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간호대학생의 성인 중환자실 임상실습 경험에 관한 내용분석
손연정(Son, Youn-Jung),송효숙(Song, Hyo Suk),원미화(Won, Mi Hwa),임소희(Lim, So Hee) 학습자중심교과교육학회 2017 학습자중심교과교육연구 Vol.17 No.16
본 연구의 목적은 간호대학생의 성인 중환자실 임상실습 경험의 의미와 구조를 탐색하고 심층적으로 이해하기 위함이다. 참여자는 S시 일개 대학 4학년에 재학 중인 간호학과 학생 45명을 대상으로 하였다. 자료수집기간은 2015년 6월부터 11월까지였으며, 자료수집을 위하여 개방형 자기보고서식 성찰일지를 작성하였다. 수집된 자료는 Krippendorff(2003)의 내용분석에 따라 분석하였다. 성인 중환자실 임상실습 경험의 의미를 분석한 결과 32개의 주제, 14개의 주제모음, 6개의 범주가 확인되었다. 6개의 범주는 ‘다양한 임상상황 경험’, ‘배움을 통한 성취감’, ‘실습에 대한 아쉬움’, ‘전문화된 간호에 대한 자긍심’, ‘미래 간호사 역할에 대한 두려움’, ‘중환자실 근무환경에 대한 양가감정’ 이 도출되었다. 이러한 결과는 이론교육과 연계성을 강화하여 임상실습의 질을 높이며, 추후 임상실습운영의 중요한 기초자료가 될 것이다. The purpose of this study is to explore and better understand the meaning and structure regarding undergraduate nursing students clinical experiences in an adult intensive care unit. The participants of this study were 45 senior nursing students at a university in S city. Data were collected from June to November 2015 and an open self - report form reflection journal was prepared for data collection. The data were retrieved through nursing student’s daily clinical log including their feelings and thoughts on their clinical experience. Collected information was analyzed through Krippendorff’s(2003)’s content analysis. In present study, we found that 6 categories, 14 subjects, and 32 subjects regarding clinical experiences of nursing students in intensive care units. Six categories are, ‘Experience of various clinical situation’, ‘Achievement through learning’, ‘Regret for practice’, ‘Pride in specialized nursing’, ‘Fear of future nurse role’, and ‘Ambivalence about working environment of intensive care unit’. It is needed to enhance the quality of clinical practice by strengthening linkage between theory and practice, Further studies are required to develop for critical care nursing curriculum for undergraduate students based on evidence based practice and critical thinking.
손연정(Son Youn-Jung),서연옥(Suh Yeon-Ok),홍성경(Hong Sung-Kyung) 기본간호학회 2009 기본간호학회지 Vol.16 No.1
Purpose: Relocation stress is a common phenomenon in patients discharged from an intensive care unit(ICU) to a ward. Therefore, nurses need to be aware of the problems that can arise during the transfer process. The aim of this study was to identify nurses' experiences in transferring critically ill patients from the ICU to a ward. Method: Focus group interviews were done with 13 nurses from wards and ICU, which participated in receiving and sending of ICU patients. The debriefing notes and field notes were analyzed using the consistent comparative data analysis method. Result: Seven major categories were identified in the analysis of the data. These were 'mixed feeling about transfer', 'lack of transfer readiness', 'increase in family burden', 'uncertainty with unfamiliar environment', 'difficulty in decision making', 'difference of perception of the relationships between patients and health care providers', 'need for continuity of nursing care'. Conclusion: Transferring out of the critical care area should be presented to the patient and family as a positive step in the recovery process. However, a more universal method of passing information from nurse to nurse is needed to assist in a smooth transition.
고혈압 환자의 건강정보 활용능력이 질병관련 지식 및 자가간호 이행에 미치는 영향
손연정(Son, Youn-Jung),송은경(Song, Eun Kyeung) 기본간호학회 2012 기본간호학회지 Vol.19 No.1
The purposes of this study were to identify the level of health literacy and to determine its impact on disease-related knowledge and adherence to self-care in adults with hypertension. Methods: This was a cross-sectional, descriptive study in which patients with hypertension were recruited from outpatient hypertension clinics in Seoul, Korea from December, 2009 to February, 2010. A total 186 patients completed series of questionnaires to assess health literacy, disease-related knowledge, and adherence to self-care. Hierarchical linear regression was used to determine whether health literacy was associated with disease-related knowledge and adherence to self-care. Results: Seventy-one (38.2%) and seventy-two (38.7%) patients had inadequate and marginal health literacy, respectively. In hierarchical linear regression, health literacy independently predicted disease-related knowledge (β= .43, p < .001) and adherence to self-care (β= .37, p < .001) after controlling for age, education level, having a job or not, and body mass index. Conclusion: These findings show that health care providers need to pay attention to patients with hypertension who have inadequate health literacy. Further, it is recommended to develop and implement new strategies for assessing health literacy in clinical practices. Interventions to improve health literacy could promote disease-related knowledge and adherence to self-care in patients with hypertension.
손연정,강지연,송효정,박영례,이윤미,박진희,김민주,Son, Youn-Jung,Kang, Jiyeon,Song, Hyo-Jeong,Park, Young-Rye,Lee, Yun-Mi,Park, Jin-Hee,Kim, Minju 한국중환자간호학회 2013 중환자간호학회지 Vol.6 No.2
Purpose: The purpose of this study was to identify the trends in studies published in Journal of Korean Critical Care Nursing (JKCCN) from 2008 to 2013. Methods: A total of 65 studies published between 2008 to 2013 were reviewed using criteria developed by researchers. Results: Approximately 36% of studies were conducted with patients. Intensive care unit (ICU) was the most popular site as the study setting. Among 59 research papers, 42.4% were approved by institutional review board (IRB). Quantitative studies were 78.6%, while qualitative studies were 4.6%. The research designs for the quantitative studies were survey (52.3%), quasi-experimental (16.9%), and so on. There was no randomized controlled trial. The most frequently used methods to provide nursing intervention was education. In addition, "nurse" and "ICU" were most commonly used keyword. Conclusion: Considering the low rate of IRB approval, more stringent application of research ethics is necessary to improve the quality of JKCCN. In addition, more randomized controlled trials should be encouraged to support evidence-based practice in critical care.