• 제목/요약/키워드: intensive research

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중환자실 간호사가 경험하는 윤리적 딜레마와 대처행위 (Nurses' Experiences of Ethical Dilemmas and their Coping Behaviors in Intensive Care Units)

  • 박영수;오의금
    • 중환자간호학회지
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    • 제5권2호
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    • pp.1-14
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    • 2012
  • Purpose: This study was aimed to describe ethical dilemmas and types of coping behaviors among nurses who worked in intensive care units (ICUs). Methods: Data were collected by 2 focus group interviews with 12 ICU nurses in an academic affiliated hospital in Seoul, Korea. All interviews were tape-recorded and transcribed, and data were analyzed by modified qualitative content analysis. Results: Three themes emerged from the focus group interviews: "Respect for Persons (2 contents)", "Beneficence (13 contents)", "Justice (1 content)". Coping behaviors against the dilemmas were consultations with the doctors or colleagues, acceptance, guilt, reflection, forgetting, endurance, and frustration. Conclusion: The results of this study help us to understand ethical dilemmas that nurses experienced in ICUs and their coping behaviors. It would be useful to develop education programs for nurses in ICUs to support coping strategies for ethical dilemmas.

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신생아집중치료실 간호사의 미숙아 체위지지 간호에 대한 지식 및 수행 (Knowledge and Performance of Developmentally Supportive Positioning for Premature Infants among Neonatal Intensive Care Unit Nurses)

  • 김민정;김태임
    • Child Health Nursing Research
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    • 제24권2호
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    • pp.229-240
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    • 2018
  • Purpose: This study was conducted to assess the knowledge and performance of developmentally supportive positioning for premature infants (DSPP) among neonatal intensive care unit (NICU) nurses. Methods: The participants in this study were 131 nurses working in the NICU at five university hospitals in Daejeon and the city of Cheong-ju. The collected data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0. Results: NICU nurses' average DSPP knowledge score was 24.7 out of 33.0, and their average DSPP performance score was 3.2 out of 4.0. A statistically significant positive correlation was observed between knowledge and performance of DSPP (r=.32, p<.001). Conclusion: To improve the level of NICU nurses' knowledge and performance of DSPP, educational programs should be developed and their effectiveness should be verified.

중환자실 간호사의 요통 영향요인 (Factors Affecting Low Back Pain in Nurses in Intensive Care Unit)

  • 성미혜;서동희;엄옥봉
    • 기본간호학회지
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    • 제17권3호
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    • pp.343-350
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    • 2010
  • Purpose: This study was conducted to identify the factors that influence low back pain in nurses in Intensive Care Units (ICUs). Methods: A descriptive-correlational design was used, with a convenience sample of 116 nurses from one university hospital in Seoul. The data collected were processed using SPSS Window 17.0 Program for actual numbers and percentages, differences in the dependent variable according to general characteristics, and mean, standard deviations, correlation coefficients and multiple regression analysis. Results: The factor influencing low back pain in nurses in ICUs was functional ability (${\beta}$=.652). This one factor explained 41.9% of low back pain in nurses in ICUs. Conclusion: These results show that functional ability was related to nurses' low back pain in nurses in ICUs. These results further suggest that more research is needed to develop program involving functional ability to prevent and management of low back pain in nurses in ICUs.

Effects of Individualized Intensive Physical Therapy for a Child with MECP2 Duplication Syndrome: A Case Study

  • Chang-Ho Kim
    • 대한물리의학회지
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    • 제18권4호
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    • pp.29-35
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    • 2023
  • PURPOSE: High-intensity physical therapy may help improve some gross motor developmental delays through an increased treatment frequency. This study describes an increase in physical therapy frequency and intensity over an eight-week time frame for a child with a rare genetic neurodevelopmental disorder. METHODS: A single-subject research was performed. The subject was a nine-year-old boy with MECP2 Duplication Syndrome. The outcome measure consisted of one time before and after the intervention. An intensive physical therapy program was applied to this subject. The treatments included reciprocal crawling, high kneeling, tailor sitting, weight-bearing and shifting training to facilitate ankle balance strategies and training to walk without assistance. RESULTS: After the eight-week follow-up, the child achieved a gradual improvement in the gross motor function measures, and the mother reported that the child frequently engaged in tailor sitting and independently walking. CONCLUSION: This case study highlights that intensive physical therapy improved the overall motor function of a child with MECP2 duplication syndrome.

Long-Range Transport Characteristics of Air Masses in Taean, Korea Using A Lagrangian Trajectory Model and Cluster Analysis Technique Part 2. Chemical Compounds Characteristics of $PM_{2.5}$ Particle Related to Long-Range Transport Patterns

  • Zhuanshi He;Kim, Young-Joon;Hong, Chun-Sang
    • 한국대기환경학회:학술대회논문집
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    • 한국대기환경학회 2000년도 춘계학술대회 논문집
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    • pp.193-194
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    • 2000
  • To investigate the characteristics of fine particles and the relationships between pollutant concentrations and long-range transport patterns in Asia area, continuous every 6-day sampling (case 1) and an intensive field sampling (case 2) had been carried out between March 1998 and July 1999 at Taean, Korea. Anionic ($Cl^{-}$, ${NO_{3}}^{-}$, ${SO_{4}}^{2-}$) and Cationic ($Na^+$, ${NH_{4}}^{ +}, $K^+$, $Mg^{2+}$, $Ca^{2+}$) concentrations of $PM_{2.5}$ particle were analyzed. The major objective of this study is to investigate the relationships between the chemical compounds of $PM_{2.5}$ and the long-range transport patterns during intensive sampling period.

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CAM-ICU로 평가한 중환자실의 섬망 발생률과 섬망 발생 위험요인 (Prevalence and Related Risk Factors of Delirium in Intensive Care Units as Detected by the CAM-ICU)

  • 최수정;조용애
    • 임상간호연구
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    • 제20권3호
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    • pp.406-416
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    • 2014
  • Purpose: Screening of delirium using delirium assessment tools could promote delirium detection, however, there is lack of report about regular delirium assessment in Korea. This study was intended to describe the prevalence and related risk factors of delirium in intensive care unit (ICU). Methods: The Confusion Assessment Method for the ICU (CAM-ICU) data which were evaluated by nurses in ICUs was obtained through retrospective chart review. Data were analyzed using descriptive statistics, Chi-square test, t-test, Mann-Whitney U test, and stepwise logistic regression. Results: Delirium was evaluated in 125 patients. The incidence rate of delirium was 27.2% with a high prevalence of hypoactive delirium compared to hyperactive delirium (61.8 vs. 38.2%). Those with delirium were older, had hypertension, stayed longer in hospital, receiving ventilator support, had more number of catheters, had low serum protein and albumin level. Delirium incidence also varied according to diagnosis. Age, diagnosis of gastrointestinal disease, and application of ventilator were the significant risk factors for the incidence of delirium. Conclusion: Routine delirium screening is important for early detection of delirium. Identification of high-risk group and running delirium prevention programs could improve early recognition of delirium in ICU.

신생아집중치료실에 입원 경험이 있는 미숙아 어머니의 외상 후 성장에 영향을 미치는 요인 (Factors Influencing Post-traumatic Growth in Mothers with Premature Infants Admitted to the Neonatal Intensive Care Unit)

  • 이현수;강숙정
    • Child Health Nursing Research
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    • 제26권2호
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    • pp.267-276
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    • 2020
  • Purpose: Caring for a vulnerable premature baby is a challenging task, but some mothers experience growth through that process. The purpose of this study was to investigate the factors influencing post-traumatic growth in mothers with premature infants admitted to the neonatal intensive care unit. Methods: A correlational research design was used and 105 mothers of premature infants were recruited from an online community. Data were collected from January 15 to January 25, 2019. Post-traumatic growth was measured using the Korean version of the Posttraumatic Growth Inventory. Data were analyzed using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical multiple regression. Results: The final model developed in this study explained 45.5% of post-traumatic growth (F=13.66, p<.001). Resilience (β=.54, p<.001) was the strongest predictor of post-traumatic growth, followed by the age of the mother when giving birth (β=.17, p=.028) and current employment status (β=.17, p=.049). Conclusion: For mother with premature infants to grow psychologically after their experience, it may be needed to support them to develop and strengthen their resilience through either education or their own support network.

The Effects of the Electronic Health Record System on Work Overload and Stress Moderation of Hospital Employees

  • Choi, Young-Jin;Noh, Jin-Won;Boo, Yoo-Kyung
    • 산경연구논집
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    • 제9권9호
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    • pp.35-44
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    • 2018
  • Purpose - In endless competition, companies pursue cost reduction and work efficiency. So, entrepreneurs try to increase job intensity, which may lead to job stress and high turnovers because of job burnout. But, Information systems are acknowledged as a work support tool that secures work convenience and the productivity of employees. In this study, we aimed to confirm the effects of information systems in reduing the work overload of employees in a human resource intensive industry. Research design, data and methodology - This is based on the job demands-resources model, conducting an empirical analysis of surveys given to hospital employees working in a human resource intensive industry. Results - The research revealed that information systems reduced the work overload of employees in a human resource intensive industry. Conclusion - This study confirmed the effects of information systems as a job resource based on JD-R theory, and presentation of empirical results indicated that information systems alleviate employee job overload and increases job satisfaction in the medical services industry. In the medical services industry, using electronic health record system decreases in work overload, which results in employees gaining time for self-development and time management, reducing job stress, and leading to job satisfaction.

중환자실 간호사의 다제내성균 감염관리 수행에 영향을 미치는 요인 (The Factors Influencing Compliance of Multidrug-resistant Organism Infection Control in Intensive Care Units Nurses)

  • 김지희;임경희
    • 성인간호학회지
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    • 제27권3호
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    • pp.325-336
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    • 2015
  • Purpose: This study was conducted to identify factors influencing compliance of multidrug-resistant organism infection control in intensive care units (ICU) nurses. Methods: Data were collected from 254 ICU nurses who were working at 6 general and advanced general hospitals in D city and G Province. Results: 77.2% and 84.4% of the subjects correctly answered to questions about Methicillin-Resistant Staphylococcus Aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE), respectively. The scores of MRSA infection control compliance and VRE infection control compliance were 3.41 and 3.43, respectively. The factors influencing MRSA infection control compliance were empowerment, environmental safety recognition, and education satisfaction, which explained 30% of MRSA infection control compliance. The factors significantly related to VRE infection control compliance were empowerment, hospital types, environmental safety recognition, number of education sessions, and neonatal ICU, which explained 37% of VRE infection control compliance. Conclusion: It is necessary to develop efficient educational programs for infection control including educational contents to improve empowerment and environmental safety recognition of nurses. Furthermore, administrative support for those infection control programs is also necessary.