신생아중환자실 캥거루 케어 전국 실태조사- 간호행위, 장애요인, 간호사의 지식과 신념
National Survey of Kangaroo Care Practice, Barriers, Knowledge, and Belief
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초록
연구목적: 캥거루 케어(KC)에 대한 간호행위, 장애요인, 지식과 신념을 전국 실태조사하기 위함이다. 연구방법: 서술적 조사연구를 시행하였고, 캥거루 케어 설문지는 전국 신생아중환자실에 근무하는 간호사들을 대상으로 보내졌다(N=263). 기술적 통계와 상관분석을 이용하여 자료를 분석하였다. 연구결과: 설문지 응답률은 81% (N=214)였다. 캥거루 케어의 주요 장애요인은 환아의 안전에 대한 우려와 간호사의 업무 증가 부담으로 나타났다. 캥거루케어를 시행해본 경험이 있는 응답자는 지식이 더 많았고, 신념에 있어서도 더 긍정적으로 나타났다. 결론: 이상의 연구결과로 KC에 대한 장애요인을 극복하기 위해서는 간호사들은 교육프로그램이 필요하고, 게다가 지식이 풍부한 실무 전문가가 성공적이고 안전한 KC를 이룰 수 있는 지침마련이 필요하다.
Abstract
Purpose: A National survey was conducted to assess neonatal intensive care nurses’ practice, barriers, knowledge, and belief regarding Kangaroo Care (KC). Methods: A descriptive survey was conducted. Kangaroo care questionares were sent to nurses in all hospitals in Korea whose were identified as providing neonatal intensive care services(N=263). Descriptive statistics were used to summarized the data. Results: Among 67 neonatal care units, 61.1% adapted KC in their practice. About 60% of nurses in the KC providing hospital actually practiced KC. Major barrier of practicing KC were infant safety concerns, as well as work load of nurses. Respondants who had practiced KC were more knowledgable and were more positive in their belief regarding KC. Conclusion: The findings suggest that in order to overcome barriers of practicing KC, educational programs are recommended designed for nurses. In addition, development of KC practice guideline is necessary to facilicate successful and safe KC.
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