간호진단의 임상적용에 관한 연구 = The study on Clinical Application of a Nursing Diagnosis

다국어 초록 (Multilingual Abstract)

This research is for the future study to state the clinical application of nursing diagnoses, to figure out the problem areas in carrying them out and the frequencies of nursing diagnoses made with internal medicine departmental nursing units, the types of nursing intervention in that regard and the degree of its practical aspects.
The research period was from Aug. 1, 2000 to Jan. 31, 2000, the subjects were 126 patients in a medical ward. The means were the research analysis of 243 nursing diagnoses in total and the surveys on clinical application and its problems from 141 nurses working in K hospital in affiliation of K university at present dated Mar. 2001.
The processing and analysis of the collected data were made through actual number, percentage, average, standard deviation.
The results of this research were as follows:
1. The nurses who have never had the education on the nursing diagnosis were 42.6%, more than once were 74.5%, educated in some kind of form were 74.5%, not having any form of nursing diagnosis record were 31.9%, presently applying them were 28.4% and the nurses who answered that the nursing diagnosis was essential were 49.6%.
2. In applicating nursing diagnosis clinically, nursing manpower problem was pointed out as the most difficult aspect(4.38), needing more time (3.95), lack of understanding of other medical teams(3.91), confusion caused by lack of identification with nursing diagnosis technique(3.78), etc in order.
On the other hand, the replies that nursing diagnoses were not necessary for actual caring(2.21) was the lowest on the list.
3. The used types of nursing intervention during the research were 32 out of 98. And among the 243 nursing diagnoses which was actually used, there were 9 characteristic responding types, exchange, moving, feeling, knowledge, choosing, preceiving, communication, and relating were appeared in the sequence as such, but valuing area was not appeared.
4. The application frequencies were pain, malnutrition, constipation, continuous difficulties with movements, risk for infection, high body temperature, etc. in order.
5. 84 related factors were used for 32 nursing diagnoses.
6. 193(79%) of 243 nursing diagnoses solved the problems with their causes while 50(21%) didn't, due to the factors like patients' deaths, interruption to the process, problem in diseases themselves, transfer to other ward, etc.
7. Those on the priority list of nursing diagnosis according to the analysis of the related factors were malnutrition related to nausea/vomiting, risk for infection related to decrease of WBC, decline of defensive power related to coagulation difficulty, pain related to transhepatic atery chemo embolization, constipation related to immobility, risk for impaired skin integrity to immobility, fluid volume excessive related to hepatic ascites, risk for aspiration related to decrement of expectorating sputum, etc. The frequencies of nursing intervention plans and their application were suggested for each factor as above.