집중치료실 간호사의 진정요법 지식과 간호실무 역량요인의 상관성 분석
Relationships between Sedation Knowledge and Nurse Practice Competences in Intensive Care Unit
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목적 : 본 연구는 대학병원 집중치료실 간호사의 진정요법 지식과 간호실무 역량요인의 수준과 상관관계를 알아보기 위한 횡단적 상관관계 조사연구이다. 방법 : 국내 3차병원 2곳의 집중치료실에서 일하는 간호사 총 91명을 대상으로 Ajzen의 계획된 행동 이론을 바탕으로 구성된 자기보고식 설문조사를 실시하였다. 수집된 자료는 IBM SPSS version 21.0 program을 이용하여 기술통계, independent t-test, one-way ANOVA, Pearson Correlation을 통하여 분석하였다. 결과 : 집중치료실 간호사는 진정요법의 기본지식이 최신동향 지식보다 더 높게 보고 하였다. 기본지식 및 최신동향 지식은 진정교육 시간과 유의한 차이를 보였으나, 진정요법의 지식과 간호실무 역량요인은 유의미한 상관관계가 나타나지 않았다. 진정 작용에 대한 긍정적인 태도는 주관적 신념, 처방 및 목표, 조절요인, 수행, 진정의도와 유의한 상관관계가 나타났다. 결론 : 본 연구의 결과는 국내 집중치료실 간호사의 진정요법의 지식과 간호실무 역량요인에 대한 기초자료를 제공하여 추후 간호사 관련 교육 프로그램 개발 등의 실무와 연구에 기여할 것이다. 적정한 진정요법을 실현하기 위해서는 최신동향 지식을 포함한 지속적인 교육이 필요하며 태도영역을 포함한 간호실무 역량을 통합적으로 함양하는 것이 요구된다.
Abstract
Purpose: For this study an examination was done of relationships between intensive care unit (ICU) nurses’ knowledge related to sedation and their clinical competencies in sedation practice. Methods: Ninety one ICU nurses were recruited from two tertiary hospitals in South Korea. A self-report questionnaire was used to examine the levels of knowledge related to sedation and nursing practice competence based on Ajzen’s theory of planned behavior. Descriptive statistics, independent t-tests, one-way ANOVA, and Pearson correlations were performed using the IBM SPSS 21.0 Results: ICU nurses are more knowledgeable about general information on sedation rather than up-to-date information. Continuing education on sedation was related to difference in knowledge levels. However, the levels of knowledge were not related to competence in sedation practice. Instead, a positive attitude toward sedation practice was significantly related to the subjective norms; orders and goals, perceived behavioral control, practice of sedation, and intention to use. Conclusion: The results of this study provide fundamental information on levels of knowledge related to sedation practices of Korean ICU nurses. Continuing education should emphasize up-to-date information on sedation practice and need for positive attitudes which influence all other competencies towards sedation practices to achieve optical care of sedation in the ICU.
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