is a narrative review that has been searched previous studies, national and international guidelines and practice manuals, and related website. Results: COVID-19-related literature and data were numerous and were being updated in real time. In this review, the pathogens of COVID-19, transmission mechanisms, diagnosis and treatment, prevention, and infection control methods were summarized. Conclusion: The data in this review are highly limited in time. It is limited to the literature search so far, and among the selected literatures related to COVID-19, some aspects of the researcher’s interests are more emphasized and considered. In the future, with the hope that COVID-19 will end or be reduced to a small endemic situation, we look forward to a more comprehensive and valid literature review.

국내 종합병원 간호부의 근거기반간호 수행 현황

권정순(Kwon, Jeong Soon),정재심(Jeong, Jae Sim),김경숙(Kim, Kyeong Sug),김선경(Kim, Sun Kyung),김신미(Kim, Shin Mi),김은현(Kim, Eun Hyeon),서현주(Seo, Hyun Ju),이선희(Lee, Seon Heui),정영선(Jeong, Young Sun),정인숙(Jeong, Ihn Sook 한국근거기반간호학회 2016 근거와 간호 Vol.4 No.1

Purpose: This study was performed to identify the current status of organization and education for evidence-based nursing (EBN) among acute care hospitals in Korea. Methods: Using a questionnaire, the data were collected from 60 acute general hospitals selected conveniently from October to November in 2016. Results: The response rate was 83.3% and the mean number of beds for responded hospitals were 977.83. Responded hospitals appeared to perceive the importance of EBN, though approximately 50% of hospitals showed insufficient status for EBN. EBN project implemented in accordance with institutional support. EBN education courses have operated within hospitals and also have attended at outside courses. Conclusion: The current status of EBN organization and education have identified and it is needed to monitor continuously to activate and expand EBN in clinical settings.

국내 상급종합병원과 종합병원에서의 정맥주입간호실무지침에 대한 태도와 확산정도

은영(Young Eun),구미옥(Mee Ok Gu),조용애(Young Ae Cho),김신미(Shin Mi Kim),정재심(Jae Shim Jeong),권정순(Jeong Soon Kwon),유정숙(Cheong Suk Yoo),정영선(Young Sun Jeong),정인숙(In Sook Jung),김경숙(Kyeong Sug Kim)이선희(Seon Heui Lee 한국근거기반간호학회 2014 근거와 간호 Vol.2 No.1

Purpose: This study was conducted to investigate the level of attitudes to and diffusion of Intravenous infusion nursing practice guideline in advanced general hospitals and general hospitals in Korea. Methods: The subjects were 41 nurses who were in charge of guideline diffusion in 41 advanced general hospitals and general hospitals. Data were collected between September 25 and November 2, 2014 by mail (return rates: 68.3 %). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/WIN 18.0. Results: The average attitude score of guideline among nurses in charge of guideline diffusion were 3.98±0.38 (range 1~5). The average guideline diffusion score and levels of diffusion was 2.26±1.39 (level of “persuasion of nursing knowledge”) for staff nurses, 3.05±0.86 (level of “use sometimes”) for nurses in charge of guideline diffusion, 2.87±0.78 (level of “use sometimes”) for nurse directors. 41.4 % of nursing divisions in 41 hospitals reviewed the intravenous infusion nursing practice guideline, educated the guideline to nurses, and implemented the guideline in clinical practice for guideline diffusion. Conclusion: Study findings indicate that nurses in charge of intravenous infusion nursing practice guideline in hospitals had positive attitude for guideline. The levels of guideline diffusion in hospitals was “persuasion of nursing knowledge” to “use sometimes”. Therefore, the strategies for promoting the diffusion and implementation of guideline in clinical practice in the level of nursing division is needed. Further study of outcome evaluation of guideline implementation will be needed.

국내 상급종합병원과 종합병원 간호사의 정맥주입간호실무지침의 확산정도

은영(Young Eun),구미옥(Mee Ok Gu),조용애(Young Ae Cho),정재심(Jae Shim Jeong),권정순(Jeong Soon Kwon),유정숙(Cheong Suk Yoo5),정영선(Young Sun Jeong),정인숙(In Sook Jung),김경숙(Kyeong Sug Kim),이선희(Seon Heui Lee),서현주(Hyun Ju S 한국근거기반간호학회 2015 근거와 간호 Vol.3 No.1

Purpose: This study was conducted to investigate the extent of diffusion of Intravenous infusion nursing practice guideline among nurses in advanced general hospitals and general hospitals in Korea. Methods: The subjects were 234 nurses who practice the intravenous infusion in 24 advanced general hospitals and general hospitals. Data were collected between October 5 and November 2, 2015 by mail (return rates: 97.5 %). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/ WIN 21. Results: The average guideline diffusion score and levels of diffusion was 3.39±0.58 (level of “use sometimes”). 44 recommendations (46%) were in level of “use always” and 50 recommendations (53%) were in “use sometimes”. Extent of diffusion were significantly different according to present status (F=2.81, p=.040) and education (F=4.35, p=.014). The facilitating factors to use the guideline were education by department of nursing service, convenient composition of guideline and barrier factors were “no time to use the guideline”, “don’t know the guideline” and “there is no guideline at ward”. Conclusion: Extent of diffusion of Intravenous infusion nursing practice guideline among nurses was moderate level. The strategies for promoting the implementation of guideline in clinical practice is needed. Further study of outcome evaluation of guideline implementation will be needed.

국내 간호대학의 근거기반간호 교과목 운영 현황 및 활성화 방안

최미영(Choi, Miyoung),정재심(Jeong, Jae Sim),권정순(Kwon, Jeong Soon),김경숙(Kim, Kyeng Sug)이선희(Lee, Seon Heui),서현주(Seo, Hyun Ju),정영선(Jeong, Young Sun),정인숙(Jeong, Ihn Sook),이현희(Lee, Hyun Hee),김은현(Kim, Eun Hyeon) 한국근거기반간호학회 2017 근거와 간호 Vol.5 No.1

Purpose: This study aims to identify current status of evidence-based nursing education to nursing students and strategies for dissemination. Methods: For investigation of current education status of evidence-based nursing, a searching for websites of 204 nursing colleges in Korea. And a focus-group interview was performed. Ten participants were faculties working at college of nursing. Interview data were analyzed using qualitative content analysis. Results: Nineteen (9.3%) colleges were running evidence-based nursing (EBN) course in the undergraduate course and 29 colleges opened EBN course in the graduate school. Five topics regarding experience on teaching EBN were as follows, 1) there are need to teaching EBN in nursing colleges 2) EBN education leads to improvement in professional perception and research, but low level of feed-back also indicated. 3) Barriers were lack of faculty ability, difficulty in course management, limitation of resource and gaps in practice. 4) Facilitators were changes in clinical nursing practice, teaching faculty and developing teaching program. 5) Educational strategies for dissemination were changes on external evaluation and strengthening of academic society activities. Conclusion: EBN education for nursing students are effective in improving critical thinking and nursing research. Developing strategies for dissemination of EBN to nursing students are needed.

병원감염관리 프로그램

정재심,Jeong, Jae-Sim 대한병원협회 1998 대한병원협회지 Vol.27 No.4

의료종사자의 환자안전문화와 표준주의 인식과 상관관계

권혜경,정재심,이복임,김장한,Kwon, Hye-kyung,Jeong, Jae-sim,Lee, Bok-im,Kim, Jang-han 한국의료질향상학회 2015 한국의료질향상학회지 Vol.21 No.2

Objectives: This study was conducted as descriptive correlation research in order to survey healthcare personnel(HCP)'s awareness of patient safety culture and their recognition of standard precautions, and to examine the correlation between the two factors. Methods: The subjects were 400 HCPs including 80 doctors, 240 nurses, and 80 medical technicians from two general hospitals. The questionnaire used in the survey consisted of 9 questions on general characteristics, 44 on the perception of patient safety culture, and 21 on the recognition of standard precautions. Results: According to the subjects' general characteristics, the score was significantly higher in those aged over 40 than in those aged 30-39. In addition, it was significantly higher in managers than in practitioners, in those with work experience of less than a year than in those with 5-9 years. The score was also significantly higher in those working 8 hours a day than in those working over 10 hour a day. The number of medical accident reports according to the subjects' general characteristics was significantly larger in nurses than in doctors, in managers than in practitioners, and in those with 10 years' or longer experiences than in those with less than a year. In the awareness of standard precautions according to the subjects' general characteristics, the score was significantly higher in female workers than in male workers, and in managers than in practitioners. As a whole, the subjects' awareness of patient safety culture and their recognition of standard precautions showed a significant correlation with each other. Conclusion: From the result of this study, sufficient work force and the promotion of organizational culture for safety is needed in order to guarantee patient safety. Likewise, these results suggest that experience, job skill, and adequate working hours have a positive effect on the awareness of patient safety culture and the recognition of standard precautions.

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.