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임상간호연구 update

Journal of Korean clinical nursing research

  • : 병원간호사회
  • : 의약학분야  >  간호학
  • : KCI등재
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  • : 연속간행물
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  • : 1598-9186
  • : 2287-3694
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수록범위 : 1권0호(1995)~23권3호(2017) |수록논문 수 : 664
임상간호연구
23권3호(2017년) 수록논문
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KCI등재

12016년도 국내 150병상 이상 의료기관의 감염관리간호사 현황 및 감염관리 활동 영향 요인

저자 : 이지영 ( Lee Ji Young ) , 정선영 ( Jeong Sun Young ) , 김옥선 ( Kim Og Son ) , 천희경 ( Chun

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 267-280 (14 pages)

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Purpose: The purpose of this study was to describe the status of infection control nurses (ICNs) and their activities, and to identify the factors affecting the level of infection control activities. Methods: Data were collected from 199 hospitals from June 24 to July 26, 2016. The structured questionnaires included status of infection control nurses, type and level of infection control activities. Results: Most participating hospital were advanced general hospital (20.1%) and general hospital (67.8%). Among the hospitals, 86.4% had an infection control department (ICD). The average hospital work experience of ICNs was 14.62 years, and their average infection control career was for 4.94 years. Among the ICNs, 85.6% worked in full time and the average number of beds per ICN was 311.21. There were significant differences in the existence of ICD, infection control activities including surveillance, outbreak investigation, negative pressure room, hand hygiene monitoring, disinfection, and sterilization according to hospital size. The level of infection control activities was higher with more number of ICNs, ICN employment as full time, and healthcare institution accreditation status. The explanatory power was 37.5%. Conclusion: These results of this study which reflect infection control status of healthcare facilities with more than 150 beds in 2016 will provide baseline data to establish infection control system in small to medium sized hospitals after the Middle East Respiratory Syndrome outbreak in 2015.

KCI등재

2간호사 임상경력관리체계 모형 타당성 및 적용가능성 검증연구

저자 : 조명숙 ( Cho Myung Sook ) , 권인각 ( Kwon In Gak ) , 김경희 ( Kim Kyung Hee ) , 김미순 ( Kim

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 281-292 (12 pages)

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Purpose: The purpose of this study was to verify the validity and applicability of the Clinical Ladder System(CLS) Model for nurses and to suggest a model for nurses in general hospitals as well as tertiary hospitals. Methods: After refining questionnaires through focus group participation, a survey was carried out with 50 nurse managers and 500 staff nurses from 6 tertiary hospitals and 4 general hospitals. S-CVI and i-CVI for validity and applicability were calculated. Differences in validity and applicability by the type of hospitals and characteristics of respondents were analyzed using t-test and ANOVA. Results: S-CVI for validity and applicability of the CLS model were over 0.8 in two types of hospitals and the validity and applicability of the CLS model were confirmed. No differences were found in the total score for validity between the 2 types of hospitals, but in applicability, general hospitals had significantly lower applicability than tertiary hospitals. Some items showed difference according to characteristics of the respondents. CLS models were postulated based on the study results. Conclusion: The CLS model refined through this study can be used for nurses. In application, modifications are needed according to the conditions of each hospital.

KCI등재

3뇌혈관조영술 후 침상각도와 지혈방법에 따른 침상안정 시간이 불편감과 출혈합병증에 미치는 효과

저자 : 강영옥 ( Kang Young Ok ) , 박인숙 ( Park In Sook )

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 293-301 (9 pages)

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Purpose: The purpose of this study was to examine the effects of bed angles and bed rest time combined with hemostatic methods on discomfort and hemorrhagic complications in patients after transfemoral cerebral angiography. Methods: Data were collected from 93 inpatients following transfemoral cerebral angiography, from April 20 to September 23, 2016. Patients were grouped according to bed angle (0° vs. 30°) and bed rest time combined with hemostatic methods (4-hour bed rest after manual compression vs. 2-hour bed rest after applying vascular closure device). Results: There was a significant group differences on discomfort (F=46.44, p<.001). The post-hoc analysis showed the lowest score of discomfort in those with bed angle 30° and 2-hour bed rest. There was no difference in hemorrhagic complications among 4 groups. Conclusion: The postangiograpy discomfort can be effectively reduced with the least hemorrhagic complications by bed angle 30° elevation and 2-hour bed rest after applying vascular closure device for those underwent transfemoral cerebral angiography.

KCI등재

4상급종합병원 간호사의 간호서비스 질에 영향을 미치는 요인: 회복탄력성과 간호조직문화를 중심으로

저자 : 신은숙 ( Shin Eun Suk ) , 안민정 ( An Minjeong ) , 최명이 ( Choi Myoung Lee ) , 이애경 ( Lee

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 302-311 (10 pages)

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Purpose: The purpose of this study was to examine nursing organizational culture and resilience and their effects on quality of nursing service. Methods: A cross-sectional study was conducted. A convenience sampling method was used to collect data from 199 participants who worked in a tertiary hospital in G city. Demographic and work related variables, quality of nursing service, resilience, and nursing organizational culture were measured using validated self-report questionnaires. Results: All of the participants were women and the majority were staff nurses and single. A statistically significant difference in quality of nursing service was found for age, marital status, educational level, clinical career, position and perceived health status. Age, educational level, clinical career, position, resilience, innovation-oriented culture, relation-oriented culture, and hierarchyoriented culture were significant predictors of quality of nursing service, explaining 47% of total variance. Among the predictors, resilience was the strongest predictor, followed by innovation-oriented culture, and hierarchy-oriented culture. Conclusion: Findings indicate that quality of nursing service can be improved by raising individual nurse's resilience and advancing nursing organizational culture. Considering the identified factors, researchers and administrators need to develop and provide clinical nurses with a variety of programs to improve the quality of their nursing service.

KCI등재

5인슐린을 사용하는 당뇨병 환자의 당뇨인식표에 대한 인식, 소지실태 및 소지의 영향 요인

저자 : 권은경 ( Kwon Eun Kyung ) , 이창관 ( Lee Chang Kwan ) , 심강희 ( Sim Kang Hee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 312-320 (9 pages)

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Purpose: The aim of this study was to identify perception, use status and factors influencing use of medical alert identification (ID) in diabetic patients who are on insulin. Methods: A survey was conducted from December 2013 to April 2014 with 198 people who were asked to participate in the survey. Results: The medical alert ID perception score was 3.54 on a 5-point scale. Most of respondents (82.8%) knew about the medical alert ID, but only 23.2% of respondents wore a medical alert ID and only 43.5% of respondents always wore a medical alert ID. Perception and frequency of possession were positively correlated (r=.41, p<.001). The most influential factor for the possession of a medical alert ID was the perception of the medical alert ID (β=.41, p<.001). The perception of the medical alert ID explained 17% of variance in possession of a medical alert ID. Conclusion: Most of diabetic patients who take insulin received education about hypoglycemia and knew about the medical alert ID, but only few of them wore a medical alert ID. Findings from this study indicate that perception is an important variable related to possession of a medical alert ID in this population.

KCI등재

6일 상급종합병원 암환자 고객경험관리

저자 : 원영화 ( Won Young Hwa ) , 김지혜 ( Kim Ji Hye ) , 정은희 ( Jung Eun Hee ) , 곽은아 ( Kwak E

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 321-331 (11 pages)

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Purpose: The purpose of this study was to investigate the effect of customer experience management on nursing service satisfaction of cancer patients and their intent to revisit the hospital and also to identify empathy ability of oncology nurses. Methods: Participants were 376 cancer patients and 190 oncology nurses from a tertiary hospital in Korea. Cancer patients' satisfaction with nursing care and intent to continue using the hospital were measured and empathy of oncology nurses was measured using Empathy Construct Rating Scale. Data were analyzed using descriptive statistics, x2 test, t-test, one-way ANOVA and stepwise multiple regression analysis. Results: Patient satisfaction with nursing care and intent to continue using the hospital were higher in patients who received the customer experience management program than those who did not. Oncology nurses' ability to empathize was high. Clinical career, participate in customer experience management and education level together explained 20% of variance in empathy ability of oncology nurses. Conclusion: Findings from this study confirm that customer experience management affects patient satisfaction with nursing service and intent to continue using the hospital. Further research is necessary to reaffirm the empathy ability of the oncology nurses and to identify the related various factors.

KCI등재

7일개 상급전문종합병원 전립샘비대증 환자들의 삶의 질 영향 요인

저자 : 석윤희 ( Seok Yoon Hee ) , 이명선 ( Yi Myungsun )

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 332-340 (9 pages)

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Purpose: This study was to identify the quality of life and its related factors in patients with benign prostatic hyperplasia. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 128 patients with benign prostatic hyperplasia who visited an outpatient department at one general hospital in 2016. Data were analyzed using Mann-Whitney U test, Kruskal Wallis test, Pearson's correlation coefficient and hierarchical multiple regression analysis. Results: Mean age of the participant was 67.81±6.94. Mean years since diagnosis was 6.41±5.20. The mean score of quality of life was 0.82±0.09, indicating that QOL was relatively low. Lower urinary tract symptoms (p=.029), anxiety, depression, Activities of daily living were significantly correlated to with quality of life (p<.001). Activities of daily living accounted for 54% (p<.001) of the variance in quality of life as a result of hierarchical multiple regression analysis. Conclusion: The results of the study showed that nursing intervention may improve the quality of life of patients with benign prostatic hyperplasia by increasing their Activities of daily living.

KCI등재

8임상간호사의 포커싱적 태도와 감정노동이 간호업무성과에 미치는 영향

저자 : 유승연 ( Yoo Seung Yeon ) , 유정희 ( Yu Jung Hee )

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 341-349 (9 pages)

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Purpose: Focusing manner is very powerful mind-body self-help and self-awareness competence. So focusing manner may affect nurses' emotional labor and nursing performance, but few are known about it to date. The purpose of this study was to identify the degree of focusing manner, emotional labor, nursing performance of clinical nurses, and the factors that affect nursing performance. Methods: In order to collect data, structured questionnaires were administered to 212 nurses who worked at 2 university hospitals located in D city. Data were analyzed by t-test, ANOVA, correlation and multiple regression using SPSS/WIN 20.0. Results: Nursing performance had positive relationship with focusing manner (r=.45, p<.001), and negative relationship with emotional labor (r=-.25, p<.001). And the most prediction factor influencing nursing performance was focusing manner (β=.41, p<.001) and the other factors were age (β=.30, p=.002), and emotional labor (β=.14, p=.012). The total variance was 37.1% by those predictors (F=25.87, p<.001). Conclusion: Based on the results of this study, it is necessary to develop and educational program on focusing manner-oriented psychotherapy in order to improve the nursing performance. Also, the management system for controlling emotional labor needs to be set up for nurses in clinical settings.

KCI등재

9입원 환자의 낙상실태 및 위험요인 조사연구: 국내 500병상 이상 종합병원을 중심으로

저자 : 최은희 ( Choi Eun Hee ) , 고미숙 ( Ko Mi Suk ) , 유정숙 ( Yoo Cheong Suk ) , 김미경 ( Kim Mi

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 350-360 (11 pages)

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Purpose: The purpose of this study was to investigate the present status of falls among inpatients in general hospitals and to identify the fall risk factors that reflect the characteristics of domestic hospitals. Methods: Data were collected between December 15, 2016 and January 15, 2017 from 32 Korean hospitals having 500 or more beds. First, 42 risk factors were extracted based on literature review and expert opinions. Then the importance of each factor was evaluated by 223 nurses from medical and surgical adult ward and intensive care units in 40 hospitals. Results: The incidence rate of falls in 18 hospitals was 3.87 per 1,000 total discharged patients and 0.55 per 1,000 patient-days, and the rate of injury-related falls was 40.5%. Major risk factors for falling were identified as the following: being over 65 years of age, history of falls during admission, physical mobility disorders requiring assistance, physical factors (dizziness or vertigo, unstable gait, general weakness, walking aids, visual problems), cognitive factors (delirium, lack of understanding on limitations), neurological disease, CNS medications Conclusion: The findings provide information that can be in the development of a fall risk assessment tool for inpatients in general hospitals in Korea.

KCI등재

10정맥주입요법 간호실무지침 개정

저자 : 구미옥 ( Gu Mee Ock ) , 조용애 ( Cho Yong Ae ) , 은영 ( Eun Young ) , 정인숙 ( Jung Ihn Soo

발행기관 : 병원간호사회 간행물 : 임상간호연구 23권 3호 발행 연도 : 2017 페이지 : pp. 361-375 (15 pages)

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Purpose: This study was conducted to update the existing nursing practice guideline for intravenous infusion guidelines according to the evidence-based practice guideline in South Korea. Methods: Guideline update process was performed using 22 steps according to the manuals developed by NICE and SIGN. Results: Updated nursing practice guidelines for the intravenous infusion were consisted of 23 domains and 322 recommendations. The number of recommendations in each domain were 4 for general instruction, 12 for vascular access device selection, 20 for site selection, 9 for insertion, 54 for stabilization, 21 for maintaining patency, 4 for blood sampling, 33 for exchange and removal, 28 for add-on device selection, 28, 72 for infusion related complications, 56 for infusion therapies, 7 for education, and 2 for documentation and report. There were 15.9% of A, 30.2% of B, 53.9% of C in terms of grade recommendations. A total of 178 (51.6%) recommendations were newly developed and 24 previous recommendations have been deleted. Conclusion: Updated nursing practice guideline for intravenous infusion was expected to be an evidence-based practice guideline for intravenous infusion in South Korea. This guideline is suggested to be disseminated to clinical nursing settings nationwide to improve the efficiency of intravenous infusion practice.

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