중환자간호에서의 근거중심 실무 구강 간호

정영선,김순희,Jung, Young-Sun,Kim, Soon-Hee 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.2

중환자실 간호사의 구강간호에 대한 인식 및 수행 실태

안진희,주현옥,강지연,An, Jin-Hee,Ju, Hyeon-Ok,Kang, Ji-Yeon 한국중환자간호학회 2008 중환자간호학회지 Vol.1 No.1

Purpose: Providing oral care is one of the most important nursing interventions in ICU. Good oral health prevents various complications including pneumonia and improves patients' well-being as well. The purpose of this study was to indentify the ICU nurses’awareness and performance on oral care. Methods: Using a convenient sampling, 170 ICU nurses from 5 university hospitals in two metropolitan cities were selected. Results: Of the 170 nurses in this study, 95.9% were aware of the importance of oral care. Subjects responded that providing oral care three times or more a day was appropriate to prevent ventilator associate pneumonia. 43.5% of the subjects acknowledged that they didn’t know what the most effective oral care solution was. In oral care performance, 61.8% of subjects provided oral care once a day for patients with intubation, and 74.7% used oral solutions without knowing the exact pharmacological effects of them. Conclusion: As the results of this study, most ICU nurses realized the importance on oral care for ICU patients, but the frequency of performance was low. To improve oral care performance in the ICU, structured education should be provided to ICU nurses and evidence based oral care protocols need to be developed.

간호학 학사과정 내 중환자 간호학 교육의 운영 현황과 발전 방향

이영희,손연정,강지연,김복자,김정연,이윤미,최수정,최은희,하이경,Yi, Young Hee,Son, Youn-Jung,Kang, Jiyeon,Kim, Bog Ja,Kim, Jung Yeon,Lee, Yun Mi,Choi, Su Jung,Choi, Eun Hee,Ha, Yi Kyung 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.3

Purpose : This study examined the status of critical care nursing education in bachelor of science in nursing (BSN) to suggest future directions. Methods : The target of the survey was 185 BSN programs that were certified by the Korean Accreditation Board of Nursing Education as of October 31, 2016. We structurally reviewed the curriculums and the course syllabi. Results : Forty-eight courses of 42 BSN programs were analyzed. Only five programs offered both theoretical and practical courses in critical care nursing; 22 offered theoretical courses and 26 offered practical courses. Most courses were offered as electives with 1 or 2 credits, and were taught by faculty who were experts in adult health nursing. Conclusion : The results show that there is a quantitative shortage of critical care nursing education in the curriculum of BSN programs in Korea. The lack of knowledge and skills on critical care can lead to a burden of new intensive care unit nurses and is a threat to patients' health. It is necessary to develop a practical and integrative curriculum for critical care nursing education.

신경계 중환자의 측정부위별 맥박 산소포화도의 비교

전민정,황선경 한국중환자간호학회 2023 중환자간호학회지 Vol.16 No.1

Purpose : This study aimed to compare peripheral pulse oxygen saturation (SpO2) values, measured at different monitoring sites, and arterial oxygen saturation (SaO2) of neurocritical patients. Methods : The study included 110 patients admitted to the neurosurgical intensive care unit of a university hospital. The patients’ SpO2 values were measured in their index fingers, both second toes, both earlobes, and foreheads, using the patient monitoring system. These values were compared with the standard value of SaO2 measured using a blood gas analyzer. Data were analyzed using descriptive values, Pearson’s correlation coefficients, Lin’s concordance correlation coefficients (CCC), and Bland-Altman plots. Result : Regardless of the measuring site, SpO2 was correlated with the paired measurements of SaO2 (r=.40~.60, p<.001, CCC range=.40~.58). No significant bias in paired measurements of SpO2 and SaO2 was observed at all sites (-0.06~0.19%, p>.05). SpO2 values at the left finger and right earlobe had the narrowest range, with a 95% limits of agreement (LOA) (left finger -3.04~2.93% and right earlobe -3.18~2.79%). SpO2 at the index finger, on the side without an arterial catheter, had a narrower range of 95% LOA than that of the opposing finger (-3.00~2.97% vs. -3.73~3.26%). Conclusion : SpO2 at the finger without an arterial catheter had the highest level of precision. This study suggests using the index finger, on the side without an arterial catheter, for pulse oximetry in neurocritical patients.

중환자실 간호사의 역할갈등, 간호조직문화, 간호사-의사협력관계가 직무착근도에 미치는 영향

진영은,박효진,이윤미 한국중환자간호학회 2023 중환자간호학회지 Vol.16 No.1

Purpose : The purpose of this study is to identify the factors affecting the degree of job embeddedness by examining role conflict among intensive care unit nurses, the nursing organizational culture, nurse-physician collaboration, degree of job embeddedness, to understand the relationship between these variables. Method : Participants are 148 nurses from two hospitals in the intensive care unit. Collected data are analyzed using independent t-tests, ANOVA, Scheffé test, Pearson correlations, and multiple regressions using the SPSS 25.0 program. Results : The factors that significantly influenced the participants’ job embeddedness are role conflict (β=-.19, p =.015), innovation-oriented culture (β=.26, p =.003), and nurse-physician collaboration (β=.24, p =.002). The total explanatory power of these factors for job embeddedness is 44.5% (F=15.06, p =.001). Conclusion : This study identifies role conflict among intensive care unit nurses, innovation-oriented culture, and nurse-physician collaboration as important factors affecting job embeddedness.

중환자실 간호사의 직무스트레스, 직장 내 괴롭힘, 자기효능감이 전문직 자아개념에 미치는 영향

오상민,김상희 한국중환자간호학회 2020 중환자간호학회지 Vol.13 No.2

Purpose : The aims of this study was to provide basic data to enhance the professional self-concept of nurses in intensive care unit and identify the relationship between job stress, working bullying, self-efficacy and professional self-concept and identify the factors influencing professional self-concept in intensive care unit nurses. Methods : This study was conducted from June to August, 2018 at five general hospitals over 500 beds. Structured questionnaire were completed by 120 nurses who had agreed to understand and participate in the study. The collected data were analyzed using the SPSS win 24.0 program. Results : Factors affecting the professional self-concept of the subjects were self-efficacy, working bullying, unsatisfaction and satisfaction of nursing job satisfaction, age. The explanatory power of these variables on professional self-concept was 55.1%. Conclusion : The self-efficacy, working bullying, nursing job satisfaction, and age of the intensive care unit nurses were identified as the major factors influencing the professional self-concept. Therefore, it is necessary to develop and apply an educational program to improve self-efficacy and nursing job satisfaction and reduce working bullying, which are influencing factors of professional self-concept of intensive care unit nurse.

중환자실 간호사의 의사소통능력과 인문학적 소양이 전문직 삶의 질에 미치는 영향

조규영,하명남,서미경 한국중환자간호학회 2020 중환자간호학회지 Vol.13 No.2

Purpose : The purpose of this study was to identify relation of the communication skills, humanistic knowledge and professional quality of life and to investigate the enhancing ways of professional quality of life in intensive-care unit nurses. Methods : The study design was a descriptive survey from 152 intensive-care unit nurses, from December 1 to 30, 2019. The data analysis was with ANOVA, Scheffétest, Pearson’s correlation coefficient and Multiple regression using the SPSS/WIN 23.0 program. Results : The factors affecting compassion satisfaction were communication skills (β=0.42, p =.001), satisfaction for working (β=0.61, p =.001), marriage (β=0.23, p =.005), humanistic knowledge (β=0.47, p =.008) and these factors explained 35.6%. The factors affecting secondary traumatic stress were job stress (β=0.19, p =.011), number of patients per nurse (β=-0.36, p =.004) and these factors explained 9.4%. The factors affecting burnout were job stress (β=-0.25, p =.001), communication skills (β=-0.29, p =.001), working period(β=-0.18, p =.010), satisfaction for working (β=-0.31, p =.001), self care (β=-0.11, p =.033) and these factors explained 36%. Conclusion : Therefore, it is necessary to develop solution to improve professional quality of life in intensive-care unit nurses. It needs to develop programs to improve communication skills and humanistic knowledge in order to enhance compassion satisfaction and to improve communication skills to prevent burnout.

생애말 치료결정 과정에 대한 중환자실 간호사의 인식, 태도, 경험 : 국내 연구논문의 통합적 고찰

최지연,손연정,이경훈 한국중환자간호학회 2020 중환자간호학회지 Vol.13 No.1

Purpose : This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses’ attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)’s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the “The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018).” All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients’ comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses’ emotional stress and moral distress during communication, decision-making, and implementation.

내과 중환자실 환자의 혈당조절 프로토콜 적용 및 효과

김은성,최스미,김영삼,Kim, Eun Sung,Choi-Kwon, Smi,Kim, Young Sam 한국중환자간호학회 2014 중환자간호학회지 Vol.7 No.2

Purpose: The purpose of this study was to examine the effect of a blood glucose control protocol for medical intensive care unit (ICU) patients. Methods: The subjects were recruited from medical ICU adult patients whose blood glucose levels exceeded 200 mg/dL in two consecutive tests. The experimental group (n=62) received the modified Yale (MY) insulin protocol, whereas the control group (n=64) was treated with the conventional insulin therapy methods. Results: In the experimental group, the mean blood glucose levels (p<.001) and the time to reach the target range of glucose (p<.001) decreased significantly while the incidence rates of a target range of glucose of 100-140 mg/dL (p<.001) increased significantly as compared to the control group. However, no statistically significant differences were found in the incidence of hypoglycemia(p=.644), or the number of glucose tests (p=.236) between the groups. The length of stays in the ICU (p=.001), ventilator care days (p=.038), and the Sequential Organ Failure Assessment (SOFA) score (p=.029) in the experimental group were significantly lower than those of the control group. Conclusion: Application of the protocol was effective in improving the state of blood glucose control in medical ICU patients. Therefore, this protocol is expected to be used as a part of nursing intervention in critical care nursing.

중환자실 간호사의 직무 스트레스와 자기주장 행동

조용애,김금순,Cho, Yong-Ae,Kim, Keum-Soon 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.1

Purpose: This study was designed to identify levels of job stress and assertiveness behaviors and the relationship between them among ICU nurses. Methods: A correlational descriptive survey was used to these relationships among 454 ICU nurses from 25 hospitals which were members of Korean Association of Critical Care Nurses. Data were collected using a structured questionnaire which included 58 items of job stress and assertiveness scale from November 4 to 14, 2008. Descriptive statistics, Pearson correlation coefficients were used to analyze the data. Results: ICU nurses experience mild to moderate degree of job stress, A score of assertiveness behaviors was 2.86. There was a negative relationship between job stress and assertiveness behaviors(r=-.106, p=.024) as influenced by role conflict, lack of professional knowledge and skills, and inappropriate treatment. Conclusion: ICU nurses, especially nurses with 3-6 year clinical experience, are in need of support to manage their job stress. These nurses should be supported through provision of adequate stress management and assertiveness program.