• Title/Summary/Keyword: Emergency Nursing

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The Propriety of Portable Digital X-RAY Equipment for Emergency Medical Services (델파이 기법을 이용한 응급의료에서의 휴대용 디지털 X-ray 발생장치의 적절성)

  • Cho, Dong-Heon;Gu, Kyung-Wan;Yang, Hae-Sool;Jo, Jean-Man;Han, Man-Seok;Lee, Mi-Ok
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.15-23
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    • 2005
  • The purpose of this study is to analyze the propriety of portable digital X-ray Equipment for Emergency Medical Services in Daejon Emergency Medical Center in Korea. The major instruments of this study were Korean Self-Analysis Opinionnaire, Questionnaire contains 35 items which measure emergency medical personal opnions. To take the analysis of data, the total of 92 persons were investigated in Medical Information Center in Daejon Metropolitan City from 2005. 20. April to 2004. 25. May. The data were analyzed by the path analysis SPSS program. First, portable X-RAY equipment is needed to apply it to emergency. Second, it should have small and light structure compared with old equipments and have high voltage generator unit for X-RAY using inverter. Third, it should be able to send the shot data that is digital detector type without film to doctors in emergency center.

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Coincidence analysis of keywords and MeSH terms in the Korean Journal of Emergency Medical Services (한국응급구조학회지 게재 논문의 중심 단어 분석(2005년-2011년))

  • Lee, Kyoung-Hee;Ham, Young-Lim
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.2
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    • pp.43-51
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    • 2012
  • Purpose : We try to disclose how much the keywords of the papers from the Korean Journal of Emergency Medical Services with Medical Subject Headings(MeSH) terminologies and to understand the major subjects of the recent emergency medical technology research in Korea from keywords. Methods : We analyzed keywords from 524 articles of the Korean Journal of Emergency Medical Services that were published between 2005 and 2011. We investigated frequently used keywords and what percentages of keywords agree with MeSH terms using the MeSH browser. Results : There were on average 3.2 keywords per article. The most frequent key words were AED, Attitude, Cardiopulmonary Resuscitation, CPR, EMT, EMT students, External Defibrillator, Job satisfaction, Knowledge, 119 EMT in order. The number of terms in precise agreement with MeSH headings was 101(19.3%); 327 terms(62.4%) were not found in the MeSH browser and 96 terms(18.3%) partially matched MeSH terms. Conclusion : Many keywords used in the Korean Journal of Emergency Medical Services did not agree with MeSH terms. We conclude that contribution rules should be using MeSH terms and authors should be educated in the proper use of MeSH terms in their research and subsequent publication.

Cognition of registered nurse on emergency treatment for oral and maxillofacial injury in Jeju province (제주 지역 간호사의 구강 악안면 영역 손상에 대한 응급 처치 인식도)

  • Lee, Byoung-Jin;Song, Hyo-Jeong;Lim, Gil-Chai;Kahm, Se-Hoon;Kim, Sung-Joon
    • The Journal of the Korean dental association
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    • v.50 no.12
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    • pp.763-770
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    • 2012
  • The purposes of this work were to assess the cognition of the registered nurse(RN) on oral and maxillofacial emergency treatment and to compare cognition of the RN with that of the 119 emergency medical technician(EMT). 450 RNs who were working at each of secondary hospitals in Jeju province had responded to the questionnaire. Independent sample t-test and chi-square test were used to assess the state of RN on dental emergency treatment and to compare RN with EMT. The question 'education time on dentistry in formal education' that marked '0 hour' and '1-3 hours' were 73.3% and 20.0%, respectively. The question 'refresher training class on dentistry' that marked '0 hour' and '1-3 hours' were 92.9% and 6.7%, aggregately 99.6%. The results showed low score in the question 'reduction of temporo-mandibular joint(TMJ)'($1.67{\pm}0.857$), 'fixation of dislocated TMJ'($1.70{\pm}0.853$) and 'post-avulsed tooth treatment'($1.78{\pm}0.774$) by 5-point Likert scale. Likewise, the scores were $2.02{\pm}0.806$ in the question 'treatment of maxillofacial trauma', $2.76{\pm}1.061$ in the question 'emergent care of avulsed tooth', $2.70{\pm}1.095$ in the question 'treatment time of avulsed tooth' and $2.79{\pm}1.056$ in the question 'mouth guard', respectively. Compared to EMT, results of RN showed a statistically lower figure(p<0.05) in all items compared except the question 'medicine control', and the question 'doctor care in emergency room' was borderline(p=0.069). From this study, it is necessary for RN and student of nursing science to be educated on the oral and maxillofacial emergency treatment for the initial management of injuries. Authors suggest further co-study and nation-wide research with nursing care.

Relationships among Nursing Activities, the Use of Body Mechanics, and Job Stress in Nurses with Low Back Pain (종합병원에 근무하는 요통 간호사의 간호업무활동, 신체역학원리 및 직무 스트레스와의 관련성)

  • Jung, Keunja;Suh, Soonrim
    • Journal of muscle and joint health
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    • v.20 no.2
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    • pp.141-150
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    • 2013
  • Purpose: This study was conducted to identify relationships among nursing activities, the use of body mechanics, and job stress in nurses with low back pain. Methods: Participants were 225 nurses with low back pain working at an university hospital. The data were collected with self-reported questionnaires at March, 2012 and analyzed by descriptive statistics, t test, ANOVA, Scheff$\acute{e}$e test and multiple regression analyses. Results: There was significantly a higher degree of pain in subjects who working at special units including intensive care units and emergency room than at general wards. Low back pain was negatively correlated with the use of body mechanical principles while it was positively associated with the degree of job stress. According to results of multiple regression analyses, low back pain was significantly associated with the use of body mechanics and job stress in nurses working at general ward and special units including intensive care units and emergency room. Conclusion: The use of the principles of body mechanics and reducing job stress are important to prevent low back pain in nurses. It is necessary to develop and apply stress management and education program about the use of the principles of body mechanics.

Factors Affecting Job Satisfaction, Emotional Labor and Health Promotion Behavior of Emergency Room Nurses (응급실 간호사의 감정노동, 건강증진행위 및 직무만족도 영향 요인)

  • Jang, Eun Hwa;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.32 no.2
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    • pp.249-262
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    • 2018
  • Purpose: This study was attempted to identify the emotional labor, health promotion behavior, and job satisfaction of emergency room nurses in general hospitals. Basic data were provided on the development of interventions to reduce negative consequences of emotional labor, improve nurse health and improve job satisfaction, and provide effective management of nursing staff. Methods: The study conducted a survey on the use of the survey program of D, N and J, and the research objective was understood by more than 6 months of experience at 8 general hospitals. Results: Nurses' emotional labor and health promotion have been shown to have significant effects on job satisfaction. Factors affecting job satisfaction included health promotion behaviors, emotional labor, and gender, among which emotional labor was affected significantly by a wealth, and health promotion was a significant cause of justice. Conclusion: Job satisfaction will increase if nurses lower their emotional labor and raise the level of practice for health promotion. Therefore, a mediation program is needed to reduce the level of emotional labor of nurses, which can provide an opportunity for them to practice health promotion activities and improve the job satisfaction of nurses.

The Relationships of Professional Self-Concept, Role Conflict and Job Satisfaction on Emergency Department Nurses (응급실 간호사의 전문직 자아개념, 역할갈등 및 업무만족도 간의 관계)

  • Sung, Mi-Hae;Oh, Myung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.1
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    • pp.107-115
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    • 2011
  • Purpose: The purpose of this study was to investigate the relationship between professional self-concept, role conflict and job satisfaction of emergency department (ER) nurse. Method: Data were collected from a convenience sample of 200 ER nurses who worked in one of 9 hospitals in 5cities. The instrument for this study was a structured questionnaire on professional self-concept, role conflict and job satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression. Results: The mean score for professional self-concept was 2.52 (0.28), for role conflict, 3.37 (0.55), and for job satisfaction, 2.71 (0.35). There were significant differences on three variables according to total career, and satisfaction with nursing. There was a significant positive correlation between professional self-concept and role conflict, job satisfaction. Role conflict showed a significant negative correlation with job satisfaction. Conclusion: The results of this study indicate that the important role-related variables of professional self-concept, role conflict and job satisfaction of ER nurses are significantly related, and that as, role conflict is an important factor for job satisfaction of ER nurses, strategies to decrease role conflict need to be developed.

Retention of cardiopulmonary resuscitation skills in Nursing students (간호대학생 대상 심폐소생술 교육의 지속효과)

  • Park, Jeong-Mi;Suh, Soon-Rim
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.169-180
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    • 2005
  • The purpose of this research was to evaluate retention of cognitive knowledge, psychomotor skills and self-confidence on CPR 3 months after CPR training program. The sample consisted of 39 nursing students. We provided one rescuer CPR training program for nursing college students on the basis of AHA. The questionnaires for knowledge of CPR were developed 50 items based on AHA guidelines. Self-confidence were checked by 11 items questionnaires. The accuracy of CPR skills were checked by Skillreporter CPR training manikin and by researcher's evaluation based on CPR skill checklist. The results were as follows ; 1. The majority of participants didn't have any previously experiences of CPR training (76.9%). Only 15.1% previously took the CPR training with CPR practice. 2. In terms of self-confidence of CPR. The score were increased for 2 days (p>.001) but retention of self confidence was significantly statistical decreased in 3 months after training (p<.001). 3. There was a statistically significant decrement in mean of knowledge of CPR between 2 days and 3 months after CPR training (p<.001). 4. There was a statistically significant decrement in cognitive knowledge of CPR based on CPR skills checklist(p<.001). 5. Retention scores of psychomotor skills of CPR 3 months after training were 42.10% in numbers of adequate ventilation, 52.81% in numbers of adequate chest compression (p<.001) respectively. 6. Retention of passing rate on chest compressions of CPR 3 months after training was 27% (p<.001), on ventilation was 2.63% (p>.001). The error items with statistically significant differences 3 months after CPR training were too little ventilation (74.36%) and too little chest compressions (92.31%). The results of the study suggest that we need further evaluation of course components which could improve retention of CPR for all trainees.

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Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department (웹기반 한국형 중증도 분류 체계 학습프로그램이 응급실간호사의 중증도 분류에 대한 자기효능감 및 수행능력에 미치는 효과)

  • Kim, Hyo-Jin;Kang, Hee-Young
    • Journal of Korean Academy of Nursing
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    • v.49 no.2
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    • pp.171-180
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    • 2019
  • Purpose: The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses. Methods: A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura's self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions. Results: The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group. Conclusion: The results suggest that the learning program was effective in improving ED nurses' level of self-efficacy and triage performance ability (KTAS level and KTAS chief complaint). Accordingly, the web-based KTAS learning program can be applied as an education intervention to improve ED nurses' triage skill.

A Study of Health Promotion Activity in Community Health Nursine Areas (지역사회 간호분야에서의 건강증진행위분석)

  • Kim, Young-Im
    • Research in Community and Public Health Nursing
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    • v.4 no.2
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    • pp.158-169
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    • 1993
  • Health promotions have been identified as foundamental concepts for nursing practice, especially in community health nursing. Nurses have been regarded as having important role's in health promotion activities. According to a review of literature, the concepts of health promotion consist of prevention services, health protection. Health prevention services have three levels : Primary secondary and tertiary. The objectives of this study are (1) to analyze the health promotion activities in school nursing. (2) to analyze health promotion activities in community health nursing posts. (3) to analyze the health promotion activities in industrial nursing while suggesting future direction for health promotion in community health nursing areas. The major results are first, Prevention services are most actively performed rather than health protection, and health education in three areas: School, industries, and community. Health nursing, secondary prevention services follow emergency care, and ordinary diseases control are especially active. Health promotion can ultimately from changing life be accomplished styles, and health behavior. As a consequence, future directions promoting health in community health nursing are desirable areas. Focusing on health protection, and health education that is not activated presently.

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