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.

성인 간호단위 간호사의 간호중재분석

노미경,박경숙 성인간호학회 1999 성인간호학회지 Vol.11 No.2

The purpose of this study was to determine the kinds and characteristics of nursing interventions performed by adult nursing units nurses. For this study, 433 taxonomy of nursing intervention classification(NIC) of Iowa University research project were used, which were translated into Korean. The data were collected from 110 nurses of 4 General Hospitals from Jan. 20, 1998 to Feb. 18, 1998 and analyzed with SPSS program. The result are as follows: 1. 31 nursing interventions were performed at least once a day. Most of which were physiological : complex domain. The nursing interventions receiving the highest mean-use score were intravenous therapy, documentation, medication, vital sign monitoring, analgesics administration, teaching: prescribed medication, hypoglycemia/hyperglycemia management, nutrition therapy and active listening. 2. 20 nursing interventions were performed several times a day by 50% or more of the nurses. The most frequently used nursing interventions were intravenous therapy, medication, documentation and vital sign monitoring. Most of the nursing interventions used several times a day are in the physiological: complex domain. 3. 256 nursing interventions performed at least monthly by 50% or more of the nurses. Those nursing interventions were all of the domains and the classes in the NIC taxonomy except the child bearing class. 4. 59 nursing interventions were rarely performed by 90% or more of the nurses. Most of them were in the family domain. The rarely used interventions were contactlense care, animal therapy, art therapy, hypnosis and child bearing care. 5. Adult nursing units performed all kinds of indirect nursing interventions and the most frequently performed nursing interventions were documentation, shift report, order transcription, examination assistance and emergency cart checking. In conclusion the kinds and characteristics of nursing interventions performed by adult nursing units nurses were determined to apply to practice for providing standarized nursing leading to a professional nursing and development. Base on this study, the development of nursing intervention classification suitable for current situation and classified studys concerning are recommanded.

가정간호에서 사용된 간호진단과 간호중재 분류

서미혜,허혜경,Suh, Mi-Hae,Hur, Hae-Kung 한국가정간호학회 1998 가정간호학회지 Vol.5 No.-

This study was done to identify basic information in classifying nursing diagnoses and nursing interventions needed for the further development of computerized nursing care plans. Data were collected by reviewing charts of 123 home care clients who had active disease, for whom at least one nursing diagnosis was on the chart, and who had been discharged. Data included demographics, medical orders, nursing diagnoses and nursing interventions. The results of the study, which found the most frequent medical diagnoses to be cancer (40.7%) and brain injury (26.8%), showed that 'Impaired Skin Integrity'(18.3%), 'Risk for Infection'(15.0%), 'Altered Nutrition, Less than Body Requirements'(13.8%), and 'Risk for Impaired Skin Integ rity'(9.9%) were the most frequent nursing diagnoses. 'Pressure Ulcer Care'(28.4%) was the most frequent intervention for 'Impaired Skin Integrity', 'Infection Protection'(16.0%) for 'Risk of Infection', 'Nutrition Counseling'(26.8%) for 'Altered Nutrition' and 'Positioning'(22.0%) for 'Risk for Skin Integrity Impairment', Comparison of interventions with the Nursing Intervention Classification(NIC) showed that the most frequent interventions were in the domain 'Basic Physiological' (33.94%), followed by 'Behavioral'(27.8%), and 'Complex Physiological' (22.6%). Interventions related to teaching family to give care at home could not be classified in the NIC scheme. Examination of the frequency of NIC interventions showed that for the domain 'Activity & Exercise Management', 75% of the interventions were used, but for seven domains, none were used. For the domain 'Immobility Management', 93% of the times that an intervention was used, it was 'Positioning', for the domain 'Tissue Perfusion Management', 'IV Therapy' (59.1%) and for the domain 'Elimination Management', 'Tube Care: Urinary'(54.0%). The nursing diagnoses 'Altered Urinary Elimination' and 'Im paired Physical Mobility' were both used with these clients, but neither 'Fluid Volume Deficit' nor 'Risk of Fluid Volume Deficit' were used rather 'IV Therapy' was an intervention for 'Altered Nutrition, Less than Body Requirements', A comparison of clients with cancer and those with brain injury showed that interventions for the nursing diagnosis 'Impaired Skin Integrity' were more frequent for the clients with cancer, interventions for 'Risk of Infection' were similar for the two groups but for clients with cancer there were more interventions for' Altered Nutrition'. Examination of the nursing diagnoses leading to the intervention 'Positioning' showed that for both groups, it was either 'Impaired Skin Integrity' or 'Risk for Skin Integrity Impairment'. This study identified a need for further refinement in the classification of nursing interventions to include those unique to home care and that for the purposes of computerization identification of the nursing activities to be included in each intervention needs to be done.

심혈관계 중환자에서 간호중재빈도에 대한 조사 : Iowa대학의 NIC 이용

김문숙,서문자 서울대학교 간호대학 간호과학 연구소 1998 간호학 논문집 Vol.12 No.2

The purpose of this study was to survey the frequency of nursing interventions performed by the coronary care nurses from 4 university hospitals in Seoul and one general hospital in Inchon city. For this study, the taxonomy of nursing intervention classification (NIC) of Iowa university research project were used. The NIC (433 nursing interventions) which was translated into Korean and modified (428 nursing interventions) by a group of graduate nursing students of S university was used as a basic research instrument. In order to obtain the data, a special panel group of 13 experienced CCU nurses (most of them are head nurses) was instituted when it became apparent that the survey process was too timeconsuming and not appropriate for all labels. For the panel group method researcher prepared the NIC in korean version. The panel group work validated 190 nursing interventions with agreement of more than 50%. The data were collected from 43 nurses with 144 coronary patients from 5 CCUs with the questionnaire and the list of 190 nursing interventions selected by panel group and the open questions to write any kind of nursing care done by the surveyee from April, 7, 1997 to May, 10, 1997, and the data were analysed with SPSS program. The obtained results are as follows. ① There were 201 nursing interventions using NIC surveyed at the coronary care unit from 5 CCUs in Seoul and one province of Korea. The most frequently used nursing interventions were vital sign monitoring, dysrhythmia management, active listening, documentation, shift report, fall prevention, bed rest care in rank. ② In the domain of physiological nursing: basic, the most frequently used nursing interventions were bed rest care, simple massage, sleep enhancement in rank. ③ In the domain of physiological nursing: complex, the most frequently used nursing interventions were dysrhythmia management, intravenous therapy, cardiac care in rank. ④ In the domain of behavioral nursing, the most frequently used nursing interventions were active listening, emotional support, teaching in rank. ⑤ In the domain of safety nursing, the most frequently used nursing interventions were vital sign monitoring, fall prevention, surveillance in rank. ⑥ In the domain of family nursing, the most frequently used nursing interventions were family involvement, family mobilization in rank. ⑦ In the domain of health system, the most frequently used nursing interventions were specimen management, laboratory data interpretation, physican support, documentation, shift report, order transcription in rank. In conclusion, The survey of nursing interventions using NIC at the coronary care unit has helped to figure out the component of coronary nursing care in Korea. For implication of this study for research, there are some questions arisen; ① How can be differenciate the nursing intervention which includes an activity that refers to another intervention? ② What ar the cluster or core interventions routinely used for specific type of coronary cases not only duty but also a certain period? ③ What patterns of interventions are used by novice vs expert nurses? For implication of this study for education; ① The content of coronary care nursing by using NIC can be taught for the specialized CCU nurses as well as for the nursing students. ② This result can be reflect the specialized knowledge and skills useful for practicing at CCU. For implication of practice, the use of this results will enhance quality assessment and improvement the standard of CCU nursing.

NIC간호중재분류체계를 이용한 회복실 핵심간호중재분석

이윤영,지성애 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

The purpose of study was to survey to analysis of core nursing interventions performed by Post Anesthetic Care Unit nurses. The subject of the study were arbitrarily selected 59 nurses in 3 general hospitals located in Seoul, working for the Post Anesthetic Care Unit. The period for collected the data was 47 days from July, 15, 2000 to August, 30. 2000. The Instrument for study was the Korean translation of 486 Nursing Intervention Classification, developed by McClosky & Bulechek in 2000. In the 486 nursing interventions, 217 nursing interventions were selected by 50% or more of the 34% professional nurses group in post-anesthetic care unit. The 217 nursing interventions were used secondary questionnaire. In the secondary questionnaire, all 217 intervention labels and definitions were listed. The collected data were self-report by post anesthetic care nurses. The dada were analysed with SPSS program. The result of this study is as follows. 1. The most frequently used nursing intervention domains were 'Behavior', 'Physiological: Complex', 'Safety'. 'Physiological: Baasic', 'Health system', 'Family' 'community' 2. Post-anesthetic core nursing interventions were performed several times a day by 50% or more of the post anesthetic care nurses. Post-anesthetic core nursing interventions were 4domain('Behavior', 'Physiological: Complex', 'Safety' 'Physiological: Basic', 'Health system'), 19 class, 112 core nursing intervention. The most frequently used Post-anesthetic core nursing intervention domains were 'Physiological: Complex' The most frequently used Post-anesthetic core nursing interventions were medication : intravenous, airway management, oxygen therapy, anesthesia administration, fall prevention, fluid management, airway suctioning, aspiration precaution, airway insertion and stabilization, fluid monitoring, intravenous(IV) therapy, ventilation assistance, infection control: intraoperative, cough enhancement, temperature regulation, vital signs monitoring, documentation, analgesic administration, temperature regulation: intraoperative, emotional support, medication administration, artificial airway management, physician support, fluid/electrolyte management, mechanical ventilation. Post-anesthetic Core Nursing Interventions have implications for post-anesthetic care practice, education, research. and nursing information system.

간호중재분류체계(NIC)에 따른 성인간호학 임상실습 내용 분석 및 중요도 분석

김은정,김광숙,성경미,신현숙,신혜경,이영자,정석희,김대란 대한의료커뮤니케이션학회 2018 의료커뮤니케이션 Vol.13 No.2

Background: The purpose of the study was to analyze the contents and importance of clinical practicum education in adult health nursing. Methods: This is a descriptive study using content analysis for identifying the items of clinical nursing checklists gathered from 13 university nursing programs accredited by Korean Accreditation Board of Nursing Education. Items in the checklist were standardized in accordance with the Nursing Intervention Classification (NIC) and categorized into simple-technical skill, complex-technical skill, and disease-specific care. The perceived significance of each item was examined by surveying nurses who in charge of nurse education from various clinical setting. Results: A total of 182 items in the clinical practicum contents were analyzed, and the terminologies of each item were variously described among nursing schools. Fifty percent of the total items were categorized into simple-technical skill. In terms of clinical importance, expert validity results showed that nurses considered infection control, infection protection, and fall prevention as the most significant items, which was not the same as the most common items in the clinical nursing checklist. Conclusion: These findings suggest that standardized nursing terminologies are needed to describe a nursing practicum checklist. Clinical importance of each item in the checklist should be taken into consideration in developing a clinical nursing checklist to assist the students in achieving the competencies as a clinical nurse.

병원중심 가정간호중재 분석 : NIC 체계 적용

용진선,유인자,유지연 성인간호학회 2000 성인간호학회지 Vol.12 No.4

The purpose of the study was to investigate the characteristics of the clients registered in the department of home health care nursing in a hospital and to analyze nursing intervention activities recorded in charts by application of Nursing Intervention Classification (NIC) system For the descriptive survey study, data were collected by reviewing charts of 572 home health care clients between May. 1997 and July, 2000 at K hospital in Seoul. The average alee of the clients was 66 years and the number of clients in their 70s ranted first with 28.2 percent(158 people). The mean length of home care servile was 47 days with the highest frequency of less than four weeks(56 %). With regard to medical diagnosis, cancer showed the highest frequency (48%. 271 people) fellowed by cerebrovascular disease (19%). anti pulmonary disease (6.9%). According to analysis of nursing interventions by the NIC system, the most frequently used nursing interventions in level 1 were interventions in the Physiological: Complex domain which were used 3.663 times (33%) among 11.107 total interventions. The Safety domain was the second most frequently used intervention, followed by the Physiological Basic, and the Behavioral domains. In level 2. the Risk Management class was the most frequently used interventions with 3,108 interventions (27.9%). followed by Drug Management, and Tissue Perfusion Management classes. In level 3 interventions. Vital Sign Monitoring was the most frequently used intervention. 569 times (5.1%) followed by Health Screening, and Neurological Monitoring interventions. In sum, half of the clients in the study had cancer and were in their 70s. The most frequent reason for ending home care was death(40%). followed by readmission (28%). These findings represent clients with severe conditions referred to the home care nursing decal-foment as it was a University leaching hospital. Further research on analyzing nursing interventions performed in earth institution needs to be conducted to develop a standardized list of nursing interventions to use in home health care settings.

응급실 내원 복통 환자의 특성과 NIC을 활용한 간호중재 분석

정원숙,황선경 부산대학교 간호과학연구소 2018 글로벌 건강과 간호 Vol.8 No.1

Purpose: This study was conducted to investigate the characteristics and nursing interventions of adults with acute abdominal pain. Methods: A retrospective design was used to examine the medical records of 1,822 adult patients, who presented with a chief complaint of abdominal pain in a university hospital emergency department in 2015. Demographic data, clinical features, and clinical outcomes were reviewed and nursing interventions were classified using Nursing Interventions Classification (NIC). Data were summarized with descriptive statistics. Results: Among subjects, 53.8% were female and their mean age was 51.7 years. Around 8.9% were admitted to the hospital; 13.1% were underwent surgery; and 56.8% were discharged to home. Their pain was located in the whole abdomen (63.7%) and right upper quadrant (12.4%) and 79.5% had diseases of the digestive system, especially in gall bladder, biliary tract, and pancreas (16.3%). Nursing interventions were classified into 6 domains, 24 classes, and 117 interventions. The nursing interventions provided most frequently were pain management, fall prevention, admission care, teaching (individual, prescribed medication), and patient identification. Conclusion: In order to manage acute abdominal pain in the emergency department, standardized guidelines need to be developed based on patients’ characteristics and clinical features of abdominal pain.

Nursing Intervention Classification(간호중재 분류체계)의 한글 명명화에 대한 타당성 연구

박현애,김혜숙,조인숙,최영희,박현경,김정은,이향련 성인간호학회 1999 성인간호학회지 Vol.11 No.1

The purpose of this study was to develop and test the validity of standardized Korean nomenclature based on Nursing Intervention Classifications (NIC), developed by McCloskey and Bulechek at the University of Iowa. The four phases of the study were : 1. Two professors and 15 graduate students, who were taking a nursing intervention course, translated the 433 nursing interventions of NIC into Korean : 2. 12 nurses with various clinical backgrounds reviewed the nomenclature, taking into consideration the definition and activities for each Korean nursing intervention. The Delphi method was used to determine the best appropriate nomenclature for each intervention : 3. 20 academic and clinical experts in nursing were given a questionnaire to rate the validity of each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate : 4. five members of the Korean Nurses Association Research Committee reviewed the survey results and determined the most appropriate Korean nomenclature for each nursing intervention of NIC system. Most nomenclature had a score of more than 4.0, but seven nursing interventions had a score lower than 4.0 : Critical Path Development (2.71), Calming Technique (3.41), Grief Work Facilitation (3.44),Order Transcription (3.44), Self Modification Assistance (3.44) and Teaching : Psychomotor Skills (3.47). These research results will be included in the nursing vocabulary dictionary to be published by Korean Nurses Association,

간호진단, 간호중재 및 환자결과에 대한 분류체계의 비교분석

박현애,김정은 서울대학교 간호대학 간호과학 연구소 1998 간호학 논문집 Vol.12 No.1

The purpose of this review study is to describe and to compare the classification systems currently utilized of being developed to classify the nursing care elements. The review is limited to three elements only, namely client status, nursing intervention, and client outcome. In client status, the NANDA Taxonoomy I, Saba's Home Health Care classification System, the Omaha Classification System were reviewed. In nursing intervention, the Nursing Intervention Classification, Saba's Home Health Care Classification intervention scheme, the Omaha intervention scheme were reviewed. In client outcome, Nursing Outcome Classification, Marek and Lang's Classification of Patient Outcomes, the Omaha System : Problem Rating Scale and the Client Focused outcome Measurement System Tool was reviewed. In order to describe and compare the classification for each element, background information for development was examined, characteristics of each classification was reviewed and classification systems were compared. After reviewing the classification systems for the elements of client status, nursing interventions and client outcomes, it is concluded that there is no single classification system adequate for all of the elements. The classification system for all the elements, particularly client outcomes, are in their beginning stage and require considerable development. Further research is necessary to determine whether or not one system can be expanded to collect client focused data in all of the settings in which nurses practice, or whether it is possible to merge these existing classification systems to create an integrated system that is sufficiently comprehensive to meet the requirements of a client focused, cross-sectoral database.