• 제목/요약/키워드: Emergent care

검색결과 54건 처리시간 0.022초

간호학생을 위한 응급상황관리 시뮬레이션 실습 교과목 개발 및 적합성 평가 (Development and Applicability Evaluation of an Emergent Care Management Simulation Practicum for Nursing Students)

  • 허혜경;박소미;신윤희;임영미;김기연;김기경;최향옥;최지혜
    • 한국간호교육학회지
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    • 제19권2호
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    • pp.228-240
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    • 2013
  • Purpose: This study was to evaluate the applicability of an emergent care management simulation practicum which is for enhancing nursing students' emergent care management competency based on the Nursing Education Simulation Model. Methods: One group pre-post experimental design was conducted for evaluation of the applicability of the simulation practicum. A convenient sample of 60 senior nursing students was participated. The simulation practicum was provided for 26 hours per student at the end of the first semester of senior year. Educational practices in simulation scale, simulation design scale and learning outcomes were measured. Higher positive correlations between variables represent applicability. Descriptive analysis, paired t-test and Pearson correlation coefficient were used for data analyses. Results: Among contractual components of nursing education simulation model, educational practices in simulation and simulation design (r=.80, p<.010), learning outcomes (r=.71-.28, p<.050), simulation design and learning outcomes (r=.72-.30, p<.050) were significantly correlated. Critical thinking (t=-3.63, p<.050) and problem solving competence (t=-2.55, p<.050) were significantly increased by this simulation practicum. It represents the applicability of an emergent care management simulation practicum. Conclusion: This emergent care management simulation practicum was appropriate to enhance the nursing students' emergent care management coping competency.

전공의와 전문의의 응급진료 형태에 대한 비교 연구 - 전공의 파업기간을 전후로 - (A Comparison of Patterns of Emergency Care Between Resident and Staff)

  • 이정헌;신임희
    • 한국의료질향상학회지
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    • 제10권1호
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    • pp.20-27
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    • 2003
  • Background : The doctors' strike was not only a manmade disaster but also a chance to apply a new pattern of emergency medical service for patients. We hope to propose a new pattern of emergency medical service by comparing the patterns of emergency medical service given by resident and staff during the doctors' strike. Methods : We reviewed the medical records of patients who received emergency medical service in the Emergency Department(ED) of Deagu Catholic University Hospital during 3 days a week prior to the residents' strike (July 21-23, 2000) with those of patients receiving emergency medical service during the first 3 days of the residents' strike (July 28-30, 2000). We evaluated the patient's severity, the cause of the ED visit, the performance on the laboratory study, ECG, and radiological study, the disposition, and the length of ED stay. Also, we compared the collected data by presenting doctor and by patient's severity. Results : The staff performed fewer tests admitted fewer emergent and non-emergent patients than the residents. Also, the length of ED stay was shorter in both the emergent (212.76 vs. 321.40 minutes) and the non-emergent groups (117.68 vs. 171.39 minutes) for patients presenting to staff. Conclusion : It is desirable that emergency medical service is given by staff, not by resident.

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유아의 출현적 문해 발달과 가정문해환경과의 관계 (The Relationship between Emergent Literacy Development and the Home Literacy Environment)

  • 김길숙;박찬화
    • 아동학회지
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    • 제34권1호
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    • pp.1-20
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    • 2013
  • This study examined the emergent literacy development of children and the effects of the home literacy environment on it. 861 pairs each-consisting of a mother and a child aged from three to six years old were asked to complete the early literacy parent questionnaire (Boudreau, 2005) and the home literacy environment questionnaire (Park & Kim, 2008). The results showed that : (1) girls achieved higher scores than boys in emergent literacy and its subcategories. (2) there were age differences in all of the subcategories of emergent literacy except the categories of 'orientation toward literacy' and 'phonological awareness'. (3) The study revealed that 'reading books' in the home literacy environment was the most contributive variable in predicting emergent literacy after controlling the age and gender followed by 'literacy learning'

응급상황의 신속한 감지를 위한 u-Health 시스템 개발에 관한 연구 (Development of u-Health Care System for Prompt Perception of Emergencies)

  • 장동욱;선복근;손석원;한광록
    • 정보처리학회논문지B
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    • 제14B권6호
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    • pp.401-406
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    • 2007
  • 본 논문은 만성질환을 갖고 있으면서도 일상생활을 하고 있는 환자들의 응급상황을 신속히 감지하여 능동적으로 대처할 수 있게 하는 u-Health 시스템의 개발에 관하여 기술한다. 기울기 및 진동 센서, GPS, CDMA 통신 모듈 등으로 구성된 PHCH(Personal Health Care Host) 장치에 의해 환자의 위급상황이 신속히 감지되면 현재 환자가 위치한 위치정보를 병원과 보호자의 모바일 단말기로 문자 전송하여 상황에 즉각 대처할 수 있도록 한다. 특히, 시스템은 신경회로망을 이용하여 센서로부터 수신되는 신호 데이터를 분석하고 기절 또는 발작 증상과 같은 응급상황을 신속히 판단한다. 또한 환자의 응급 상황시에 GPS 데이터를 이용하여 환자의 위치를 지도에서 확인할 수 있다. 일상생환을 하면서 항상 주의가 필요한 만성질환자에게 이 시스템을 적용시킴으로써 응급 상황에 신속히 대처하여 귀중한 생명을 구할 수 있을 것으로 기대된다.

Preschool Children's Understanding of the Graphic Features of Writing

  • Mortensen, Jennifer;Burnham, Melissa
    • Child Studies in Asia-Pacific Contexts
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    • 제2권1호
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    • pp.45-60
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    • 2012
  • This project examined 2, 3, and 4-year-old children (N = 34) in a university campus child care setting to assess their understanding of the graphic features they use in their emergent writing (to distinguish it from a drawing of the same referent). The graphic features present in samples of the children's work were examined and compared to the graphic features children could identify through verbal and nonverbal communication. We examined the frequencies of graphic feature identification, as well as significant differences between graphic feature usage and graphic feature identification. The most frequently used graphic features were linearity, unidirectionality, and small size of units. The most frequently identified graphic feature was conventional letter. Overall, children used significantly more graphic features than they were able to identify. Significant relationships comparing the 2-year-old group and 4-year-old group's usage and identification were also found. The findings are discussed in terms of their application to early childhood classrooms. Teachers can apply these findings when engaging children in conversations about their emergent writing; these discussions are explored as a beneficial teaching tool.

간호대학 4학년 학생의 학습유형에 따른 응급상황관리 시뮬레이션 교육의 효과 (Effectiveness of an Emergent Care Management Simulation Education among Senior Nursing Students According to Learning Styles)

  • 허혜경;신윤희;박소미;임영미;김기연;김기경;송희영;최향옥;최지혜
    • 한국콘텐츠학회논문지
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    • 제14권3호
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    • pp.314-327
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    • 2014
  • 본 연구는 간호대학 4학년 학생의 학습유형에 따른 응급상황관리 시뮬레이션 교육의 효과를 확인하고자 실시된 단일군 사전-사후 유사실험 연구이다. 연구 대상자는 4년제 간호대학에 재학 중인 58명의 학생이었으며, 연구는 2013년 6월 24일부터 7월 12일까지 실시되었다. 구조화된 설문지를 이용하여 간호대학 4학년 학생의 학습유형과 교육효과(비판적 사고성향, 문제해결과정, 협력, 실습만족도, 자신감)를 조사하였으며, 서술통계, t-test, ANOVA, Mann-Whitney U 검정, Kruskal-Wallis를 이용하여 자료를 분석하였다. 간호대학 4학년 학생의 학습유형은 수렴자 46.6%, 융합자 34.5%, 적응자 15.5%, 분산자 3.4%이었다. 응급상황관리 시뮬레이션 교육은 비판적 사고성향, 문제해결과정, 협력, 자신감에 유의한 향상을 보였으나, 학습유형에 따른 교육효과는 유의한 차이를 보이지 않았다. 이를 기초로 학습유형과 시뮬레이션 교육효과 간의 관계에 대한 재고찰을 통해 시뮬레이션 교육의 효과를 극대화시킬 수 있는 방안의 모색이 필요할 것이다.

하행 괴사성 종격동염: 흥부 절개에 의한 배액술의 중요성 (Descending Necrotizing Mediastinitis : Importance of Thoracotomy Incision for Mediastinal Drainage : Case Report)

  • 박일환;봉정표;서정옥;권장우
    • 대한기관식도과학회지
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    • 제15권2호
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    • pp.64-70
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    • 2009
  • Descending necrotizing mediastinitis(DNM) can occur as a complication of oropharyngeal and cervical infections that spread to the mediastinum via the cervical spaces. Delayed diagnosis and inadequate mediastinal drainage through a cervical or minor thoracic approach are the primary causes of a high mortality rate. Therefore, We emphasize that aggressive and emergent mediastinal drainage by surgical approach is most important method of DNM treatment. We studied 5cases diagnosed as DNM from 2005 through 2007. All patients underwent emergent surgical drainage of deep neck infection combined with mediastinal drainage through a thoracic approach. Primary oropharyngeal infection lead to DNM in four cases(80%) and odontogenic abscess in one case(20%). The outcomes were favorable 5patients. Overall mortality rate was 0%. The time interval from diagnosis based on manifestation of initial symptoms(oral or pharyngolaryngeal area) to surgical intervention was $7.4{\pm}4.2$days. One patient required reoperation due to remnant mediastinal abscess and pericardial effusion. Early diagnosis and emergent combined drainage with neck and chest incisions, together with broad spectrum intravenous antibiotics, should be considered standard care for this disease. And intensive postoperative care which it is continuous mediastinal irrigation and antibiotics use can significantly reduce the mortality rate.

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지역응급의료센터의 평면유형 및 면적구성에 관한 건축계획적 연구 (A Study on the Architectural Planning of Plan Type and Area Composition in Medical Emergency Center)

  • 권용택;노지화
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권2호
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    • pp.55-64
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    • 2012
  • Recently, our country is caused with economic growth and development and city intensive brazier being caused by industrial accident, crime accident and suicide of traffic facility, it is caused by with Western dietary life and the emergency patient is to an increase tendency. And the life increases with medical development and the medical emergency demand of the old people are increasing. Approximately 80% of the patients are non-emergent patients who receive ambulatory care and the rest 20% of the patients are serio us- emergent patients Emergency patients because non-strategy it is doing with function as imported medical treatment and provides, equipment, the operation is being impossible with manpower tribal etc.

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

  • 배정희;손수경
    • 한국간호교육학회지
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    • 제7권2호
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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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요양병원 간호사의 노인 환자 임종간호 경험 (Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals)

  • 이춘이;이가언
    • 지역사회간호학회지
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    • 제31권2호
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    • pp.199-211
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    • 2020
  • Purpose: The purpose of this qualitative study was to describe the essence and the meaning of nurses' experiences of end-of-life care (EOLC) for elderly patients in the long-term care hospitals (LTCHs). Methods: Data were gathered from 12 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method. Results: The emergent 5 themes were 'Doing the best for protecting patients' life', 'Providing a comfortable dying process for patients', 'Supporting a family's keeping on patient's death', 'Reflecting on life' and 'Desiring for the establishment of a humanity end-of-life care environment'. Conclusion: The end-of-life care for the elderly patients includes supporting elderly patients' comfortable dying process and helping the family keep the death of the elderly. The results indicated that physical facilities and end-of-life nursing capacity should be established in LTCHs for improving the quality of EOLC.