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심혈관계 중환자에서 간호중재빈도에 대한 조사

Use of the Nursing Interventions Classification by the Coronary Care Nurses in Korea

간호학논문집 - 서울대학교 1998년 12권 2호 p.236 ~ 257
김문숙, 서문자,
소속 상세정보
김문숙 (  ) - 서울대학교 대학원
서문자 (  ) - 서울대학교 간호대학

Abstract


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 (418 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 questionare and the list of 190 nursing interventions selected by panel group and the open questions to write any kind of nurising 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.
® In the domain of behavioral nursing, the most frequently used nursing interventions were active listening, emotional support, teaching in rank.
( In the domain of safty nursing, the most frequently used nursing interventions were vital sign monitoring, fall prevention, surveillance in rank.
ⓒ 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;
(l How can be differenciate the nursing intervention which includes an activity that refers to another intervention?
( What are 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;
( 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 knowkedge and skills useful for practicing at CCU. For implication for practice, the use of this results will enhance quality assessment and improvement the standard of CCU nursing.

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