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이원희,김조자,유지수,허혜경,진혜영,최혜경 연세대학교 간호학연구소 1987 간호학 논집 Vol.10 No.1
Nursing diagnosis can improve nurses` efficiency, accuracy, provide an efficient standard for communication among nurses, improve the quality of nursing care, purpose and direction of nursing, and provide a unique dimension to nursing care. But in Korea we are using a nursing diagnosis system, which was developed in the American culture without evaluating vocabulary use or clinical application in the Korean culature. Actually many problems have appeared. Therefore. this research is to review and compare the North American Nursing Diagnosis Association‘s (NANDA) 5th conference on the etiology of nursing diagnosis and nursing diagnosis used in students` clinical practice in relation to how it fits into our culture and educational background. In order for nursing to be more scientfic. we must try to provide more basic data and develop nursing diagnosis. The subject of this research was 127 third year students in Y university for 1 year (1985). After tyey completed adult nursing clinical practice I and II tyey submitted case studies. In these case reports only nusing diagnosis was considered. There were a total of 1,019 nursing diagnoses used by the nursing students. In the data analysis we took the 813 nursing students' nursing diagnoses and fit them into 51 NANDA nursing diagnoses. Five professors from the College of Nursing met together and agreed on the selected the 813 after discussion The selected the 813 nursing diagnoses in the categories of: safety and secruity. nutrition and elimination, activity and rest, oxygen, sex, and' other'. These students' nursing diagnoses were compared with NANDA's etiology of nursing diagnosis by frequency. The research research were as follow ; 1. Among the 813 nursing diagnoses, the nursing diagnosis of 'Comfort, alteration in' was used 155 times (19.1%). This was the nursing diagnosis most frequently used by the students in the case reported. And 23 out of the 51 diagnoses (45%) was found 1 or 2 times and did't use nursing diagnosis in the case studies. 2. Among safety and security needs. many students used the etiology of 'Comfore alteration in : pain', pain and diverse etiology vocabulary. In 'Anxity'. the etiology of threat to or change in health status and knowledge deficit were listed. Among them, knowledge deficit was used 30 times as the etiology of nursing diagnosis. In the category of nutrition and elimination needs most students usually used nursing diagnosis accurately. In the category of activity and rest needs, the nursing diagnoses of activity intolerance, mobility, impaired physical' were confused the etiology of nursing diagnosis by the students. The students did't use many nursing diagnoses in the category of oxygen needs, and did't use the nursing diagnosis of sexual dysfunction. In the category of 'other' nursing diagnoses, "Knowledge deficit' was used many, and the etiology of 51 nursing diagnoses was generally used knowledge deficit. Until now in the nursing diagnosis used by the students, the vocabulary of the etiology of nursing diagosis is diverse. Although all students experience the 5 categor of human need in clinical practice, some of nursing diagnosis was used many but the other wasn't used. One reason is that only the definition of nursing diagnosis was taught in the classroom. No course content related to nursing diagnosis was covered. The nursing diagnosis concept was not taught in depth. second. the NANDA vocabulary is board and the English in interpretation is influenced by cultural factors. Third, among the students' clinical instructors there was difference knowledge and experience in nursing diagnosis. Therefore we believe the situation needs to be evaluated and revise to develop a unified vocabulary. And so that the etiology of nursing diagnosis would be fited into the cultural and educational background in Korea.