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전자간호기록을 이용한 후향적 응급실 간호업무 분석

Other Titles
 Emergency Department Nursing Activities : Retrospective Study on Data from Electronic Nursing Records 
 백승연  ;  조은희  ;  김영아  ;  최모나 
 Korean Journal of Adult Nursing (성인간호학회지), Vol.31(5) : 496-506, 2019 
Journal Title
 Korean Journal of Adult Nursing (성인간호학회지) 
Issue Date
Emergency service ; hospital ; Electronic health records ; Nursing services ; Triage ; Referral and consultation
Purpose : This study aimed to identify the type and frequency of nursing activities targeting emergency department patients by analyzing electronic nursing records. Methods : This retrospective study identified the characteristics of and nursing activities for adult patients who visited a university hospital emergency department for 6 months from January to June 2018 by analyzing the hospital’s electronic nursing records. Descriptive statistics and one-way analysis of variance were used to analyze the characteristics of patients and the nursing records. Results : A total of 36,435 patients, with an average age of 52.82±19.91 years and a male-to-female ratio of 1:1.16, participated in the study. The number of patients with Korean Triage and Acuity Scale levels 4 (less urgent) and 5 (non-urgent) were 24,403 (67% of the total number). Referrals were requested 1.21±0.54 times per patient. The most frequent NANDA diagnosis and Nursing Intervention Classification intervention were “Risk for unstable blood glucose level” (858, 28.4%), and “Surveillance” (83,131, 23.9%). The most frequent Clinical Care Classification action type was “Assess or Monitor” (313,729, 38.5%). The higher the severity level and the number of referrals, the more the recorded numbers of nursing diagnoses, interventions, and care activities. Conclusion : This study demonstrated the possibility of nursing task analysis by identifying the type and frequency of nursing activities based on the data from electronic nursing records. Further research on electronic nursing records would contribute to the usefulness of these records for nursing workload analysis and effective workforce management.
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Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
Choi, Mona(최모나) ORCID logo https://orcid.org/0000-0003-4694-0359
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