수술간호자료세트(PNDS: Perioperative Nursing Data Set)를 적용한 수술간호 분석 : Analysis of Perioperative Nursing applying the Perioperative Nursing Data Set(PNDS)

김고은,정선희 중앙대학교 의과대학 간호학과 간호과학연구소 2011 중앙간호논문집 Vol.15 No.-

Purpose: The purpose of this study is to analyze the application of nursing outcomes, nursing diagnoses and nursing interventions of the surgical patients by applying the Korean-language vfersion(Part et al, 2005) of Perioperative Nursing Data(AORN, 2002) to the frequent operations by the departments. Method: The data were collected from November 1 through December 31, 2010, and twenty seven nurses who have participated in operations checked perioperative nursing details of 208 patients who received each of the high frequency operations in total eight departments. The Results of the colleted data were measured by descriptive statistics such as frequency, percentages, average and standard deviation. Result: The result of analysing of the data, the mostly used nursing outcomes were: "Patient does not have any symptoms and signs of damage due to foreign objects" and "Patient does not have any signs and symptoms of infection". The mostly used nursing diagnosis was "The risk of bodily injury due to foreing objects", and nursing intervention was "Protecting from cross-infection". Conclusion: This study shows the characteristics of the perioperative nursing that more than 50% of perioperative nursing is carried out in the area of safety of patients. By the basis of research results, this study suggests developing PNDS according to the frequent operations by the departments for the standardization of perioperative nursing.

런던의 치매노인 간호 및 관리 시스템

김보경;박지연;최유진 중앙대학교 의과대학 간호학과 간호과학연구소 2010 중앙간호논문집 Vol.14 No.-

[초록없음]

수술실간호사의 임파워먼트 지각수준과 직무만족

김현경,지성애 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

This study was accomplished to improve nurses' official duties, job efficiency and quality and to provide the data for nursing management, as that found interrelation of empowerment perception level and job satisfaction of operation room nurses. Two instruments were used for this study. One is the structural factors of empowerment developed by Chandler based on Kanter's theory. Another is the index of work satisfaction developed by Slavitt. The data were collected from 170 operation room nurses of 7 General Hospitals from July. 6, 2001 to July. 20, 2001 and analyzed with SPSS program. The results are as following : 1. Empowerment perception level of the operation room nurses is positive and the mean score of empowerment factors is ranked by support, opportunity, resource and information. 2. Job satisfaction of the operation room nurses is positive and the mean score of job satisfaction factors is ranked by personal relationship, professional pride, autonomy, social standing management, payment, work conditions. 3. In empowerment perception level to the general character of operation room nurses, the nurses who are higher in position than charge nurse and worked for more than 10 years perceived the empowerment positively. 4. In job satisfaction to the general character of operation room nurses, job satisfaction of the nurses, higher in position than charge nurses was showed to be higher than that of the other nurses. 5. Empowerment and job satisfaction are showed to be relative each other according to the research result. In conclusion, both factors were found to be correlated each other according to the result of studying interrelation between empowerment and job satisfaction, I think we have to develop the education and the training program to empower the operation room nurses.

간호중재분류체계(NIC)를 이용한 중환자 간호중재 분석

김수진,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 1997 중앙간호논문집 Vol.1 No.2

This study was to survey nursing interventions performed by ICU nurses from 2 university hospitals in Seoul. The purposes of this study are threefold : (a) to identify nursing interventions performed by ICU nurses, (b) to identify characteristics of nursing interventions performed by ICU nurses, (c) to identify core interventions performed by ICU nurses. Embedded in this purposes are 2 questions : (1) What nursing interventions are used by ICU nurses? (2) What nursing interventions are most frequently used by ICU nurses? For this study, The Nursing Interventions Use questionnaires, developed by the Iowa Intervention Project team, were used. In the first part of the questionnaire, all 336 intervention labels and definitions are listed. In the first part of the questionnaire, respondents are asked to rate how often they perform each intervention. Five responses are possible : rareiy, if at all ; about once a month ; about once a week ; about once a day ; and several times a day. The second part of the questionnaire consists of one open-ended question. Respondents are asked to identify interventions that they think are missing from the classification. The third part of the questionnaire addresses demografic information. This study used the 1992 version of the current taxonomy structure. The data were collected from 31 nurses from 2 ICU using questionnaire from August, 19, 1997 to October, 4, 1997, and the data were analysed with SPSS program. The obtained results are as follows: (1) There were 248 nursing interventions identified as being used at least monthly 50% or more of the ICU nueses. These nursing interventions were all of the domains and the classes in the NIC taxonomy exept the childbearing care class. (2) The 22 nursing interventions were performed several times a day by 90% or more of the ICU nueses. The most frequently used nursing interventions were medication administration: parental, airway suctioning, vital sign monitoring. Most of the nursing interventions used several times a day were in the physiological:complex domain, which support homeostatic regulation. (3) The 25 nursing interventions were performed rarely by 90% or more of the ICU nueses. The rarely used interventions were family integrity promotion:childbearing family, family planning:contraseption, family planning:infertility, family planning:nplanned pregnancy, fetal monitoring, genetic conseling, intrafatal care. Most of the nursing interventions used rarely were in the family domain. (4) The number of nursing interventions that received a mean-use score of 4.0 or greater were 105. These 105 nursing interventions were used at least once a day by a majority of the ICU nurses. The nursing interventions received the highest mean-use score were medication administration:parental, airway suctioning, vital sign monitoring (mean=5.00), followed by the nursing interventions of enteral feeding, oxygen therapy, fall prevention, pressure ulcer prevention, intravenous insertion(mean=4.97). Most of the nursing interventions used at least daily were in the physiological:complex domain. The survey of the 31 ICU nurses was carried out to determine the frequency how often they perform each of the 336 interventions in the NIC. 49 nursing interventions were used at least daily, indicating a set of core interventions unique to ICU practice. These findings have implications for ICU practice, education, and research.

남자 대학생의 피임태도에 대한 주관성 연구

송미승;조주연;전미순;함미영;위휘 중앙대학교 의과대학 간호학과 간호과학연구소 2010 중앙간호논문집 Vol.14 No.-

The purpose of this study was to analyze the structure and charaderistics of personality-based contraceptive attitudes of male college studets’. A Q-methodology was used to identify the fadors influencing personality-based ∞ntraceptive attitudes of male college students. The 32 selected Q-samples from each of the 30 subjects were transformed into a normal distribution by using a 9-point scale. The data collected were analyzed using a QUANL PC program Three types of contraceptive attitudes were identified among the students. These types labeled as follows: 'practical norm type', ‘focus on sexual pleasure type’ and 'pursuit of information type’. These study results suggest that sexual health education for promotion of contraceptive behavior should focus on the factors influencing the contraceptive attitudes. In addition, efficient contraception should be educated by conduding continuous qualitative research based on contraceptive experiences of college students.

대학원 간호교육과정에 관한 조사연구

최경숙,김경희,지성애,권혜진,박경숙,최미혜,정연강 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

This study was attempted to analyze the current nursing curriculum in graduate programs and suggest the direction of the future graduate nursing curriculum through basic survey about goals and courses of nursing education in the one graduate school. In order to analyze the present curriculum, the data were collected from twenty-one students for a master's degree and fourteen students for a doctor's degree. The subjects answered that the publicity wasn't enough and most of them was satisfied with education goal's appropriateness with proposing concreteness of contents, aimness of learning, connectiveness of curriculum. About courses, most of them wasn't satisfied with appropriateness in practice. Because of opening the limited course in a major, a common, a selection of study, it was limited to select and they required opening more subdivided course in special subject. Also, most of them agreed to be subdivideness of a major and opening of nursing clinical specialist course into the regular courses in Master and Doctorate program. Consequently, this study means suggesting the basic data to making fundamental flame for the developed graduate nursing curriculum through basic analysis about the goals and courses of nursing education in the one graduate school. Therefore, it is suggested the following study about the innovated graduate nursing curriculum in basing this study.

소아명동 간호사의 간호업무 활동분석

정은경;반정숙;권은영;전세미;유은정;장인화;정근영 중앙대학교 의과대학 간호학과 간호과학연구소 2009 중앙간호논문집 Vol.13 No.-

Purpose: This study was to analyze the efficiency of nurse activities by observing the working hours and activities of the nurses in the pediatricc ward. Method: This observe was conducted between August 7, 2009 and August 19. 2009, on the nursing care activities in the pediatric ward involving 13 day duty nurses. Result: Each nurse took care an average of 12.54 patients during this this period of time. Among nursing activities, direct nursing took up 54.37%(4hours 51min 9sec) of the total activity hours(8hours 57min). The most portion of direct nursing was IV injection. with an average of 32min 4sec. On the other hand, indirect nursing took up 45.63%(4hours 5min) of total activity hours. Of indirect nursing, computer work took the most time with an average of 2hours 47min 57sec. Computer work was mainly focused on computerizing medical records. which took an average of 57min 4sec. The average overtime was 57min. Conclusion: These results suggested that there were insufficient number of nurses compared to the amount of nursing activities that had to be done. Therefore, the utmoot priority should be placed on obtaining and maintaining sufficient number of nurses so that nursing activities become efficient.

수술직후 환자에게 수행된 회복실 간호중재분석

박영례,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

The purpose of this study was to analysis of nursing interventions performed by the post-anesthetic care nurses practically from one university hospital in Seoul. The data were collected from the 94 people during the immediate postoperative or post-anesthesia recovery stage from one post-anesthetic care unit. The period for collected the data was July 29, 2002 to August, 16, 2002. The instrument for study was the list of 103 nursing interventions out of the post-anesthetic core nursing interventions presented by Lee, Yoon-Young(2000) selected form the 486 taxonomy of nursing interventions classification (NIC) which were translated into Korean. The data were analysed with SPSS program. The results are as follow : 1. The most frequently used nursing interventions were vital sign monitoring, touch, presence, intravenous(Ⅳ) therapy, fluid monitoring, health education, respiratory monitoring in rank. 2. The most frequently used nursing intervention domains were 'Physiological: Complex', 'Behavior', 'Safty', 'Physiological: basic', ''Health system' in rank. 3. There is little difference of the nursing interventions practiced frequently according to the operative regions. This study contributes to post-anesthetic care practice, nursing education, research and nursing information system.

간호정보제공이 질식자궁적출술 환자의 심리적 적응과 자궁의미지식에 미치는 효과

임은주;황윤영;류언나;박경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2004 중앙간호논문집 Vol.8 No.1

Purpose : The purpose of this study was to understand the effect the provision of nursing information for patients who underwent vaginal total hysterectomy had on the fear and anxiety about physical recuperation and the emblematic knowledge of uterus. Method : The study was designed for a quasi-experimental study, with nonequivalent control group non-synchronized. Subjects were 60 patients who underwent vaginal total hysterectomy with benign uterine disease. Subjects were divided into 30 for experimental group and 30 for control group. Result; 1)“the experimental group that is provided with nursing information will have less fear of physical recuperation than control group", was supported. 2) “the experimental group that is provided with nursing information will have less anxiety than control group", was supported. 3) "the experimental group that is provided with nursing information total hysterectomy will have more emblematic knowledge of uterus than control group", was supported. Conclusion : The provision of nursing information appears to be valuable for being clinically utilized as an independent nursing intervention.

장애의 개념과 결정요인

장숙랑 중앙대학교 의과대학 간호학과 간호과학연구소 2011 중앙간호논문집 Vol.15 No.-

인간의 생애 주기에서 중·장년기 이후는, 질환에 대한 역치가 낮아지면서 다양한 만성 증상이나 질환을 동반하게 된다. 만성적 상태는 대부분 비치명적인 것으로, 그것으로 인해 사망하기보다 그 상태를 안고 인생의 말년까지 살아가게 되는 경우가 많다(Rothenberg & Koplan, 1990). 장기적인 만성 상태는 질환의 유무를 떠나 신체적, 정신적, 사회적 기능에 손상을 입은 기능장애를 동반한다. 장기 및 단기적 시간 모두에서 기능과 장애는 인간의 기본적 건강 결과로 중요하게 다루어져야하며, 간호와 의료를 지속하게 하는 핵심적인 요소임을 인식해야 한다. 이 논문에서는 개인의 건강수준으로서 기능, 장애에 대한 개념과 이론적 기반을 살펴보고 결정요인과 예방전략에 대해 기술하고자 한다. 기능과 장애에 관한 탐구는 보건과 간호 연구뿐만 아니라, 정책, 보건의료 서비스의 기본골격을 파악하는 데에 반드시 포함되어야 하는 영역이다.