DOI QR코드

DOI QR Code

혈액투석실에서 근무하는 간호사의 특성이 근거기반 혈액투석간호지식과 수행정도에 미치는 영향

The Effects of Characteristics of Nurses on Knowledge and Nursing Performance Evaluation of Evidence Based Hemodialysis Nursing Practice in Hemodialysis Unit Nurses

  • Lee, Hee Soo (Korea Institute of Radiological Medical Sciences) ;
  • Jung, Eun Sook (Korea Institute of Radiological Medical Sciences) ;
  • Choi, Kyong Ah (Korea Institute of Radiological Medical Sciences) ;
  • Yu, Seung Oh (Korea Institute of Radiological Medical Sciences)
  • 투고 : 2016.05.19
  • 심사 : 2016.06.24
  • 발행 : 2016.08.31

초록

Purpose: The purpose of this study was to identify the effects of characteristics of nurses on knowledge and nursing performance of evidence based hemodialysis nursing practice among hemodialysis unit nurses. Methods: The participants were 180 nurses working in hemodialysis unit for more than 6 months in 23 private and general hospitals in Seoul and Gyeonggido. Data were collected from March 30th to April 15t in 2016 and were analyzed using stepwise regression analysis, descriptive statistics, t-test and ANOVA. Results: Nurses' knowledge on evidence based hemodialysis nursing practice was $15.87{\pm}4.52$ out of 23 points. Type of hospitals working in and adherence to evidence based hemodialysis guidelines were significant factors to knowledge and these two factors explained 30.0%. Nurses' nursing performance on evidence-based hemodialysis nursing practice was 4.52 out of 5 points. The performace level was significantly related to total nurisng career and necessity of hemodialysis nursing education and these two factors explained 8.0%. Conclusion: A development of guideline and continuing education is necessary for improving knowledge and performance of evidence based hemodialysis nursing practice.

키워드

참고문헌

  1. The Korean Society of Nephrology. Current renal replacement therapy in Korea [Internet]. Seoul: ESRD Registry Committee, Korean Society of Nephrology; 2014[cited 2016 March 30]. Available from: http://www.ksn.or.kr/journal/2015/index.html.
  2. Daugirdas JT, Blake PG, Ing TS. Handbook of dialysis. 4th ed. Park HC, Han SG, Han SY, Kim BS. translator. Philadelphia, PA: Lippincott Williams & Wilkins; 2005
  3. Kim MS, Kwon KJ, Choi SH. A model for nursing workforce in hemodialysis room using system dynamics approach. Journal of Korean Clinical Nursing Research. 2008;14(2):71-81.
  4. Melnyk BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. World Views on EvidenceBased Nursing. 2008;5(4):208-216.
  5. Gu MO, Cho Y, Cho M, Eun Y, Jeong JS, Jung IS, Lee Y, et al. Adaptation of intravenous infusion nursing practice guideline. Journal of Korean Clinical Nursing Research. 2013;19(1):128-142. https://doi.org/10.22650/JKCNR.2013.19.1.128
  6. Greiner AC, Knebel E. editors. Health professions education: A bridge to quality. Washington DC: National Academies Press (US); 2003.
  7. Pack EJ, Kim YH. A Grounded theory-based approach to practice adaptation process of hemodialysis unit nurses. The Journal of Korean Academy of Nursing Administration. 2013;19(1):128-137. https://doi.org/10.11111/jkana.2013.19.1.128
  8. Barnett T, Yoong TL, Pinikahana J, Si-Yen T. Fluid compliance among patients having hemodialysis: Can an educational programme make a difference?. Journal of Advanced Nursing. 2008;61:300-306. http://dx.doi.org/10.1111/j.1365-2648.2007.04528.x
  9. Cho MK, Kim CG, Chun SH. The knowledge and self-confidence to perform cardiopulmonary resuscitation of hemodialysis nurses in private clinics. Journal of the Korean Data Analysis Society. 2012;14(5):2595-2610.
  10. Han SH. The knowledge, perception and performance for the prevention of blood borne disease of nurses in hemodialysis centers. Korea Nephrology Nurses' Association. 2008;19:45-65.
  11. Jeong S, Kim K. Knowledge and performance of cancer pain management of nurses and nurses' aides in long-term care hospitals. The Journal of the Korea Contents Society. 2014;14(10):649-660. http://dx.doi.org/10.5392/JKCA.2014.14.10.649
  12. Kim Y, Chun IS, Pack YM. Development of a hemodialysis nurse educational program and its effects. Journal of the Korean Academia-Industrial Cooperation Society. 2012;13(12): 5839-5848. http://dx.doi.org/10.5762/KAIS.2012.13.12.5839
  13. Kim SM. Development, application and evaluation of the evidence-based nursing practice guideline for hemodialysis in the patients with risk of bleeding. The Journal of Korean Academic Society of Nursing Education. 2010;16(1):150-155. http://dx.doi.org/10.5977/jkasne.2010.16.1.150
  14. Chun IS. "Nursing hemodialysis patients" the development of web-based education program [dissertation]. Seoul: Ewha Womans University; 2010. p. 1-138
  15. Yoo JY, Oh EG. Level of beliefs, knowledge and performance for evidence-based practice among nurses experienced in preceptor role. Journal of Korean Academy of Nursing Administration. 2012;18(2):202-212. http://dx.doi.org/10.11111/jkana.2012.18.2.202
  16. Kim EK, Park MH. Nurses' awareness and performance about evidence-based pain management in older adults. Korean Journal of Adult Nursing. 2012;24(1):20-30. http://dx.doi.org/10.7475/kjan.2012.24.1.20
  17. Ryu SA, Kim YH, Jang KS, Chung KH, Choi JY, Yang JJ, et al. Nurses' knowledge and performance for the prevention of intravascular catheter-related infections according to the strength of recommendations of evidence based guidelines. Korean Journal of Adult Nursing. 2012;24(5):546-555. http://dx.doi.org/10.7475/kjan.2012.24.5.546
  18. Chu HS. Knowledge and performance of evidence based practice for hemodialysis among nurses in dialysis units [master's thesis]. Daejeon: Chungnam National University; 2013. p. 1-57
  19. National Kidney Foundation. Kidney Disease Outcomes Quality Initiative(KDOQI) 2006 updates clinical practice guidelines and recommendations [Internet]. New York: 2016 National Kidney Foundation: 2006[cited 2016 April 13]. Available from: https://www.kidney.org/sites/default/files/docs/12-50-0210_jag_dcp_guidelines-hd_oct06_sectiona_ofc.pdf.
  20. Scott K, McSherry R. Evidence-based nursing: Clarifying the concepts for nurses in practice. Journal of Clinical Nursing. 2008;18:1085-1095. http://dx.doi.org/10.1111/j.1365-2702.2008.02588.x
  21. Gorham WA. Staff nursing behavior contributing to patient care and improvement. Nursing Research. 1962;11(2):68-79. http://dx.doi.org/10.1097/00006199-196201120-00003
  22. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. http://dx.doi.org/10.3758/brm.41.4.1149
  23. Park HS. A study on accessibility, usefulness, barriers of evidence based nursing of clinical nurse [master's thesis]. Daegu: Keimyung University; 2006. p. 1-56
  24. Lim KC, Park KO, Kwon JS, Jeong JS, Choe MA, Kim JH, et al. Registered nurses' knowledge, attitudes, and practice about evidence-based practice at general hospitals in Korea. Journal of Korean Clinical Nursing Research. 2011;17(3):375-387.
  25. Lee J, Park M. Nurses' access & use of information resources and barriers & competency of evidence based practice. Korean Journal of Adult Nursing. 2011;23(3):255-266.
  26. Covidien. Palindrome symmetric tip dual lumen catheter sport packs [Internet]. Dublin: United States; 2012[cited 2016 April 13]. Available from: http://www.medtronic.com/covidien/products/dialysis-ca theters/chronic-hemodialysis.
  27. Kim SJ, Kim HS. Difference between nursing demand and perceived nursing performance in hemodialysis patients. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(3):310-316.
  28. Choi SJ, Cho EH, Lee SH, Oh HR, Kim JH, Park MY, et al. Cardiology; Clinical experience with buttonhole needling in a single hemodialysis center. The Korean Journal of Medicine. 2014;87(5):574-578. http://dx.doi.org/10.3904/kjm.2014.87.5.574
  29. Yu YM, Moon SM, Kim JY, Bae HJ, Ha HR. Comparison of the degree of pain according to nursing intervention method during arteriovenous fistula needle insertion for patients on hemodialysis. Journal of Korean Clinical Nursing Research. 2011;17(2):286-296.