• Title/Summary/Keyword: 외상간호

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The Domains of the Competencies of Trauma Nursing : A Scoping Review (외상간호 역량의 주요 영역 연구 : 범주 문헌고찰)

  • Kim, Young Hee;Choi, Mo Na;Kang, Hye Kyung
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.497-510
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    • 2019
  • This study was conducted to identify the domains of the competencies of trauma nursing through a scoping review using the JBI(Joanna Briggs Institute) methodology. The keywords are trauma, $nurs^*$, $competenc^*$, $role^*$, attitude, and knowledge and skill. The review used information from six databases: CINAHL, Pubmed, ProQuest, Web of Science, Scopus, and ERIC. Inclusion and exclusion criteria were identified as strategies to use in this review. 8 studies were eligible for result extraction, as they listed domains of the competencies. These domains among studies were analyzed based on Trauma Care System and Lenburg's COPA(Competency Outcomes and Performance Assessment) model. Domains in 'Prehospital care & transport', 'Hospital care' and 'Rehabilitation' of Trauma Care System were present, but no domain in 'Injury prevention' was.

Traumatic Experiences and Posttraumatic Growth of Nursing Students who were in the Clinical Training (간호학생의 임상실습에서의 외상 경험과 외상후 성장)

  • Sung, Kyung Mi;Park, Sun Ah;Oh, Eun Jin;Lee, Seung Min;Lee, Se-Young
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.489-503
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    • 2018
  • The purpose of this study was to explore traumatic experiences and posttraumatic growth of nursing students who were in clinical training. The data were collected from 490 nursing students at four nursing colleges with clinical training experience more than 1 year, from November 20th 2017 to December 20th. Collected data were analyzed through t-test, ANOVA, and $Scheff{\acute{e}}$ test with the SPSS/WIN 25.0 program, and qualitative data were analyzed by content analysis. 26.5% of the subjects had traumatic experiences in their daily life, 61.2% in the clinical practice. Their posttraumatic growth was scored 2.63 out of 5 on average. The contents of traumatic experiences were 'Violence experienced by medical staff','Negative perception of nursing care','Non-Educational Practical Environment' Clinical practice in a harsh environment, Witness of a serious patient, et al. The findings can be used as important basic data for the development of nursing practice education program for encouraging the posttraumatic growth of nursing students.

Effects of Emotional Intelligence, Resilience, and Post-traumatic Growth on Communication Skills of Nursing Students (간호대학생의 감성지능, 회복탄력성, 외상 후 성장이 의사소통능력에 미치는 영향)

  • Kim, Mi-Ja
    • Journal of Industrial Convergence
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    • v.16 no.3
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    • pp.23-32
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    • 2018
  • The purpose of this study was to investigate levels of emotional intelligence, resilience, post-traumatic growth and communication skill of nursing students and to identify the factors affecting communication skill of nursing students and to use them as basic data to improve communication skill. The data collecting period is from April to May, 2017, and the subjects are 296 nursing students in D city. The results of the study showed that there was a statistically significant positive correlation between emotional intelligence, resilience, post-traumatic growth, and communication skill of nursing students. Also, as emotional intelligence, resilience, and post-traumatic growth increased, communication skill improved. The explanatory power of regression model was 51.9%. In conclusion, it is necessary to efforts to improve the emotional intelligence, resilience, and post-traumatic growth as a strategy to enhance communication skills of nursing students in order to establish therapeutic relationships with patients as nurses.

Analysis of Nursing Interventions in Trauma-Bay at the Regional Trauma Center for Patients with Severe Thoracic Injuries (권역외상센터 중증 흉부외상환자 대상 외상소생실 내 간호중재 분석)

  • Kim, Dong Mi;Seo, Eun Ji
    • Journal of Korean Biological Nursing Science
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    • v.23 no.2
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    • pp.138-150
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    • 2021
  • Purpose: This retrospective study aimed to investigate nursing interventions in patients with severe thoracic injury in trauma bay of a regional trauma center. Methods: Of the 1,780 patients admitted to the trauma bay of a regional trauma center in a university hospital in the Gyeonggi Province between January 1, 2019 and December 31, 2019, 120 adult patients with severe thoracic injury who met the inclusion criteria were enrolled. Participants' clinical characteristics and nursing interventions were collected from electronic medical records after receiving ethical approval. Nursing interventions were classified using the terminology in the Nursing Intervention Classification. Results: The mean age of participants was 52.25 years and 72.5% of participants were male. The main areas of thoracic injury included lung parenchyma and pleura (95.8%). The mean Abbreviated Injury Scale (AIS) for thoracic injury was 3.13 and the mean Injury Severity Score (ISS) was 17.81. Fluid resuscitation, invasive hemodynamic monitoring, chest tube care, respiratory monitoring, artificial airway management, gastrointestinal tube care, mechanical ventilation management: airway insertion and stabilization, blood product administration, allergy management, and surgical preparation were performed significantly more frequently in thoracic injury patients with unstable vital signs or a higher AIS score. Conclusion: This study is significant as it investigated the types of nursing interventions given to patients with severe thoracic injury in the trauma bay. These results would contribute to developing more detailed educational materials for initial nursing interventions in trauma bay.

Experiences of Posttraumatic Growth in Firefighters with Repeated Traumatic Events (반복적 외상 사건을 겪은 소방공무원의 외상 후 성장 경험)

  • Ko, Youngshim;Ha, Yeongmi
    • Korean Journal of Occupational Health Nursing
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    • v.30 no.3
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    • pp.132-143
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    • 2021
  • Purpose: The study aimed to explore experiences of the posttraumatic growth (PTG) in firefighters with repeated exposure to traumatic events. Methods: Participants were 11 firefighters from two fire departments, who had experienced more than one critical trauma events. Data were collected through personal interviews from August to October 2020 and analyzed by Colaizzi's phenomenological methods. Results: The PTG experiences were derived into four categories: 'growth in self-perception', 'rediscovery of the meaning of life', 'deep interpersonal relationships', and 'discovery of the meaning of work'. Conclusion: These findings could be used as basic information for developing PTG program for firefighters such as logo-therapy, semantic therapy, and self-disclosure intervention using expressive writing and speaking.

The Relationship between COVID-19 related Post-traumatic Stress, Nursing Work Environments, and the Resilience of nurses in Tertiary General Hospitals (상급종합병원 간호사의 COVID-19 관련 외상 후 스트레스, 간호근무환경과 회복탄력성의 관계)

  • Kim Eun Kyoung
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.2
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    • pp.37-49
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    • 2023
  • The purpose of this study was to determine the correlation between the COVID-19 related post-traumatic stress, nursing work environments, and the resilience among nurses in Tertiary General Hospitals. Data were collected from 155 nurses who directly cared for COVID-19 patients and were working at the K University D Hospital in D Metropolitan City using an online survey. The SPSS 28.0 program was used for data analysis. Based on the results of the survey, post-traumatic stress showed a significant negative correlation with the nursing work environments(r=-.17, p<.001), and the nursing work environments showed a significant positive correlation with the resilience of nurses(r=.20, p<.001). Through the results of this study, it is necessary to improve the nursing work environments for managing post-traumatic stress, to build an active support system by securing manpower from the government, and to develop and apply intervention programs for improving the resilience of nurses in the COVID-19 situation.

Effects of Stress, Resilience, and Social Support on Post-Traumatic Growth in Nurses Caring for COVID-19 Patients (코로나19 환자를 간호한 간호사의 스트레스, 회복탄력성, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Eun-kyung Shin;Ji-hyun Kim;Mi-ja Kim;Kyung–Mi Park
    • Journal of Industrial Convergence
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    • v.22 no.4
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    • pp.39-48
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    • 2024
  • This study is a descriptive research study to determine the stress, resilience, and social support of nurses who cared for COVID-19 patients and the impact on post-traumatic growth. The survey was conducted on 179 nurses who cared for COVID-19 patients at a general hospital located in D City from July 19, 2021, to August 10, 2021. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 22.0. Post-traumatic growth showed a significant positive correlation with resilience (r=.499, p=<.001) and social support (r=.494, p=<.001). As a result of multiple regression analysis, prior knowledge about COVID-19 (𝛽=.142, p=.023), resilience (𝛽=.330, p =<.001), and social support (𝛽=.296, p =<.001) was a significant variable affecting post-traumatic growth. These results will be used as basic data to improve nurses' post-traumatic growth.

A Convergence study on Education Status, Educational Needs, and Nursing Competence of Regional Trauma Intensive Care Unit Nurses (권역 외상 중환자실 간호사의 교육 현황, 교육 요구 및 간호역량 관련 융합 연구)

  • Kim, Kyoung Mi;Kim, Jong Kyung
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.321-331
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    • 2020
  • The purpose of this study is to identify the educational status, e,ducation needs and competencies of nurses in the regional trauma intensive care unit. The questionnaires were collected from 123 nurses from 5 hospitals in the regional intensive Care Unit trauma. Data collection consisted of the education importance and needs of the nurses in the intensive Care Unit nurses and the competence of nurses. The analysis was analyzed by descriptive analysis, t-test, and one-way ANOVA, Pearson correlation using the SPSS 21.0 program. The results showed that 78.9% had experience in trauma-intensive care nursing. In the case of the importance of trauma education, 'attitud'e was 3.64, followed by 'knowledge' was 3.52 and 'skill' was 3.47. In the analysis of the educational needs of the trauma service, 'knowledge' was highest at 3.18, 'attitude' was 3.05, and 'skill' was 2.97. The nurses' ethical competence was the highest with 3.62, followed by aesthetic competence was 3.53, personal competence was 3.39, and scientific competence was 3.37. In conclusion, it is necessary to focus on the standardized curriculum and practice-oriented education development of trauma nursing education at the present time and applicable. In addition, it is necessary to seek strategies for enhancing the professionalism and nursing competence of the trauma intensive care unit nurse.