분만실 간호사의 근무 경험에 관한 현상학적 연구

이윤정 ( Lee Yunjung ) 여성건강간호학회 2017 여성건강간호학회지 Vol.23 No.2

Purpose: This study aimed to understand meaning and essentials in work experiences of delivery room nurses. Methods: A phenomenological perspective was used for this qualitative research. Ten delivery room nurse with more than 3 years of work experience participated in this study. Data were collected through individual in-depth interviews with the nurses, between December 2012 and April 2013. Data were analyzed using Colaizzi`s method. Results: Nine theme clusters and four categories emerged from the data as follows: 1) factors influencing career decision-mak-ing, 2) gap between reality and expectations, 3) difficulties with working in the delivery room, and 4) motivation to work in the delivery room. Conclusion: Based on the results of this study, strategies to improve working environment of the delivery room nurses are necessary. Also, better policy are required to firmly establish the role of the delivery room nurses` role as recognized professionals.

임상 ; 분만 산모의 상급병실 선택 요인과 실제 병상 사용 현황

윤정원 ( Jung Won Yoon ),한상원 ( Sang Won Han ),이산희 ( San Hui Lee ),정연수 ( Yeon Soo Jung ),김지만 ( Ji Man Kim ),김의혁 ( Eui Hyeok Kim ) 대한주산의학회 2014 Perinatology Vol.25 No.3

목적 : 최근 저출산, 국민 소득 수준 향상 등에 따라 산모들이 분만 후 처치와 모유 수유 등을 위해 전용 공간인 상급 병실을 선호하는 경향이 있다. 한편, 국민건강보험에서는 의료기관이 상급병실을 전체 병상의 50% 미만으로 유지하도록 규정하고 있다. 본 연구는 분만 환자의 일반 병실 또는 상급 병실 선택 이유를 파악하고 실제 병상 사용 현황을 검토하여, 병상 이용의 효율성과 형평성을 높이는 정책적 방안을 모색한다. 방법 : 2011년도 기준으로 분만 건수가 10건 이상인 요양 기관 대상으로 요양 기관 종별, 병상 수, 지역을 고려, 166개 의료기관을 표본 추출한 뒤, 2012년 11월 1일부터 11월 30일 까지 설문 조사 전문 업체에 의뢰하여 802명의 산모를 대상으로 1:1 설문조사를 실시 하였다. 대상자들의 병실이용 현황과 병실 선택과 관련된 상황과 인식, 만족도를 조사하였다. 결과 : 총 802명의 산모 중 상급 병실 이용자/선호자는 각각 690명(86%)/684명(85.2%), 일반 병실은 112명(14%)/118명(14.8%) 이었다. 35세 미만의 산모에서 상급 병실을 더 많이 이용하였다(87.3% vs. 80.3%, P=0.026). 의료기관 종별 유형은 의원, 병원, 종합병원, 상급종합병원 순서로 산모들의 상급병실 이용이 많았다. 제왕절개 여부, 다태아 여부, 경산 여부는 상급 병실의 이용에 유의한 차이가 없었다. 병실의 만족도는 상급병실이 일반병실 보다 유의하게 높았고[5.9±1.0 vs. 5.4±1.2 (0-7 scale), P<0.01], 가구 총 소득 역시 상급병실 이용자에서 높았다. 상급병실 이용 이유는 분만 후 충분한 요양 (78%), 모유 수유(6.1%), 방문 가족 접객(5.4%) 등이었다. 추후 병원 이용 시 상급 병실 선호도는, 분만의 경우가 분만 외 질환 시 보다 높았다(81.8% vs. 44.9%, P<0.001). 결론 : 분만 입원의 특성상 사생활 보호, 충분한 요양의 필요, 모유 수유, 가족공간의 필요성 때문에 상급병실에 대한 선호 및 실제 이용이 높다. 반면 소득수준, 보험가입여부, 연령에 따라 상급병실 이용에 격차가 생기고 있으므로, 분만에 한해 상급병실료의 국가 지원이 필요하며 아울러서 상급병실 비율 완화와 병실료 적정화와 같은 정책적 제언이 필요할 것이다. Purpose : Demand of specialized maternity ward is increasing as national income level rises. However, the National Health Insurance limits the number of hospital’s non-standard room to less than 50% of total hospital beds. Therefore, this research was performed to investigate the utilization of non-standard room among the Korean women who recently delivered baby in medical facilities in order to examine the factors affecting their selection. Methods : One hundred sixty six medical facilities which deliver a minimum of ten cases in the year 2011 were selected and categorized by type, region, and size. A cross-sectional survey was done in November 2012 by a professional research survey company. Eight hundred and two pregnant women answered the questionnaire through a face-to-face interview. Results : Of the 802 expecting mothers, 690 (86%) occupied non-standard room and 684 (85.2%) preferred non-standard room to the standard room. Satisfaction levels were significantly higher in mothers occupying non-standard room [5.9±1.0 vs. 5.4±1.2 (0-7 scale), P<0.01] and high-income families used non-standard room more often. Reasons for using non-standard room included adequate convalescence (78%), separate place for breastfeeding (6.1%), and convenience on receiving visitors (5.4%). Preference for non-standard room on next visit was higher in case of delivery compared to other cause of hospitalization (81.8% vs. 44.9%, P<0.001). Conclusions : Preference and actual use of non-standard room after delivery was significant. In spite of concrete preference, there was certain barrier in use of non-standard room according to income and types of hospitals. Therefore, changes of policy are needed such as insurance support for room charge in case of delivery.

남자간호학생의 분만실 실습경험

정옥분 ( Jung Ok Bun ),박현주 ( Hyun Joo Park ) 여성건강간호학회 2011 여성건강간호학회지 Vol.17 No.1

Purpose: This study was to understand the meaning of experience in delivery room practice of male nursing students. Methods: This is qualitative research using focus groups. Data were collected by group interviews from May 22 to June 20, 2010. The focus group interviews were conducted to 14 male nursing students who had experience clinical practice in delivery room. Data were analyzed through Colaizzi`s method, in which meaningful statements were extracted. Results: Five theme clusters were identified from thirteen themes and twenty four sub-themes. The five theme clusters were 1) cultural perception of gender role, 2) perceived reality of male nurse, 3) difficulty in approaching clients, 4) counter-educational environment, 5) insight and new perception. Conclusion: For the purposes of remedying male nurse students` problems experienced during clinical practice in delivery room, it seems that there is a need for reeducating nurses` perception of male nurse students and develop programs specially dedicated to clinical practice of male nurse students.

간호대학생의 분만실 실습 경험

전인희(In-hee Chun),조주연(Ju-yeon Cho) 다문화건강학회 2018 다문화건강학회지 Vol.8 No.2

Purpose: The aim of this study was to describe and understand the meaning and substantial nature of nursing college studentsʼ practice in delivery room. Method: A descriptive phenomenological study design was employed. The participants were eight nursing students who had experience in clinical practicing of delivery room. In-depth interviews were performed from May 1 to 30, 2018. until data were fully saturated. Collected data were analyzed using Colaizziʼs method. Result: Four theme clusters were extracted from 11 themes. The four theme clusters of the nursing studentsʼ clinical practice experience in Delivary room were: 1) The speciality of a strange space 2) An inaccessible subject 3) Excellent professional nursing 4) Review on self-development. Conclusion: The results of the study enable to understand related to the clinical practice of nursing students in Delivery room.

간호대학생의 분만실 실습기관별 간호수행 경험과 간호수행 자신감

윤미선,조주연 한국자료분석학회 2010 Journal of the Korean Data Analysis Society Vol.12 No.2

This study was done to identify experience and confidence on clinical nursing activities in delivery room of nursing students according to clinical practice settings. The research tools were 49 items with clinical nursing activities of delivary room. Data were collected from 337 college students using a convenience sampling, K and I city from September to October, 2008. The data was analyzed using SPSS/PC WIN 14.0 program. The clinical nursing activities which over 80% of students had performance experiences with were 3 items(hospital-practice setting group), 5 items(women's care hospital-practice setting group) practiced frequently. The results showed that the two group(women's care hospital-practice group, hospital-practice group) were no significantly in the confidence on clinical nursing activities. The performance group was significantly better in the confidence on clinical nursing activities than two other group(no experience group, only observation group). As a conclusion, there were many clinical nursing activities only to observe or not to perform. Therefore, the college of nursing students need to practice in women's care hospital setting for improvement of performance on clinical nursing activities. 본 연구는 분만실 실습기관에 따른 간호수행 경험 정도와 간호수행 자신감의 차이를 확인하여 모성간호학 임상실습 교육 개선방향을 모색하고자 시도한 서술적 조사연구이다. 연구 대상자는 분만실 임상실습을 경험한 3년제 간호대학 재학생 337명이며, 실습기관은 대학·종합병원 실습군 50.4%, 여성전문병원 실습군 49.6% 이었다. 분만실 실습기관별 간호수행 경험은 총 49항목 중 수행 빈도가 80%이상인 간호활동은 대학·종합병원은 3항목, 여성전문병원은 5항목이었다. 수행 빈도가 20%이하인 간호활동은 대학·종합병원은 22항목, 여성전문병원은 21항목이었다. 분만실 실습기관별 간호수행 자신감은 대학·종합병원은 평균 3.49 .87점, 여성전문병원은 평균 3.62 .92점으로 수행 자신감이 중간 정도인 것으로 나타났으며, 두 그룹 간 통계적으로 유의한 차이는 없었다. 간호수행 경험에 따른 수행 자신감의 차이를 분석한 결과 44항목에서 통계적으로 유의하며, 간호수행 경험을 많이 할수록 수행 자신감이 높은 것으로 나타났다. 그러므로 효율적인 모성간호학 임상실습 교육을 위해 다양한 실습기관을 선별하여 실습영역을 확대하고, 직접간호활동을 경험할 수 있는 실습교육 프로그램 개발과 적용이 필요함을 제언한다.

남자 간호학생의 분만실 실습 체험

김경아(Kim, Kyung-Ah),원미화(Won, Mi Hwa),신선화(Shin, Sun-Hwa),고기연(Go, Gee-Youn),최준경(Choi, Junkyoung) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.2

본 연구는 간호학과 남학생을 대상으로 분만실 실습 체험의 의미를 파악하고자 수행하였다. 2012년 7월 20일부터 12월 28일까지 분만실 실습을 마친 후 한 달 이내의 4년제 간호대학 3학년 남학생 대상으로 자료가 포화될 때까지 진행하였 다. 수집된 8명의 질적 자료는 Colaizzi의 현상학적 연구방법을 적용하여 6단계로 분석하였다. 분석결과 30개의 주제(themes), 9개의 주제묶음(clusters) 및 3가지 범주(categories)를 도출하였다. 도출된 범주는 ‘여성 프라이버시가 중시되는 실습환경이기 때문에 위축됨’, ‘남자이기 때문에 불평등함’, ‘분만간호를 볼 수 있는 단 한 번의 기회임’으로 구조화되었다. 이를 통해 볼 때 연구 참여자들은 성 역할에 대한 사회적 인식에서 여성 간호 분야의 학습에 제한을 받으면서도 전문직 간호사의 태도를 가지고 실습에 임하고자 하였다. 따라서 성 역할에 대한 사회적 인식이 개선될 수 있도록 전문직 간호의 이미지를 신장시키 는 전략과, 전문직 간호사의 역할 정립을 위하여 간호교육현장에서 성 차별적인 교육방법을 개선하기 위한 다각적인 연구의 시행이 필요하다. The special education setting in nursing practicum is required for male nursing students to become professional registered nurses. Therefore, this study identifies how male nursing students find and recognize the meaning of the practicum in a delivery room. Eight male nursing students were selected randomly in junior and senior grade. They had finished delivery room practicum within a month and were interviewed from Jul. 20th, 2012 to Dec. 28th, 2012 until the narrative data were fully saturated. The phenomenological method of Colaizzi was used. Thirty themes, nine theme clusters, and three categories were identified. The three categories were frightened in the 'female privacy first' environment, sexual inequality for male students, and only one observation chance of the delivery process. From this study, male students did their best against the gender role and female-only field. A strategy to improve the image of professional nursing is required to enlighten the social conventions regarding the gender role. In addition, multilateral efforts are expected to eliminate the gender discrimination in the nursing education system to establish the correct role of professional registered nurses.

데이컴기법을 활용한 분만실 간호사의 업무활동 분석

김현주,임종순,최선미,박소희,박수혜,안성은,김희정,김은실,정인아,김수 병원간호사회 2015 임상간호연구 Vol.21 No.3

Purpose: The aim of this study was to analyze various nursing services of delivery room nurses by hospital level, and identify importance and frequency to provide baseline data to establish delivery room nurses' roles. Methods: Through DACUM analysis technique, service descriptions, duties, and tasks were derived from the literature. A survey was done of 242 nurses from delivery rooms of hospitals, general hospitals, superior general hospitals, and special hospitals. Importance and frequency of each service were measured using a 4point scale, and results were analyzed using SPSS. Results: Nursing services for delivery room nurses consisted of 18 duties and 86 tasks. Duties with the highest importance were 'labor support' and 'infection management', and those with lowest importance were 'collaborative care' and 'communication'. The duty with the highest frequency was 'labor support', and lowest frequency was 'communication'. There were differences between importance and frequency depending on the size of hospitals. Conclusion: Results of this first study on nursing services of delivery room nurses. delivery room nurses are performing a wide range of nursing services and the various types are clarified including importance and frequency. Purpose: 본 연구의 목적은 상급종합병원, 종합병원, 병원, 전문병원에서 근무하고 있는 분만실 간호사의 간호업무활동을 파악하고 의료기관 특성에 따른 분만실 간호사의 간호 업무활동 수행도와 중요도를 조사하는 것이다. Methods: 데이컴 직무분석 기법을 이용하여 분만실 간호업무를 임무, 일, 일의 요소로 분류하였으며 간호 수행도와 중요도를 조사하였다. 서울 및 경기, 인천의 상급종합병원, 종합병원, 병원, 전문병원의 32개의 병원에서 1년 이상 분만실에 근무하는 간호사 242명을 대상으로 하였다. Results: 분만실의 업무는 4개의 임무, 18개의 일과 86개의 일의 요소로 분류되었다. 일의 중요도가 높은 항목은 진통 중 간호, 감염관리였으며 낮은 항목은 협력적 간호, 의사소통으로 나타났다. 수행도는 진통 중 간호가 가장 높았고 의사소통이 가장 낮게 나타났다. 의료기관분류에 따른 일의 중요도와 수행도의 차이를 보면 산후관리, 감염관리가 중요도가 높게 나타났고, 진통 중 간호, 산후관리, 수술지원, 투약, 감염관리, 안전간호, 협력적 간호, 교육, 의사소통, 환경관리, 약물과 의료기구 관리 등 11가지 항목이 병상규모에 따라 업무별 수행도 차이가 있었다. Conclusion: 분만실 간호사의 업무를 목록화하고 분만실 간호사의 업무를 표준화하고 질 관리를 하기 위한 초석을 마련하였다는 것에 의의가 있으나 병원이상 의료기관과 지역적 제한의 한계점을 가지고 있다.

분만장에서의 환아처치 및 치료: 최상의 예후를 위한 출발

이진아 ( Jin A Lee ) 대한주산의학회 2015 Perinatology Vol.26 No.1

분만장에서의 심폐소생술은 미숙아에서 질환 없이 생존할 수 있는 최상의 예후를 위한 첫걸음으로, 특히 출생 후 1시간 이내가 환아의 일생에 있어서 중요한 시기여서 “golden hour”라고 칭하고 있다. 입원 당시 체온을 36.5℃에서 37.4℃로 유지하는 것, 제대 결찰 지연 및 제대 용출, 최소한의 산소 투여 및 에방적 지속적 양압환기, 그리고 기관삽관을 통하지 않은 폐표면활성제 투여 등이 최근 분만장에서의 신생아 처치에 있어서 중요한 쟁점이다. 분만장에서의 신생아 처치가 원활히 이루어지려면 의사 개개인의 노력보다는 실제 소생술을 원활히 시행할 수 있는 산소블렌더 및 neo-puff 등의 의료장비 완비 및 수 명의 산과 및 신생아 의사, 간호사가 팀을 이루어 행하는 통합적인 팀 접근법이 중요하겠다. Delivery room management is the first step to the intact survival of preterm infants, especially in the first hour of an infant’s life following delivery, “a golden hour”. Admission temperature within a range of 36.5℃ to 37.4℃, delayed umbilical cord clamping and cord milking, minimal oxygen supplementation, and prophylactic continuous positive airway pressure or surfactant without intubation are the cornerstones of recent delivery room management. Such managements can be supplied only by team approach including obstetrician, neonatologist, and nurses.

가족분만이 초산모의 불안에 미치는 효과

장명재,황윤영,염순교,박경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

The delivery procedure that is carried out in a Labor Delievery Room(LDR) with a family participation can be a good way of maternity management that can give a positive experience to the woman in labor and her family. The purpose of the present study is to consider its effect on the anxiety of a primipara. This is a quasi-experimental study with nonequivalent control group post-test design. The subjects of this study are 60 primiparas (30 in the control, and another 30 in the experimental group) who have had a regular prenatal care from February 5 to March 20, 2002, i an outpatient obstetrics and gynecology of S university medical center located in Seoul. Using a structured questionnaire, the general characteristics (age, religion, vocation, education, and economic status) and obstetric features of the subjects (gestational age, times of miscarriages, cause of hospitalization, use of parturifacient, and use of analgesics) were measured. Out of the State-Trait Anxiety Inventory (STAI) written by Spielberger et al. (1970), only the state anxiety inventory was used in the measurement of state anxiety. The subject personally completed the inventory, which consisted of 20 question. It is a scale of 20 to 80 scores. Higher score is interpreted that the degree of anxiety is higher. Collected data was processed using the SPSS/PS (Statistical Package for the Social Sciences) program. The result is as follows : The state anxiety of the two groups: the average score is 55.63 in the experimental group, and 62.57 in the control group. The state anxiety is lower in the primipara with a family delivery experience in LDR than the control. The difference is statistically significant(t=-2.66, p=.010). In summary of the above result, a family-participating delivery in LDR is proved to be an effective nursing intervention that reduces the anxiety of a woman in labor in that it decreased the state anxiety of the primiparas.

병원건축에 있어서의 LDR시스템 사용에 관한 고찰

양금석 진주산업대학교 건설기술연구소 1998 건설기술연구소보 Vol.1 No.-

In recent years, the focus in matters concerning childbirth has shifted towards giving primary consideration to the woman giving birth. Accordingly, much attention has been given to creating systems which allow childbirth to the take place in more home-like circumstances. In the United States, for example, the Single Room Maternity Care(SRMC) system has become increasingly widespread. Compaed with the traditional delivery room, this system fosters a home-like atmosphere, providing a living room and bedroom environment, in which labor, delivery and recovery can take place. The system also allows the woman giving birth to have the support of her husband and other family members in the experience natural childbirth.