한국학교ㆍ지역보건교육학회지 (The Journal of Korean Society for School & Community Health Education)

한국학교ㆍ지역보건교육학회 (The Korean Society for School & Community Health Education)
권호 표지
DOI QR코드

DOI QR Code

학교내 응급상황에 대한 준비 실태와 보건교사의 응급처치 수행자신감

Preparation and Self-Confidence to Response to Emergent, Acute or Life-threatening Health Crisis among School Nurses in South Korea

  • 투고 : 2020.09.17
  • 심사 : 2020.10.19
  • 발행 : 2020.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

배경 및 목적: 본 연구는 학교 내 응급상황(천식 위기, 알레르기 반응, 저혈당 위기, 발작, 심폐정지, 출혈/골절, 머리/목 상해, 열성질환, 중독, 질식)에 대한 행정 차원과 물품구비 차원에서의 준비 실태, 그리고 응급처치 수행자신감을 파악하는데 목적이 있다. 방법: 단면조사연구로 274명의 보건교사를 대상으로 하였으며, 자가보고형 조사지를 이용하여 대상자와 학교의 일반적 특성, 학교 내 응급상황에 대한 행정·물품 준비 실태, 그리고, 응급처치 수행자신감 등 3개 영역의 자료를 수집하였다. 자료수집은 2018년 2월 1일부터 2018년 7월 31일까지 실시하였고, 자료분석은 기술통계, t-검정과 분산분석을 이용하였다. 결과: 대부분의 학교에서 응급상황 관리계획이 있었으나, 응급상황별로 천식 위기는 46.7%, 알레르기 반응은 58.4%에서만 관리계획을 갖추고 있었다. 산소, 혈당측정기, 자동제세동기, 경추고정장치 등은 85% 이상의 학교에서 보유하고 있었으나, 기관확장제 흡입기, 에피네프린 주사제, 흡인기 등은 거의 갖추고 있지 않았다. 응급상황 수행자신감은 5점 만점에 2.67점 (발작관리) 에서 3.55점 (심폐정지관리)이었으며, 일부 응급상황에 대해서 의료기관 근무경력이 증가함에 따라 수행자신감이 증가하였다. 결론: 대부분의 학교에서 응급관리계획을 수립하고 있었으나, 응급상황별 관리계획을 수립한 경우는 반 정도에 불과하였다. 보건교사의 학교 내 응급상황에 대한 응급처치 수행자신감은 전체적으로 낮게 나타남에 따라, 이들의 역량강화를 위한 체계적인 교육과 멘토링 프로그램이 요구된다.

키워드

참고문헌

  1. American Lung Association. (2018). Asthma & children fact sheet. Retrieved from https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/asthma/learn-about-asthma/asthma-children-facts-sheet.html
  2. Allen, K., Henselman, K., Laird, B., Quinones, A., & Reutzel, T. (2012). Potential life-threatening events in schools involving rescue inhalers, epinephrine autoinjectors, and glucagon delivery devices: Reports from school nurses. Journal of School Nursing, 28(1), 47-55. https://doi.org/10.1177/1059840511420726
  3. Breena, W. H., & Anne S.(2016). Role of the school nurse in providing school health services. Pediatrics, 137(6), pii: e20160852. doi: 10.1542/peds.2016-0852.
  4. Cho, M. K., Kim, C. G., & Chun, S. H. (2012). The knowledge and self-confidence to perform cardiopulmonary resuscitation of hemodialysis nurses in private clinics. Journal of the Korean Data Analysis Society, 14(5), 2595-2610.
  5. Drezner, J. A., Rao, A. L., Heistand, J., Bloomingdale, M. K., & Harmon, K. G. (2009). Effectiveness of Emergency Response Planning for Sudden Cardiac Arrest in United States High Schools With Automated External Defibrillators. Circulation, 120(6), 518-525. doi: 10.1161/circulationaha.109.855890.
  6. Greene, G. M. (2019). Perceived confidence levels of NC school with emergency preparedness. Nursing Theses and Captone Projects, 342. https://digitalcommons.gardner-webb.edu/nursing_etd/342
  7. Johannesson, E., Silen, C., Kvist, J., & Hult, H. (2013). Students' experiences of learning manual clinical skills through simulation. Advances in Health Sciences Education,18(1), 99-114. doi: 10.1007/s10459-012-9358-z.
  8. Ke, Y. T., Kuo, C. C., & Hung, C. H. (2017). The effects of nursing preceptorship on new nurse's competence, professional socialization, job satisfaction and retention: A systematic review. Journal of Advanced Nursing, 73(10), 2296-2305. Doi: 10.1111/jan.13317.
  9. Kim, J. Y. (2017, April). A teacher should be able to inject insulin. The Segye Times, Retrieved from http://www.segye.com/newsView/20170403003356.
  10. Kim, J. H., & So H. S. (2016). Utilization of school health room and health problems among elementary and secondary school students, and nursing performance of school health teachers in a city. The Journal of the Korea Contents Association, 16(5), 180-193. https://doi.org/10.5392/JKCA.2016.16.05.180
  11. Kim, K. J. (2015, October). 12 hours at school...a day for high school students. The Seoul Ilbo. Retrieved from https://www.seoul.co.kr/news/newsView.php?id=20150827010040.
  12. Korea Centers for Disease Control & Prevention. (2019). The Korea youth risk behavior web-based survey. Retrieved from http://www.cdc.go.kr/yhs/home.jsp.
  13. Korean National Health Insurance Corporation. (2016). The number of diabetic and pediatric patients increased 31.0 percent over the past 10 years to 5,338 in 2015. Retrieved from http://www.nhis.or.kr/bbs7/boards/B0039/18919.
  14. Lee, H. Y. (2018, October). There are no health teachers in 350 schools in Gyeongsangnamdo. The Kyongnamdomin Ilbo. Retrieved from http://www.idomin.com/?mod=news&act=articleView&idxno=579824.
  15. Lee, J. H., & Lee, B. S. (2014). Role Adaptation Process of Elementary School Health Teachers: Establishing Their Own Positions. Journal of Korean Academy of Nursing, 44(3), 305. doi: 10.4040/jkan.2014.44.3.305
  16. Ministry of Education and Science Technology. (2019). Emergency medical care plan in school. Retrieved from http://www.schoolhealth.kr/.
  17. Ministry of Government Legislation. (2019). School health act, Enforcement decree of school health act, Enforcement rule of school health act. Retrieved from http://www.law.go.kr/lsInfoP.do?lsiSeq=202897#0000.
  18. Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention, Korea Asthma Allergy Foundation. (2019). Emergency treatment manual for asthma attack in school. Retrieved from http://www.schoolhealth.kr/web/search/selectTotalSearchList.do?bbsId=&lstnum1=1936&pageIndex=1&pageUnit=10&sortOrder=&searchWrd=%EC%B2%9C%EC%8B%9D%EB%B0%9C%EC%9E%91.
  19. Murray, R. D., Devore, C. D., Gereige, R. S., Grant, L. M., Roland, M. M., Lamont, J. H., … Magalnick, H. (2008). The role of the school nurse in providing school health services. The Journal of School Nursing, 24(5), 269-74. doi: 10.1177/1059840508323781.
  20. National Association of School Nurses. (2012). Emergency equipment and supplies in the school setting. NASN School Nurse. 27(3), 172-175. doi.org/10.1177/1942602X12442342.
  21. National Association of School Nurses (NASN). (2014). Emergency resources, equipment and supplies - with/without a school nurse. Silver Spring, MD: Author.
  22. National Institute of Korean Language. (2017). Retrieved from http://stdweb2.korean.go.kr/search/List_dic.jsp.
  23. Odhav, A., Ciaccio, C. E., Serota, M., & Dowling, P. J. (2015). Barriers to Treatment with Epinephrine for Anaphylaxis By School Nurses. Journal of Allergy and Clinical Immunology, 135(2). doi: 10.1016/j.jaci.2014.12.1625.
  24. Olympia, R. P. (2005). The Preparedness of Schools to Respond to Emergencies in Children: A National Survey of School Nurses. Pediatrics, 116(6). doi: 10.1542/peds.2005-1474.
  25. Park, J. H., & Hong, W. P. (2018). Beginning elementary teachers' perception of mentoring effects with master teachers and its impact on their job satisfaction. The Journal of Korean Teacher Education, 35(1), 207-231. https://doi.org/10.24211/TJKTE.2018.35.1.207
  26. Reveruzzi, B., Buckley, L., & Sheehan, M. (2016). School-Based First Aid Training Programs: A Systematic Review. Journal of School Health, 86(4), 266-272. doi: 10.1111/josh.12373.
  27. Rue, C. S., & Lee, J. L. (2017). A study on perception and behavioral characteristics of elementary school children in school safety. Journal of Learner-Centered Curriculum and Instruction, 17(5), 463-492. https://doi.org/10.22251/jlcci.2017.17.5.463
  28. School Safety and Insurance Federation. (2017). Accident occurrence and compensation statistics. Retrieved from http://www.ssif.or.kr/06_participation/part05.html.
  29. Statics Korea. (2017). Cause of death statics. Retrieved from http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01&parentId=D.1;D1.2;D11.3;#D11.3.
  30. Stoodley, C., McKellar, L., Steen, M., & Fleet, J. (2020). Simulation in midwifery education: A descriptive explorative study exploring students' knowledge, confidence and skills in the care of the preterm neonate, Nurse Education in Practice, 42, 102635. doi: 10.1016/j.nepr.2019.102635.
  31. Toresdahl, B. G., Harmon, K. G., & Drezner, J. A. (2013). High school automated external defibrillator programs as markers of emergency preparedness for sudden cardiac arrest. Journal of Athletic Training, 48(2), 242-247. https://doi.org/10.4085/1062-6050-48.1.20
  32. Tanner, A., & Clarke, C. (2016). Epinephrine Policies and Protocols Guidance for Schools. NASN School Nurse, 31(1), 13-22. doi: 10.1177/1942602x15607604.
  33. Ugalde, M. R., Guffey, D., Minard, C. G., Giardino, A. P., & Johnson, G. A. (2017). A Survey of School Nurse Emergency Preparedness 2014-2015. The Journal of School Nursing, 34(5), 398-408. doi: 10.1177/1059840517704702.
  34. Uhm, D., Jun, M., & Park, Y. I. (2012). Knowledge, Self-confidence, and Intention of BLS of Clinical Nurses Who Work at Small-medium Sized Hospitals. The Journal of Korean Academic Society of Nursing Education, 18(3), 446-455. doi: 10.5977/jkasne.2012.18.3.446.
  35. Yoon, J. H., & Lee, I. S. (2017). The Emergency Care Experience and Demand for Support of School Nurse. Journal of Korean Academy of Community Health Nursing, 28(2), 182. doi: 10.12799/jkachn.2017.28.2.182.
  36. Yun, O. B., & Kang, H. S. (2009). Characteristics of children admitted to a pediatric emergency department following an accident. Journal of Korean Clinical Nursing Research, 15(1), 79-91.