상급 종합병원 중환자실 간호사의 진정요법 지식, 임상 의사결정능력 및 진정간호 실무역량의 관계

Abstract

Purpose This study aimed to shed light on the relations among sedation knowledge, clinical decision-making ability and nursing competence in sedation practice for nurses in the intensive care unit of a tertiary hospitals.

Method From August 3 to August 10, 2020, data were collected from 157 ICU nurses who worked in intensive care units at two tertiary hospitals located in Metropolitan City B, South Korea, for more than one year. A total of 157 questionnaires were completed, and 149 of these were used in the final analysis. The collected data were analyzed with frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Pearson correlation coefficients using the SPSS / WIN 23.0 program.

Result 1. The mean score for sedation knowledge was 17.87 out of 20 points, the mean score for clinical decision-making ability was 3.42 out of 5 points, and the mean score for nursing competence in sedation practice was 3.22 out of 5 points. 2. A comparison of the variables for sedation knowledge according to the general and sedation-related characteristics of the subjects. The results revealed a statistically significant difference in nursing competence according to age (F=7.817, p=.001), education level (F=10.909, p=.001), total clinical experience (F=12.560, p=.000), ICU clinical experience (F=9.614, p=.000), ICU nursing education (t=2.977, p=.03), sedation education (t=3.763, p=.000), and duration of sedation education (F=8.205, p=.000). 3. A comparison of the variables for clinical decision-making ability according to the general and sedation-related characteristics of the subjects and found a statistically significant difference in nursing competence according to education level (F=5.948, p=.003). 4. A comparison of the variables for nursing competence in sedation practice according to the general and sedation-related characteristics of the subjects revealed a statistically significant difference in nursing competence according to education level (F=4.577, p=.012). 5. Knowledge about sedation had a significantly positive (+) correlation with clinical decision making ability (r=0.175, p<.05), and clinical decision making ability had a significantly positive (+) correlation with nursing competence in sedation practice (r=.246, p<0.01).

Conclusion Based on the results of this study, we suggest that in order to improve nursing competence in sedation practice, it is necessary to develop programs designed to enhance ICU nurses’ clinical decision-making ability that can be the basis for their nursing practice, to identify the level of nursing competence in sedation practice, and to provide differentiated educational support required for it. It is thought that case-based education will be more effective in enhancing their nursing competence in sedation practice, rather than mere theoretical knowledge about sedation nursing.