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김용순,박지원,유미애,서예숙 대한간호학회 간호행정학회 2004 간호행정학회지 Vol.10 No.4
This study was to identify the degree of empowerment and ethical sensitivity of staff nurses and to examine the relationship between empowerment and ethical sensitivity. Method: Data were collected from 235 staff nurses in 4 hospitals in Gyeonggi Province using a questionnaire and collected data was analyzed by the SPSS PC program. Results: The degree of empowerment was 2.76(±.35) out of a possible score of 4 and that of ethical sensitivity was 0.71(±.11) out of a possible score of 1. The relationship of between empowerment and ethical sensitivity showed statistically significant positive correlation(r=.34, p=.00). For general characteristics, there was a significant difference in empowerment according to age(F=13.18, p=.00), educational background(t=-2.09, p=.04) and clinical practice career(F=15.15, p=.00) and in ethical sensitivity according to age(F=4.01, p=.02). In characteristics related to ethics, there was a significant difference in empowerment according to experience of ethics instruction in clinical practice(t=2.25, p=.03), attitude toward the nursing profession(F=7.96, p=.00) and ethical standards(F=9.39, p=.00) and in ethical sensitivity according to attitude toward the nursing profession(F=2.94, p=.03). Conclusion: Findings suggest that a systemic and effective training program reflecting the above general and related ethics characteristics be developed to enhance empowerment and ethical sensitivity.
영양집중지원팀 활동을 통한 중환자 대상 영양적 중재 효과
강주희 ( Ju Hee Kang ),백현욱 ( Hyun Wook Baek ),신동우 ( Dong Woo Shin ),신동현 ( Dong Hyun Shin ),손희정 ( Hee Jung Son ),장수희 ( Soo Hee Chang ),서예숙 ( Ye Sook Seo ),민정현 ( Jung Hyun Min ),이영아 ( Young Ah Lee ),모연화 ( 한국정맥경장영양학회 2010 한국정맥경장영양학회지 Vol.3 No.1
Purpose: Several studies that focused on hospital malnutritionhave reported that more than 40% of hospitalized patients have nutritional risk factors, and there is a high prevalence of hospital malnutrition. People with a more severe malnutrition status had a longer length of hospital stay and higher hospital costs. Therefore, the net result from early nutritional support may be improved organ function, decreased infection, reduced morbidity and mortality and decrease the hospital stay and cost. Methods: We investigated the patients who received tube feeding or parenteral nutrition for more than 3 days. We recommended the nutritional assessment, the patients` requirements, the route of feeding and the proper formula to the clinicians. Some of them followed our suggestion and some didn`t. Thus, we divided groups into two subgroups according to this. The clinical outcomes of the two groups were compared. Results: There were no significant differences in the clinical outcomes between the two groups. However, the patients who received enteral feeding increased from 10% up to 70% in the experiment group. In spite that the gastrointestinal route could have been used, only 44.4% of the patients in the control group received enteral feeding. Conclusion: More rapid and adequate nutritional support through enteral nutrition must be considered to produce the effective clinical outcomes in critically ill patients. The patients who require nutritional support need continuous follow up care and monitoring by a nutritional support team (NST). (KJPEN 2010;3(1):40-44)