• Title/Summary/Keyword: Emergency Nursing

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Supportive Behavior of Parents and Nurses During Children's Invasive Procedure (아동의 침습적 처치시 부모와 간호사의 지지행위)

  • Song, So-Hyeon
    • Journal of Korean Biological Nursing Science
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    • v.8 no.2
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    • pp.73-92
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    • 2006
  • Purpose: This study was to understand actual state of supportive behavior of parents and nurses during invasive procedure for children who visit emergency medical center. Method: The object group was children's parents who have from 0 to 7 aged children takes invasive procedure except neonates and nurses who take part in the invasive procedure. Among them, 80 children's parents and 31 nurses were selected. For data analysis, SPSS for Window 8.0 was used and especially content analysis was performed for concrete supportive behavior of parents and nurses by survey. Results: Supportive behavior of parents and nurses during children's invasive procedure gave negative influences to the children, because most parents supplied poor supportive behavior without preparation, nurses performed work-oriented and treatment-oriented nursing due to speciality and busy business in emergency medical center. Conclusion: To lead positive and affirmative supportive behavior of parents and nurses during children's invasive procedure, for parents, positive supportive behavior ability must be strengthen through the overall education about children's invasive procedure when they visit emergency medical center or go to hospital: for nurses, hospital must provide successive instruction and policy to make nurses perform not work-oriented but patient-oriented nursing and positive supportive behavior.

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Related Factors of Severity Rated by Korean Triage and Acuity Scale (KTAS) among Older Adults at the Emergency Departments (일개 지역 응급의료센터 방문 노인의 중증도 영향 요인)

  • Shin, Dong-Soo;Kim, Mi Sook
    • Journal of East-West Nursing Research
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    • v.24 no.2
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    • pp.146-153
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    • 2018
  • Purpose: This study aimed to identify characteristics and severity assessed by Korean Triage and Acuity Scale (KTAS) among 2,496 older adults aged 65 and over who visited an emergency department (ED) located in Chuncheon city. Methods: Data were collected via electronic medical records from two hospitals from January to December of 2016. Chi square test and logistic regression were applied using SPSS 22.0. Results: 53.5% of the participants were women and 17.6% of visits were done by aged 85 and older. ED visits by ambulance were 33.9%. More than two-third of older adults' ED visits were emergent status. Severity of the ED visits of older adults were rated by KTAS. Commonly reported chief complaints of the ED visits were dizziness, dyspnea, chest pain, abdominal pain, and hypoalbuminemia. Among them, dizziness, chest pain, dyspnea, and hypoalbuminemia were related factors for being-emergent condition. Conclusion: Strategies for older adults' chief complaints are needed in order to reduce unexpected ED visits.

Older Adults' Perceptions of Age-friendliness with an Emphasis on Community Supports and Health Services in a City in South Korea

  • Lee, Chi-Young;Cho, Belong;Cho, Youngtae;Park, Yeon-Hwan
    • Research in Community and Public Health Nursing
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    • v.30 no.2
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    • pp.234-242
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    • 2019
  • Purpose: This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives. Methods: 166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses. Results: emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services. Conclusion: Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.

Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students (호흡곤란 응급관리에 대한 시뮬레이션기반 교육이 간호학생의 지식과 수행자신감에 미치는 효과)

  • Hur, Hea-Kung;Park, So-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.1
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    • pp.111-119
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    • 2012
  • Purpose: The purpose of this study was to identify the effects on knowledge and performance confidence of nursing students in the emergency care of patients with dyspnea after simulation education using a human simulator. Method: The research design was a nonequivalent control group pretest-posttest design. For the experimental group the human simulator was used to provide simulation. Also included were base learning with audio-visual material, explanations about simulation, using SimMan for human simulation, and debriefing. Pre and post-tests were conducted to compare differences in knowledge and performance confidence. Result: The (t=3.83, p<.000) than the control group. For the experimental group, the differences in pretest-posttest scores for knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the experimental group had significantly higher scores for knowledge (t=3.03, p=.004) and performance confidence (t=3.83, p<.001knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the control group. Conclusion: The results of this study indicate that for student nurses, knowledge and performance confidence in emergency care of patients with dyspnea improve with human simulator simulation education. Further study is suggested to develop other scenarios for emergency care and identify the effects of critical thinking and satisfaction when using human simulator simulation education.

Development of a Coping Scale for Emergency Situations with Elementary School Students (학령기 아동의 응급상황에 대한 대처 측정도구 개발)

  • Kim, Shin-Jeong;Lee, Jung-Eun;Kang, Kyung-Ah;Song, Mi-Kyung;Lee, Sook-Kyung;Kim, Sung-Hee
    • Child Health Nursing Research
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    • v.15 no.3
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    • pp.271-281
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    • 2009
  • Purpose: This study was conducted to develop an instrument to measure coping in emergency situations. Methods: The process included construction of a conceptual framework, generation 60 primary items, verification of construct validity and extraction of final items. The.60 preliminary items were reviewed for content validity by seven experts and were tested to evaluate inter-item correlation coefficient by three groups of elementary school students. From November 1 to December 10, 2008, data were collected from 920 elementary school students according to residential characters (major city, small town, rural area). Item analysis, factor analysis with rotation Varimax and Cronbach's alpha were used to analyze the data. Results: 1) There were 45 items in the final instrument categorized into 8 factors. 2) The factors were labeled as "Call for help and check" (8 items), "Care for common symptoms" (6 items), "Appropriate response for the situation" (5 items), "Evacuation" (6 items), "Care for tissue damage" (8 items), "Care for injury by heat, cold or foreign body" (6 items), "Offer help" (4 items) and "Rescue & escape" (2 items). 3) Cumulative percent of variance was 53.10% and eigen values ranged from 1.04 to 13.38. 4) Cronbach's alpha for the total was .943 and ranged from .527 to .869. Conclusion: Validity and reliability of the scale are confirmed in this study showing its utility for measuring coping in emergency situations with elementary school students. Utilization of the scale will also contribute to designing appropriate coping education programs for elementary school students.

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Coping Strategies, Compassion Fatigue and Compassion Satisfaction among Nurses in Emergency Room (응급실 간호사의 대처방식과 공감피로, 공감만족)

  • Jang, Yang Min;Kim, Souk Young
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.348-358
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    • 2014
  • Purpose: This was a descriptive correlation study to identify emergency room (ER) nurses' coping types and factors affecting compassion satisfaction (CS) and compassion fatigue. Methods: During March and April 2013, 170 questionnaires were distributed to ER nurses working in general hospitals in D and C regions. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation analysis, and stepwise regression analysis. Results: Compassion fatigue was most strongly affected by emotional expression for burnout and by practical support pursuit for secondary traumatic stress. Positive coping, emotional expression, position, positive reinterpretation, and self-blame explained 42% of CS. Conclusion: Results indicate that nurses with moderate levels of career had high compassion fatigue and low compassion satisfaction. Thus these nurses need to be given an opportunity to achieve self-development and improve their ability as nurses; interventions that can reinforce positive coping strategies should be provided as personal coping strategies affect compassion fatigue and compassion satisfaction.

Effects of Visual Media Programs on Job Stress and Burnout in Emergency Room Nurses

  • Kim, Ha-Gang;Kang, Hee-Sun
    • International Journal of Advanced Culture Technology
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    • v.7 no.4
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    • pp.32-39
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    • 2019
  • The purpose of this study was to identify the effects of visual programs on job stress and burnout in emergency room nurses. This study used a nonequivalent control group pretest-posttest design. There were 26 participants in the experimental group and 27 in the control group. Data collection took place from December 12, 2017 to February 17, 2018. The program comprised eight weekly 120-minutes sessions, which included understanding and assessing job stress and burnout. Data were analyzed using the Chi-square test, paired t-test, and independent t-test. As a result, levels of job stress (t=-20.09, p<.001) and burnout (t=-22.31, p<.001) decreased significantly in the experimental group. The results suggest that the Visual Media Program could be an effective strategy for reducing job stress and burnout. Therefore, it is deemed a useful intervention for improving the quality of nursing care provided in emergency rooms.

A Study on The Training Curriculum for The Emergency Medical Technician (응급구조사(應急救助士) 교육과정(敎育課程)에 관(關)한 연구(硏究))

  • Sohn, Shin-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.2
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    • pp.32-55
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    • 1996
  • It was enacted 'Emergency Medical Act' in January, 1994 beginning the emergency medical service system from 1982, and while it was established the emergency medical department in junior college providing the detailed agenda about emergency medical technician and the regulation relative to the application of a law on the emergency medical act in 1995, the fire school and the National Medical Center are enforced the curriculum. It is very important subject faced for the construction of emergency medical system to produce a number of emergency medical technicians to be sufficient to the role of emergency aid. In this study it is analysed the training curriculum for the emergency medical technician and presented the improvement plans. 1. Though it needs the qualification level of first and second class in the selection process, the more important thing needs the detailed qualification level by term of one's service and the skills of business accomplishment. 2. In the examination management, (1) written examination is composed of the questions to understand how much faithfully they carry out the practical business as the emergency medical technicians, (2) it is added practical examination as the item to appraise the situation disposal ability. 3. It is necessary to prescribe the activity in the medical institution and ambulance arrangement through the development of 'Business Treatment Guide'. 4. For the regional balanced disposition of emergency medical personnel it is selected balanceably the educational institution by eight medical service areas, and considering the characteristics of region it is necessary to manage, in the practical business training course, another special course such as the mountains medical aid and sea medical aid. 5. In the period of education the first class needs the practical business training period of a certain period after passing examination, and the second class needs the extension of the period. 6. As the problems to improve in the curriculum [1] in the first class course (1) intensification of practical educaiton (2) reinforcement of curriculum (3) the development of standardized curriculum etc., [2] in the second class course (1) varieties of curriculum (2) intensification of basic first aid treatment education.

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Severity of Emergency Patient classified by Triage System (중증도 분류체계를 이용한 중증도분류(Triage))

  • Bae, Jung-Hee;Sohn, Sue-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.264-274
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    • 2001
  • About the patients who visited the emergency department of a hospital, investigative study was performed to assess and to classify them with triage tool, and to estimate the characteristics of them. 210 patients older than 15 years were investigated. Among them 11 patients who had responded inappropriately were excluded and remaining 210 patients were chosen as study subjects. Investigation had been performed for 30 days from Jan. 10, 2001 to Feb. 9, 2001. The triage tool was designed through the modification of triage tools developed by Kim and Choi. The data were analyzed with the SPSS program using mean, standard deviation, frequency, percentage, ANOVA and Scheffe's test. The results were as follows: 1. Of the characteristics of the study subjects, mean age of patients were 55.76 years and 70-79 years group which included 41 patients(20.6%) were most numerous. 101 (51.8%) patients visited emergency room by 119 emergency service and 91(45.7%) patients walked with assistance. 127 patients were cared in internal medicine department. 2. The distribution of triage scores were from minimum 6 points to maximum 18 points with mean $13.76{\pm}2.58$ points. 3. Triage scores had significant relationship with age(F=13.349,P=0.000), visiting method (F=8.832, P=0.000), walking status(F=28.185, p=0.000), care department(F=2.596, P=0.019), and preexisting disease(F=12.012, P=0.000). 4. After trage there were no urgent patient, 35 emergent patients(17.6%),109 subemergent patients(54.8%), and 55 nonemergent patients (27.6%). The result of emergency care were 80 admission(40.2%), 59 discharge (29.6%), 34 ICU admission(17.1%), 14 transfer to other hospital(7%), 10 operation (5%), and 2 death (2%). 5. About the time required for triage, mean duration to triage were $7.54{\pm}2.28$ mins in emergent patients, mean $7.23{\pm}2.50$ mins in subemergent patients and mean $6.49{\pm}2.19$ mins in nonemergent patients. There were no differences in duration to triage according to the severity of triage. 6. Time required in emergency treatment were mean $116.23{\pm}88.10$ in emergent patients mean $101.61{\pm}73.27$ in subemergent patients and mean $81.56{\pm}61.01$ in nonemergent patients. There were no significant difference among groups. This study depicted that triage scores were below the middle level and there were many geriatric patients in this hospital. Among the characteristics of patients, age, visiting method, walking status, care department, and accompanying disease could be data for triage of emergency patients. With triage score of a patient, the outcome of emergency care of a patient could be anticipated and this could be basal data in determining the priority of emergency nursing.

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A Study on Intensive Major Course of Department of Nursing in College (전문대학 간호과 전공심화과정 운영방안)

  • Park, Song-Ja;Je, Mi-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.64-74
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    • 2004
  • This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.

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