간호중재분류체계(NIC)를 이용한 중환자 간호중재 분석 = A Study on the ICU Nursing Interventions Using Nursing Interventions Classification

다국어 초록 (Multilingual Abstract)

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.