기초간호과학의 정립에 관한 소고

최명애 한국기초간호학회 2023 Journal of korean biological nursing science Vol.25 No.1

간호학은 인간을 대상으로 하는 실천적 특성을 가진 응용학문이며 인문과학, 자연과학, 사회과학을 기초로 한다. 1955년 간호교육이 시작된 이래 심리학과 사회학을 제외한 기초과목을 기초의과학으로 교육하여 왔으며 그 내용은 의학의 축소판으로 기초의학 교수들에 의해 강의되어왔다. 1900년대 들어 일부 간호대학과 간호학과에서는 기초의과학분야를 기초간호자연과학으로 통합하여 교육하고 있고 간호학에서 기초의과학을 교육하는 경우 의학에서 가르치고 있는 내용과는 다르게 간호 현장에 적용할 수 있도록 그 근거가 되는 자연과학적 지식들을 가르쳐야 한다고 했다. 대한기초간호자연과학회는 1998년 학회 창립 시에 간호학의 기초가 되는 과목에서 심리학, 사회학이 포함되지 않은, 간호 현장에 적용할 수 있도록 그 근거가 되는 기초의학 지식을 비롯한 자연과학 지식을 고유한 지식체로 재편집, 구성한 것을 기초간호자연과학이라고 했다. 간호현장에서 간호사들은 실무 수행 시 자기들에게 가장 어려운 점은 기초간호자연과학에 대한 기본지식이 매우 약한 것이라고 하였고 이들 내용의 보수교육에 대한 요구도가 큰 것으로 나타났다. Choe 등은 임상간호사의 기초간호자연과학교과목 전체에 대한 만족도가 전부 낮은 것으로 보고했다. 이러한 현상은 간호학 기초과목의 교육이 간호학적 특성에 기초하여 이루어지지 못한 것 에서 비롯되었다고 생각한다. 한국에서 간호교육이 시작된 이래 40년 이상에 걸쳐 간호학 기초과목이 기초의학 교수들에 의해 의학교육의 모델을 모방하여 교육되어 왔고 의과대학에서 학습하는 기초과학 지식이 그대로 도입되어 간호학적 특성에 기초한 전공 기초교육이 이루어지지 못하였기 때문이다. 본인은 1984년에 서울대학교 의과대학에서 의학(생리학) 박사학위를 취득한 이후 간호학문에서 기초간호자연과학을 정립시켜야 하며 연구를 통해 간호 지식체를 생성하고 확장시켜야 한다 는 학자로서의 사명감과 책임감을 가지고 있었다. 1987년 서울대학교에 부임한 이후 이러한 포부를 실현할 수 있는 기회를 얻게 되었으며 20년 이상에 걸쳐 이를 실현하기 위해 노력했다. 한국의 간호교육에서 전공 기초과목의 강의가 어떻게 이루어져 왔는지를 살펴보고 기초의과학을 간호학적 틀에서 기초간호과학으로 어떻게 정립하였는지를 기술해 보고자 한다. 또한 본인이 기초간호과학을 기반으로 어떻게 연구주제를 확립하고 연구를 수행하였는지도 기술하고자 한다.

간호대학생의 병원미생물학 수강 경험: 질적 내용분석

한미영(Han Mi Young),김미숙(Kim Mi Sook) 한국기초간호학회 2018 Journal of korean biological nursing science Vol.20 No.4

Purpose: The purpose of this study was to explore nursing students’ experience in microbiology courses. Methods: Data were gathered through 4 focus group interviews and 1 in-depth personal interview, by 19 nursing students who attended microbiology courses. Data were collected June 15-July 20, 2018. Conventional content analysis was used for data analysis. Results: The result of this study revealed 4 categories: “facing the challenge”, “types of learning”, “lack of learning motivation”, “acquiring knowledge of infection”. Conclusion: Findings suggest that it is important to identify nursing students’ perspectives, to improve microbiology curriculum in the educational process. Also, it is necessary to connect continuously, between educational and practical environments, for effective management of microbiology courses.

중환자실 간호사의 환자-가족 중심 간호에 대한 인식이 돌봄 행위 수행에 미치는 영향

김나연(Kim, Na-Yeon),최혜란(Choi, Hye-Ran) 한국기초간호학회 2021 Journal of korean biological nursing science Vol.23 No.3

Purpose: The purpose of this study was to identify the factors influencing nurses’ caring behavior. Methods: The descriptive study included 178 intensive care unit (ICU) nurses who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, and Pearson’s correlation and multiple regression analysis using the IBM SPSS/WIN 23.0 program. Results: Significant correlation existed between perception of Patient- and Family-Centered Care (PFCC) and nurses’ caring behaviors (r = .36, p< .001). Multiple regression analysis showed that perception of support (β= .36, p< .001), total career length (β= .33, p< .001), and familiarity with PFCC (β= .15, p= .018) affected the caring behavior of ICU nurses. These variables explained 30.0% of the variance in caring behavior. Conclusion: Effective strategies are needed to improve perceptions of support as well as to promote PFCC for increasig the frequency of caring behavior among ICU nurses.

ChatGPT의 기초간호학교육 활용 가능성 평가

김선미,김지훈,최명진,정석희 한국기초간호학회 2023 Journal of korean biological nursing science Vol.25 No.3

Purpose: The purpose of this study was to evaluate the applicability of ChatGPT in biological nursing science education. Methods: This study was conducted by entering questions about the field of biological nursing science into ChatGPT versions GPT-3.5 and GPT-4 and evaluating the answers. Three questions each related to microbiology and pharmacology were entered, and the generated content was analyzed to determine its applicability to the field of biological nursing science. The questions were of a level that could be presented to nursing students as written test questions. Results: The answers generated in English had 100.0% accuracy in both GPT-3.5 and GPT-4. For the sentences generated in Korean, the accuracy rate of GPT-3.5 was 62.7%, and that of GPT-4 was 100.0%. The total number of Korean sentences in GPT-3.5 was 51, while the total number of Korean sentences in GPT-4 was 68. Likewise, the total number of English sentences in GPT-3.5 was 70, while the total number of English sentences in GPT-4 was 75. This showed that even for the same Korean or English question, GPT-4 tended to be more detailed than GPT-3.5. Conclusion: This study confirmed the advantages of ChatGPT as a tool to improve understanding of various complex concepts in the field of biological nursing science. However, as the answers were based on data collected up to 2021, a guideline reflecting the most up-to-date information is needed. Further research is needed to develop a reliable and valid scale to evaluate ChatGPT’s responses.

응급환자 간호를 위한 시뮬레이션 교육효과:메타분석

현진숙,김은자,한정화,김나현 한국기초간호학회 2019 Journal of korean biological nursing science Vol.21 No.1

Purpose: The purpose of this review was to evaluate the effects of emergency nursing simulation program on nursing students and nurses. Methods: This systematic review was performed as per the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and using the R program meta package (version 4.9-2). RISS, KISS, and DBpia Library databases were searched for studies published between June 2000 and August 2018 using the following key words: (Emerge* OR nursing) AND (nurs* OR simulation). Selected studies were assessed for methodological quality using Risk of Bias for Non randomized Studies. Results: 7 studies were identified and all of them met the inclusion criteria. The outcome variables were significant clinical performance, self-efficacy except knowledge, and problem-solving ability. Conclusion: This review provides updated evidence of the simulation-based education program in emergency nursing. Further studies are required to increase generalizability using randomized population, research design and controlled trials with sufficient sample size. Moreover, valid measurements are needed to assess the main outcomes.

노인병원 간호사의 욕창 간호 지식과 욕창 간호 태도가 욕창 간호 수행에 미치는 영향

김수올,김소명 한국기초간호학회 2022 Journal of korean biological nursing science Vol.24 No.3

Purpose: This study investigated the effect of pressure injury nursing knowledge, and pressure injury nursing attitudes, on pressure injury nursing practice. Methods: Participants in this descriptive study were 141 nurses at 20 geriatric hospitals. Data was collected August 24, 2021- April 4, 2022, and analyzed in terms of Independent t-test and one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and multiple regression, using the SPSS/WIN 27.0 program. Results: Pressure injury nursing practice positively correlated with pressure injury nursing attitudes (r=.44, p<.001). Factors influencing pressure injury nursing practice were pressure injury nursing attitudes (β=.43, p<.001), and gender (β=.21, p=.006). The model used in this study explains 22.8% of pressure injury nursing practice (Adjusted R2=22.8, F=11.30, p<.001). Conclusion: Results show factors that influence pressure injury nursing practice of nurses in geriatric hospitals. Based on the results, pressure injury nursing practice programs must include factors that improve pressure injury nursing attitudes. A follow-up study to confirm the impact of developing a program for increasing pressure injury nursing practice is also recommended.

지역사회 성인의 혈압측정횟수 및 연령에 따른 혈압의 차이

박경연 한국기초간호학회 2019 Journal of korean biological nursing science Vol.21 No.4

Purpose: This study aimed to identify the differences in blood pressure among adults in the community according to age and time of the blood pressure measurement. Method: This was a secondary analysis study, using data from a 2015 community health survey, conducted by the Korea Centers for Disease Control and Prevention. The data of three-time-measured blood pressure were collected from 337 subjects, 25, 35, 45, 55, 65, 75 years old, which are median ages by each age group. Results: The primary systolic pressure was significantly higher than the secondary systolic pressure (t = 3.46, p = .001) and the tertiary systolic pressure (t = 4.83, p = .001). The secondary systolic pressure was higher than the tertiary measurement (t = 2.05, p = .041). There was no significant difference between the three-time-measured values for diastolic pressure. There was a significant interaction between measurement times and age in the systoic blood pressure readings (F = 1.95, p = .036). However, there was no significant interaction between measurement times and age in the diastolic blood pressure readings (F = 1.03, p = .418). Conclusion: The findings suggest that attention must be paid to the use of blood pressure values in studies or one-time-measured clinical blood pressure values. In particular, the differences in systolic pressure readings taken at different times in the older age groups were significant. Therefore, it is more important to carefully assess blood pressure in adults over the age of 45 compared to other age groups.

간호대학생의 카데바 실습에 관한 통합적 고찰

안경주 한국기초간호학회 2023 Journal of korean biological nursing science Vol.25 No.1

Purpose: The purpose of this study was to analyze the experiences and perceptions of nursing students related to their cadaver practice through an integrative review. Methods: An integrative review was conducted using Whittemore and Knafl’s framework published in 2005. The key words, “nursing students & cadaver” and “nursing students & anatomy” were used to search peer-reviewed publications in six databases. Among 373 searched articles, 15 articles were selected after excluding articles that did not meet the inclusion criteria. The literature quality was moderate (levels C and B). Results: The results from the 15 selected studies were integrated and classified into seven themes: “anxiety and discomfort,” “gratitude and respect for donors,” “dignity of the human body and life,” “acceptance of death,” “getting closer to the nursing profession,” “enhanced understanding and memory of the human body” and “enhancement of learning motivation.”Conclusion: In conclusion, cadaver practice provided an opportunity to form values about the dignity of life and death, helped nursing students understand the human body, and motivated them to approach the profession of nursing. It is suggested to develop integrated cadaver practice programs that incorporate bioethics, spiritual nursing, and the vocation of the nursing profession.

스마트폰 사용, 수면양상과 간호대학생의 학습몰입도간의 관계

최승혜(Choi Seunghye) 한국기초간호학회 2019 Journal of korean biological nursing science Vol.21 No.3

Purpose: In 2015, South Korea had the highest global smartphone penetration (88%). However, smartphone addiction can seriously disrupt daily life and have a major negative impact on academic achievement. Methods: A structured questionnaire was completed by 250 nursing students for this descriptive study. Results: Students who were older, more satisfied with their major, exercised, and used their smartphone for less than 30 minutes before sleeping had higher learning engagement than those who were younger, less satisfied, did not exercise and used their smartphone for more than three hours. Quality of sleep and smartphone addiction were negatively correlated as was quality of sleep and daytime sleepiness. Interestingly, sleep pattern did not impact learning engagement directly. Conclusion: Smartphone usage influences learning engagement of nursing students rather than their sleeping patterns, which suggests a need to develop self-disciplining strategies for smartphone use to enhance learning engagement.

수술실간호사와 병동간호사의 감염관련특성과 환자안전문화가 혈행성 감염예방 인식에 미치는 영향

전해옥(Jeon, Hae Ok),안경주(An, Gyeong Ju),이종희(Lee, Jong Hee),이경미(Lee, Kyoung Mi) 한국기초간호학회 2021 Journal of korean biological nursing science Vol.23 No.1

Purpose: This study aimed to identify the factors influencing infection-related characteristics and patient safety culture on awareness of blood-borne infection prevention between operating room nurses and general ward nurses. Methods: Participants were 198 nurses(operating room nurses 98 and general ward nurses: 100) working at three general hospitals and three university hospitals in three cities. Data were collected using a structured questionnaire from September 11 to October 14, 2020. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficient, and multiple regression with IBM SPSS/WIN 26.0 program. Results: Typically, 39.8% of nurses in the operating room and 24.0% of ward nurses experienced injuries such as needles and sharp instruments used by the patient. The awareness of patient safety culture was identified to be higher for the ward nurses. Factors influencing the awareness of blood-borne infection prevention in operating room nurses were patient safety culture and wearing protective equipment for infection prevention while nursing infected patients. Moreover, the explanatory power of these variables was 19.4%. In general ward nurses, the patient safety culture was identified as a significant predictor, which accounted for 16.5% of awareness of blood-borne infection prevention. Conclusion: To prevent hospital infection, a strategy is needed to improve the level of awareness of blood-borne infection prevention and patient safety culture of operating room nurses. To this end, the difference in infection-related characteristics and influencing factors between the operating room nurses and the general ward nurses should be considered and planned.