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중환자실 전문간호사의 전문간호행위 분류와 수행분석

 Analysis on Performance and new Classification of Advanced Practices by Critical Care Nurse Practitioners

간호행정학회지 2009년 15권 4호 p.527 ~ 538
KMID : 0614820090150040527
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학

김명애 ( Kim Myung-Ae ) - 서울대학교병원
김미원 ( Kim Mi-Won ) - 한국간호평가원
김경숙 ( Kim Kyung-Sook ) - 남서울대학교 간호학과
유정숙 ( Yoo Cheong-Sook ) - 서울대학교병원
이은희 ( Lee Eun-Hee ) - 서울아산병원

Abstract

Purpose: The purpose of this study was to reclassify the advanced nursing practices of critical care nurse practitioners(CCNPs) in intensive care unit and measure the time and frequency of CCNP’s activities.

Method: Practices of ICU nurses are divided into RN’s and CCNP’s practices by a panel of ICU nursing experts. Each practice of CCNP is defined and CCNP’s working time and service frequencies are monitored in general hospitals.

Result: Practices of CCNP were classified into 4 domains and 32 practices. Fourteen practices by CCNPs were completed in 10 minutes and the other 12 practices consumed 10-30 minutes. A priority of practice in respiratory therapy was given to artificial airway management, management of tracheostomy patient, lower respiratory care, and the priority of CRRT was management of anticoagulation.

Conclusions: Advanced nursing practices of CCNPs were recognized from those of RNs. A further research of CCNPs practices should be extended to other advanced practices and it is required to evaluate economic value of advanced nursing practice in the national health insurance system.
KeyWords
중환자전문간호사, 전문간호행위, 간호시간
Critical care nurse practitioner, Advanced nursing practice, Nursing time
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학술진흥재단(KCI) KoreaMed