한방병원간호사의 간호업무수행 및 한방간호지식 요구도 = Nursing practice and knowledge need for orental nursing among nurses working at oriental medicine hospitals
저자
발행기관
학술지명
권호사항
발행연도
2004
작성언어
Korean
주제어
KDC
051.000
자료형태
학술저널
수록면
245-268(24쪽)
제공처
The purpose of this study was to describe the practice of nurses working at the oriental medicine hospitals(OMH) and their knowledge needs for oriental nursing. The subjects were 164 nurses employed at 16 OMHs chosen from a total of 25 OMHs affiliated to 11 colleges of oriental medicine(OM) in Korea. The data were collected from June 1 to 15, 2002 using a survey questionnaire. The instruments used in this study included 41 items on the nursing practice at the OMHs, developed by the investigators based on the findings from previous studies (Kim, 1991; Lee et al, 1992; Chang & Han, 1992; Namkung, 2000), and 45 items of knowledge need for oriental nursing, which were also developed by the investigators based on the findings from previous studies, preliminary field study, and expert opinions. Data were analyzed using SPSS/PC for Windows program.
The subjects' general characteristics were analyzed with frequency, percentage, mean, and standard deviation. The differences in nursing practice and knowledge need for oriental nursing by the characteristics were examined using t-test and ANOVA, and the correlations between nursing practice and knowledge need were examined with Pearson correlation coefficient.
The results were as follows:
1. In terms of the characteristics related to the oriental nursing education, 57.9% reported not to take any nursing course on oriental nursing at college, 34.8% not to have any experience in participating an education class or seminar for oriental nursing, and 84.1% not to take any course credit for education for oriental nursing or seminar. The most common route of obtaining knowledge about oriental nursing was short courses provided with in the hospital (50.6%).
Majority of subjects (92.0%) carried out oriental nursing practice feeling their level of knowledge on oriental nursing to be insufficient. It was reported that 49.4% experienced difficulties to communicate with OM doctors and 53.7% of the subjects had ever experienced difficulties to communicate with the clients because of their lack of knowledge on OM.
2. The average score of nursing practice was 3.84(±.48) out of the maximum of 5, showing a high frequency of nursing practice. Taking vital signs such as temperature, blood pressure, and pulse was the most common nursing practice with the score of 4.89(±.38), followed by making a nursing round, documenting nursing records, listening to the patients' complaints, carrying out the OM doctor's prescriptions, and documenting intake and output of the patients.
On the other end of the scale, providing oral care using herbal medication was the least common nursing practice (1.98±1.02), followed by helping out bathing, providing meridian massage, and assisting OM doctors during treatments (moxibustion, cupping therapy). These findings show that nursing practice by the OM nurses was loaded heavily toward physical dimensions of nursing care, similar to that by nurses in western medicine. Nursing practice related to the OM was. not carried out actively.
3. The average score for knowledge need for oriental nursing was 3.99(±.57) out of the maximum of 5, showing a high level of need. Knowledge on herbal medication was the most needed with the score of 4.27(±.48), followed by the knowledge on direct nursing care, the knowledge on therapies (such as acupuncture, moxibustion, and cupping therapy), the knowledge on manipulation therapy, and the knowledge on types of acupuncture. Findings indicated a high level of knowledge needed for oriental nursing. The items with lower knowledge need were knowledge on diagnosis and treatment (3.72±71).
4. The level of nursing practice was significantly different among the subjects by their level of education (t=4.50, p=.0l2). The knowledge need for oriental nursing was significantly different according to their age(t=3.89, p=.010), marital status(t=2.51, p=.013), positions they held (t=3.64, p=.000), work experience(t3.28, p=.022), working unit (t=-2.10, p=.037), and education level(t=7.30, p=.001).
5. There was a statistically significant difference in the level of nursing practice by the perception of their own knowledge level(t=2.78, p= .006). Knowledge need for oriental nursing was shown to be different by class- and seminar-hours they had(t=3.95, p=.004), and the perception of their own knowledge level(t=284, p=.005).
6. There was a statistically significant positive correlation between the level of nursing practice and knowledge need for oriental nursing(r=.375, p=.000) Those who carried out nursing practice more frequently had higher level of knowledge need for oriental nursing.
In summary, the level of nursing practice of the nurses working at OMHs was fairly high. However, the nurses felt they practice with insufficient level of knowledge on OM and had a high level of knowledge need for oriental nursing. Since the nursing practice at the OMHs was shown to be correlated with knowledge need for oriental nursing, nursing practice at the OMHs could be improved by increasing their level of knowledge about oriental nursing. Various educational programs are needed to be developed and implemented in order to effectively improve the level of knowledge about oriental nursing for the nurses working at OMHs. Better nursing service for clients of OMHs could be expected by enhanced knowledge about oriental nursing.
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