Journal of Trauma and Injury
- 제25권4호
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- Pages.254-260
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- 2012
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- 2799-4317(pISSN)
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- 2287-1683(eISSN)
외상환자의 치료에서 외상 전문간호사 도입 결과
Outcomes for Employment of a Trauma Clinical Nurse Specialist in the Treatment of Trauma Patients
- 정윤중 (서울아산병원 중환자 간호팀 외상전문간호사) ;
- 김영환 (울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과) ;
- 김태현 (울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과) ;
- 금민애 (울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과) ;
- 마대성 (울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과) ;
- 경규혁 (인제대학교 의과대학 해운대백병원 외과학교실 외상 및 중환자외과) ;
- 김정재 (울산대학교 의과대학 서울아산병원 외과학교실 정형외과) ;
- 홍석경 (울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과)
- Jung, Yooun Joong (Clinical Nurse Specialist (CNS), Department of Nursing, Asan Medical Center) ;
- Kim, Young Hwan (Division of Trauma and Surgical Critical Care, Department of Surgery, Ulsan University College of Medicine Asan Medical Center) ;
- Kim, Tae Hyun (Division of Trauma and Surgical Critical Care, Department of Surgery, Ulsan University College of Medicine Asan Medical Center) ;
- Keum, Min Ae (Division of Trauma and Surgical Critical Care, Department of Surgery, Ulsan University College of Medicine Asan Medical Center) ;
- Ma, Dae Sung (Division of Trauma and Surgical Critical Care, Department of Surgery, Ulsan University College of Medicine Asan Medical Center) ;
- Kyoung, Kyu Hyouck (Department of Surgery, Inje University College of Medicine, Haeundae Paik Hospital) ;
- Kim, Jung Jae (Department of Orthopedic Surgery, Ulsan University College of Medicine, Asan Medical Center) ;
- Hong, Suk-Kyung (Division of Trauma and Surgical Critical Care, Department of Surgery, Ulsan University College of Medicine Asan Medical Center)
- 투고 : 2012.10.26
- 심사 : 2012.12.03
- 발행 : 2012.12.31
초록
Purpose: Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients. Methods: Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared. Results: To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05). Conclusion: The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.