• 임상간호연구
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• 제28권1호
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• pp.13-22
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• 2022

Purpose: Extravasation of diagnostic and therapeutic materials might occur when the intravascular solution leaks into the surrounding tissues. Injury associated with extravasation depends on various factors. It may range from mild skin reaction to severe necrosis. However, the incidence rate for extravasation is largely unknown because of the limited reporting in Korea. Therefore, this study was conducted to identify the incidence of extravasation and nurses' attitude and knowledge of extravasation for providing high-quality nursing care. Methods: Three acute care hospitals were surveyed to estimate the occurrence of extravasation. Knowledge and attitude toward extravasation were investigated from 793 nurses working in six hospitals. Results: The incidence rate of extravasation was 0.5%. Extravasation commonly occurred in elderly patients aged 66 or older (59.9%) and internal medicine (48.2%), and it happened 13.73±20.68 days after hospitalization on average. It mostly occurred in the forearm site (52.9%) and was mainly caused by parenteral nutrition (33.6%). The mean scores of nurses' knowledge and attitude were 14.63±2.86 and 28.91±36.00, respectively. There was a significant negative correlation between the subjects' knowledge and attitude (r=-.11, p=.002). Conclusion: It is necessary to have a reporting system that can accurately monitor the occurrence of extravasation for patient safety management. In addition, it is necessary to develop a protocol that can be applied to clinical practice and a nurse education program.

• 산업융합연구
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• 제20권8호
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• pp.97-107
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• 2022

본 연구는 포스트 코로나 시대 간호대학생의 수업 경험에 대한 의미와 본질을 이해하기 위해 시도되었다. 연구 참여자는 코로나 펜데믹 이후 4학기 동안 대면 수업과 비대면 수업을 모두 경험한 1-4학년 재학생 10명이었으며, 자료수집 기간은 2021년 12월 9일부터 12월 30일까지였다. 수집된 자료는 Colaizzi의 방법을 적용하여 분석하였으며, 연구결과 6개의 범주, 13개의 주제모음, 25개의 주제가 도출되었다. 6개의 범주는 '미래에 대한 막연함', '간호 실무에 대한 자신감 결여', '수업 시스템의 안정화', '상황에 대한 수용과 적응', '예비간호사로서 직업적 소명의식을 가짐', '비대면 수업의 개선 방향을 찾음'이었다. COVID-19 발발 이후 만 2년이 지난 현시점에서 간호대학생의 수업 경험에 대한 이해는 향후 교육 방향에 대한 전략을 모색하고 미래 교육의 질을 제고하는데 있어 기초자료로 활용될 수 있을 것이다.

• 디지털융복합연구
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• 제16권12호
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• pp.489-503
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• 2018

본 연구는 임상실습을 하는 간호학과 학생의 외상 경험과 외상 후 성장에 대해 조사한 연구이다. 자료수집 기간은 2017년 11월20일부터 12월20일까지였으며 대상자는 4개 간호학과에 재학 중으로 임상실습 경험이 1년 이상된 4학년 학생 490명이었다. 자료는 SPSS/WIN 25.0으로 t-test, ANOVA 및 $Scheff{\acute{e}}$ test로 분석하였고, 외상경험은 내용분석법으로 분석하였다. 일상생활 중 외상경험을 한 경우는 26.5%였으나 임상실습 중 외상경험은 61.2%로 높았고, 외상 후 성장 점수는 5점 만점에 2.63점이었다. 외상경험 내용은 의료진의 폭력경험, 간호직에 대한 부정적 인식, 비교육적인 실습환경, 열악한 환경에서의 실습, 중증 환자 목격 등이 있었다. 본 연구의 결과는 향후 간호학과 학생의 외상 후 성장을 돕기 위한 임상실습교육 프로그램 개발의 기초자료로 활용 될 수 있다.

• 한국보건간호학회지
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• 제37권2호
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• pp.218-232
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• 2023

Purpose: This study was undertaken to identify the risk factors of genital infection by examining the genital hygiene practice followed by adult women of reproductive age. The results can be applied as basic data for health education and health management on female genital hygiene practices. Methods: Data ware collected by conducting an online survey, comprising 200 adult women of reproductive age. Genital infections according to genital hygiene practice were analyzed by simple logistic regression. Results: In this study, the Odds Ratio (OR) of genital infection occurrence of genital hygiene practices used were disposable briefs 4.11 (CI 1.79-9.39, p=0.020), feminine deodorant spray 3.13 (CI 1.37-7.15, p=0.007), deodorant, vaginal inserts (tabs/supp) 10.60 (CI 3.97-28.28, p<0.001), over the counter anti-itch products 3.73 (CI 1.67-8.34, p=0.001), blotting 11.47 (CI 4.62-28.48, p<0.001), natural sea sponge 4.98 (CI 2.04-12.15, p<0.001), reusable cotton pads 5.76 (CI 2.48-13.33, p<0.001), tampons 2.60 (CI 1.17-5.77, p=0.019), tampons/pads between periods 4.79 (CI 2.07-11.10, p<0.001) and tampons/pads combination 4.11 (CI 1.79-9.39, p=0.001) Conclusion: Our results indicated the necessity to refrain from unnecessary application of genital hygiene practices, which is highly related to genital infections identified in this study. There is a need to continue education for proper performance.

• 문화기술의 융합
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• 제7권4호
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• pp.583-590
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• 2021

본 연구는 전국 간호대학의 노인간호 교과목의 운영 현황을 파악하고 미국간호대학협회에서 제시한 19개 노인간호역량이 교과목에 반영되어 있는지 확인하고자 시도되었다. 연구대상은 한국간호교육평가원 인증을 받은 간호교육기관 198개로 각 대학의 홈페이지, 학과 홈페이지, 대학편람, 입시관련 정보, 교육과정표, 강의계획서를 인터넷 검색엔진을 통한 자료 수집 후 분석하였다. 수집된 노인간호 교과목의 강의계획서와 가장 최근의 교과과정표를 확인하여 SPSS 23.0을 사용하여 분석하였다. 노인간호 교과목 운영 현황은 빈도와 백분율을 산출하여 제시하였고, 강의계획서에 나타난 교육 내용은 미국간호대학협회(AACN)가 제시한 19개 노인간호 역량을 기반으로 분석하였다. 185개 기관(93.43%)는 노인간호 교과목을 운영하였고, 98개 기관(49.49%)은 이론과목, 84개 기관(42.42%)은 이론과 실습을 병행하였다. 전공필수인 경우 52.92%, 4학년 1학기 편성이 27.84%, 2학점 운영 53.54%로 가장 많았다. 강의계획서를 분석한 결과, 의사소통 관련 교육역량이 포함된 경우가 40%이었고, AACN 노인간호역량으로 '노인에게 효과적인 정보제공능력', '윤리적이고 비강압적인 의사결정', '억제대 비사용 케어', '급성기 재가 장기요양서비스 간 안전하고 효과적인 전환'은 교육내용에 없었다. 결론적으로 현재까지 노인간호 교과목은 질병중심으로 교육이 되고 있었고 노인의사소통을 포함한 효과적인 정보제공역량이 반영될 필요가 있다.

• 한국보건간호학회지
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• 제28권2호
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• pp.372-386
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• 2014

Purpose: This study was conducted in order to prove related practice factors of handwashing with soap and its practices by students in South Korea. Method: The subjects consisted of 700 students. Data were collected in Sep 2013 and were analyzed using descriptive statistics, chi-square test, and logistic regression analysis. Results: Total number of handwashing times was 7.5 per day. 65.1% of the students used soap and most of the students washed their hands for 20 seconds(31.1%). Self-evaluation, awareness of effect for prevention of infectious disease, and need for handwashing education were positive, but evaluation of toilet environment was negative. Most of the students washed their hands for 21 seconds(%), and methods of handwashing were not appropriate. Level of awareness was over 85% in most items. Practice differed significantly according to locations, pattern of school, self-evaluation, awareness of effect for prevention of infectious disease, need for education handwashing, and toilet environment. Conclusion: These findings indicate that the students learned methods of handwashing for its practice in South Korea, and they were considered as general characteristics of handwashing from students. In addition, results mentioned above will be reflected in development of educational programs for improvement of handwashing efficiency.

• 산업융합연구
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• 제20권10호
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• pp.25-32
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• 2022

본 연구의 목적은 간호대학생의 공감능력, 의사소통능력, 인간중심간호 정도를 파악하고 인간중심간호에 영향을 미치는 요인을 확인하고자 함이다. 2022년 05월 02일부터 05월 20일까지 G시 소재 대학에 재학 중인 임상실습을 경험한 간호대학생 3학년과 4학년 207명을 대상으로 하였다. 자료분석은 t-test, ANOVA, Games-Howell test, Scheffe test, Pearson's correlation, multiple regression으로 분석하였다. 인간중심간호는 공감능력(r=.57, p<.001), 의사소통능력(r=.63, p<.001)과 유의한 순 상관관계를 보였다. 인간중심간호에 대한 영향요인은 의사소통능력(β=.44, p<.001), 공감능력(β=.30, p<.001), 임상실습만족도(β=-.13, p=.028) 순으로 총 변화량의 49.8%를 설명하였다. 본 연구결과를 토대로 간호대학생의 인간중심간호를 향상시키기 위해 의사소통능력 및 공감능력을 높이기 위한 교육 프로그램 개발을 모색하고 임상실습만족도를 높이기 위한 사전·사후 평가를 통한 적극적인 피드백이 필요하다.

• 간호행정학회지
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• 제11권1호
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• pp.45-58
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• 2005

Purpose: The purpose of this study was to identify the relationship among self-leadership, job satisfaction, and perceived outcome in nurses. Method: The subjects of study were nurses as a population who were working for the 2 of university hospitals which have over 500 beds in Kyong Ki Province as well as who have been working for over 6 months. The data was collected by questionnaires from 217 nurses and analyzed using descriptive statistics, pearson correlation coefficient, and multiple regression on SPSS 10. 0 version. Results: The degree of Self-leadership was 3.38 out of 5 as a mean point. There was a significant difference in self-leadership according to age, level of education, working department, and position. There was a significant positive correlation between self-relationship and job satisfaction, self-relationship and perceived outcome, and job satisfaction and perceived outcome. The stepwise multiple regression analysis revealed that the most powerful predictor of job satisfaction and perceived outcome was constructive thinking. Conclusion: In conclusion, the result was obtained that self-leadership is much correlated with job-satisfaction of nurse and outcome of nursing practice. Therefore, as a way to promote efficiency of nursing organization, the constant study about self-leadership with the various aspects is needed focusing on self-management and inner motivation as a new leadership paradigm.

• 간호행정학회지
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• 제12권2호
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• pp.255-264
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• 2006

Purpose: This study was carried out to understand the in-patients' experiences related on informed consent for examination, treatment or surgery. Method: The study was conducted with 578 patients who were admitted to the departments of internal medicine and surgery for examination, treatment or surgery requiring informed consent from November 1 to 30, 2004 at three general hospitals in Daegu, Busan and Gyeongsangbuk-do. The data was analyzed by using SPSS 11.5 for Windows. Results: Although the one who explains during the process of informed consent should be doctors, 6.6% was informed by nurses or others. In addition, the majority has been told for complications and risk while relatively fewer patients were informed for necessity, method and costs of the procedure, and no one ever heard of other alternatives or the right to terminate the procedure at any time. While 40% of patients were not the final decision-makers of examination, treatment or surgery, 11.9% of patients answered their opinions were not considered during the final decision-making process. Conclusion: The study suggest that the ethically appropriate informed consent has not been achieved in the clinical practice, and therefore it is necessary to develop the specific behavioral guidelines and nursing ethics education program for nurses in order to settle down the desirable informed consent at the dimension of nursing management.

• 부모자녀건강학회지
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• 제3권2호
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• pp.81-93
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• 2000

The role of the neonatal nurse specialist has been well established over the past decade and now reform in 21st century. Neonatal nurse specialists responsibilities in caring for critically and long-term chronically ill infants and their families are very important. Neonatal nurse specialists have a two fold responsibility in caring for these infants. First, through acquiring advanced practice education in complex neonatal care and diagnostic skills, neonatal nurse specialists meet the physiologic needs of the infant. Second, neonatal nurse specialists provide a more holistic approach to their care through evaluating the family in treatment plans and involving the family in discharge planning for the infant. In some institutions, neonatal nurse specialists are directly involved in institutional and/or home follow-up care and case management also. It is the neonatal nurse specialists responsibility to function collaboratively with the multidisciplinary team in managing critically or chronically ill infants from admission to discharge. The role of the neonatal nurse specialist case manager can be described as one that focuses on individualized care of the infant, while providing continuity of care to both the infant and family. The neonatal nurse specialist's role will vary depending on the neonatal intensive care unit(NICU). Therefore, the multidisciplinary collaborative approach to long-term management of infants in the NICU is extremely important to provide successful transition to home or to long-term rehabilitative care facilities because care for the chronically ill infant is complex and multifaceted. I suggest the role of neonatal nurse specialist in 21st century are as follows. 1. Diagnostic/patient assessment 2. Management of patient health/illness 3. Administering/monitoring therapeutic interventions and regimens 4. Monitoring/ensuring quality of health care practices 5. Organization and work role 6. Helping role 7. Teaching/coaching role 8. Management of rapidly changing situations 9. Consulting role The advanced practice nursing model of care delivered by neonatal nurse specialist's in the NICU incorporates medical and nursing role functions and emphasizes holism, caring, and a health perspective for critically and chronically ill neonates and their families.