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응급실 간호사가 경험한 폭력과 폭력반응에 관한 조사연구
김수연(Kim Su-Yon),엄미란(Eom Miran),오희영(Oh Hee-Young),안혜영(Ahn Hye-Young) 기본간호학회 2007 기본간호학회지 Vol.14 No.4
Purpose: The purpose of study was to identify violence episodes by patients and/or their guardians and responses from emergency room nurses. Method: A convenient sample of 172 emergency nurses was selected from general hospitals with more than 200 beds. A survey design was used and data were collected from October 2 to October 11, 2006. using self-report questionnaires which were developed by the authors. Descriptive statistics, with the SPSS PC program were used to analyze the data. Results: The majority of nurses (97.1%) had experienced violence by patients or their guardians in the previous month. Violence offenders who were drunk comprised 68.6% of total offenders. Causes of violence were delays in examination and treatment (59.9%). The major coping behavior in dealing with violence episodes was ignoring (40.1%). Responses to violence experienced by emergency nurses were rated as 2.39. Response to violence according to general characteristics of the nurses showed no statistically significant differences. Conclusion: Considering the high prevalence of violence experienced by emergency nurses, hospitals must develop and manage preventive education programs and policy.
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기본간호학 실습교육현황과 실기능력 평가방법에 관한 조사
김종임(Kim Jong Im),김경희(Kim Kyunghee),백훈정(Paik Hoonjung),송경애(Sohng Kyeong-Yae),엄미란(Eom Miran),오세영(Oh Sei Young),이우숙(Lee Woosook),장옥자(Chang Ock Ja),전현숙(Jeon Hyen Sook),이동숙(Lee Dong-Suk) 기본간호학회 2010 기본간호학회지 Vol.17 No.3
Purpose: In this study the present status of the practicum in Fundamentals of Nursing and test for student competency in nursing skills were surveyed. Method: Participants included 72 nursing schools. A structured questionnaire was used for data collection and SPSS 17.0 for data analysis. Results: Credits for Fundamentals of Nursing, credits for practicum and hours per credit were 2.93, 7.34, and 2.14 respectively. Number of students per practice unit, full time assistants and students per assistant were 28.6, 0.6, and 20.2 respectively. Utilization of CPX room and OSCE room for practice was 5.6%, and 9.7% respectively. Of the school, 32.0% included clinical practice in the practicum. 90.3% provided an open lab but only 48.4% had full-time assistants for these clinical practice areas. Testing for nursing skill competency was performed twice a semester in most schools. Utilization of standard patients and high fidelity models for testing was 8.3%, and 23.6% respectively. The test was thought to be inappropriate in 33.4% of the schools. Conclusions: The results suggest that to improve the outcomes, the practicum for Fundamentals of Nursing needs to be changed to include expansion of facilities and human resources, utilization of standard patients and high fidelity models and development of appropriate test methods.
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엄미란,김현숙 凡石學術奬學財團 1999 凡石學術論文集 Vol.3 No.1
The purpose of this study was to figure out how imagery affects physiological and subjective responses related to pain by touching off laboratory pain in this study subjects. Thirteen 1st year female nursing students were conveniently selected those who agreed to the experiment and have no physical problem. The research method was to measure physiological change and subjective evaluation of pain before and after applying imagery while laboratory pain (cold pressor) was present. The instruments used for this study are follows. EKG monitoring was used for measuring their heart rate and blood pressure among the responses of the autonomic nerve system. Visual Analogy Scale (VAS) for subjective evaluation, and a stopwatch was used for the cold pressor pain threshold (the time from immersion to first pain sensation) and tolerance (the time from immersion to withdrawal of the arm from cold water). VAS was linear, horizontal, and 100mm long. The extremes were "no pain at all (0mm)"and "maximum pain you can imagine(100mm)". The collected data were analyzed descriptive statistics and paired t-test by using SPSS PC+. The results of this study are as follows: 1) The mean of heart rate (74.62±9.33/min) after imagery was significantly lower than that of before (79.77±8.51/min) (p = .029). 2) After applying the imagery, cold pressor pain threshold time shortened and the length of tolerance time extended. However, the results were not statistically significant. 3) While the subjects reported cold pressor pain threshold, the mean of heart rate (77.85±8.62/min) after imagery decreased significantly than that of before (84.15±7.03/min) (p=.015). 4) After applying the imagery, degree of pain experienced during the cold pressor by using a VAS (65.33±21.84mm) decreased significantly than that of before (76.83±10.62mm) (p =.021). In conclusion, we found out that the effects of imagery were relaxation and pain control. By applying the imagery, heart rate and blood pressure were more stable, and the degree of pain experienced decreased. Therefore the subjects can tolerate painful situation.
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