• 제목/요약/키워드: clinical observation

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중환자실에서 사용되는 의료장비의 경보음 발생과 관리 현황 (Evaluation of Clinical Alarms and Alarm Management in Intensive Care Units)

  • 정유진;김현정
    • Journal of Korean Biological Nursing Science
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    • 제20권4호
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    • pp.228-235
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    • 2018
  • Purpose: This study aimed to investigate the clinical alarm occurrence and management of nurses toward clinical alarms in the intensive care unit (ICU). Methods: This observational study was conducted with 40 patients and nurses cases in two ICUs of a university hospital. This study divided 24 hours into the unit of an hour and conducted two times of direct observation per unit hour for 48 hours targeting the medical devices applied to 40 patients. Data were analyzed using IBM SPSS Statistics 23. Results: On average, 3.8 units of medical devices were applied for each patient and the ranges of alarm settings were wide. During 48 hours, 184 cases of clinical alarm were occurred by four types of medical devices including physiological monitors, mechanical ventilators, infusion pumps, and continuous renal replacement therapy. Among them, false alarm was 110 cases (59.8%). As for the alarm management by ICU nurses, two-minute alarm mute took up most at 38.0% (70 cases), and no response was second most at 32.6% (60 cases). When valid alarm sounded, nurses showed no response at 43.2%. Conclusion: The findings suggest that a standard protocol for alarm management should be developed for Korean ICU settings. Based on the protocol, continuous training and education should be provided to nurses for appropriate alarm management.

임상실습 중 태움관찰 경험과 간호전문직관이 간호대학생의 전공몰입에 미치는 영향 (The Effect of Bullying Observation Experience and Nursing Professionalism on the Major Commitment in Nursing Students during Clinical Practice)

  • 최동원
    • 융합정보논문지
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    • 제10권12호
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    • pp.49-57
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    • 2020
  • 본 연구는 간호대학생이 임상실습 중 태움관찰경험과 간호전문직관 정도를 파악하고, 간호대학생의 전공몰입에 미치는 영향을 알아보기 위해 시도되었다. 연구대상자는 두 개의 대학교에 재학 중인 간호대학생 195명이었고, 구조화된 설문지를 통해 수집된 자료는 t-test, ANOVA, Pearson's correlation 및 다중회귀를 사용하여 분석하였다. 연구결과 간호대학생의 전공몰입에 영향을 미치는 요인에 대한 회귀모형은 유의한 것으로 나타났고(F=11.60, p=.000), 태움관찰경험(ß=-.13, t=-1.99, p=.048), 간호전문직관(ß=.20, t=2.99, p=.003)과 학교만족도(ß=.31, t=4.58, p=.000)가 영향 요인으로 나타났으며, 이들 변수들의 설명력은 27.1%이었다. 본 연구를 통해 미래의 간호사인 간호대학생들이 향후 태움의 가해자와 피해자가 되지 않도록 적절한 전문직관과 전문직 태도를 형성할 수 있는 교육 프로그램을 개발할 필요가 있음을 확인하였다.