지역 응급의료기관의 아동 간호중재 분석 -4차 개정 Nursing Intervention Classification을 적용하여-

김영혜,이내영,하재현 한국아동간호학회 2010 Child Health Nursing Research Vol.16 No.4

본 연구는 응급의료기관 내원 아동의 특성과 아동에게 제공되는 간호중재를 규명하기 위해서 1년간 P지역 권역응급의료센터를 내원한 아동의 일반적 특성, 내원 특성, 주호소, 진료 특성,그리고 제공된 간호중재를 분석하였다. 본 연구의 대상자는 남아와 유아가 두드러지게 많았으며 평균3.51세였다. 대상자의 50% 이상이 월-금요일 오전7시에서 오후3시 사이에 방문하였으며 구급차를 이용한 내원은 4.4%에 불과하였다. 손상기전은 미끄러짐이 28.0%, 부딪힘이 27.3%였고주된 방문 원인은 비손상이 73.4%였고 여기에는 발열, 기침/호흡곤란, 경련, 복통이 포함되었다. 대상자의 27.8%가 6시간 이상 체류하였으며 33.6%가 입원하였고 2.1%는 전원하였다. 응급의료기관에서 제공된 중재 중 99.9%가 NIC으로 분류되었다. 응급의료기관에서 아동을 돌보는 간호사는 실질적인 처치의전 과정에서 아동과 가족에게 정보와 지지를 제공하고, 퇴원 시에도 증상이나 질환에 대한 교육을 시행하는 등 적극적인 역할로 부모와의 협력 관계를 형성해야 할 것이다. 아동에 대한 응급간호중재에 간호중재분류(NIC)의 간호중재를 선별적용하여 표준화된 용어로 개념화하고 그 구조를 표준화하여야 한다. 결론적으로 이상과 같은 연구 결과는 아동간호 영역, 특히 응급간호에 대한 이해를 높이는데 기여하고 간호중재분류를 구성하는데활용될 수 있을 것으로 기대된다. 본 연구결과를 토대로 다음과 같이 제언하고자 한다. 첫째, 본 연구에서 조사된 주요 주호소를 관리하는 프로토콜을 개발하여 적용하고 그 효과를 확인하는 연구를 제언한다. 둘째, 퇴원 아동의 부모에게 발열이나 안전한 환경에 대한 교육을 시행한 후 응급의료기관 재방문 비율에 대한 연구를 제언한다. 셋째, 응급의료기관 내원기간 동안 아동에게 제공하는 주요간호행위 수행에 드는 시간을 분석하여 성인과의 차이를 확인해 볼 필요가 있다.

NIC간호중재분류체계를 이용한 회복실 핵심간호중재분석

이윤영,지성애 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

The purpose of study was to survey to analysis of core nursing interventions performed by Post Anesthetic Care Unit nurses. The subject of the study were arbitrarily selected 59 nurses in 3 general hospitals located in Seoul, working for the Post Anesthetic Care Unit. The period for collected the data was 47 days from July, 15, 2000 to August, 30. 2000. The Instrument for study was the Korean translation of 486 Nursing Intervention Classification, developed by McClosky & Bulechek in 2000. In the 486 nursing interventions, 217 nursing interventions were selected by 50% or more of the 34% professional nurses group in post-anesthetic care unit. The 217 nursing interventions were used secondary questionnaire. In the secondary questionnaire, all 217 intervention labels and definitions were listed. The collected data were self-report by post anesthetic care nurses. The dada were analysed with SPSS program. The result of this study is as follows. 1. The most frequently used nursing intervention domains were 'Behavior', 'Physiological: Complex', 'Safety'. 'Physiological: Baasic', 'Health system', 'Family' 'community' 2. Post-anesthetic core nursing interventions were performed several times a day by 50% or more of the post anesthetic care nurses. Post-anesthetic core nursing interventions were 4domain('Behavior', 'Physiological: Complex', 'Safety' 'Physiological: Basic', 'Health system'), 19 class, 112 core nursing intervention. The most frequently used Post-anesthetic core nursing intervention domains were 'Physiological: Complex' The most frequently used Post-anesthetic core nursing interventions were medication : intravenous, airway management, oxygen therapy, anesthesia administration, fall prevention, fluid management, airway suctioning, aspiration precaution, airway insertion and stabilization, fluid monitoring, intravenous(IV) therapy, ventilation assistance, infection control: intraoperative, cough enhancement, temperature regulation, vital signs monitoring, documentation, analgesic administration, temperature regulation: intraoperative, emotional support, medication administration, artificial airway management, physician support, fluid/electrolyte management, mechanical ventilation. Post-anesthetic Core Nursing Interventions have implications for post-anesthetic care practice, education, research. and nursing information system.

간호중재분류체계(NIC)에 근거한 내·외과계 간호단위의 간호중재 수행 및 건강보험 수가 항목 분석

박옥엽(Ok Yeob Park),정면숙(Myun Sook Jung) 한국간호행정학회 2005 간호행정학회지 Vol.11 No.4

This study aims to offer the fundamental data in order to cost the nursing service on the basis of the NIC and a close examination of the interventions that are contained in the health insurance cost list under the system of the current health insurance. Methods: The data is handled with the SPSS 10.0 program. The participants`` general peculiarity is calculated in terms of the real number and the percentage, and the performing frequency of the nursing interventions is calculated in terms of the mean and the standard deviation, the correlation between the participants`` general peculiarity and the performing frequency of the nursing interventions is analysed with t-test or one way ANOVA of SPSS. Results: In the performing frequency of the nursing interventions, the domain of "the physiological: basic" was the highest as 2.69±1.21, the domain of "the behavioral" was the lowest as 2.11±1.12. There were 50 core interventions in the medical unit, 48 in the surgical unit, 24 in the MICU and 33 in the SICU. The health insurance cost items contained commonly in the core interventions of each unit were 12, and the health insurance cost items except 12 items contained commonly in the core interventions of each unit were appeared 14 items in the medical unit, 6 in the surgical unit, 7 in the MICU and 2 in the SICU. The core interventions contained commonly in four units of the medical unit, the surgical unit, the MICU & the SICU are 18. And among these, the core interventions contained in the health insurance cost items are 10; pain management, hyperglycemia management, analgegic administration, medication administration: intravenous, oxygen therapy, pressure ulcer prevention, fluid management, fluide monitoring, intravenous(IV) insertion, intravenous(IV) therapy. As the result of the comparison & analysis between the core interventions of the NIC and the health insurance cost items, the core interventions contained in the health insurance cost list are 21(29 as the health insurance cost items). Conclusion: In the performing frequency of the nursing interventions, the domain of "the physiological: basic" is being performed most frequently, and in the performing frequency of the core interventions, the interventions of the domain of "the physiological: complex" is being performed most frequently. On the basis of these results, the writer hopes that the attempts to interlink the nursing interventions into the nursing cost by using of standard terms and the efforts to cost the nursing services would also be made in the future constantly.

간호중재분류(NIC)에 근거한 정형외과 간호단위의 간호중재 수행분석

김혜숙(Kim Hyesuk) 기본간호학회 2005 기본간호학회지 Vol.12 No.1

NIC간호중재분류체계를 이용한 수술실 핵심간호중재분석

이윤영(Yoon Young Lee),박광옥(Kwang Ok Park) 한국간호행정학회 2002 간호행정학회지 Vol.8 No.3

NIC 간호중재 분류체계를 이용한 간호중재분석

권미숙(Mi Suk Kwon),박경숙(Kyung Sook Park) 한국간호행정학회 2002 간호행정학회지 Vol.8 No.4

정신과 병동 간호단위 간호중재 분석 : 3차 간호중재분류(NIC) 체계를 적용

최자윤,박미선,김혜숙 대한간호학회정신간호학회 2002 정신간호학회지 Vol.11 No.2

Purpose : The purpose of this study was to identify the Performance frequency of nursing intervention according to domains and classes, and core nursing interventions performed by psychiatric nurses using the 3th NIC. Method : For this purpose, the 3th nursing intervention classification(NIC) was used. In this study a 435 of 486 nursing interventions were selected from 75% consent reached by experts. Data were collected from 9 hospitals and 141 nurses(return rates : 94.0%) in Seoul. Kyonggi, Chungnam, Gwang-ju and Chonnam region from January, 2002 to February, 2002 using 5 point Likert scale. Results : Respondents were mostly female (99.3%), married(53.9%) and college graduate(46.1%). The mean age was 32.34±7.96 age, the mean length of service as a nurse was 111.33±73.67 months and the mean length of service in psychiatric unit was 82.06±66.30 months. The most frequently performed domain was found to be 'behavioral' (2.872±0.634), followed by 'health care system' (2.804±0.570) and 'safety'(2.465±0.522) domain. The most frequently performed class appeared to be 'communication enhancement' (3.157±0.699), followed by 'information management' (3.153±0.616). 'coping assistance' (3.063±0.696), 'behavioral therapy'(3.063±0.696) and 'risk management'(2.885±0.608) class. And the most frequently performed nursing intervention was 'active listening' (4.943±0.261), followed by 'documentation'(4.843±0.566), 'emotional support'(4.816±0.424), 'counseling' (4.649±0.654) and 'complex relationship building' (4.603±0.745) nursing intervention. Conclusion : In conclusion, the 3th NIC was found to be a general and comprehensive classification system in application to psychiatric unit. And there were specific nursing interventions performed in the psychiatric unit, which belong to behavioral domain, risk management class and self-care assistance class. Therefore, unique and appropriate nursing interventions in psychiatric unit for Korean nursing environment need to be developed through results using NIC.

간호중재분류((Nursing Intervention Classification)에 기반한 가정간호에서의 주요간호중재와 연계된 간호활동 분석

송희영(Song Hee-Young),서미혜(Suh Mi Hye),허혜경(Hur Hea Kung) 한국성인간호학회 2005 성인간호학회지 Vol.17 No.2

간호중재분류(NIC)에 근거한 간호중재수행분석 II -한방병동과 일반병동 간호사를 중심으로-

염영희,김성실,김인숙,박원숙,김은주 한국간호과학회 1999 Journal of Korean Academy of Nursing Vol.12 No.1

The purposes of this research were to identify nursing interventions performed by Korean nurses and to compare the interventions performed by nurses working in the oriental medicine hospitals and with those performed by nurses working in the general hospitals. The samples consisted of 144 Korean nurses working in three hospitals, 70 nurses working in the oriental medicine hospitals and 74 nurses working in the general hospitals. The Nursing Interventions Classification (NIC) Use Questionnaire developed by the Iowa Intervention Project team was translated to Korean and verified using the method of back-translation. The questionnaire consists of 433 intervention labels and definition. Thirteen interventions were used at least daily by nurses working in the oriental medicine hospitals, while twenty-one interventions were used at least daily by nurses working in the general hospitals. The most frequently used interventions by nurses working in the oriental medicine hospitals were Documentation, Shift Report Vital Signs Monitoring, Pressure Ulcer Prevention, Positioning, Fall Prevention, Exercise Promotion, Intravenous (IV) Therapy, Pressure Ulcer care, and Bed Rest Care in that crder. For nurses working in the general hospitals the most frequent intervention was Analgesic Administration, followed by the interventions of Medication Administration : Parenteral and Intravenous Therapy (IV) Therapy, Documentation, Intravenous(IV) Insertion, Shift Report, Fall Prevention, Vital Signs Monitoring, Medication Adnninistraction : and, Fluid Monitoring, and Medication Maragement in that order. The interventions performed least often by nurses working in the oriental medicine hospitals were Hemodialysis Therapy and Bleeding Reduction : Antepartum Uterus, while the interventions performed least often by nurses working in the general hospitals were Rape Trauma Treatment and Contact Lens Care. The nurses working in the oriental medicine hospitals performed the interventions in the Physiological : Complex domain significantly more often than the nurses working in the general hospitals, while the nurses working in the general hospitals performed the intervention in the Behavior domain significantly more often than the nurses working in the oriental medicine hospitals. This study suggests that further study will be needed to developed and validate more interventions sensitive to Korean culture.

조기퇴원 제왕절개 산욕부를 위한 가정간호 표준서 개발

황보수자(HwangBo, Su Ja) 한국간호행정학회 2000 간호행정학회지 Vol.6 No.1