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지속적 신대체요법 시 도식화된 알람 관리 매뉴얼 사용이 중환자실 간호사의 알람 해결률과 간호수행능력에 미치는 효과

 Effects of the Schematized Alarm-managing Manual for Continuous Renal Replacement Therapy on the Alarm Resolution Rate and Nursing Competence of Nurses in Intensive Care Units

간호행정학회지 2014년 20권 5호 p.535 ~ 544
KMID : 0614820140200050535
최앵자 ( Choi Ang-Ja ) - 삼성서울병원

이영희 ( Yi Young-Hee ) - 성균관대학교 임상간호대학원

Abstract

Purpose: This study was done to develop a schematized alarm-managing manual for continuous renal replacement therapy (CRRT) and to investigate its effects in maintaining continuity in the patients’ treatment and promptly resolving alarms when CRRT is being carried out.

Methods: Sixtynurses from two medical intensive care units (ICUs) (one experimental and one control) at one hospital were asked to answer a questionnaire including their CRRT nursing competency and satisfaction with the manual. Data on alarm resolution rate were collected by analyzing existing data, such as the details of each alarm and the number of resolutions around the clock in the CRRT device.

Results: The alarm resolution rate and some of CRRT nursing competency scores in the experimental group were higher than those in the control group. The experimental group was also satisfied with the manual.

Conclusion: The study confirmed that the schematized alarm-managing manual can be useful for ICU nurses to resolve alarms and can be used as a guideline. Application of this manual to clinical practices and its use can therefore, be encouraged through continuous educationand promotion.
KeyWords

Renal replacement therapy, Alarm, Manuals, Nurses, Competence
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학술진흥재단(KCI) KoreaMed