간호중재분류체계(NIC)를 이용한 중환자 간호중재 분석

김수진,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 1997 중앙간호논문집 Vol.1 No.2

This study was to survey nursing interventions performed by ICU nurses from 2 university hospitals in Seoul. The purposes of this study are threefold : (a) to identify nursing interventions performed by ICU nurses, (b) to identify characteristics of nursing interventions performed by ICU nurses, (c) to identify core interventions performed by ICU nurses. Embedded in this purposes are 2 questions : (1) What nursing interventions are used by ICU nurses? (2) What nursing interventions are most frequently used by ICU nurses? For this study, The Nursing Interventions Use questionnaires, developed by the Iowa Intervention Project team, were used. In the first part of the questionnaire, all 336 intervention labels and definitions are listed. In the first part of the questionnaire, respondents are asked to rate how often they perform each intervention. Five responses are possible : rareiy, if at all ; about once a month ; about once a week ; about once a day ; and several times a day. The second part of the questionnaire consists of one open-ended question. Respondents are asked to identify interventions that they think are missing from the classification. The third part of the questionnaire addresses demografic information. This study used the 1992 version of the current taxonomy structure. The data were collected from 31 nurses from 2 ICU using questionnaire from August, 19, 1997 to October, 4, 1997, and the data were analysed with SPSS program. The obtained results are as follows: (1) There were 248 nursing interventions identified as being used at least monthly 50% or more of the ICU nueses. These nursing interventions were all of the domains and the classes in the NIC taxonomy exept the childbearing care class. (2) The 22 nursing interventions were performed several times a day by 90% or more of the ICU nueses. The most frequently used nursing interventions were medication administration: parental, airway suctioning, vital sign monitoring. Most of the nursing interventions used several times a day were in the physiological:complex domain, which support homeostatic regulation. (3) The 25 nursing interventions were performed rarely by 90% or more of the ICU nueses. The rarely used interventions were family integrity promotion:childbearing family, family planning:contraseption, family planning:infertility, family planning:nplanned pregnancy, fetal monitoring, genetic conseling, intrafatal care. Most of the nursing interventions used rarely were in the family domain. (4) The number of nursing interventions that received a mean-use score of 4.0 or greater were 105. These 105 nursing interventions were used at least once a day by a majority of the ICU nurses. The nursing interventions received the highest mean-use score were medication administration:parental, airway suctioning, vital sign monitoring (mean=5.00), followed by the nursing interventions of enteral feeding, oxygen therapy, fall prevention, pressure ulcer prevention, intravenous insertion(mean=4.97). Most of the nursing interventions used at least daily were in the physiological:complex domain. The survey of the 31 ICU nurses was carried out to determine the frequency how often they perform each of the 336 interventions in the NIC. 49 nursing interventions were used at least daily, indicating a set of core interventions unique to ICU practice. These findings have implications for ICU practice, education, and research.

간호사의 Type D 성격과 외상 후 스트레스 증상의 관계에서 지각된 사회적 지지의 조절효과

김소현,현명호 대한스트레스학회 2023 스트레스硏究 Vol.31 No.4

본 연구는 중환자실 및 응급실 간호사를 대상으로 Type D 성격이 외상 후 스트레스 증상에 미치는 영향을 지각된 사회적 지지가 조절하는지 확인하고자 하였다. 이를 위해 서울 소재의 대학 및 종합병원에서 근무하는 중환자실과 응급실 간호사 223명으로부터 자료를 모집하고, 가족과 친구, 동료, 선임 4가지 유형으로 나누어 지각된 사회적 지지의 조절효과를 분석하였다. 그 결과 선임으로부터 지각된 사회적 지지의 조절효과만 유의하였다. 즉, 선임으로부터 지각된 사회적 지지가 높을수록 외상 후 스트레스 증상에 미치는 Type D 성격의 영향이 약화되었다. 이러한 결과를 통해 중환자실과 응급실 간호사의 외상 후 스트레스 개입 방안에 대한 선임의 사회적 지지가 중요함을 제시하였다. Background: This study examined the moderating effects of four types of perceived social support on the relation between type D personality and post-traumatic stress disorder (PTSD) symptoms among ICU and ER nurses. Methods: Data were collected from 223 ICU and ER nurses in university or general hospitals located in Seoul. A questionnaire survey method was used for data collection and SPSS Windows 28.0 and PROCESS Macro Program were used for data analysis. Results: The results showed that only the moderating effect of senior support was statistically significant, while perceived support from family, friends, and coworkers were not. Specifically, the effect of type D personality on post-traumatic stress disorder (PTSD) symptoms was weaker in ICU and ER nurses who perceived higher social support from senior nurses. Conclusions: The study highlighted the significance of senior support in protecting the psychological health of ICU and ER nurses. Additionally, it addressed the major considerations in developing practical interventions in hospital settings.

응급실, 중환자실, 수술실 간호사의 소진에 대한 연구동향 분석

한승우,김희숙 경북대학교 간호혁신연구소 2015 경북간호과학지 Vol.19 No.1

Purpose: This study was done to identify the current status of burnout research on Korean ER, ICU, OR nurses and suggest the directions for future research. Method: seventy seven articles between 1994 to 2014 were selected using key words such as "Nurses", "Burnout", "ER", "ICU", "OR" from the database (RISS4U et al). Result: Seventeen of research reports were related to descriptive and 13 were related to correlations. Burnout level was measured using BM, MBI, CBI and PROQOL. 46.7% of studies reported the average burnout score as higher than clinical nurses. Among individual factors, demographic variables were significantly correlated to burnout with age, marital status, and education. Some of job factors including position, work experience, and hope of work were also significantly related to burnout. Conclusion: In Korea, the next phase of nurse burnout research needs to consider the measurement tool selection for the international comparison and longitudinal design to find more specific causal relationships.

중환자실 간호사의 관계유대와 전문직 자율성이 조직몰입에 미치는 영향

이내영(Lee, Naeyoung),김영순(Kim, Young Soon) 한국간호행정학회 2017 간호행정학회지 Vol.23 No.2

Purpose: The aim of this study was to define the effects of relational bonds and professional authority in organizational commitment of Intensive Care Unit (ICU) nurses. Methods: A questionnaire was distributed to 200 ICU nurses working in 3 tertiary hospitals. The survey content included the Organizational Commitment Questionnaire (OCQ), Relational Bond Questionnaire (RBQ) and Schutzenhofer Professional Nurse Autonomy Scale (SPNA). Results: The score for OCQ was 2.59, for RBQ, 3.23, and for SPNA, 2.93. Organizational commitment was related to relational bonds (β=0.45; p<.001; SE=0.08). These factors accounted for 21.6% of the variability in organizational commitment. Conclusion: Results indicate that ICU nurses" organizational commitment could be improved through increasing relational bonds and retaining experienced nurses which suggests a need to develop work systems designed to increase and maintain high relational bonds in ICU nurses.

중환자실 간호사의 의사소통장애가 간호업무성과에 미치는 영향

김재원(Kim, Jae-won),김경희(Kim, Kyung-hee),정혜경(Chung, Hae-kyung),곽연희(Kwak, Yeun-hee) 한국웰니스학회 2017 한국웰니스학회지 Vol.12 No.1

본 연구는 중환자실 간호사의 의사소통장애 정도와 유형을 파악하고, 간호업무성과에 영향을 미치는 의사소통장애 영역을 규명하고자 시도되었다. 연구대상자는 중환자실 간호사 136명으로, 구조화된 설문지를 이용해 자료를 수집하였다. 자료 분석은 SPSS 20,0을 이용하였고, 대상자 특성은 빈도분석 하였고, 대상자 특성과 의사소통장애, 간호업무성과 차이는 t-test, ANOVA로 분석하였다, 그리고 의사소통장애 영역과 간호업무성과 간의 상관관계는 Pearson’s correlation coefficient로 분석하였다. 간호업무성과에 영향을 미치는 의사소통장애는 다중회귀분석을 이용하였다. 연구결과, 대상자의 의사소통장애는 최고점 290점 중 평균 196.40점이었으며, 간호업무성과는 최고점 85점 중 평균 63.32점으로 나타났다. 간호사영역, 가족영역, 환경영역, 환자상태영역의 의사소통장애는 간호업무성과와 음의 상관관계를 나타났다. 간호업무성과는 대상자의 연령(p<.001), 교육수준(p<.001), 중환자실 근무경력(p<.001), 직위(p<.001), 근무 횟수(p=.030), 직무만족(p<.001)에서 차이를 나타냈다. 간호사영역의 의사소통 장애가 간호업무성과에 영향을 미치는 것으로 나타났고(β=-.42, p=.001), 설명력은 17%였다. 본 연구결과를 토대로 중환자실 간호사의 간호업무성과를 향상시키기 위해 간호사의 의사소통을 원활히 할 수 있는 체계적인 교육 프로그램을 개발과 교육이 필요하다. Purpose: The purpose of this study is to examine the factors determining nursing performance in order to improve communication skills and nursing performance in ICU. Methods: The sample of this study consisted of 136 ICU nurses who worked for at least one year from four general hospitals in Seoul, Korea, using a structured questionnaire. The results were analyzed by descriptive statistics, pearson correlation coefficients and multiple regression using SPSS WIN 20.0 program. Results: The mean score of communication barriers is 196.40, nursing performance is 63.32. Nursing performance is negatively correlated to communication barriers, Nursing performance significantly predicted nurse category of communication barriers (Adj. R² = 0.17, p = .001). Conclusion: The results indicate that understanding communication barriers and establishing an effective communication are keys to improve nursing performance.

신생아집중치료실 간호사를 위한 시뮬레이션 기반 응급기도 관리 교육 프로그램 개발 및 효과

김민정,김성희 한국아동간호학회 2019 Child Health Nursing Research Vol.25 No.4

Purpose: The purpose of this study was to identify the effects of an educational intervention by evaluating neonatal emergency airway management knowledge, critical thinking disposition, problem- solving ability, and confidence in clinical performance after developing and operating a simulation-based neonatal emergency airway management education program for nurses in a neonatal intensive care unit. Methods: The participants were 30 nurses in a neonatal intensive care unit. Data were collected from June 6 to 15, 2018 and analyzed using IBM SPSS version 22.0. Results: The results of the pretest and posttest for each educational group showed statistically significant improvements in neonatal emergency airway management knowledge, critical thinking, problem- solving ability, and confidence in clinical performance. Conclusion: The simulation-based neonatal emergency airway management training program was an effective educational program that enhanced neonatal emergency airway management knowledge, critical thinking disposition, problem-solving ability, and confidence in clinical performance among nurses in a neonatal intensive care unit. Therefore, it is suggested that the program described in this study can contribute to improving nursing quality by enhancing the ability of nurses to cope with emergencies in practice. It can also be used for education for new nurses and contribute to the development of nurses’ practices.

중환자실 간호사 및 중환자 전문간호사의 역할 규명을 위한 연구

이정희,성영희,이영희,조용애,권인각 병원간호사회 2007 임상간호연구 Vol.13 No.3

Purpose: The purpose of this study was to analyze the roles of ICU nurses and critical care Advanced Practice Nurses(APNs) and provide basic data to refine the roles of critical care APNs. Method: A cross-sectional survey was conducted by using a job analysis questionnaire with 181 questions in the following categories: direct clinical practice, education and counseling, research, leadership, consultation and collaboration. A total of 907 ICU nurses with minimum of 1 year clinical experience from 46 hospitals were surveyed from February 15 to March 15, 2007. Results: As for the frequency and perceived competency, the category of direct practice showed the highest score, followed by leadership, education and counseling, research, consultation and collaboration. Regarding the priority and importance, the category of direct practice also showed the highest score, followed by leadership, education and counseling, consultation and collaboration, and research. Therefore, direct practice was indicated as a major job of the ICU nurses. The participants considered they have sufficient competency to take charge of the direct practice except physician-specific invasive procedures. The participants also considered critical care APNs might take charge of education and counseling, research, consultation and collaboration as well as direct practice. Conclusion: Based on the result of this study, it is necessary to specialize APNs’ direct practice by focusing on the ICU nurse’s nursing activities with high importance-low perceived competency. In addition, there is the necessity to enhance other roles in order to distinguish and expand the roles of critical care APNs.

중환자실 간호사들의 조직문화 유형이 직무몰입에 미치는 영향

강효선,박현주 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.12

This study was conducted to identify the organizational culture of intensive care unit (ICU) nurses and determine the impact of organizational culture on their job commitment. The participants of this study included 168 nurses working in the ICUs from 7 general hospitals with more than 300 beds. To analyze the data, descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson's correlation, and hierarchical multiple regression were performed with using SPSS Statistics 24.0 Program. As a result of this study, among the organizational culture type, hierarchy-oriented culture had the highest score (3.41±0.51), and followed by the scores of relationship-oriented culture (3.24±0.67), innovation-oriented culture (3.22±0.62), and task-oriented culture (2.52±0.71). As a result of hierarchical multiple regression analysis to identify factors affecting job commitment, hierarchy-oriented culture, relationship-oriented culture, and work-oriented culture did not have significant effect on job commitment, and only innovation-oriented culture (β =.20, p =.028) had a significant effect. Additionally, among covariates, work unit and self-efficacy did not show significant effect on job commitment. Only self-leadership (β =.34, p <.001) were significant. The statistical model explained 40.0% of job commitment. Therefore, the job commitment of intensive care unit nurses would be improved if interventions are applied to spread innovation-oriented culture and increase nurses' self-leadership in intensive care units.

중환자실 간호사의 생명의료윤리의식, 좋은 죽음 인식 및 사전연명의료의향서 지식이 연명의료중단 태도에 미치는 영향

이은정,임효남,이미향,김두리 한국산학기술학회 2022 한국산학기술학회논문지 Vol.23 No.7

This descriptive investigative study aims to assess the factors of biomedical ethics consciousness, good death recognition, and knowledge of AD(Advance Directive) affecting the attitude of ICU(Intensive Care Unit) nurses toward withdrawal of LST(Life-Sustaining Treatment). The attitude toward the withdrawal of LST showed a statistically significant relationship with the subordinate factors of biomedical ethics consciousness including the fetus's right to life(r=-.205, p=.006), artificial insemination(r=-.149, p=.047), euthanasia(r=-.154, p=.040), organ transplant(r=.204, p=.006), and human biotechnology(r=.229, p=.002). Moreover, attitude toward the withdrawal of LST had a significantly positive correlation with recognition of good death(r=.351, p<.001) and a statistically significant relationship with the knowledge of an existing AD(r=.180, p<.017). The main factors influencing the attitude to the withdrawal of LST included recognition of good death(β=.283, p<.001), fetus's right to life(β=-.107, p=.018), human biotechnology(β=.134, p=.034), knowledge of AD(β=.026, p=.005), gender(β=-.199, p=.027), and artificial insemination(β=-.118, p=.037). The overall explanatory power of the model was determined to be 23%. Taken together, our results indicate the necessity to develop a systematic education program to improve recognition of good death and to develop continuing education programs for LST and AD by revising the relevant laws to improve the attitude of ICU nurses toward the withdrawal of LST. 본 연구는 중환자실 간호사 대상으로 생명의료윤리의식, 좋은 죽음 인식 및 사전연명의료의향서 지식의 정도와 연명의료중단 태도와의 관계를 파악하여 임상현장에 적용할 수 있는 객관적이고 윤리적인 연명의료 프로그램 개발의 기초자료를 제공하고자 시도된 서술적 조사연구이다. 300병상 이상 5개 종합병원 중환자실 간호사 177명 대상으로 자가기입식 설문조사를 시행하였고, SPSS WIN 23.0 프로그램을 이용하여 분석하였다. 연명의료중단 태도는 생명의료윤리의식의 하위영역인 태아의 생명권(r=-.205, p=.006), 인공수정(r=-.149, p=.047), 안락사(r=-.154, p=040), 장기이식(r=.204, p=.006), 인간생명공학(r=.229, p=.002)과 통계적으로 유의한 관계를 보였다. 연명의료중단 태도와 좋은 죽음 인식은 유의한 정적(양) 상관관계(r=.351, p<.001)가 있는 것으로 나타났고, 사전연명의료의향서 지식과는 통계적으로 유의한 관계(r=.180, p<.017)가 있는 것으로 나타났다. 연명의료 중단 태도에 영향을 미치는 주요 요인은 좋은 죽음 인식(β=.283, p<.001), 태아의 생명권(β=-.107, p=.018), 인간생명공학(β=.134, p=.034), 사전연명의료의향서 지식(β=.026, p=.005), 성별(β=-.199, p=.027), 인공수정(β=-.118, p=.037)이었고, 모형의 전체 설명력은 23%로 나타났다. 따라서 중환자실 간호사의 연명의료중단 태도를 높이기 위해서는 좋은 죽음 인식을 향상시키고, 법 개정에 맞춘 연명의료와 사전연명의료의향서에 대한 지속적인 교육 및 중재 프로그램의 개발이 필요할 것이다.

A Study of Nursing Competency of Nursing Students for ICU Nursing Core Skill Education

In-Sook Lee,Yong-Ju Son,Chang-Seung Park 한국간호과학회 2011 한국간호과학회 학술대회 Vol.2011 No.10