외국인 환자 입원간호 프로토콜 개발 연구
Development of Nursing Protocols for Hospitalized Foreign Patients
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목적: 본 연구의 목적은 간호사의 요구를 바탕으로 입원한 외국인환자의 간호를 위한 프로토콜을 개발하고 내용타당도와 실무적용성을 판단하는 것이다. 방법: 프로토콜 개발과 구성 내용의 우선순위 선정을 위해 간호사에게 설문조사를 시행하였다. 프로토콜 초안을 개발하여 7명의 전문가와 115명의 간호사에게 프로토콜의 내용타당도와 실무적용도를 평가하였다. 결과: 요구도 설문조사결과 모든 연구참여자가 프로토콜의 필요성에 동의하였다. 설문결과를 바탕으로 다음 주제에 대한 프로토콜을 개발하였다: 국가별 문화와 의료, 입원/퇴원간호, 수술간호, 통증관리, 검사, 투약, 수혈간호. 전문가의 프로토콜 내용타당도 점수는 3.66±0.28점이었다. 전문가의 실무적용도 점수는 3.61±0.29점, 간호사의 실무적용도 점수는 3.16±0.11점이었다. 전체 내용에 대한 타당도 점수는 29.46±5.62점이었다. 결론: 외국인환자 입원간호를 위한 간호프로토콜을 개발하였다. 본 프로토콜은 외국인 입원환자의 간호의 질 향상에 기여하고 간호사를 교육하는 교육지침으로 사용될 수 있을 것이다.
Abstract
Purpose: The purpose of this study was to develop a nursing protocol for care of hospitalized foreign patients based on necessary nursing care and to evaluate content validity and practical applicability. Methods: A survey was conducted to identify the need for protocol development and to prioritize necessary content to be included in the protocol (N=110). A draft protocol was developed, and 7 experts and 115 nurses evaluated content validity and practical applicability of the protocol. Results: Results of the needs survey showed that all participants agreed there is a need for a protocol. Based on the survey results, a protocol was developed which included: regional culture and healthcare, admission/discharge care, surgical care, pain management, care in diagnostic testing, medication administration, and blood transfusion. Score on the experts’ evaluation of content validity of the protocol was 3.66±0.28. Practical applicability score was 3.61±0.29 in the experts’ group and 3.16±0.11 in the nurses’ group. Total score for validity of the overall content was 29.46±5.62. Conclusion: The nursing protocol developed in this study for care of hospitalized foreign patients can contribute to improvement in quality of nursing care for these patients and can also be used as a teaching guideline to educate nurses. Key words: Foreigners, Nursin
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