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임초선,최수정,임경춘,이영희,정재심,신용애,강영아,박하영,김은미 한국중환자간호학회 2019 중환자간호학회지 Vol.12 No.3
Purpose : This study aimed to propose a common scope of practice (SOP) for 13 specialties of Advanced Practice Nurses (APNs) in Korea. Methods : The first draft of a common SOP was extracted from domestic and international laws with a literature review by 17 experts from the Korean Association of Advanced Practice Nurses (KAAPN). Then, the common SOP was finalized after comparing the activities of APNs in clinical settings. Results : A total of 70 duties were identified and six categories were suggested for the common SOP. The SOP proposed by the KAAPN featured the following: 1) identification of and discrimination between health problems; 2) prescription and implementation of diagnostic tests; 3) treatment of injuries and diseases while implementing measures to prevent exacerbation; 4) prescription of medicinal products in line with 1) to 3); 5) referral and consultation; and 6) education and counseling. It was then confirmed that the proposed six categories in the common SOP reflected all the duties performed by APNs in clinical practice, including all 40 activities. Conclusion : The results of this study can be used as evidence for the legalization of a common SOP for APNs. Given the increasing multidisciplinary team approach adopted in Korean hospitals, it may be desirable to establish a broader SOP to reflect the diverse duties of APNs.
이홍열,조영재,임초선,이재호,이춘택 대한결핵및호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.77 No.4
Acute airway obstruction after hemoptysis occurs due to the presence of blood clots. These conditions may result in life-threatening ventilation impairment. We report a case of obstruction of the large airway by endobronchial blood clots which were removed using bronchoscopic cryotherapy at the bedside of intensive care unit. A 66-year-old female with endometrial cancer who had undergone chemotherapy, was admitted to the intensive care unit due to neutropenic fever. During mechanical ventilation, the minute ventilation dropped to inadequately low levels and chest radiography showed complete opacification of the left hemithorax. Flexible bronchoscopy revealed large blood clots obstructing the proximal left main bronchus. After unsuccessful attempts to remove the clots with bronchial lavage and forceps extraction, blood clots were removed using bronchoscopic cryotherapy. This report shows that cryotherapy via flexible bronchoscopy at the bedside in the intensive of intensive care unit is a simple and effective alternative for the removal of endobronchial blood clots.
국내 COVID-19 팬데믹 상황에서 COVID-19 환자를 돌본 간호사의 경험
강영아,임경춘,김주현,임초선,최정화 대한질적연구학회 2021 대한질적연구학회지 Vol.6 No.2
Purpose: This study explored and described the lived experiences of nurses in taking care of patients during COVID-19 pandemic in Korea. Methods: Data were collected through individual in-depth interviews with 10 nurses who involved in COVID-19 patient care. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis. Results: Qualitative data analysis revealed three categories: ‘standing in front of the pandemic’, ‘harsh experience of caring for COVID-19 patients’, and ‘finding a way for better COVID-19 patients care’. The lived experience of nurses in caring of patients with COVID-19 infection was ‘finding the best way to provide proper care in unfamiliar and difficult pandemic situation’. Conclusion: The results illustrated the motivation, meaning, and value of pandemic care from the nurses’ perspective. Nurses felt proud of being a part of dedicated hard-working team but distressed by crumbling death without dignity and pressured by being thrown at the front-line in the COVID-19 battle. The advanced practice nurses’ hidden supports and advices were helpful for them to reinforce nursing capacity for optimal care. Nursing professionalism should be enhanced by establishing the scope of practices and providing systematic support with appropriate rewards.
김민영,최수정,전미경,김정혜,김희영,임초선,Kim, Min Young,Choi, Su Jung,Jeon, Mi-Kyeong,Kim, Jeong Hye,Kim, Heeyoung,Leem, Cho Sun 병원간호사회 2020 임상간호연구 Vol.26 No.2
Purpose: This study was conducted to provide basic data for the systematization of 13 areas related to Advanced Practice Nurses (APN). Methods: The three-phase study was conducted as follows. 1) review of APN system and curriculum, 2) Focus Group Interviews (FGI) with 9 APNs, 6 physicians, and 3 nursing professors on the APN system, 3) analysis of clinical practice of the 13 APN areas, and of the accreditation and certification system for APNs, medical board, and medical subspecialty board. Based on the above data, a systematic plan was drawn. Results: The 13 APN areas could be divided into 7 groups based on a review of the APN system and curriculum for the 13 areas. Analysis based on clinical practice showed that the 13 APN areas could be divided into 4 groups. Two themes and seven categories emerged in FGI. The two themes were 1) 13 APN areas that need to be discussed, 2) improving the curriculum for APN. Considering these themes from FGI and the system of the medical subspecialty board, results could be integrated into 2 groups - clinical area and non-clinical area. Conclusion: The 13 APN areas need to be integrated in order to activate the APN system. For that, further discussions on improvements and a standard curriculum according to legislation related to APN should be carried out.
김민영,전미경,최수정,김정혜,김희영,임초선,Kim, Min Young,Jeon, Mi-Kyeong,Choi, Su Jung,Kim, Jeong Hye,Kim, Heeyoung,Leem, Cho Sun 한국중환자간호학회 2021 중환자간호학회지 Vol.14 No.2
Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.
설미이 ( Seol Miee ),신용애 ( Shin Yong Ae ),임경춘 ( Lim Kyung Choon ),임초선 ( Leem Chosun ),최정화 ( Choi Jeong Hwa ),정재심 ( Jeong Jae Sim ) 서울대학교 간호과학연구소 2017 간호학의 지평 Vol.14 No.1
Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN`s Nursing care should be reimbursed just as nursing care of APN in home care.