• Child Health Nursing Research
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• v.18 no.4
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• pp.214-221
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• 2012

Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.

• Journal of muscle and joint health
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• v.27 no.1
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• pp.41-49
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• 2020

Purpose: This study was a descriptive correlation research to identify the relationships between nursing performance, compassion fatigue, and job stress in emergency room nurses and to provide basic data on reducing job stress in emergency room nurses. Methods: For the research, this study collected data from August 4 to September 26 with 133 nurses who worked at emergency rooms at 3 general hospitals in Gyeonggi-do with 500 beds, and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient with the SPSS 21.0 program. Results: Correlation analysis between nursing performance, compassion fatigue, and job stress demonstrated that the job stress had a significant positive correlation with compassion fatigue and nursing performance. On the other hand, there was no statistically significant correlation between compassion fatigue and nursing performance. Conclusion: The study results showed that the emergency room nurse experienced job stress due to intensive compassion fatigue and nursing performance. Thus, it is necessary to develop intervention programs to reduce job stress in emergency room nurses by alleviating compassion stress and having moderate level of nursing performance.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.3
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• pp.444-453
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• 2006

Purpose: The purpose of the study was to identify critical indicators for the development of efficient patient classification system in a emergency room. Method: This study involved following five steps. Step 1. Selection of the lists direct nursing services in the ER. Step 2. Measurement of the time of direct nursing services from Aug. 31st to Nov. 30th, 2005. Step 3. Classification of the patients according to the nursing care time. Step 4. The determination the critical indicators for different patient classes. Result: Determinate indicators were as follow: 3 items in the first group (vital sign checking, IV route starting, blood sampling), 3 items in the second group (vital sign checking, fluid infusion, blood sampling), 9 items in the third group (I/O checking, $O_{2}$ inhalation, suction, fluid infusion, IV bolus, Central catheter preparation & management, blood sampling, intubation preparation & management, postmortem management), 7 items in the fourth group (EKG monitoring, BP monitoring, $O_{2}$ inhalation, fluid infusion, using the specific drugs, CPR, postmortem management). Conclusion: This study can help future studies which measure nursing services standard time or assigns value to emergency nursing services.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.4
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• pp.448-459
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• 2016

Purpose: This ethnographic study was conducted to explore and understand the meaning of the daily life of nurses in emergency departments. Objectives for this study were to identify and describe the true nature of emergency room nurses' daily experience and create a theoretical model based on the findings. Methods: Data were collected through in-depth interviews and participants observation. These data were recorded and transcribed verbatim with consent of the informants, 10 nurses who had cared for patients in emergency rooms. Data were collected between November 2013 and October 2014. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley. Results: Based on the data acquired from interviews, nurses' cultural domains were classified as 'extensity of emergency room nurses', 'temporality of emergency room nurses', 'relationships among emergency room nurses' and 'becoming an emergency room nurses'. Conclusion: The daily culture of emergency room nurses could be summarized as 'busy daily life amidst confusion'. However, many nurses boosted their self-esteem by taking care of patients' collaboration with fellow nurses. In other words, nurses in emergency room forms a dynamic culture and pursue professionalism, rather than a simple chaotic daily life culture.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.1
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• pp.16-24
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• 2015

Purpose: This study was done to identify essential nursing diagnoses using NANDA and their related factors and defining characteristics of patients who were cared in an emergency room. Methods: The research checklist developed by the researcher consisted of 44 nursing diagnoses with defining characteristics and related factors and was applied to 235 patients who were admitted to an emergency room from November 1 to December 31, 2012. Results: Forty-one of forty-four nursing diagnoses were identified. The most frequent nursing diagnoses were acute pain, risk for falls, and activity intolerance. The most frequent defining characteristic for the nursing diagnosis of 'acute pain' was verbal report of pain. The agreement rate with NANDA (2009)'s defining characteristics was 66.7%. Conclusion: Results indicate that identification of essential nursing diagnoses and their defining characteristics and related/risk factors is important for emergency patient nursing care to facilitate use of NANDA taxonomy in the emergency nursing practice and documentation systems.

• Journal of Korean Public Health Nursing
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• v.14 no.1
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• pp.100-113
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• 2000

The purpose of this study is to examine the effect of supportive nursing intervention on patient's response of anxiety in emergency room as the suspected experimental research sequentially designed for the unequal control group. This study collected the data from 100 patients including 50 patients of experimental group and 50 patients of control group in emergency room of the only one university hospital from July 12. to September 30, 1999. This study used questionnaires that Kim, Jung Taek and Shin. Dong Kyun revised the measurement of STAI(State-Trait Anxiety Inventory) of Spielberger(1972) to measure their anxiety with using physical. spiritual. and informative support of the supportive nursing intervention, and measured blood pressure. pulse and respiration by physiological response of anxiety. After then. this study analyzed the frequency and percentage by using SPSS 7.5 program, $x^2-test$, t-test and ANCOVA. The results are as follows: First hypothesis : the point of STAI of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=22.943, p=.000). Second hypothesis : the sistolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=42.603. p=.000). Third hypothesis. the diastolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F= 18.482, p=.000). Fourth hypothesis: the pulse of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. Fifth hypothesis : The respiration of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. In the above-mentioned result. the supportive nursing intervention was considered to be useful intervention that raised the effect on patient's response of anxiety during emergency room staying.

• Journal of muscle and joint health
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• v.26 no.1
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• pp.27-34
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• 2019

Purpose: This study was done to analyze nursing assessment and nursing care for pain in the electronic nursing records for the elderly patients with abdominal pain visiting the Emergency Medical Center. Methods: This study is a descriptive study based on nursing records from January to December 2015. A total of 1155 records for elderly patients with abdominal pain were gathered. Results: The mean age of elderly patients whose records were analyzed was 75.2 years. Analysis of nursing records regarding pain management showed that semi-urgent severity (93.7%), direct emergency room visits (58%), and 6.01 hours of emergency room stay (6.01 hours)were the most frequently documented characteristics of the elderly patients with pain complaints. Recording time of nursing assessment for abdominal patients was 1.01 hour; the average pain intensity was 3.97. The mostly used nursing intervention for abdominal pain was medication (65.1%). There was no record of non-pharmacological pain nursing interventions. Conclusion: The results of this study showed that improving knowledge and nursing practice for pain management is much of necessity. In particular, development of the non-pharmacological nursing interventions for pain is needed. Further research is also imperative to develop and evaluate record systems for pain management that can be used in the emergency room.

• Journal of Korean Clinical Nursing Research
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• v.27 no.3
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• pp.221-232
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• 2021

Purpose: The purpose of this study was to explore emergency room nurse's work experiences during the COVID-19 pandemic. Methods: Data were collected from 15 registered nurses working in the emergency room between October, 10th and December 15th, 2020, through focus group interviews and in depth interviews. Collected data were analyzed using Colaizzi's phenomenological method. Results: The study derived four categories and eight themes. The four categories are 'sense of cringing with fear', 'nursing in chaotic situation', 'lonely struggles', and 'career growth as a nurse'. Emergency room nurses experienced fear and confusion in the COVID-19 pandemic, but overcame the crisis and had positive experiences of professional growth as a nurse. Conclusion: To protect emergency room nurses from infectious disease and improve their professional quality of life during the COVID-19 pandemic appropriate education and healthcare resource should be provided. It is necessary to reflect clinical worker's opinions and improve the delivery system of guideline to reduce confusion in the field and develop practical infectious disease control guideline. Furthermore, better working conditions, appropriate rewards and social and mental support should be provided for nurses in emergency room.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.2
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• pp.153-160
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• 2008

Purpose: This study was done to examine the level of compliance and the relation of related factors of nosocomial infection control among nurses in emergency rooms. The data will provide fundamental information for developing programs for nosocomial infection control in the emergency room. Method: Study participants were 183 nurses working in emergency rooms in general hospitals that had more than 500 beds and were located in Daegu, Daejeun, and Pusan. The survey was carried out from March 7 to March 26, 2006 and a structured questionnaire was used. Descriptive statistics, t-test, ANOVA and Sheffe test with SPSS 14.0 were used to analyze the data. Results: The average level for practice of infection control was relatively low Levels of compliance were high when the participants had: 1) regular conferences for nosocomial infection control, 2) positive perception of protection devices, 3) knowledge of whom to report and experiences of reporting needle stick injuries, 4) hospital guidelines for infection control and 5) enough equipment supplies from the hospital. Conclusion: Nosocomial infection control among emergency room nurses could be improved via personal, psychosocial, and organizational factors and related education.

• Journal of Korean Critical Care Nursing
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• v.6 no.2
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• pp.1-11
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• 2013

Purpose: The purposes of this study were to examine a attitude, subjective norm, perceived behavior control, intention to report child abuse and to identify predictors of emergency room (ER) nurses' intention to report child abuse cases. Methods: A total of 364 nurses in ER participated in this study. Data were collected by self-administered questionnaire and analyzed with descriptive statistics, t-test or ANOVA, Pearson correlation, and stepwise multiple regression analysis. Results: 84.1 % of emergency room nurses reported feeling of obligation to report child abuse. Attitude, subjective norm, and perceived behavior control were positively correlated with intention to report child abuse. Intention to report child abuse was predicted by emergency room nurse's attitude, perceived behavior control, subjective norm, ER nurse career, and recognition as a reporting obligator. Conclusion: Child abuse education program should be developed to help ER nurses to report child abuse case and positive attitude toward reporting the cases.