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ABSTRACT 6
I. 서론 10
1. 연구의 필요성 10
2. 연구의 목적 12
3. 용어의 정의 12
1) 중환자실 간호사 12
2) 중환자실 간호사의 업무 12
3) 중환자실 간호사의 업무수행정도 13
4) 중환자실 간호사의 업무의 중요도 13
5) 중환자실 간호사의 업무수행능력 13
II. 문헌고찰 14
1. 중환자실 간호사의 업무 14
2. 중환자실 간호사의 업무수행정도, 중요도, 업무수행능력 18
III. 연구방법 22
1. 연구설계 22
2. 연구대상 22
3. 연구도구 22
1) 업무수행정도 23
2) 중요도 23
3) 업무수행능력 24
4. 자료수집방법 24
5. 자료분석방법 24
IV. 연구결과 25
1. 대상자의 일반적 특성 25
2. 중환자실 간호사의 업무의 수행정도, 중요도, 업무수행능력 26
3. 일반적 특성에 따른 업무수행정도, 중요도, 업무수행능력의 차이 37
4. 중환자실 간호사가 지각하는 업무수행정도와 중요도 및 업무수행능력의 상관관계 분석 53
V. 논의 54
VI. 결론 및 제언 59
1. 결론 59
2. 제언 61
참고문헌 62
부록_설문지 65
〈표 1〉 대상자의 일반적 특성 25
〈표 2〉 중환자실 간호사의 간호업무의 수행정도, 중요도, 업무수행능력 29
〈표 3-1〉 중환자실 간호사의 간호 단위별 업무수행정도 38
〈표 3-2〉 중환자실 간호사의 간호 단위별 업무의 중요도 39
〈표 3-3〉 중환자실 간호사의 간호 단위별 업무수행능력 40
〈표 4-1〉 중환자실 간호사의 학력별 업무수행정도 42
〈표 4-2〉 중환자실 간호사의 학력별 업무의 중요도 43
〈표 4-3〉 중환자실 간호사의 학력별 업무수행능력 44
〈표 5-1〉 중환자실 간호사의 중환자실 경력별 업무수행정도 46
〈표 5-2〉 중환자실 간호사의 중환자실 경력별 업무의 중요도 47
〈표 5-3〉 중환자실 간호사의 중환자실 경력별 업무수행능력 48
〈표 6-1〉 중환자실 간호사의 중환자 교육 수료여부에 따른 업무수행정도 50
〈표 6-2〉 중환자실 간호사의 중환자 교육수료 여부에 따른 업무의 중요도 51
〈표 6-3〉 중환자실 간호사의 중환자 교육수료 여부에 따른 업무수행능력 52
〈표 7〉 중환자실 간호사가 지각하는 업무수행정도와 중요도 및 업무수행능력의 상관관계 분석 53
초록보기 더보기
The purpose of this study lies in inquiring into the work performance, importance, and clinical competency of nursing service for critical patients perceived by ICU nurses, in order to pave the way for fundamental data for development of education program to enhance the clinical competency and raise the quality of nursing service for critical patients.
A survey was made for 111 nurses, who have been working more than 2 years at internal medicine, surgical, and pediatric intensive care unit, from 3 general hospitals, each of which accommodates over 700 beds, located in South Gyeongsang Province and North Jeolla Province.
In terms of research tool, a questionnaire, which amended, supplemented, and reduced 214 items of job analysis instrument for ICU nurses, developed by Lee Jeong-hee (2000), to 170 items in total, is exploited. The reliability of such tool is demonstrated by Cronbach's alpha coefficient as 0.989 in work performance, 0.960 in importance, and 0.979 in clinical competency.
The whole data, which had been collected from Jul. 15 through Aug. 15, 2011, was analyzed by SPSS 12.0, the data processing program, based upon T-test, ANOVA, and Pearson's correlation coefficient.
The result of this study shall be set forth as follows.
1) The level of work performance, on a scale from 0 to 5, was presented as 4.18±0.83 in inspection and observation, 4.12±0.92 in nursing practice, and 3.62±1.27 in nursing management. In terms of inspection and observation, the level of work performance in nursing service for nervous system was 2.98±1.328, while the level of work performance in gastrointestinal system, musculoskeletal system, respiratory system, and circulatory system all exceeded 4. With respect to nursing practice, pain nursing presented the highest score of 4.80±0.50, whereas tube-related nursing showed the lowest score of 3.19±1.16. Lastly, supply management showed the highest score of 4.43±1.02, while research area demonstrated the lowest score of 2.91±1.39 in nursing management.
2) The highest level of work performance in the internal medicine ICU was presented in wound nursing, hygienics nursing, and terminal care, while the highest level of work performance in the surgical ICU was demonstrated in exercise and wound nursing. Meanwhile, there was a difference in the level of work performance by academic achievement in infection control and sleep nursing. Nursing unit management and organizational management showed a substantial difference in the work performance by the amount of working experience in the intensive care unit. Lastly, there was a difference in the level of work performance by the completion status of critical patient training program, in nursing service for musculoskeletal system out of inspection and observation, and the infection control of nursing practice.
3) The importance of work, on a scale from 0 to 4, was presented as 3.52±0.66 in nursing practice, 3.47±0.69 in inspection and observation, and 3.21±0.87 in nursing management. The highest level of importance perceived by the ICU nurses was presented in respiratory system and circulatory system from inspection and observation, medication nursing, transfusion nursing, and emergency nursing from nursing practice, and lastly, supply management from nursing management.
4) A significant difference by nursing unit was found in musculoskeletal system from inspection and observation in internal medicine ICU, while there was no difference in the importance of work by academic achievement or work experience. Also, there was a difference in the importance of work performance by the completion status of critical patient training program, in the field of communication.
5) The level of clinical competency, on a scale from 0 to 4, was presented as 3.44±0.64 in nursing practice, 3.15±0.71 in inspection and observation, and 3.00±0.88 in nursing management. The highest level of clinical competency in the field of inspection and observation was demonstrated in gastrointestinal system, while the lowest level of competency was presented in nervous system. In terms of nursing practice, the highest and the lowest level of clinical competency were found in transfusion nursing and emergency nursing respectively. In the meantime, the highest clinical competency was shown in record management, whereas the lowest clinical competency was demonstrated in research area.
6) A significant difference by nursing unit was found in respiratory system, circulatory system, and musculoskeletal system from inspection and observation. The highest score in the wound nursing was made by the nurses of internal medicine ICU, while the highest score in the exercise was made by the nurses of surgical ICU. In addition, there was a considerable difference in the field of nutrition and sleep nursing by academic achievement, while there were several issues of nursing unit management and organizational management by work experience. In the meantime, there was a serious difference in gastrointestinal system from inspection and observation, along with the administration, transfusion, nutrition, excrement, respiratory nursing, hygienics nursing, communication, and pain nursing.
7) Lastly, the correlation between work performance and clinical performance was r＝.833(p＝.000); work performance and importance r＝.833(p＝.000); and importance and clinical competency r＝.470(p＝.000).
In conclusion, it would be possible to enhance the work performance through the practice learning of nursing service in the intensive care unit, because the correlation between work performance of ICU nurses is very strong. Particularly, an education program that enhances the work performance of emergency nursing service is strongly required. Furthermore, it would be imperative to conduct a differentiated and exact education, as the possession of each nursing unit, work experience, and the completion status of critical patient training program, substantially affect the work performance.
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