• 제목/요약/키워드: Clinical Basic Nursing Practice

검색결과 177건 처리시간 0.025초

중환자실 간호사의 중환자 간호실무표준 불이행에 대한 조사 (ICU Nurses'Noncompliance of Critical Care Nursing Standards)

  • 권순정;이영희
    • 중환자간호학회지
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    • 제2권1호
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    • pp.36-47
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    • 2009
  • Purpose: This study was to determine ICU nurses noncompliance of critical care nursing standards in order to provide basic data for education aimed at improvement in practice and evaluation of quality of nursing care in ICU. Methods: Data was collected from 150 nurses who work for three educational hospitals which have more than 800 beds and located in Gyeonggi province using questionnaires from September 2007 to October 2007. Results: The highest categories of noncompliance of critical care nursing standards were admission care($2.71\pm.60$) and infection control($2.31\pm.70$). The main causes of noncompliance critical care nursing standards that nurses regarded as causes were lack of attention(80.7%). ICU nurses mainly reported their noncompliance to charge nurses(89.3%) within 30minutes (84.7%). The reasons they reported were to solve problems rapidly and correctly, to reduce a harm to patients, and to prevent making noncompliance again. The reasons they didn't report were that they thought it might be not a problem and there was no change of patients conditions. Conclusion: ICU nurses noncompliance of critical care nursing standards was determined, therefore it can be used for prevention of further noncompliance.

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노인의 인지기능 측정 (Measurement of Cognitive Functions of Elderly)

  • 소희영;김혜영
    • 재활간호학회지
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    • 제7권1호
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    • pp.7-14
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    • 2004
  • To examine the cognitive function of elderly, the study examined the performance of Korean normal elderly population whose age over 65 using neuropsychological instruments. It was predicted that the performance of the Korean population would be different from the U, S. mainly due to their difference in language, culture, and education. Korean elderly people from the Chungchung and Daejeon Metropolitan city(n=97) participated. Two age scores were developed: below 74 years and over 75 years. The effect of age, gender and education was examined, which yield significant age, gender and education effect. The score of DSF, DSB, TMTA, and TMTB are expected to be utilized for research purposes, such as basic, clinical, epidemiological studies, as well as practice purposes such as diagnosis and assessment of the progression of cognitive decline and dementia with MMSE-K.

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간호정보조사지 개선을 위한 연구 (A study for innovation of Adult nursing assessment tool)

  • 박경숙;지성애;정혜경
    • 성인간호학회지
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    • 제12권1호
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    • pp.77-87
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    • 2000
  • This study tried to suggest the basic materials that can be efficiently applied in clinical cases by understanding problems through a content analysis of an adult nursing assessment tool and opinion agreement about nurse's practical usage presently used in the hospital. The study was carried out in 36 attached hospitals in nationwide universities from May to December, 1999, the two hundred and twenty five reports were for analysis. The contents of the collected nursing assessment tool were analyzed. It was found that the tool had been used with various names and content and there were instances of partial omission of a number of items, such as documentation and time records. Other results revealed that they mostly had a systematic classification of items, formation of details a form of a check list, and the effect of saving time. In spite of the adult nursing assessment tool, it was suggested that its style be subdivided according to the specialized of a department and that standardized style be amended and supplemented. The respondents also answered that there had to be education about continuous and sufficient health assessment skills on the physical examination record. The most frequently suggested items to be added were: past history, marital status, patient and caregiver's address and telephone number. It was found that a patient's education career, economic status, religion, hygienic practice, sexual life and hobby were the most frequently omitted items on record. The reason given wes because the items were associated with his/her privacy. These results highlight the importance of analyzing the content with an complete data collection, supplying basic content for a more accurate nursing record, computerization, sharing information and standardization of the form.

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간호대학생의 생명의료윤리에 관한 문헌연구 (A review of research on biomedical ethics of nursing college students)

  • 원효진
    • 산업융합연구
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    • 제19권4호
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    • pp.49-55
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    • 2021
  • 본 연구는 간호대학생을 대상으로 생명의료윤리에 대하여 분석한 국내연구의 동향을 파악하고자 하였다. 문헌조사에 사용된 검색엔진은 KISS, NDSL, RISS이었으며, '간호대학생'과 '생명의료윤리'를 주요어로 선정기준에 적합한 26편의 논문을 분석하였다. 생명의료윤리를 분석한 주요개념은 생명의료윤리의식이었으며, 태아생명권, 인공수정, 장기이식 등의 내용을 포함하였다. 또한 생명의료윤리의식은 대상자의 윤리교육경험(유무), 학년, 임상실습경험, 윤리교육 참여의사에 따라 차이가 있었으며, 생명의료윤리의식과 함께 분석된 주요 개념으로는 연명치료중단, 윤리적 가치관, 비판적사고, 성태도, 간호전문직관, 죽음에 대한 인식 등으로 나타났다. 이러한 결과는 향후 간호윤리교육 마련을 위한 기초 자료로 활용될 수 있을 것이다.

임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도: Q방법론 적용 (Subjective Attitudes towards Terminal Patients of Nursing Students with Clinical Practice Experience: Application of Q Methodology)

  • 이은주;황경혜;조옥희
    • Journal of Hospice and Palliative Care
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    • 제22권4호
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    • pp.156-165
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    • 2019
  • 목적: 본 연구는 임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도 유형을 확인하고, 유형별 특성을 분석하기 위해 Q 방법론을 적용한 조사연구이다. 방법: 75개의 Q 모집단 중 최종 34개의 Q표본을 선정하고 임상실습을 경험한 간호대학생 43명의 P표본을 대상으로 9점 척도의 Q-분류를 하도록 하였다. 수집된 자료는 PC QUANAL Program으로 주요인분석을 하였다. 결과: 임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도는 모두 3개 유형으로 나타났으며, 이들의 전체변량은 49.96%였다. 제1유형인 '생명의료 희망형'은 말기환자가 자신의 상태를 정확히 알고 생명을 연장하기를 원한다고 생각하였다. 제2유형인 '서비스 제공 요구형'은 말기환자가 미리 죽음을 준비할 수 있도록 다학제적인 간호와 이에 대한 제도가 마련되어야 한다고 생각하였다. 제3유형인 '죽음 수용 인식형'은 호스피스 병동에 입원하여 품위 있게 죽기를 원한다고 생각하였다. 결론: 본 연구를 통해 임상실습을 경험한 간호대학생의 말기환자에 대한 다양한 주관적 태도를 파악했으며, 이를 토대로 유형별 맞춤형 교육 프로그램이 개발된다면 말기환자에 대한 교육이 체계적으로 이루어질 것이다.

중소병원 간호사의 전문직자아개념과 조직몰입 및 직무만족과의 관계 (The Relationship between Professional Self-Concept, Organizational Commitment and Job Satisfaction in Clinical Nurses)

  • 김원경;정경희
    • 간호행정학회지
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    • 제14권3호
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    • pp.287-296
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    • 2008
  • Purpose: This study is descriptive survey to offer basic data of nursing management practice as identify the relationship between Professional Self-Concept, Organizational Commitment and Job satisfaction, whom nurses work general hospitals less than 250 beds. Methods: The subjects in this study were random sampling 320 nurse who worked in 9 general hospital in G city that had less than 250 beds, data was collected from 10 to 30 in Apr, 2007. The data were analyzed using descriptive statistics, Pearson‘s correlation, t-test, ANOVA, Scheffe test. Results: Level of Professional Self-Concept of nurses was average 2.60 point, level of Organizational Commitment of nurses showed 2.83 point, level of Job Satisfaction of nurses showed 2.73 point. There was a statistically significant difference at Professional Self-Concept of nurses as general characteristics showed a marriage state, position, work place, clinical career. There was a statistically significant difference at Organizational Commitment of nurses as general characteristics showed a marriage state, position, clinical career. There was a statistically significant difference at Job Satisfaction of nurse as general characteristics showed a marriage state, position, clinical career. There were highest correlation Organizational Commitment with Job Satisfaction(r=.536, p<.001), also high correlation Organizational Commitment with Professional Self-Concept(r=.478, p<.001). And there were high correlation Job Satisfaction with Professional Self-Concept(r=.422, p<.001). Conclusions: As integrate of the study result showed the Professional Self-Concept had correlation to Organizational Commitment and Job Satisfaction, specially as relation those valuables with general characteristics of subjects, it strongly need to develop educational program for improving Professional Self-Concept with supporting of variety administration for developing human resource for nurses who are not married, low position in hospital, short career, or worked in inpatient wards.

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간호대학생의 간호윤리 가치관 (Nursing Ethics Values of Nursing Students)

  • 김미화
    • 문화기술의 융합
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    • 제5권1호
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    • pp.59-66
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    • 2019
  • 본 연구는 간호학생의 윤리적 가치관에 의무론과 공리주의가 윤리적 가치관 확립에 미치는 영향을 파악하여 기초자료를 제공하기 위하여 시행되었다. 자료 수집은 2018년 5월 14일부터 6월1일까지 D지역에 소재한 일개 대학교 간호학과 학생 180명을 대상에게 연구를 설명 후 동의한 학생을 대상으로 하였다. 수집된 자료는 SPSS 21.0 program을 이용하여 일반적 특성은 기술통계를 사용하여 실수와 백분율로 나타내고, 대상자의 인구학적 특성과 간호 관련 특성에 따른 차이를 확인하기 위하여 independent t-test, ANOVA 로 분석하고 사후검정은 $Sch{\acute{e}}ffe$ 사후 검정을 실시하였다. 간호학생의 윤리적 가치관은 150점 만점에 $97.51{\pm}8.96$점 인 것으로 나타나 의무론의 입장에 기울어져 있는 것으로 나타났다. 1학년 학생들은 의무론적 입장이 더 우세했으며 학년이 높아질수록 공리주의 입장으로 더 기울어지는 것으로 나타났다. 결과를 토대로 임상현장에서 있을 여러 가지 간호딜레마 상황에 놓였을 때, 철학적인 사고를 통한 따라 윤리적 의사결정을 할 수 있도록 윤리적 가치관 확립에 교육 개발이 필요하다.

임상실습교육 전 간호대학생의 스마트폰 중독, 자기효능감 및 의사소통능력 관계 (The Smartphone Addiction, Self-Efficacy, and Communication Skills of Nursing College Students before Clinical Training Relationship between Communication Skills)

  • 김미영;박효진
    • 대한통합의학회지
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    • 제11권4호
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    • pp.157-166
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    • 2023
  • Purpose : The purposes of this study were to determine the relationships of communication skills with smartphone addiction and self-efficacy before clinical practice training among nursing students and to provide basic data for developing and verifying the effectiveness of an intervention program for improving nursing students' communication skills. Methods : This study targeted those who obtained consent to collect data explained the purpose and procedure of the study for the first and second graders of the nursing department at one university located in B city. The data collection period was from April 24 to May 13, 2023. A total of 207 questionnaire responses were included in the analysis. The collected data were analyzed using t-tests and analysis of variance in the SPSS/Win 230 program. The results were reported as real numbers, percentages, mean values, and standard deviations. The correlations between the variables were analyzed using the Pearson correlation coefficient. Results : Smartphone addiction according to the general characteristics of the study subjects showed significant differences in 'residence type' (F=2.91, p=.035) and 'average smartphone usage time' (F=20.15, p=.000). It seemed. self-efficacy was determined by 'age' (F=2.74, p=.045), 'subjective academic level' (F=7.71, p=.001), and 'average smartphone usage time' (F=3.96, p=.009) showed a significant difference. Communication skills showed a significant difference in 'average smartphone usage time' (F=3.83, p=.011). The correlation between the variables of the study subjects showed that self-efficacy was negatively correlated with smartphone addiction (r=-.42, p<.001), and communication ability was positively correlated with self-efficacy. It was found that (r=.55, p<.001). 15) Conclusion : On the basis of the study results, the higher the nursing students' smartphone addiction, the lower their self-efficacy, and the higher their communication ability, the higher their self-efficacy. Therefore, intervention research is necessary to develop interventions for preventing smartphone addiction and increasing communication ability among nursing students.

의료인의 윤리적 이슈, 윤리적 딜레마와 윤리교육 요구도 조사 (Survey on Ethical Issues, Ethical Dilemma, and Needs for Ethics Education in Healthcare Providers)

  • 제남주;박미라;방설영
    • 디지털융복합연구
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    • 제18권10호
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    • pp.285-296
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    • 2020
  • 본 연구는 다양한 규모의 의료기관에 근무하는 의료인을 대상으로 Ethical Issues in Clinical Practice 도구로, 윤리교육 요구에 대한 내용을 조사하여 추후 윤리교육 프로그램 개발에 도움이 되는 기초자료를 제공하고자 시도되었다. G도에 소재한 의료기관의 의료인 149명을 대상으로 자료수집 하였다. IBM SPSS WIN/21.0을 이용하여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression을 사용하였다. 윤리교육 필요성은 말기치료결정 이슈(r=-.22, p=.007), 환자간호 이슈(r=-.28, p<.001)와 역상관관계가 있었다. 대상자의 윤리교육 필요성에 가장 영향을 미치는 요인은 환자간호이슈(β=-.246, p=.035)이었고, 그 다음으로 불교(β=.208, p=.010)이었다. 수정된 설명력은 13.4%이었다(F=5.596, p<.001). 윤리교육 프로그램 내용을 구성할 때 대상자의 요구도를 반영하여 환자간호 이슈 내용과, 대상자의 종교를 반영한 맞춤형 프로그램 마련이 필요하며, 윤리교육 프로그램 개발에 도움이 되는 기초자료로 활용될 수 있을 것이다.

전인간호의 임상학적 분석과 실행에 관한 연구 (A STUDY ON THE CLINICAL ANALYSIS AND PERFORMANCE IN COMPREHENSIVE NURSING CARE)

  • 전산초
    • 대한간호학회지
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    • 제4권1호
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    • pp.1-21
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    • 1974
  • A considerable change of the Korean nursing system has been made during the last decade not only in its philosophy but also in its function and structure to meet political and scientific need of the modern society. The main purpose of this study is to develope the new concept of comprehensive nursing care, both its Philosophy and ethics, as the basic of modern clinical nursing theory and practice. Comprehensive nursing care is the concept of human centered nursing care, and it helps a man to meet the basic physical, psychological, environmental, socioeconomic and teaching needs. It also helps him to help himself to meet these needs. This concept starts from the individualized nursing care and its ultimate goal is to improve a man to have a better position in his own community so that he may able to have a meaningful life. To accomplish this goal, an individualized nursing care plan as a nursing diagnosis and problem solving method should be set up for different patients with similar diagnosis to meet their needs, because each patient has a different social background. from this viewpoint, nursing is a science as well as abstruse humanity. The performance of comprehensive nursing care is a goal and issue of modern clinical nursing care. If nursing is a science and a profession for man, it should have ethics which recognize the dignity of man and offers infinite service voluntarily, and should be able to show leadership in carrying out the nursing responsibility. This leadership finds a person's potential and encourages him to utilize it. Such concepts should develop into a nursing ideology and this ideology should become a priority in comprehensive nursing care. The following statements are the conclusion of this study. 1) Modern nursing has been developed from disease centered nursing care to comprehensive nursing care based on humanity. The primary principle of nursing was to assist in the treatment of disease, but it has been changed to the professional nursing system independently. 2) The concept of nursing is one of continuous or endless scope of dispersion. It proves that nursing is grasping the professional responsibility to be able to coordinate scientific principles Patient health problems are according to scientific principles rather than adhering to nursing technical discipline as a daily work. 3) In chapter I and Ⅱ, the philosophy and ideology of nursing have been discussed and the flow of concept of clinical nursing and the rate of progress which emerges from naturalizing performance of the concept of comprehensive nursing in clinical nursing studied. The discussion developed the theory that a nurse should be to embody nursing ideas and objectives by establishing definite conviction of professions and study. 4) In chapter lil, nursing planning based on nursing diagnosis as a method to attain ideal nursing care for humanity with a definite idea of establishing philosophy of nursing was presented. 5) From the result of survey on patient needs about treatment and nursing, it was observed that all patient had emotional stress from unknown factors. Therefore it was concluded that nurses should not only educate the patient but also give them the opportunity to communicate freely their needs and anxieties. Furthermore complaints and doubts of the patient should be carefully noted and must be considered to meet these needs. 6) Patient teaching is the most important part of comprehensive nursing care. In chapter, Ⅲ, the important of patient teaching was emphasized by demonstrating the effect of patient teaching for diabetic patient. 7) In Chapter Ⅳ, from the result of the study on nurses attitudes to comprehensive nursing care, it was pointed that the evolution of nursing education and the establishment of a complete concept and value of comprehensive nursing was necessary.

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