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윤선영 ( Yun Seon-Young ) - 동아대학교 간호학과
이영옥 ( Lee Young-Ock ) - 고신대학교복음병원
강지연 ( Kang Ji-Yeon ) - 동아대학교 간호학과
윤미정 ( Yun Mi-Jeong ) - 동아대학교의료원
원윤희 ( Won Youn-Hui ) - 동아대학교의료원
이미영 ( Lee Mi-Young ) - 부산과학기술대학교
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Abstract
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Purpose: The purpose of the study was to analyze the nursing activities related to continuous renal replacement therapy (CRRT) in the intensive care units (ICU).
Methods: We developed a list of 31 CRRT related nursing activities based on literature review and reviewed by expert group. A total of 109 direct time measurement records by 43 ICU nurses were collected and analyzed in terms of total time per shift, frequency, standard time, difficulty and performance levels of each CRRT nursing activity.
Results: The mean time for CRRT nursing activity was 85.60 minutes per 8 hour shift. Nurses have spent average 9.46±6.98 minutes in a shift for “waste fluid bag change” activity. In addition, “check catheter location” was the most time consuming single activity. The most difficult activity was “counseling-answer” and the most competent one was “dialysis solutions change”.
Conclusion: The CRRT nursing activities accounted for a significant portion of total nursing workload. Practical allocation of nursing staff for CRRT patient along with development of a new nursing cost system need to be considered. Continuous nursing educational and training programs on CRRT should be developed.
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KeyWords
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신 대체 요법, 중환자실, 간호업무, 분석
Renal replacement therapy, Intensive care units, Nursing, Workol ad, Analysis
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원문 및 링크아웃 정보
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등재저널 정보
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