중환자간호사의 경관영양 공급에 대한 인식과 지식 및 수행

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to assess critical care nurses’ perception, knowledge, and nursing practices regarding enteral nutrition. Methods: A descriptive study was conducted with 187 nurse participants who worked in one of the eight medical and surgical intensive care units (ICUs) from four hospitals in Korea. Data were collected using a self-administered questionnaire. Results: Although critical care nurses’ perception toward enteral nutrition was high, knowledge was relatively low. The overall perception and knowledge of the nurses did not differ significantly between medical ICU and surgical ICU nurses. Perception of their own knowledge, in particular, ‘nutritional goal’ was lower for medical ICU nurses compared to surgical ICU nurses. Nurses also had limited knowledge about the significance of enteral nutrition, confirmation of feeding tube location, and nutritional requirements for ICU patients. They inadequately performed the following: changing the feeding tube every 24 hours, inspecting nostrils daily, and adjusting feeding schedule if feeding was stopped. Conclusion: Our results indicate that ICU nurses need up-to-date information about enteral nutrition. Based on the improved perception and knowledge, nursing practice activities with regard to enteral nutrition should be emphasized to enable nurses to provide optimal nutrition for ICU patients.

목차 (Table of Contents)

• Ⅰ. 서론
• Ⅱ. 연구 방법
• Ⅲ. 연구 결과
• Ⅳ. 논의
• Ⅴ. 결론 및 제언
• REFERENCES

참고문헌 (Reference)

1 윤선희, "중환자 조기 경장영양공급에 대한 의료진의 지식, 인식 및 수행정도" 대한중환자의학회 27 (27): 36-44, 2012

2 Kim H, "Why patients in critical care do not receive adequate enteral nutrition? A review of the literature" 27 (27): 702-771, 2012

3 Hyunjung Kim, "Why patients in critical care do not receive adequate enteral nutrition? A review of the literature" Elsevier BV 27 (27): 702-713, 2012

4 Weston MJ, "Strategies for enhancing autonomy and control over nursing practice" 15 (15): 2010

5 O'Leary-Kelley CM, "Nutritional adequacy in patients receiving mechanical ventilation who are fed enterally" 14 (14): 222-231, 2005

6 Woien H, "Nutrition of the critically ill patient and effects of implementing a nutritional support algorithmin ICU" 15 (15): 168-177, 2006

7 H. Kim, "Nurses' positive attitudes to nutritionalmanagement but limited knowledge of nutritional assessment in Korea" Wiley-Blackwell 56 (56): 333-339, 2009

8 Evanthia Georgiou, "Nurse-physician collaboration and associations with perceived autonomy in Cypriot critical care nurses" Wiley-Blackwell 2015

9 Shoaib Ahmad, "Nasogastric tube feedings and gastric residual volume: A regional survey" Southern Medical Association 105 (105): 394-398, 2012

10 Mahmoud Al Kalaldeh, "Jordanian nurses' knowledge and responsibility for enteral nutrition in the critically ill" Wiley-Blackwell 20 (20): 229-241, 2015

11 Morten Mowe, "Insufficient nutritional knowledge among health care workers?" Elsevier BV 27 (27): 196-202, 2008

12 Stephen A. McClave, "Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient:Society of critical caremedicine (SCCM) andAmerican society of parenteral and enteral nutrition (A.S.P.E.N)" SAGE Publications 33 (33): 277-316, 2009

13 Korean Hospital Nurses Association, "Evidence-based clinical nursing practice guideline: Enteral feeding" KoreanHospitalNursesAssociation

14 Pramendra Agrawal, "Enteral nutrition practices in the intensive care unit: Understanding of nursing practices and perspectives" Medknow 28 (28): 41-44, 2012

15 Kreymann KG, "ESPEN guidelines on enteral nutrition : Intensive care" 25 (25): 210-223, 2006

16 Bourgault AM, "Development of evidence-based guidelines and critical care nurses'knowledge of enteral feeding" 27 (27): 17-29, 2007

17 C. Lane, "Attitudes towards and knowledge of nutrition support amongst health care professionals on London intensive care units" Wiley-Blackwell 27 : 339-351, 2014

18 Margareta Bachrach-Lindström, "Attitudes of nursing staff working with older people towards nutritional nursing care" Wiley-Blackwell 16 (16): 2007-2014, 2007

19 Christensson L, "Attitudes of nursing staff towards nutritional nursing care" 17 (17): 223-231, 2003

20 Naomi E. Cahill, "Attitudes and Beliefs Related to the Canadian Critical Care Nutrition Practice Guidelines" SAGE Publications 34 (34): 685-696, 2010

21 Mathus-Vliegen EM, "Analysis of sites of bacterial contamination in an enteral feeding system" 30 (30): 519-525, 2006