Journal of Korean Critical Care Nursing最新文献

Experience of Clinical Adaptation among Nurses in Intensive Care Unit 重症监护室护士的临床适应经验

Journal of Korean Critical Care Nursing Pub Date : 2024-02-28 DOI: 10.34250/jkccn.2024.17.1.1

Jin Young Hong, Sue Kyung Sohn

{"title":"Experience of Clinical Adaptation among Nurses in Intensive Care Unit","authors":"Jin Young Hong, Sue Kyung Sohn","doi":"10.34250/jkccn.2024.17.1.1","DOIUrl":"https://doi.org/10.34250/jkccn.2024.17.1.1","url":null,"abstract":"Purpose : This study aimed to explore and describe intensive care unit (ICU) nurses’ experience of clinical adaptation.Methods : The participants were 14 ICU nurses with more than two years of working experience in the ICU. Data were collected through in-depth individual interviews conducted between July and October 2021. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using the Strauss and Corbin method.Results : A total of 79 concepts, 37 subcategories, and 16 categories were identified through open coding. Axial coding based on the paradigm model revealed that the central phenomenon was “The harsh adversity faced in the nursing field where life and death are determined” and the core category was “Enduring the adversity of caring for critically ill patients and achieving self-realization.” ICU nurses’ clinical adaptation process was explained in five phases: “confrontation period,” “turbulent period,” “seeking period,” “struggling period,” and “stabilized period.” The five phases that affect interventional conditions were “Support from reliable people,” “Recognition of administrative and financial support.”Conclusion : This study provided novel insights for a comprehensive understanding of ICU nurses’ clinical adaptation processes. Furthermore, the findings are expected to be used as basic data to develop multifaceted strategies to help ICU nurses’ adaptation to critical care.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":"31 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral Hygiene Care of Endotracheal Intubated Patients in Korean Intensive Care Units : A Scoping Review 韩国重症监护病房气管插管患者的口腔卫生护理：范围审查

Journal of Korean Critical Care Nursing Pub Date : 2024-02-28 DOI: 10.34250/jkccn.2024.17.1.68

Jungeun Lim, Dukyoo Jung, Leeho Yoo

{"title":"Oral Hygiene Care of Endotracheal Intubated Patients in Korean Intensive Care Units : A Scoping Review","authors":"Jungeun Lim, Dukyoo Jung, Leeho Yoo","doi":"10.34250/jkccn.2024.17.1.68","DOIUrl":"https://doi.org/10.34250/jkccn.2024.17.1.68","url":null,"abstract":"Purpose : This scoping review was designed to identify gaps in knowledge and guide future directions for clinical nursing practices and research on oral hygiene care for endotracheally intubated patients in Korean intensive care units.Methods : We conducted a scoping review using the methodological framework proposed by Arksey and O’Malley. PubMed, CINAHL, RISS, Science On, and DBpia databases were searched. Two reviewers independently selected the studies and extracted data. A total of 445 studies were identified, of which 17 were included in the final analysis.Results : No research has been conducted from 2021 to the present. A total of 12 instruments were utilized in 13 studies to assess the effectiveness of oral hygiene care. All studies investigating the effectiveness of oral hygiene care have consistently documented that chlorhexidine has the most significant effect. The frequency and time of oral hygiene care were each examined in one study.Conclusion : A research study is necessary to develop a measurement tool for assessing the effectiveness of oral hygiene care suitable for endotracheal intubated patients in intensive care units. Interventional studies should be conducted to determine the effects of chlorhexidine and the appropriate frequency and time of oral hygiene care. Thereafter, revision of domestic evidence-based clinical practice guidelines by integrating these results will be necessary.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between the Perceptions of ICU Nurses on the Disclosure of Patient Safety Incidents and Communication Barriers 重症监护室护士对披露患者安全事件的看法与沟通障碍之间的关系

Journal of Korean Critical Care Nursing Pub Date : 2024-02-28 DOI: 10.34250/jkccn.2024.17.1.44

In Sun Cho, Su Jung Choi

{"title":"Relationship between the Perceptions of ICU Nurses on the Disclosure of Patient Safety Incidents and Communication Barriers","authors":"In Sun Cho, Su Jung Choi","doi":"10.34250/jkccn.2024.17.1.44","DOIUrl":"https://doi.org/10.34250/jkccn.2024.17.1.44","url":null,"abstract":"Purpose : This study sought to explore intensive care unit (ICU) nurses’ perceptions regarding the disclosure of patient safety incidents (DPSI) and identify the relationship between the perception of DPSI and communication barriers.Methods : This study used a descriptive research design. A total of 110 ICU nurses from a tertiary hospital were surveyed online between September 14 and October 5, 2022. The mean DPSI score ranged between 1.0 and 4.0, with a higher score indicating a higher perception of DPSI.Results : The mean score for ICU nurses’ perceptions of DPSI was 2.92 (SD=0.37). Among the characteristics of ICU nurses, differences were observed in perceptions of DPSI according to gender, age, total work experience, and ICU work experience. Communication barriers among ICU nurses were negatively correlated with negative results as a sub-factor of perceptions of DPSI. Ambiguity in the nurse’s position, lack of confidence, differences in perspectives with patients, and inadequate nurse-patient relationships as sub-factors of communication barriers exhibited a negative correlation with negative results as a sub-factor of perceptions of DPSI.Conclusions : ICU nurses’ perceptions of DPSI and the sub-factors related to communication barriers are negatively related to DPSI. To improve ICU nurses’ perceptions, open and non-punitive circumstances, staff education, practical guidelines, and support systems are required.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Intensive Care Experience on Post-Intensive Care Syndrome among Critical Care Survivors : Partial Least Square-Structural Equation Modeling Approach 重症监护经验对重症监护幸存者重症监护后综合征的影响：偏最小二乘法-结构方程建模方法

Journal of Korean Critical Care Nursing Pub Date : 2024-02-28 DOI: 10.34250/jkccn.2024.17.1.30

Y. Cho, Jiyeon Kang

{"title":"Effects of Intensive Care Experience on Post-Intensive Care Syndrome among Critical Care Survivors : Partial Least Square-Structural Equation Modeling Approach","authors":"Y. Cho, Jiyeon Kang","doi":"10.34250/jkccn.2024.17.1.30","DOIUrl":"https://doi.org/10.34250/jkccn.2024.17.1.30","url":null,"abstract":"Purpose : Post-intensive care syndrome (PICS) is characterized by a constellation of mental health, physical, and cognitive impairments, and is recognized as a long-term sequela among survivors of intensive care units (ICUs). The objective of this study was to explore the impact of intensive care experience (ICE) on the development of PICS in individuals surviving critical care.Methods : This secondary analysis utilized data derived from a prospective, multicenter cohort study of ICU survivors. The cohort comprised 143 survivors who were enrolled between July and August 2019. The original study's participants completed the Korean version of the ICE questionnaire (K-ICEQ) within one week following discharge from the ICU. Of these, 82 individuals completed the PICS questionnaire (PICSQ) three months subsequent to discharge from hospital. The influence of ICE on the manifestation of PICS was examined through Partial Least Squares-Structural Equation Modeling (PLS-SEM).Results : The R2 values of the final model ranged from 0.35 to 0.51, while the Q2 values were all greater than 0, indicating adequacy for prediction of PICS. Notable pathways in the relationship between the four ICE dimensions and the three PICS domains included significant associations from ‘ICE-awareness of surroundings’ to ‘PICS-cognitive’, from ‘ICE-recall of experience’ to ‘PICS-cognitive’, and from ‘ICE-frightening experiences’ to ‘PICS-mental health’. Analysis found no significant moderating effects of age or disease severity on these relationships. Additionally, gender differences were identified in the significant pathways within the model.Conclusion : Adverse ICU experiences may detrimentally impact the cognitive and mental health domains of PICS following discharge. In order to improve long-term outcomes of individuals who survive critical care, it is imperative to develop nursing interventions aimed at enhancing the ICU experience for patients.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Survey on Situation-related Communication Educational Needs for Novice Intensive Care Unit Nurses 重症监护室护士新手与情景相关的沟通教育需求调查

Journal of Korean Critical Care Nursing Pub Date : 2024-02-28 DOI: 10.34250/jkccn.2024.17.1.17

Wonjung Hwang, Jeongmin Ha, Dahye Park

{"title":"A Survey on Situation-related Communication Educational Needs for Novice Intensive Care Unit Nurses","authors":"Wonjung Hwang, Jeongmin Ha, Dahye Park","doi":"10.34250/jkccn.2024.17.1.17","DOIUrl":"https://doi.org/10.34250/jkccn.2024.17.1.17","url":null,"abstract":"Purpose : This study sought to investigate novice nurses’ communication education needs in the intensive care unit (ICU) using Importance-Performance Analysis (IPA) and Borich’s need assessment model. This study identified communication challenges in clinical settings to develop a simulation program that enhances communication competencies based on educational requirements.Methods : A descriptive research design and a self-report questionnaire were used. The latter was developed and administered to 121 novice nurses with less than one year of experience in the ICU at various university hospitals in Korea. Data were collected via the online open chatroom from June 24th to July 28th, 2023. The communication education needs were identified using descriptive statistics, t-tests, IPA, and Borich’s needs assessment model. Text analysis was used to categorize the participants’ communication experience.Results : The results revealed that “communication with physicians,” “communication with patients,” and “communication with nurse on another shift” domains contained the most substantial educational needs for novice nurses working in the intensive care units.Conclusion : The results provide fundamental data for developing and enhancing customized communication education programs for novice ICU nurses. This valuable information could help ICU nurses and educators improve new nurses’ communication skills, which would ultimately contribute to the advancement of nursing education and clinical practice.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":"9 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors influencing the clinical competence of nursing students 影响护理专业学生临床能力的因素

Journal of Korean Critical Care Nursing Pub Date : 2024-02-28 DOI: 10.34250/jkccn.2024.17.1.57

Kino Kang, Mihae Im

引用次数: 0

The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses 工作价值、心理所有权和护理工作环境对医院护士留任意愿的影响

Journal of Korean Critical Care Nursing Pub Date : 2023-10-31 DOI: 10.34250/jkccn.2023.16.3.62

Ji Hey Kim, Yoon Ju Cho, So Eun Jang

{"title":"The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses","authors":"Ji Hey Kim, Yoon Ju Cho, So Eun Jang","doi":"10.34250/jkccn.2023.16.3.62","DOIUrl":"https://doi.org/10.34250/jkccn.2023.16.3.62","url":null,"abstract":"Purpose : This study aims to assess the extent of work value, psychological ownership, the nursing work environment, and retention intention, examine the correlation between these variables, and identify the factors that influence retention intention. The goal is to provide foundational data to enhance retention intention.Method : The study involved 159 nurses employed at a tertiary general hospital and a general hospital. Data were gathered through structured questionnaires and analyzed using an independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis with a simultaneous stepwise method, all conducted using the SPSS 26.0 software.Results : The intention to remain in the profession was found to have a positive correlation with work value (r = .45, p ＜ .001), psychological ownership (r = .37, p ＜ .001), and the nursing work environment (r = .27, p = .001). Significant factors influencing the intention to stay included total clinical career (β = .17, p = .016), work value (β = .38, p ＜ .001), and psychological ownership (β = .19, p = .020). These variables accounted for 24.1% of the variance in the intention to remain in the profession (F = 17.71, p ＜ .001).Conclusion: To enhance the intention of hospital staff to remain in their positions, it is crucial to identify and bolster positive psychological competencies, such as a sense of work value and psychological ownership.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":"430 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135863233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determining Optimal Cut-off Score for the Braden Scale on Assessment of Pressure Injury for Tertiary Hospital Inpatients 三级医院住院病人压力损伤评价布雷登量表最佳分界点的确定

Journal of Korean Critical Care Nursing Pub Date : 2023-10-31 DOI: 10.34250/jkccn.2023.16.3.24

Sook Hyun Park, hyeyeon Choi, Youn-Jung Son

{"title":"Determining Optimal Cut-off Score for the Braden Scale on Assessment of Pressure Injury for Tertiary Hospital Inpatients","authors":"Sook Hyun Park, hyeyeon Choi, Youn-Jung Son","doi":"10.34250/jkccn.2023.16.3.24","DOIUrl":"https://doi.org/10.34250/jkccn.2023.16.3.24","url":null,"abstract":"Purpose : This study aims to establish an optimal cut-off score on the Braden scale for the assessment of pressure injury to detect pressure injury risks among inpatients in a South Korean tertiary hospital.Methods : This retrospective study used electronic medical records, from January to December 2022. A total of 654 patients were included in the study. Of these, 218 inpatients with pressure injuries and 436 without pressure injuries were classified and analyzed using 1:2 Propensity Score Matching (PSM), and the generalized estimating equation was performed using SPSS Version 26 and the R Machlt package program.Results : The cut-off value on the Braden scale for distinguishing pressure injury was 17 points, and the AUC (area under the ROC curve) was 0.531 (0.484–0.579). The sensitivity was 56.6% (45.5–67.7%) and the specificity was 69.7% (66.0– 73.4%). With 17 points, the Braden scale cut-off distinguished those who had pressure injuries from those who did not at the time of admission (p ＜ .03). In the pressure injury group, the Braden score on the day of the pressure injury was 14, with significant results in all subcategories except the moisture category.Conclusion : Our findings revealed that a cut-off value of 17 was optimal for predicting the risk of pressure injuries among tertiary hospital inpatients. Future studies should evaluate the optimal cut-off values in different clinical environments. Additionally, it is necessary to conduct multicenter large sample studies to verify the effectiveness of a 17 value in PI risk assessments.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":"33 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135863626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Influencing the quality of life of lung transplant patients 影响肺移植患者生活质量的因素

Journal of Korean Critical Care Nursing Pub Date : 2023-10-31 DOI: 10.34250/jkccn.2023.16.3.73

Byung Hee Hwang, Hye Sook Min

引用次数: 0

Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities 临床护士批判性反思能力、职业自豪感和以人为本的护理实践对患者安全管理活动的影响

Journal of Korean Critical Care Nursing Pub Date : 2023-10-31 DOI: 10.34250/jkccn.2023.16.3.87

Subin Lee, Sujin Shin

{"title":"Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities","authors":"Subin Lee, Sujin Shin","doi":"10.34250/jkccn.2023.16.3.87","DOIUrl":"https://doi.org/10.34250/jkccn.2023.16.3.87","url":null,"abstract":"Purpose : This descriptive survey investigated the effects of clinical nurses’ critical reflection competency, professional pride, and person-centered care practices on patient safety management activities.Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey’s HSD, Pearson’s correlation coefficient, and multiple regression using SPSS 29.0.Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p=.010), education level (t=-2.56, p=.013), total work experience (F=3.87, p=.010), and the number of healthcare accreditation system experiences (F=5.22, p=.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p＜.001), professional pride (r=.271, p＜.001), and person-centered care practices (r=.399, p＜.001). The results indicated that person-centered care practices affected patient safety management activities (β=.358, p＜.001) with the explanatory power of 22.5%.Conclusion : To improve clinical nurses’ patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.","PeriodicalId":16247,"journal":{"name":"Journal of Korean Critical Care Nursing","volume":" 35","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135863083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0