• Title/Summary/Keyword: Emergency Nursing

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Job satisfaction and organizational commitment among emergency medical technicians (응급구조사의 직무만족도와 조직몰입도에 관한 연구 - 광주·전남 응급구조사를 중심으로 -)

  • Hwang, Hee-Jin;Kim, Jin-Sun;Chong, Ji-Yon
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.5-17
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    • 2004
  • A descriptive-correlational study was conducted to examine the job satisfaction and organizational commitment of emergency medical technicians(EMTs) and to identify the relationship between job satisfaction and organizational commitment. Subjects of this study werw 85 EMTs who passed first grade qualification examination and work at hospitals or fire stations in Gwangju and Chonnam province. Data were collected using a structured questionnaire by a postal survey from Sept. 10 to Oct. 20, 2003. For data analysis, descriptive statistics, ANOVA. t-test, and Pearson Correlation were used. The mean score of subjects' job satisfaction was 3.04 and the mean score of organizational commitment was 3.33. There was no significant differences on job satisfaction and organizational commitment by general characteristics of subjects. Job satisfaction was significantly differed by their careers as a EMT, current working place, and types of duty. Organizational commitment was significantly differed by their current working place, types of duty, and level of mean allowance. There was statistically significant positive correlation between job satisfaction and organizational commitment. These findings provide implications to improve job satisfaction and organizational commitment for EMTs. Further studies are recommended.

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Convergent approach of phenomenological methodology about Emergency Nurses' experience of hospital violence (응급실 간호사들의 폭력 경험에 대한 현상학적 방법론의 융합적 접근)

  • Jeong, Young-Hee
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.63-75
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    • 2015
  • The aim of this study was to know the experience of emergency nurses on hospital violence and violence's effect on nurses via convergent approach of phenomenological methodology to be known for a good method to study alive human's experience. This study is a qualitative study converged the phenomenological methods and 5 emergency nurses participated in an in-depth interview. From the transcript, 41 significant statements, 17 clusters of theme, 6 categories were extracted. The extracted categories are violence's background, emotional response, physical response, social response, passive coping and active coping. The hospital violence's negative effect on emergency nurses occurred in various sides and the countermeasure is required to prevent violence from hospital setting anymore.

A Comparative Study on the Process of Hospital Visits according to the Characteristics of the Elderly Visiting to Emergency Medical Centers (권역응급의료센터에 내원한 노인의 제 특성에 따른 내원과정 비교)

  • Yu, Su-Jeong;Gang, In-Sun
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.27-39
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    • 2014
  • The purpose of this study is to compare and analyze the process of hospital visits according to the characteristics of the elderly visiting to emergency medical centers. The subject of study was 571 patients over the age of 65 who agreed to participate in the study of emergency medical centers from May 1 to 31, 2010. The frequency, percentage and ${\chi}^2$ test of collected data were conducted with SPSS WIN 12.0. As a result, the frequency of the aged with or without urgency revisiting emergency rooms due to chronic degenerative diseases was high. In addition, there were many cases that the aged living only with a spouse or remaining single. It was obscure to classify them into a urgent or non-emergent group which made it longer time to visit a hospital. It may be necessary that the care for urgent elderly patients considering the characteristics of the family environment functions to care the elderly were weakened.

The necessity for education on endotracheal intubation through video laryngoscope - A focused on paramedic students - (비디오 후두경을 통한 기관내 삽관 교육의 필요성 - 응급구조과 학생을 중심으로 -)

  • Ham, Young-Lim;Kim, Jin-Hwa;Lee, Jae-Gook
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.1
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    • pp.7-17
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    • 2019
  • Purpose: The aim of this study was to verify the necessity of endotracheal intubation through video laryngoscope and to provide basic data to inform the provision of video laryngoscope education. Methods: Eighty paramedic students participated in this study. A survey was conducted from November 5, 2018 to December 7, 2018. Data were analyzed with independent t-tests, and the chi-squared test. Results: The video laryngoscope is a highly usable instrument that can easily be applied during training. The instrument provides better visual evaluation of the normal airway (p=.004), the airway in case of cervical collar and head fixation (p=.000), and the airway in case of tongue edema (p=.000). The time of endotracheal intubation in the normal airway was significantly less with the video laryngoscope compared with the direct laryngoscope. The success rate of tracheal intubation was significantly higher in the video laryngoscope group than in the direct laryngoscope. Conclusion: This study suggests the necessity of education on endotracheal intubation through video laryngoscope in the professional airway maintenance training course of emergency department students. The video laryngoscope is easier to apply than the direct laryngoscope in cases of intubation in various clinical situations.

Development and validation of a three-person cardiopulmonary resuscitation protocol (3인 CPR 프로토콜 개발 및 타당도 검증)

  • Han, Seung-Woo;Kang, Min-Ju;Park, Ju-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.1
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    • pp.139-150
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    • 2022
  • Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

Cognition about First Aid Education in Elementary School Students (초등학생의 응급처치 교육에 대한 인식)

  • Kim, Shin-Jeong;Lee, Jung-Eun;Kang, Kyung-Ah;Song, Mi-Kyung;Moon, Sun-Young;Chang, Eun-Young;Kim, Sung-Hee;Lee, Sook-Kyung
    • Child Health Nursing Research
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    • v.15 no.1
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    • pp.97-107
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    • 2009
  • Purpose: The purpose of this study was to provide basic data to develop first aid education programs for elementary school students. Method: A self-report questionnaire was used to collect data from 720 5th and 6th grade elementary school students. Results: 1) The mean score for cognition of first aid education of the students was high with a score of 2.64 $({\pm}.30)$. 2) The mean scores for the 11 categories were, "Fire & Burns", 2.78 $({\pm}.40)$, "Poisoning", 2.77 $({\pm}.47)$, "Thermal injuries", 2.75 $({\pm}.51)$, "Rescue & moving", 2.73 $({\pm}.37)$, "Bites", 2.72 $({\pm}.44)$, "General first aid", 2.64 $({\pm}.37)$, "Wounds", 2.59 $({\pm}.39)$, "Removing foreign bodies", 2.58 $({\pm}.46)$, "Cardiopulmonary resuscitation", 2.57 $({\pm}.59)$, and "Musculoskeletal injuries" and "Others", 2.54 $({\pm}.51,\;{\pm}.53)$. 3) There was a significant difference in the cognition of first aid education according to student's gender (t=-3.012, p=.003), and judgement about the emergency situation (F=3.411, p=.034). Conclusion: The results indicate the necessity of developing effective first aid education programs for elementary school students.

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School Nurses' Management for Children and Adolescents with Diabetes (보건교사의 당뇨병 아동 관리 현황)

  • Kang, Heesook;Ahn, Youngmee;Lee, Ji Eun;Sohn, Min
    • Child Health Nursing Research
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    • v.21 no.2
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    • pp.176-182
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    • 2015
  • Purpose: The study purposes were to explore school nurses' experience, perceived barriers, and education needs in diabetes management at school. Methods: This study was a cross sectional study and the study participants were recruited conveniently at continuing education seminars for school nurses at Incheon Metropolitan City. Results: Data for 101 school nurses were analyzed. The nurses were all women and their mean age was $46.9{\pm}9.3$ years. About 66% of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insulin injections (50.8%) and the nurses knew students' diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2% were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion ($6.0{\pm}1.3$) and the most common educational need was emergency responses ($5.9{\pm}1.4$). Conclusions: School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses, improve emergency response, and facilitate health promotion activities in diabetes management.

An Analysis of Primary Causes for Waiting for Inpatient Admission and Length of stay at Emergency Medical Center(EMC) (응급의료 센터의 체류 및 입원대기 시간 지연 요인 - 일개 의료기관을 중심으로 -)

  • Kil Suk-Yong;Kim Ok-Jun;Park Jin-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.522-531
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    • 1999
  • This research identifies the ingress to egress primary factors that causes a patient to receive delayed emergency medical care. This material was collected between February 1st to 28th, 1998. Research envolved 4,118 people who visited the college emergency medical center in Kyeongido Province, South Korea. Medical records were examined, using the retrospective method. to determine the length of stay and the main cause for waiting. Results are as follows : 1. The age group with the highest admission rate was 10 and under, approximately 1,394 (33.9%). Followed by an even distribution for ages between 11-50 at 10-15% for their respective ranges. The lowest admission rate was 50 years and above. 2. From the 4,118 records examined, 3,489 received outpatient treatment (84.7%); 601 were admitted for inpatient care (14.6%); 25 arrived dead on arrival (0.6%); and 4 people died at the hospital. 3. Between 7PM to 12AM, 42.9% were admitted to the EMC. The hours from 9PM to 11PM recorded the highest admission rate and 5AM to 8AM was the lowest From 8PM to 12AM, the most beds were occupied. 4. For most patients. the average length of stay was approximately 2.2 hours. By medical department, external medicine was the longest for 2.8 hours. Pediatrics was the shortest for 1.6 hours. The average waiting period for inpatient admission was 2.6 hours. Inpatient admission for pediatrics and external medicine was 3.4 hours and 2.2 hours respectively. 5. Theses are primary factors for delay at EMC: 1) pronged medical consultations to decide between inpatient versus outpatient treatment, and delaying to be inpatient, 2) when you call physicians they are delayed to come 3) Understaffing during peak or critical hours, 4) Excessive consulting with different medical departments, 5) some patients require longer monitoring periods, 6) medical records are delayed in transit between departments, 7) repeated laboratory tests make delay the result, 8) overcrowded emergency x-ray place causes delay taking x-ray and portable x-ray, 9) the distance between EMC and registration and cashier offices is too far. 10) hard to control patient's family members. The best way to reduce EMC waiting and staying time is by cooperation between departments, both medical and administrative. Each department must work beyond their job description or duty and help each other to provide the best medical service and satisfy the patient needs. The most important answer to shortened the EMC point from ingress to egress is to see things from a patient point of view and begin from there to find the solution.

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Cognitive Degree of Drinking Evil of the Department of Nursing Science Students in Urban Areas (일부 도시 지역 간호 대학생들의 음주 폐해 인식도)

  • Jo, Hyeon Tae
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.2
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    • pp.59-67
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    • 2015
  • Objectives: To study about cognitive degree of drinking evil of the department of nursing science students in a partial area. Methods: The data were collected by questionnaire from the 249 nursing science students. The analysis of the data was used by SAS program(ver. 9.2). Technical statistics analysis was used in general characteristics and drinking related characteristics and cognition of objects. T-test was used in cognitive degree of social evil by drinking as characteristics of objects. Logistic regression was used in factors affecting on cognitive degree of social evil by drinking. Results: Cognitive degree of social evil by drinking was low as more drinking related outlay expenses and was high as more moderation in drinking and publicity experience. Conclusions: University and the government authorities must consider the serious and importance of the problem and enforce moderation in drinking and publicity for nursing science students and develop education program and prepare the publicity material.

The Outcomes of Early Discharge Program for Extremely Low Birth Weight Infants (초극소미숙아를 위한 조기 퇴원 프로그램의 운영 성과)

  • Lee, Eun-Jung;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.4 no.1
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    • pp.25-35
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    • 2011
  • Purpose: The purpose of this study was to evaluate the actual outcomes of early discharge program for extremely low birth weight (ELBW) infants. Methods: Medical records of 122 ELBW infants admitted in the neonatal intensive care unit from January 2000 to June 2006 and those of their 112 mothers were analyzed retrospectively. Results: After being applied early discharge program to ELBW infants' mothers, their infants' lengths of stay, gestational age and body weight at discharge, duration of completion of oral feeding, number of emergency room visits after discharge were decreased and number of breast milk feeding was increased. Conclusion: Early discharge program for ELBW infants can be an effective intervention for parents and their ELBW infants contributing to neonatal nursing practices.

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