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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.
조용애 ( Cho Yong Ae ),이선희 ( Lee Seon Heui ),김경숙 ( Kim Kyeong Sug ),임효민 ( Im Hyo Min ),김태희 ( Kim Tae Hee ),최미영 ( Choi Mi Young ),서현주 ( Seo Hyun Ju ),박효선 ( Park Hyo Sun ),왕금현 ( Wang Keum Hyun ),김찬희 ( Kim 병원간호사회 2020 임상간호연구 Vol.26 No.2
Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.
간호분야 실무지침의 수용개작 방법론에 따른 구강간호 실무지침의 개발
조용애 ( Yong Ae Cho ),은영 ( Young Eun ),구미옥 ( Mee Ock Gu ),김경숙 ( Kyung Sook Kim ),곽미경 ( Mi Kyong Kwak ),김정혜 ( Jeong Hye Kim ),이선희 ( Seon Heui Lee ),박동아 ( Dong Ah Park ),노화경 ( Hwakyung Noh ) 병원간호사회 2015 임상간호연구 Vol.21 No.2
Purpose: This study aimed to adapt the previously developed, high-quality oral care guideline for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by National Evidence-based Healthcare Collaborating Agency (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The adapted oral care guideline was consisted of 10 domains and 85 recommendations. The number of recommendations in each domain were: 4 general issues, 2 oral care indications, 10 oral assessment 16 general oral care, 15 oral care for critically ill, 15 oral care for cancer patients, 14 oral care for cancer patients withoral complications , 5 oral careeducation , 2 oral care referral, and 2 documentation and report. Ten point six percent of the recommendations were rated as grade A, 20.0% as grade B grade, and more than half (69.4%) were rated as grade C. Conclusion: The adapted oral care practice guideline is expected to included the evidence-based practice guidelines as fundamentalss of nursing practice. Dissemination of the developed guideline nationwide would contribute improving the efficiency of oral care practice.
종합병원 간호사의 간호역량, 전문성 활동에 따른 임상경력관리체계 수정모형
조명숙(Cho, Myung Sook),권인각(Kwon, In Gak),김경희(Kim, Kyung Hee),조용애(Cho, Yong Ae) 병원간호사회 2018 임상간호연구 Vol.24 No.3
Purpose: The purpose of this study was to propose a revised Clinical Ladder System(CLS) Model for nurses based on the evaluation of clinical competence and professional activities of nurses working in general hospitals. Methods: Data were collected between September 10 and October 30, 2017. Participants were 50 head nurses from 10 general hospitals with over 400 beds located in Seoul City and Gyeonggi Province. Each head nurse evaluated clinical competence, qualifications, and professional activities of 5 staff nurses at each of the 5 levels of CLS in her unit. The total number of the nurses evaluated was 245. Data were analyzed with descriptive statistics and t-test, one-way ANOVA, and Scheffé. Results: Over 80% of the nurses were university graduates. As the CLS levels increased, clinical competence, qualifications, and professional activities also increased significantly. Education material development and quality improvement activities were carried out by nurses from level 2, research and evidence based practice activities were carried out from level 3, and nurses at level 4 or 5 participated in most of the professional activities as leaders. Conclusion: In order to retain excellent nurses in general hospitals, recognizing and rewarding nurses according to the revised model of the CLS are recommended.
간호사 임상경력관리체계 모형 타당성 및 적용가능성 검증연구
조명숙 ( Cho Myung Sook ),권인각 ( Kwon In Gak ),김경희 ( Kim Kyung Hee ),김미순 ( Kim Mee Soon ),조용애 ( Cho Yong Ae ) 병원간호사회 2017 임상간호연구 Vol.23 No.3
Purpose: The purpose of this study was to verify the validity and applicability of the Clinical Ladder System(CLS) Model for nurses and to suggest a model for nurses in general hospitals as well as tertiary hospitals. Methods: After refining questionnaires through focus group participation, a survey was carried out with 50 nurse managers and 500 staff nurses from 6 tertiary hospitals and 4 general hospitals. S-CVI and i-CVI for validity and applicability were calculated. Differences in validity and applicability by the type of hospitals and characteristics of respondents were analyzed using t-test and ANOVA. Results: S-CVI for validity and applicability of the CLS model were over 0.8 in two types of hospitals and the validity and applicability of the CLS model were confirmed. No differences were found in the total score for validity between the 2 types of hospitals, but in applicability, general hospitals had significantly lower applicability than tertiary hospitals. Some items showed difference according to characteristics of the respondents. CLS models were postulated based on the study results. Conclusion: The CLS model refined through this study can be used for nurses. In application, modifications are needed according to the conditions of each hospital.
강영미,유지호,조용애,류성숙,조정구,성영희,Kang, Young-Mi,Yu, Ji-Ho,Cho, Yong-Ae,Ryoo, Sung-Suk,Cho, Jeong-Koo,Sung, Young-Hee 한국중환자간호학회 2008 중환자간호학회지 Vol.1 No.1
Purpose: Purpose of this study was to analyze the nursing focuses for standardization of ICU nursing records. Methods: The data were collected from 1,000days'nursing records of 197 ICU patients at a tertiary hospital in Seoul. Nursing focuses were unified at the consulting group meeting and they were cross-mapped with the NANDA nursing diagnoses. Results: The 62 nursing focuses in 7 NANDA categories were extracted from nursing record. Among total nursing focuses 41 correspond to the NANDA nursing diagnoses and 21 were added to ICU nursing focuses. The 10 most frequently used nursing focuses are 'Ineffective airway clearance', 'Impaired gas exchange', 'Ineffective tissue perfusion: cardiopulmonary', 'Ineffective breathing pattern', 'Ineffective tissue perfusion: renal', 'Ineffective infant feeding pattern', 'Risk for impaired skin integrity', 'Hyperthermia', 'Impaired skin integrity', 'Decreased cardiac output', Conclusion: Nursing focuses list of ICU was extracted from the result of this study. These nursing focuses might form a framework for development of research-based assessment guideline and care plans for ICU patients through standardization of nursing records.
중환자 분류도구(WMSCN)의 신뢰도, 타당도 및 환산지수 검증
유정숙,권은옥,김순희,조용애,Yoo, Cheong-Suk,Kwon, Eun-Ok,Kim, Soon-Hee,Cho, Yong-Ae 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.1
Purpose: The purpose of this study is to establish reliability and validity and to identify the conversion index. Method: The WMSCN for ICU was revised from Workload Management System for Nurses(WMSN) of Walter Reed Army Hospital. Reliability of the WMSCN was evaluated interrater reliability between head nurses and staff nurses at 124 patients in April 2008. Validity through the correlation between direct nursing care hours and WMSCN score was conducted at 20 ICUs of 10 hospitals. Finally the conversion index was identified by total nursing hours and it divided by WMSCN score. Results: The scores by nurses were highly correlated with head nurses’(p=.967), and also scores of the WMSCN were highly correlated with the direct nursing care hours(p<.001). The distribution of patient classification ranks into class V(61.3%), class IV(24.2%) and class VI(11.3%). The scores of the WMSCN were no differences between MICU and SICU. Finally, the conversion index was 8.2 minutes. Conclusion: WMSCN is available to classify the nursing workload for critical care patients. The repeated evaluation of validity and reliability are requisite to use WMSCN effectively. And the conversion index should be adjusted to estimate the appropriate staffing in Korea.
구미옥 ( Gu Mee Ock ),조용애 ( Cho Yong Ae ),은영 ( Eun Young ),정인숙 ( Jung Ihn Sook ),김현림 ( Kim Hyun Lim ),윤희숙 ( Yoon Hee Sook ),김은현 ( Kim Eun Hyun ),윤지현 ( Yoon Ji Hyun ),장희경 ( Chang Hee Kyung ) 병원간호사회 2017 임상간호연구 Vol.23 No.3
Purpose: This study was conducted to update the existing nursing practice guideline for intravenous infusion guidelines according to the evidence-based practice guideline in South Korea. Methods: Guideline update process was performed using 22 steps according to the manuals developed by NICE and SIGN. Results: Updated nursing practice guidelines for the intravenous infusion were consisted of 23 domains and 322 recommendations. The number of recommendations in each domain were 4 for general instruction, 12 for vascular access device selection, 20 for site selection, 9 for insertion, 54 for stabilization, 21 for maintaining patency, 4 for blood sampling, 33 for exchange and removal, 28 for add-on device selection, 28, 72 for infusion related complications, 56 for infusion therapies, 7 for education, and 2 for documentation and report. There were 15.9% of A, 30.2% of B, 53.9% of C in terms of grade recommendations. A total of 178 (51.6%) recommendations were newly developed and 24 previous recommendations have been deleted. Conclusion: Updated nursing practice guideline for intravenous infusion was expected to be an evidence-based practice guideline for intravenous infusion in South Korea. This guideline is suggested to be disseminated to clinical nursing settings nationwide to improve the efficiency of intravenous infusion practice.
서민정,최앵자,서지영,조용애,성영희,Seo, Min-Jeong,Choi, Ang-Ja,Suh, Ji-Young,Cho, Yong-Ae,Sung, Young-Hee 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.1
Purpose: The treatment effects and operation status of continuous renal replacement therapy (CRRT) for acute renal failure patients have been investigated. Method: Two expert nurses reviewed the records of 731 patients undergoing CRRT in an intensive care unit of a general hospital from Jan. 2002 to Dec. 2006 with the CRRT assessment sheet and situation sheet developed for this study. Results: The number of patients received CRRT increased from 90 in 2002 to 194 in 2006. The most common indication for CRRT was azotemia (40.0%). Before CRRT treatment, patients were 78.6 ($\pm55.5$) of BUN value and 5.0 ($\pm3.2$) of Cr. value. The standard values of BUN and Cr. were lowered. Compared the survival group with the death group, there were significant differences among the medical departments and the main diagnosis group. Their BUN and creatinine value, APACHE II score, mean blood pressure, and oliguria were significantly different (p<0.05). Conclusion: This survey demonstrates a trend that patients receiving CRRT has been increased. We suggest further studies are needed in some hospitals in order to generalize the results and to find how CRRT treatment affects patient’s survival and death rate.