간호사의 섬망사정능력
Delirium Assessment Ability of Clinical Nurses
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조회
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다운로드
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참고문헌
키워드
초록
Purpose: The purpose of this study was to identify related factors of perceived delirium assessment ability (PDAA)of clinical nurses. Methods: A descriptive survey design with a convenience sampling was used with 266 nurses who were recruited from P university hospital. Data were analyzed using descriptive statistics, ANOVA, Pearson correlation, and stepwise multiple regression with the SPSS/WIN 18.0 program. Results: Nurses scored low for knowledge of symptoms and management of delirium. Factors related to PDAA were ‘sufficiency in opportunities for education about delirium’ (β=.325, p<.001), ‘experience of caring for patients with delirium’ (β=.228, p<.001),‘duration of work’ (β=.139, p = .004), and ‘level of knowledge on delirium’ (β=.128, p = .021). These variables explained 24.2% of the variance in PDAA. Conclusion: Findings of the study indicate that nurses need up-to-date educational programs that include actual practices of delirium assessment as well as global knowledge of delirium. Because most nursing floors do not have care manuals for patients with delirium, having care manuals and corresponding educations is essential. Further studies including participants from broader geographical areas and methodology to examine the effects of educational program on PDAA are warranted to enhance the generalizability of the findings and examine the effectiveness of the program.
Abstract
Purpose: The purpose of this study was to identify related factors of perceived delirium assessment ability (PDAA)of clinical nurses. Methods: A descriptive survey design with a convenience sampling was used with 266 nurses who were recruited from P university hospital. Data were analyzed using descriptive statistics, ANOVA, Pearson correlation, and stepwise multiple regression with the SPSS/WIN 18.0 program. Results: Nurses scored low for knowledge of symptoms and management of delirium. Factors related to PDAA were ‘sufficiency in opportunities for education about delirium’ (β=.325, p<.001), ‘experience of caring for patients with delirium’ (β=.228, p<.001),‘duration of work’ (β=.139, p = .004), and ‘level of knowledge on delirium’ (β=.128, p = .021). These variables explained 24.2% of the variance in PDAA. Conclusion: Findings of the study indicate that nurses need up-to-date educational programs that include actual practices of delirium assessment as well as global knowledge of delirium. Because most nursing floors do not have care manuals for patients with delirium, having care manuals and corresponding educations is essential. Further studies including participants from broader geographical areas and methodology to examine the effects of educational program on PDAA are warranted to enhance the generalizability of the findings and examine the effectiveness of the program.
참고문헌 (25)
- Akechi, T., "Delirium training program for nurses", Psychosomatics, 51, pp.106~111 (2010)
- Farley, A., "Delirium part one: Clinical features, risk factors and assessment", Nursing Standard, 21(29), pp.35~40 (2007)
- Foreman, M. D., "Nursing strategies for acute confusion in elders", American Journal of Nursing, 96(4), pp.44~51 (1996)
- Flagg, B., "Nursing identification of delirium", Clinical Nurse Specialist, 24, pp.260~266 (2010)
- Francis, J., "Delirium in hospitalized elderly", Journal of General Internal Medicine, 5, pp.65~79 (1990)
- Hare, M., "A questionnaire to determine nurses's knowledge of delirium and its risk factors", Contemporary Nurse, 29, pp.23~31 (2008)
- Inouye, S. K., "Delirium in older persons", The New England Journal of Medicine, 354, pp.1157~1165 (2006)
- Inouye, S. K., "Nurses' recognition of delirium and its symptom: Comparison of nurse and researcher", Archives of Internal Medicine, 161, pp.2467~2473 (2001)
- Inouye, S. K., "Delirium: A symptom of how hospital care is failing older persons and a window to improve quality of hospital care", The American Journal of Medicine, 106, pp.565~573 (1999)
- Jang, K. E., "ICU nurses' knowledge and nursing activities for ICU syndrome", 석사, pp.2008
- 이영휘, "간호사의 섬망 지식수준과 섬망 사정에 대한 연구", 성인간호학회지, 19(1), pp.35~44 (2007), 성인간호학회
- Leslie, D. L., "Premature death associated with delirium at 1-year follow-up", Archives of Internal Medicine, 165, pp.1657~1662 (2005)
- McCusker, J., "Delirium predicts 12-month mortality", Archives of Internal Medicine, 162, pp.457~463 (2002)
- Park, E. A., "The development and effects of an educational program on acute confusion in hospitalized patients for nurses", 박사, pp.2005
- 박영숙, "일 종합병원 간호사들의 섬망에 대한 인식 및 교육요구에 관한 기초조사", Journal of Korean Academy of Nursing, 36(8), pp.1183~1192 (2006), 한국간호과학회
- Pun, B. T., "Large scale implementation of sedation and delirium monitoring in the intensive care unit: A report from two medical centers", Critical Care Medicine, 33, pp.1199~1205 (2005)
- Rapp, C. G., "Acute confusion assessment instruments: Clinical versus research usability", Applied Nursing Research, 13, pp.37~45 (2000)
- Saravay, S. M., "How do delirium and dementia increase length of stay of elderly general medical inpatients", Psychosomatics, 45, pp.235~242 (2004)
- Siddiqi, N., "Occurrence and outcome of delirium in medical in-patients: A systematic literature review", Age Aging, 35, pp.350~364 (2006)
- Siddiqi, N., "Interventions for preventing delirium in hospitalized patients", Cochrane Database of Systematic Reviews, 2 (2007)[DOI]
- Spronk, P. E., "Occurrence of delirium is severely underestimated in the ICU during daily care", Intensive Care Medicine, 35, pp.1276~1280 (2009)
- Suh, H. J., "ntensive care unit nurse's knowledge, nursing performance, and stress about delirium", 석사, pp.2006
- Torpy, J. M., "JAMA patients page: Delirium", The Journal of the American Medical Association, 304(7), pp.814~ (2010)
- Witlox, J., "Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: A meta-analysis", The Journal of the American Medical Association, 304, pp.443~451 (2010)
- Yang, Y. A., "ICU nurses' knowledge and nursing performance on patients' symptoms of delirium", 석사, pp.2006