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3차 종합병원 안과병동의 전화 상담 중 전화문의 내용 및 간호중재에 대한 조사 연구

Telephone Inquiries to the Ophthalmology Nursing Unit and Nursing Interventions Through Telephone Consultations

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초록

Purpose: This study examines the patient problems and nursing interventions during telephone consultations by nurses in an ophthalmology nursing unit. Methods: The data were collected during telephone consultations. A total of 13 nurses consulted 170 patients between September 29 and November 30, 2008 at a tertiary teaching hospital. Problems were raised by the patients and nursing interventions were provided to the patients by the nurses. The SPSS program was used to analyze the data. Results: There were 228 telephone inquiries by 170 patients. The problems were categorized into four groups based on a literature review and validated by 14 nurses: physical symptoms, medications, administrative matters, and follow-up care. Interventions provided by the nurses were categorized into six groups: instructing patients; providing information; providing background knowledge; assuring the patients; referring to the patients to other ancillary departments; and delivering doctor's orders. Conclusions: Nurse interventions for a specific patient problem varied depending on the nurse providing the consultation. The participating nurses expressed the need for a common protocol for telephone consultations. Thus, it would be beneficial to develop a guideline for telephone consultations to minimize practice variations among nurses.

Abstract

Purpose: This study examines the patient problems and nursing interventions during telephone consultations by nurses in an ophthalmology nursing unit. Methods: The data were collected during telephone consultations. A total of 13 nurses consulted 170 patients between September 29 and November 30, 2008 at a tertiary teaching hospital. Problems were raised by the patients and nursing interventions were provided to the patients by the nurses. The SPSS program was used to analyze the data. Results: There were 228 telephone inquiries by 170 patients. The problems were categorized into four groups based on a literature review and validated by 14 nurses: physical symptoms, medications, administrative matters, and follow-up care. Interventions provided by the nurses were categorized into six groups: instructing patients; providing information; providing background knowledge; assuring the patients; referring to the patients to other ancillary departments; and delivering doctor's orders. Conclusions: Nurse interventions for a specific patient problem varied depending on the nurse providing the consultation. The participating nurses expressed the need for a common protocol for telephone consultations. Thus, it would be beneficial to develop a guideline for telephone consultations to minimize practice variations among nurses.

참고문헌 (23)

  1. Blanchfield, K. C., "Development of telephone nursing practice standards", Nursing Economics, 15, pp.265~267 (1997)
  2. Chen, C. H., "Evaluation of a Telephone Call Service for Ambulatory Surgery Patients in Taiwan", Journal of Nursing Care Quality, 22, pp.286~288 (2007)
  3. Closson, B. L., "Telephone Follow-Up Program Evaluation: Application of Orem’s Self-Care Model", Rehabilitation Nursing, 19, pp.287~291 (1994)
  4. Hallam, L., "You’ve got a lot to answer for, Mr.Bell. A review of the use of the telephone in primary care", Family Practice, 6, pp.47~57 (1989)
  5. Han, K. J., "Content Analysis of the Nursing Interventions and Telephone Calls to the Pediatric Nursing Unit", Journal of Korean Academy of Nursing, 26, pp.515~530 (1996)
  6. Jang, H. S., "A Study of Telephone Advice and Nursing Intervention in a General Hospital Outpatient Department", 석사, pp.1999
  7. Kang, H. J., "An Investigational Study on Telephone Calls to the Pediatric Nursing Unit", Journal of Korean Academy of Child Health Nursing, 2, pp.112~126 (1996)
  8. Kang, K. H., "An Evaluation Study of 1339 and 119 Emergency Medical Dispatch Protocols", Journal of Korean Academy of Nursing, 31, pp.538~547 (2001)
  9. 강소정, "전화 상담이 초산모의 모성 역할에 미치는 영향", Journal of Korean Academy of Child Health Nursing, 7(4), pp.405~420 (2001), 아동간호학회
  10. Kim, C. J., "Nursing into 21st Century", The Korean nurse, 38, pp.6~11 (1999)
  11. Kim, H. S., "Analysis of the Content of Telephone Counseling with Breastfeeding Mothers", Journal of Korean Academy of Nursing, 25, pp.17~29 (1995)
  12. 한국가정간호학회, "가정전문간호사의 전화상담 실태와 관련 스트레스", 가정간호학회지, 12(2), pp.33~44 (2005), 한국가정간호학회
  13. Lee, K. J., "An Investigational Study on Telephone Calls to the Intensive Care Unit", Journal of Gachon Gil College, 28, pp.9~20 (2000)
  14. 이순규, "외래간호사를 위한 Telephone Triage 프로토콜 개발- 흉통호소 환자를 대상으로 -", 임상간호연구, 8(1), pp.73~88 (2002), 병원간호사회
  15. Letourneau, M. A., "Use of a telephone nursing line in a pediatric neurology clinic: one approach to the shortage of subspecialists", Pediatrics, 112, pp.1083~1087 (2003)
  16. McCloskey J. C., "Nursing intervention classification (4th ed.)" (2004), Mosby
  17. Nauriqht, L.P., "Telephone triage and consultation: an emerging role for nurses", Nursing Outlook, 47, pp.219~226 (1999)
  18. Nelson, W. B., "Communications: Distributing Oncology Outpatient telephone calls", Nursing management, 2210, pp.40~44 (1991)
  19. Oticio, L.P., "Implementation of the postdischarge follow-up call in the patient care units", Insight, 17, pp.15~19 (1992)
  20. 송지호, "전화 아기건강상담을 통해 나타난 우리나라 어머니들의 육아문제 분석", Journal of Korean Academy of Child Health Nursing, 7(2), pp.245~257 (2001), 아동간호학회
  21. Suh, M. J., "Adult health nursing (5TH ed.)" (2004), Soomoonsa
  22. Wahlberg, A.C., "Telephone nurses’ experience of problems with telephone advice in Sweden", Journal of Clinical Nursing, 12, pp.37~45 (2003)
  23. Yu, A. K., "A Nursing Intervention by the Telephone Counseling", Journal of Kimcheon Science College, 23, pp.5~35 (1997)

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