• 대한간호
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• 제33권1호
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• pp.30-36
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• 1994

• 한국응용과학기술학회지
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• 제40권4호
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• pp.811-824
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• 2023

본 연구는 요양보호사를 대상으로 의사소통 자신감, 자기효능감, 응급처치 수행자신감 정도와 상관관계를 확인하고 응급처치 수행자신감 예측요인을 알아보고자 실시하였다. 요양보호사 202명을 대상으로 2022년 3월 1일부터 3월 31일까지 자료수집 하였으며, 수집된 자료는 SPSS 29.0 프로그램을 이용하여 t-test, ANOVA, Scheffe's test, Person's correlation coefficients, Multiple linear regression으로 분석하였다. 자기효능감은 의사소통 자신감과 정적 상관관계(r=.54, p<.001), 응급처치 수행자신감은 의사소통 자신감(r=-.18, p<.05), 자기효능감과 부적 상관관계를 보였다(r=-.31, p<.001). 응급처치 수행자신감 예측요인으로 간호조무사가 없을 때(β=-.18, p=.009)와 자기효능감(β=-.30, p<.001)으로 나타났고, 설명력은 11.0%였다(Adj R²=.110, p<.001). 본 연구결과를 근거로 요양보호사의 응급처치 수행자신감 향상을 위한 응급교육 프로그램을 개발하여 적용할 것을 제언한다.

• 디지털융복합연구
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• 제16권12호
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• pp.359-371
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• 2018

본 연구는 보육교사들의 투약 및 응급상황 경험과 교육요구를 파악하기 위한 연구이다. 연구대상자는 2017년 경상남도 지역에서 실시된 하계 보수교육에 참여한 보육교사 190명을 대상으로 투약경험과 투약 교육요구, 응급상황 경험 및 대처와 응급상황 교육요구를 묻는 개방형 질문지에 기록한 내용을 이용한 내용분석 연구이다. 연구결과 보육교사의 투약경험은 "투약의뢰서가 없음에도 투약해야 함(29.2%)", "영유아의 투약거부에도 억지로 투약함(26.1%)" 등의 6개 범주로 도출되었다. 투약 교육요구는 "보육교사 대상 투약교육이 필요(47.3%)", "부모 대상 투약교육이 필요(29.3%)", 등의 4개 범주로 도출되었다. 응급상황 및 대처경험은 "사고로 피부손상 또는 출혈이 생김; 상처소독과 지혈조치 시행함(25.5%)", "경련, 발작으로 의식 소실; 기도확보 조치 시행함(21.4%)" 등의 6개 범주로 도출되었다. 응급상황 교육요구는 "교육내용으로 다양한 응급상황의 종류별 응급처치와 대처방법(65.4%)", "교육방법으로 실제 사례와 실습 위주의 효과적인 맞춤형 교육(13.2%)" 등의 5개 범주로 도출되었다. 본 연구결과에 근거하여 보육교사 직무교육 중 약물오남용, 응급처치와 관련한 교육내용 및 교육방법의 개선이 요구된다.

• 한국컴퓨터정보학회논문지
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• 제24권10호
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• pp.183-188
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• 2019

본 연구는 응급구조학과와 간호학과에서 실시되는 재난관련 교육과정의 현황을 비교 분석하기 위한 서술적 조사 연구이다. 연구 분석대상은 인터넷 홈페이지를 이용하여 전국의 응급구조학과가 개설되어 있는 41개 대학을 대상으로 조사하였으며, 교육과정이 등재되어있지 않은 학교와 간호학과가 없는 학교를 제외하고 나머지 30개 대학을 연구대상으로 하였다. 연구 자료는 인터넷 홈페이지를 이용하여 교육과정을 수집하여 분석하였다. 키워드 '재난', '재해','응급'을 이용하여 만든 교과목을 조사하였으며, 교육과정은 재난관련 교과목의 개설현황, 전공 교양 분류, 학년, 학점, 이론 및 실습 시간 시수, 총 과목 개설수를 빈도와 백분율로 산출하였다. 연구결과는 재난관련 교과목 개설 현황은 응급구조학과는 29개교(96.7%) 간호학과 19개교(63.3%)였다. 개설 현황은 응급구조학과 2학년, 간호학과는 4학년이 가장 많았으며, 전공선택으로 2학점 개설이 가장 많았다. 본 연구결과를 토대로 재난에 대처할 수 있는 능력을 기르기 위해서는 재난현장에 맞는 지식과 술기가 필요하며 보건의료자원의 역할에 맞는 교육과정이 완성되어야 할 것이다.

• 한국간호교육학회지
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• 제29권1호
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• pp.86-97
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• 2023

Purpose: This study aimed to assess exposure to traumatic events, knowledge and attitudes concerning post-traumatic stress disorder (PTSD) and the level of resilience among nurses and paramedics working in emergency departments. Methods: Data were collected from May 22 to June 12, 2022, using a self-administered survey questionnaire. The participants comprised 135 nurses and 80 paramedics working in emergency departments. The collected data were analyzed with descriptive statistics, a t-test, and an analysis of variance with Scheffé's test. Results: Compared with emergency room nurses, paramedics were more positive about the government's spending on job opportunities for people with PTSD. There were no significant differences in attitude regarding government strategies and people with PTSD between nurses and paramedics. Paramedics had higher scores on the effective treatment for PTSD, while emergency room nurses showed higher scores on effective psychotherapy. General knowledge of PTSD differed according to sex (t=-2.33, p=.021) and education level (F=3.21, p=.042). Resilience scores differed significantly according to sex (t=2.02, p=.045), education level (F=4.10, p=.018), self-reported economic state (F=10.34, p<.001), and self-reported health (F=11.57, p<.001). Conclusion: The findings support that emergency department nurses and paramedics are in need of self-care programs to support their mental health and indicate that intervention programs should be developed to enhance resilience in emergency department professionals.

• 임상간호연구
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• 제19권2호
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• pp.218-232
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• 2013

Purpose: This study was aimed to describe Helicopter Emergency Medical Services (HEMS) and analyze the flight nurses' activities in HEMS. Methods: Data were collected retrospectively from the air transportation reports that contained data of 168 patients transported by aircraft to G University medical center in Incheon since June, 2012 to March, 2013. Data were analyzed using descriptive statistics, and Mann-Whitney U test. Results: Average distance of flights was 44.0 km, duration of field treatment took 13.6 minutes, and duration of a flight from scene to hospital was 14.5 minutes. Nursing activities were categorized into 12 direct nursing activities and 5 nursing management activities, and a total number of 7806 nursing activities were occurred in HEMS. The most frequently performed nursing activity was measurement and monitoring (27.9%) followed by medication (11.5%) and respiratory management (8.7%). The most frequent nursing management were information management (11.0%). Nursing activities performed were significantly different depending on the patient's level of consciousness, cause of illness, crew configuration, and type of transportation. Conclusion: This study described HEMS nursing activities performed by flight nurses. Difference in nursing activities according to patient characteristics, crew configuration and type of transportation requires flight nurses to be prepared through educational programs to improve nursing activities and nursing management during air transportation.

• Child Health Nursing Research
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• 제25권2호
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• pp.143-153
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• 2019

Purpose: The purpose of this study was to examine the frequency, perceived importance and competence of pediatric emergency nursing practice (PENP) in nurses who cared for pediatric patients in the emergency department. Methods: This cross-sectional descriptive study analyzed 175 emergency department nurses caring for pediatric patients at 7 university hospitals with more than 500 beds, located in Seoul and Gyeonggi Province. The measurement tool was modified from the Classification of Standard Nursing Activities to measure the frequency, importance of PENP, and nursing competence. It comprised 143 items in 16 domains of PENP. Results: The most frequent nursing practice was the domain of 'nursing records and environmental management' and the least frequent practice was the 'research and consulting' domain. The nursing care domain perceived to be most important by nurses was 'specialized intensive nursing care'. The nursing care domain with the highest level of nursing competence was 'hygiene care', and the domain with the least level of nursing competence was the 'research and consulting'. Conclusion: These results will be utilized as basic data for future pediatric emergency nursing education initiatives and for establishing priorities of nursing policy to improve health care for children admitted to the emergency department.

• 한국콘텐츠학회논문지
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• 제14권3호
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• pp.314-327
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• 2014

본 연구는 간호대학 4학년 학생의 학습유형에 따른 응급상황관리 시뮬레이션 교육의 효과를 확인하고자 실시된 단일군 사전-사후 유사실험 연구이다. 연구 대상자는 4년제 간호대학에 재학 중인 58명의 학생이었으며, 연구는 2013년 6월 24일부터 7월 12일까지 실시되었다. 구조화된 설문지를 이용하여 간호대학 4학년 학생의 학습유형과 교육효과(비판적 사고성향, 문제해결과정, 협력, 실습만족도, 자신감)를 조사하였으며, 서술통계, t-test, ANOVA, Mann-Whitney U 검정, Kruskal-Wallis를 이용하여 자료를 분석하였다. 간호대학 4학년 학생의 학습유형은 수렴자 46.6%, 융합자 34.5%, 적응자 15.5%, 분산자 3.4%이었다. 응급상황관리 시뮬레이션 교육은 비판적 사고성향, 문제해결과정, 협력, 자신감에 유의한 향상을 보였으나, 학습유형에 따른 교육효과는 유의한 차이를 보이지 않았다. 이를 기초로 학습유형과 시뮬레이션 교육효과 간의 관계에 대한 재고찰을 통해 시뮬레이션 교육의 효과를 극대화시킬 수 있는 방안의 모색이 필요할 것이다.

• 근관절건강학회지
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• 제26권1호
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• pp.27-34
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• 2019

Purpose: This study was done to analyze nursing assessment and nursing care for pain in the electronic nursing records for the elderly patients with abdominal pain visiting the Emergency Medical Center. Methods: This study is a descriptive study based on nursing records from January to December 2015. A total of 1155 records for elderly patients with abdominal pain were gathered. Results: The mean age of elderly patients whose records were analyzed was 75.2 years. Analysis of nursing records regarding pain management showed that semi-urgent severity (93.7%), direct emergency room visits (58%), and 6.01 hours of emergency room stay (6.01 hours)were the most frequently documented characteristics of the elderly patients with pain complaints. Recording time of nursing assessment for abdominal patients was 1.01 hour; the average pain intensity was 3.97. The mostly used nursing intervention for abdominal pain was medication (65.1%). There was no record of non-pharmacological pain nursing interventions. Conclusion: The results of this study showed that improving knowledge and nursing practice for pain management is much of necessity. In particular, development of the non-pharmacological nursing interventions for pain is needed. Further research is also imperative to develop and evaluate record systems for pain management that can be used in the emergency room.

• 한국보건간호학회지
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• 제35권3호
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• pp.368-383
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• 2021

Purpose: The purpose of the study was to develop a smartphone app-based emergency coping education program to improve caregivers' emergency coping abilities and identify the program's effect on knowledge, attitudes and confidence in first aid. Methods: The study was conducted with 80 caregivers in elderly care facilities and home care centers. A total of 40 participants were assigned to experimental and control groups of caregivers working in elderly care facilities and home care centers using a nonequivalent control group pretest-posttest design. The data were analyzed using the 𝝌²-test and the independent t-test with the SPSS 25.0 program. Results: The experimental group had higher scores and a statistically significant increase in knowledge(t=6.26, p<.001), attitude(t=5.25, p<.001), confidence(t=3.38, p<.001) and emergency coping abilities(t=8.83, p<.001) was observed in comparison to the control group. Conclusion: The smartphone app-based emergency coping education program has proven the effectiveness of education by improving the ability of caregivers to cope with emergencies, suggesting the need to expand and apply it to more caregivers. In order to maximize the learning effect, app-based educational content should be developed in more diverse areas along with follow-up research with various education contents.