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간호사에 의한 제세동 시행에 대한 간호사 태도의 영향요인

Factors Influencing Nurses’ Attitudes towards Nurse-led Defibrillation

중환자간호학회지 2020년 13권 3호 p.11 ~ 23
윤희제, 김춘자,
소속 상세정보
윤희제 ( Yun Hee-Je ) - Seoul National University Hospital Department of Nursing
김춘자 ( Kim Chun-Ja ) - Ajou University College of Nursing

Abstract


Purpose : This study examined factors influencing the attitudes towards nurse-led defibrillation in the emergency department (ED) and intensive care unit (ICU).

Methods : This was a cross-sectional study. A total of 212 nurses in the ED and ICU from three general hospitals responded to the survey. Data were collected between September and October 2015 using structured questionnaires. Independent t-test, Mann-Whitney U test, one-way analysis of variance (ANOVA), Pearson’s correlation coefficient, and hierarchical multiple regression were used to analyze factors affecting nurses’ attitudes towards nurse-led defibrillation.
Results : The mean score of nurses’ attitudes towards nurse-led defibrillation was 61.37 of a possible 91. Hierarchical multiple regression showed that nurses’ attitudes towards nurse-led defibrillation were significantly affected by their experiences regarding cardiopulmonary resuscitation (p =.003), knowledge regarding electrocardiogram interpretation and defibrillation (p=.007), and tenure in ED or ICU (p=.043).

Conclusion : Results indicate that employers should set policies to support nurses in maintaining their careers in the ED or ICU and conduct systematic educational programs for them. This will increase nurses’ confidence in performing defibrillation, which will lead to early defibrillation during in-hospital cardiac arrest. Consequently, it can be a strategy to increase the survival rate of cardiac arrest patients.

키워드

심폐소생술; 소생술; 제세동; 간호사
Cardiopulmonary resuscitation; Resuscitation; Electric defibrillation; Nurse

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