:, * ** *** *** Li, C h u n - Yu **** Kim, Ky u n g - Yu n ***** Hu a n g, Z h e n- Yu ****** Yu k, M o o n- A e *******. 1........ 19 70. Om a h a (Ma rt in & Sh eet, 199 2 ), (Sab a, 199 1, 199 2 ), Iow a (McClosk ey & Bu lech ek, 19 92, 1996 ), (Gr obe, 199 6 ) (Int er n at ion al Cou n cil of N u r ses, ICN ) (ICN, 1996 )... (P a rk, Hwa n gb o, & Lee, 199 2 ; H a, 1993, 199 5),.. 2. * ***** ** ****** *** ******* **** 2 0 0 1 4 16 2 0 0 1 5 9 2 0 0 1 10 9-7 9 3 -
2 0 0 1 10 Iow a (N u r sin g Int ervent ion s Cla ssifica t ion, N IC).. 1)? 2 )? 3 )? 4 )? 3. (Nur sing Int erventions Classification, N IC) : Iow a (McClosk ey & Bu lech ek, 19 96, p.xvii). : /. ;, (McClosk ey & Bu lech ek, 1996, p. xvii).. 1. TV,,, ), 2, 3, 4 (,,, ).. ( ).,,, 3.,, (, ),, (, ),,,,,,,,. 2.. (,, 7 1.1 ;, 68.2 ), (,, 3.22 ;, 3.11 ), (,, 4 73.3 % ;, 6 58.1% ) (, 2.80 ;, 7.82 ) (Kim, 200 0 ).,,. 4 2,7 00, 2,2 12,90 1, 88,06 2 39 %. 19 80 $ 2 50. 19 52 9 (Lee, 2 000 ). 4,4 57, 3974 (89.2 % ) 2, 154 (3.4 % ), 329 (7.4 % ) (Kim, 200 0 ). ( ).. 199 2 (, 2. Iow a ( Nu rs in g Int e rv e nt io ns Clas s if icat io n, NIC) (naming), (describing), (cla ssifyin g). Iowa N IC 4 86. 19 92 33 6 19 96 4 33 20 00 4 8 6. 3 (3-t ir ed t axon om y), 7 (d om a in ), 3 0-7 94 -
3 1 5 (cla ss), 4 86.. Th r ee- t ir ed t axon om y. 1) Dom a in (6 )- - :, :,,,,, (- 20 00 ) 2 ) Cla ss (30 )- -,,,,,, -,,,,, /,,,,,,,,,,,,,,,,, (- 200 0 ) 3 ) Int ervent ion (4 86 )- -,,, b a ck gr ou n d r ea din gs.... 3. NIC N IC b a ck - t r a n sla t ion 2.. 4 33, (b a ck - t r a n sla t ion ), 2 ( ).. 4.. 1.. 2 3 6. 2 ( ) 114 84. 5. 2. Iowa Int er vent ion Pr oj ect Tea m 1996 4 33 5. 3, 4 33 (lab el ),, N IC Taxon om y 27 (cla ss). 5. 1), 2 ) 1, 3 ), 4 ), 5).. 199 8 6 1 7 30 2. SAS,, F -t est Sch effé t est.. 1. - 7 9 5 -
2 0 0 1 10 3 1 10 7. 9 1.4 %, 4 5.7 %, 2.9 %. 57.1% 3, 9 1.4 %. 54.3 %, 4 2.9 %, 28.6 %, 2 5.7 %, 57.1% (,,, ). 100 %. 2. (dom ain ),,,,, (Tissu e P erfu sion Ma n a gem ent ). 28. 27 (, ). (M = 4.6 66 ), (M = 4.444 ), (M = 4.4 16 ), (M = 4.3 33 ), (M = 4.3 0 5), : (M = 4.277 ), (M = 4.2 50 ), (M = 4.2 22 ), : (M = 4.2 22 ), (M = 4.222 ) <Table 1>. <T a b le 1> Int e rv e nt io ns Us e d Mo s t F req u e nt ly (At Le as t Da ily ) Dom a in Cla ss N u r sing Int er vent ion s Mea n SD Ra nk Ph ysiologica l : Tissu e P er fu sion In t r a ven ou s (IV) Th er a py 4.4 16.6 24 3 Com plex Ma n agem ent In t r a ven ou s (IV) In sert ion 4.30 5.6 24 5 Ca r dia c Ca r e 4. 11 1.94 9 17 Ca r dia c Ca r e : Acu t e 4.05 5 1.0 12 18 H em or rh a ge Con t r ol 4.05 5.9 24 18 Bleeding Redu ct ion 4.02 7.8 77 22 F lu id Resu scit a t ion 4.00 0.9 56 24 Skin/ Wou n d P r essu r e U lcer Pr ev en t ion 4.44 4 1.0 54 2 Ma n agem ent P r essu r e U lcer Ca r e 4.22 2 1.124 8 Wou n d Irriga t ion 4. 194.4 67 11 Wou n d Car e 4.05 5.7 53 18 Sk in Su rveilla n ce 4.00 0.7 92 24 P erioper a t iv e Ca r e P osit ionin g : In t r a oper a t iv e 4.27 7.9 74 6 Su rgical Assist a n ce 4. 194 1.0 90 11 Su rgical Pr ep ar at ion 4. 13 8 1.174 14 In fect ion Con t r ol : Int r a op er at ive 4.05 5 1.169 18 Su rgical Pr ecau t ion s 4.00 0 1.0 95 24 Respir a t ory Air wa y Su ct ion ing 4.22 2 1.14 9 8 Ma n agem ent Air wa y Ma n agem ent 4. 13 8 1.3 34 14 Th erm or egu lat ion H ypot h erm ia Tr ea t m ent 4.33 3 1.24 2 4 Th em p er at u r e Regu la t ion : 4. 13 8.9 90 14 In t r a oper a t ive Ph ysiologica l : Im m obilit y P osit ionin g 4.66 6.8 6 1 1 Ba sic Ma n agem ent Bed Rest Ca r e 4.25 0.7 69 7 Ca st Car e : Wet 4.02 7 1.133 22 H ealt h Syst em Self- Ca r e F a cilit at ion Self- Car e Assist a n ce : F eeding 4.00 0 1.3 30 24 Tu be Car e 4.00 0 1.3 93 24 Act ivit y a n d Exer cise En h a n cem en t Inform a t ion Ma n agem ent Exer cise Th er a py : Am bu la t ion 4.22 2.9 29 8 Sh ift Rep or t 4. 14 2 1.2 63 13-7 9 6 -
3 1 5 <T a b le 2 > Int e rv e nt io ns Us e d Ra re ly Dom a in Cla ss N u r sing Int er vent ion Mea n SD Ra nk F am ily Ch ildb ea ring Ca r e Elect r onic F et al Mon it orin g : An t epa rt u m 1.0 83.280 1 Resu scit at ion : N eon a t e 1.1 11.3 18 4 In fa nt Ca r e 1.138.4 24 5 Am in oinfu sion 1.166.560 6 Risk Ident ifica t ion : Ch ildbea ring F a m ily 1.194.576 9 U lt r a son ogr a ph y : Lim it ed Ob st et ric 1.2 22.637 10 F a m ily Pla n n ing : Cont r a cept ion 1.2 77.6 14 13 F a m ily Pla n n ing : Infert ilit y 1.2 77.6 14 13 Lab or In du ct ion 1.2 77.84 8 13 Ka ngar oo Ca r e 1.2 77.944 13 Beh a vior Th er a py Anim al Th er a py 1.0 83.280 1 Art Th er a py 1.166.44 7 6 Beh a vior Ma n a gem en t : Sexu a l 1.2 50.64 9 11 Lim it Set t in g 1.4 16.69 1 18 Lifespa n Ca r e F a m ily Int egr it y Pr om ot ion 1.166.377 6 F ert ilit y Pr eserva t ion 1.2 50.64 9 11 Ph ysiological : Tissu e P erfu sion Com plex Ma n a gem ent P h lebot om y : Blood U n it Acqu isit ion 1.0 83.280 1 H ea lt h Syst em In for m at ion Ma n a gem ent H ea lt h P olicy Monit or ing 1.2 85.572 17 3.. : (M = 1.083 ), (M = 1.0 83 ), : (M = 1.083 ), (M = 1.16 6 ), : (M = 1.2 50 ), (M = 1.13 8 ), (1.166 ), : (M = 1.277 ), (M = 1.28 5) <Table 2 >. 4. 1) 54. :, :,,,,.. : (M = 5.00 0 ), (M = 5.000 ), (M = 4.80 0 ), (M = 4.700 ), : (M = 4.6 00 ), : (M = 4.500 ), : (M = 4.500 ), : (M = 4.500 ), : (M = 4.500 ), (M = 4.50 0 ), <T a b le 3 > Int e rv e nt io ns Us e d Mo s t f re q u e nt ly (At Le a st Da ily ) in G e n e ra l Me d ic a l U n its Dom a in Clsss N u r sin g Int erv en t ion Mea n SD Ra nk Ph ysiological : Tissu e P er fu sion Car dia c Car e : Reh a bilit a t ion 4.5 00.97 1 4 Com plex Ma n agem ent Car dia c Car e : Acu t e 4.3 00.94 8 13 Bleeding Pr eca u t ion s 4.3 00.94 8 13 Bleeding Redu ct ion 4.2 00.9 18 17 Int r av en u s (IV ) In ser t ion 4.100.875 26 Int r av en u s (IV ) Th er a py 4.0 00.94 2 35 Cir cu la t ory pr eca u t ion s 4.0 00.94 2 35 Skin/ Wou n d Ma n a gem ent Pr essu r e U lcer Pr event ion 4.4 00.966 10 Pr essu r e U lcer Car e 4.2 00 1.229 17 Wou n d Ir riga t ion 4.100.3 16 26-7 9 7 -
2 0 0 1 10 <Ta ble 3 > Inte rve nt io ns Us ed Most f req ue nt ly (At Least Da ily ) in Ge ne ra l Med ica l Un its (co nt inued ) Dom a in Clsss Nu r sing In t ervent ion Mea n SD Ra nk Ph ysiological : P erioper a t iv e Ca r e Su r gica l Assist a n ce 4.100.3 16 2 6 Com plex An est h esia Adm inist r at ion 4.0 00.8 16 3 5 Su r gica l Pr ep ar at ion 4.0 00.4 7 1 3 5 N eu r ologic Ma n a gem en t U nilat er al N eglect Ma n a gem en t 4.3 00.94 6 13 Dr u g Ma n a gem en t Medicat ion Adm inist r a t ion : P a r ent er a l 4.100.87 5 2 6 Respir a t ory Ma n a gem en t Airw a y Ma n a gem ent 4.0 00 1.24 7 3 5 Th erm or egu lat ion F ever Tr eat m en t 4.100.994 2 6 Ph ysiological : Self- Ca r e F a cilit at ion Self- Ca r e Assist a n ce : F eeding 4.5 00 1.26 9 4 Ba sic Self- Ca r e Assist a n ce : Toilet in g 4.5 00 1.26 9 4 Or a l H ea lt h Ma int en a n ce 4.2 00 1.22 9 17 Self- Ca r e Assist a n ce 4.2 00 1.03 2 17 Sleep En h a n cem en t 4.2 00.9 18 17 Tu be Car e 4.2 00 1.22 9 17 Self- Ca r e Assist a n ce : Bat h ing/ Hygien e 4.100 1.28 6 2 6 Self- Ca r e Assist a n ce : Dr essin g/ Gr oom ing 4.100 1. 19 7 2 6 Im m obilit y Ma n agem ent P osit ioning 4.8 00.63 2 1 Ca st Car e : Wet 4.7 00.674 2 Bed Rest Ca r e 4.4 00.69 2 10 Ca st Car e : Ma int en a n ce 4.0 00 1. 154 4 7 Elim in a t ion Ma n a gem ent Tu be Car e : U rin a ry 4.6 00 1.264 3 Nu t rit ion Su p port Diet St a ging 4.100 1. 19 7 2 6 Ph ysica l Com for t E nvir onm ent a l Ma n a gem en t : Com fort 4.100.87 5 2 6 Pr om ot ion Beh a vior Beh a vior Th er a py Su b st a n ce U se Tr ea t m ent : Alcoh ol 4.5 00.97 1 4 Wit h dr a wl Su b st a n ce U se Tr ea t m ent : Dr u g 4,4 00 1.264 10 Wit h dr a wl Su b st a n ce U se Pr event ion 4.2 00.9 18 17 Su b st a n ce U se Tr ea t m ent 4.0 00.94 2 3 5 Coping Assist a n ce H u m or 4.3 00 1.25 1 10 Mood Ma n a gem en t 4.2 00.9 18 24 H op e In st illa t ion 4.2 00.9 18 17 Tou ch 4.0 00 1.054 3 5 P a t ient E du cat ion Tea ch ing : P r ocedu r e/ Tr ea t m ent 4.0 00 1.054 3 5 F am ily Ch ildb ear ing Ca r e At t a ch m en t Pr om ot ion 4.5 00 1.26 9 4 P ost p ar t a l Car e 4.0 00 1.054 3 5 H ea lt h H ealt h Syst em Ph ysicia n Su pp or t 4.5 00.97 1 4 Syst em Ma n agem ent Specim en Ma n a gem ent 4.0 00 1.69 9 3 5 Inform a t ion Ma n a gem en t Sh ift Tepor t 4.0 00 1.4 9 0 3 5 Safet y Risk Ma n a gem ent Vit a l Sign s Mon it orin g 4.0 00 1.4 9 0 3 5 (M = 4.50 0 ) <Ta ble 3 >. 2 ) 18 18 2 :.,,. (M = 5.000 ), : (M = 5.000 ). : :,, - 7 9 8 -
3 1 5 <T a b le 4 > Int e rv e nt io ns Us e d Mo s t F req u e nt ly (At Le a s t Da ily ) in G e n e ra l S u rg ic a l U n its Dom a in Cla ss N u r sing Int er vent ion Mea n SD Ra nk Ph ysiological : P eriop er at ive Ca r e An est h esia Adm in ist r a t ion 5.0 00.0 00 1 Com plex Infect ion Cont r ol : In t r a oper a t iv e 5.0 00.0 00 1 P osit ion ing : Int r a op er at ive 4.0 00.0 00 3 Su rgica l Assist a n ce 4.0 00.0 00 3 Su rgica l Pr eca u t ion s 4.0 00.0 00 3 Su rgica l Pr epa r a t ion 4.0 00.0 00 3 Pr eoper a t iv e Coor din at ion 4.0 00.0 00 3 Dru g Ma n a gem ent Medica t ion Adm inist r at ion : P ar en t er a l 4.0 00.0 00 3 Medica t ion Adm inist r at ion : Tr opica l 4.0 00.0 00 3 Medica t ion Ma n a gem ent 4.0 00.0 00 3 Medica t ion P r escribing 4.0 00.0 00 3 P a t ient Cont r olled Assist a n ce (P CA ) 4.0 00.0 00 3 Assist a n ce Ven ou s Access Devices (VAD) Ma int en a n ce 4.0 00.0 00 3 Tissu e P erfu sion F lu id Resu scit at ion 4.0 00.0 00 3 Ma n a gem en t Int r av en ou s (IV ) In ser t ion 4.0 00.0 00 3 Int r av en ou s (IV ) Th er a py 4.0 00.0 00 3 Inva sive H em odyn a m ic Monit or ing 4.0 00.0 00 3 Sk in/ Wou n d Wou n d Ir riga t ion 4.0 00.0 00 3 Ma n a gem en t Ph ysiological : Ph ysical Com fort Cu t a n eou s St im u lat ion 4.0 00.0 00 3 Ba sic Pr om ot ion Beh a vior P a t ient Edu ca t ion Tea ch ing : Pr escr ibed Medicat ion 4.0 00.0 00 3 (M = 4.000 ), : (M = 4.000 ), : (M = 4.0 00 ), (P CA ) (M = 4.00 0 ), (VAD ) (M = 4.00 0 ), (M = 4.000 ), (M = 4.00 0 ), (M = 4.000 ), (M = 4.00 0 ), (M = 4.000 ) <Ta ble 4 >. 3 ). 110.. : (M = 5.0 00 ), (M = 5.0 0 )0, (M = 5.00 0 ), (M = 5.0 00 ), (M = 5.00 0 ), (M = 5.00 ), (M = 5.00 ), (M = 5.0 0 ), (M = 5.0 00 )., /,, :,,,.,, :, :, :,, <Table 5>. <T a b le 5 > Int e rv e nt io ns Us e d Mo s t F req u e nt ly (At Le a s t Da ily ) in S p e c ia lty Me d ica l Un its Dom a in Cla ss N u r sin g Int ervent ion Mea n SD Ra nk Ph ysiological : Tissu e P er fu sion Bleeding Pr eca u t ion s 5.00 0.0 00 1 Com plex Ma n a gem en t In t r a ven ou s (IV) Th er a py 5.00 0.0 00 1 Ca r dia c P r ecau t ion s 4.66 6.5 00 17 In t r a ven ou s (IV) In sert ion 4.66 6.5 00 17-7 9 9 -
2 0 0 1 10 <Ta ble 5> Interv e nt io ns Us ed Most Freq uently (At Least Da ily) in S pecia lty Med ica l Un its (co ntin ued) Dom a in Cla ss N u r sin g Int erv en t ion Mea n SD Ra nk Ph ysiological : Tissu e P erfu sion Bleeding r edu ct ion : Wou n d 4.55 5.5 27 3 6 Com plex Ma n a gem en t Bleeding Redu ct ion : Ga st r oin du st in al 4.44 4.5 27 4 7 Bleeding Redu ct ion : N a sal 4.44 4.5 27 4 7 Ca r dia c Ca r e : Acu t e 4.44 4.5 27 4 7 Bleeding Redu ct ion 4.33 3.5 00 5 6 Ca r dia c Ca r e 4.33 3.5 00 5 6 Ca r dia c Ca r e : Reh a bilit at ion 4.33 3.5 00 5 6 Em b olu s Car e : Pu lm on ar y 4.33 3.5 00 5 6 H em or rh a ge Con t r ol 4.33 3.5 00 5 6 Cir cu la t or y P r ecau t ion s 4.00 0.5 00 8 2 Em b olu s Pr eca u t ion s 4.00 0.0 00 8 2 F lu id Ma n a gem en t 4.00 0.0 00 8 2 F lu id Resu scit a t ion 4.00 0.0 00 8 2 H ypervolem ia Ma n agem ent 4.00 0.0 00 8 2 Respir a t or y Air wa y Su ct ion ing 5.00 0.0 00 1 Ma ngem ent Ch est Ph ysiot h er a py 5.00 0.0 00 1 Cou gh En h a n cem en t 5.00 0.0 00 1 Air wa t In sert ion a n d St abiliza t ion 4.88 8.3 33 1 1 Vent ilat ion Assist a n ce 4.77 7.4 4 0 14 Air wa y Ma n agem ent 4.66 6.5 00 17 Aspir at ion Pr eca u t ion s 4.66 6.5 00 17 Oxygen Th er a py 4.66 6.5 00 17 E n d ot r a ch ia l Ext u b a t ion 4.55 5.5 27 3 6 Sk in/ Wou n d P r essu r e U lcer Ca r e 4.66 6.5 00 17 Ma n a gem en t P r essu r e U lcer Pr ev en t ion 4.66 6.5 00 17 Wou n d Car e 4.66 6.5 00 17 Wou n d Irriga t ion 4.66 6.5 00 17 In cision Sit e Car e 4.33 3 1.0 00 5 6 Sk in Ca r e : Topica l t r ea t m ent s 4. 11 1.333. 7 2 Sk in Su rveilla n ce 4. 11 1.3 33 7 2 P r essu r e Ma n a gem ent 4.00 0.0 00 8 2 Su t u r ing 4.00 0.0 00 8 2 Elect r olyt e a n d F lu id Elect r olyt e Ma n a gem en t 4.55 5.5 27 3 6 Acid- Ba se Ma n a gem ent H yperglycem ia Ma n a gem en t 4.44 4.7 26 4 7 H ypoglycem ia Ma n a gem en t 4.22 2.9 7 1 6 5 Acid- Ba se Ma n a gem ent : 4. 11 1 1.2 69 7 2 Met a b olic Acidosis Acid- Ba se Ma n a gem ent : 4. 11 1 1.2 69 7 2 Resir a t or y Acid osis Elect r olyt e Ma n agem ent 4. 11 1 1.2 69 7 2 Acid- Ba se Ma n a gem ent : Met a b olic Alk alosis 4.00 0 1.4 14 8 2 Th er m or egu la t ion H ea t Exposu r e Tr ea t m ent 5.00 0.0 00 1 H ypot h erm ia Tr ea t m ent 5.00 0.0 00 1 Ma lignm ent H ypot h erm ia 5.00 0.0 00 1 F ever Tr eat m en t 4.88 8.3 33 1 1 Tem per a t u r e Regu la t ion : 4.66 6.5 00 17 In t r a oper a t ive Tem per a t u r e Regu la t ion 4.00 0.0 00 8 2-8 0 0 -
3 1 5 <Ta ble 5> Interv e nt io ns Us ed Most Freq uently (At Least Da ily) in S pecia lty Med ica l Un its (co ntin ued) Dom a in Cla ss N u r sin g Inr erv en t ion Mea n SD Ra nk Ph ysiological : Dru g Ma n a gem ent Medica t ion Adm inist r at ion : Or al 5.0 00.000 1 Com plex P a t ient Cont r olled 4.5 55.527 36 An a lgesia (P CA ) Assist a n ce Ven ou s Access Devices 4.5 55.527 36 (VAD ) Ma int en a n ce Medica t ion Adm inist r at ion : P ar en t er a l 4.0 00.000 82 Medica t ion Ma n a gem ent 4.0 00.000 82 N eu r ologic Ma n a gem ent Cer ebr a l E dem a Ma n a gem ent 5.0 00.000 1 U nila t er a l N eglect Ma n agem ent 4.3 33.866 56 Seizu r e Ma n a gem en t 4.0 00.000 82 P eriop er at ive Ca r e P osit ion ing : Int r a op er at ive 4.6 66.500 17 Infect ion Cont r ol : In t r a oper a t iv e 4.1 11 1.763 72 Ph ysiological : Self- Ca r e F a cilit a t ion Tu b e Ca r e 4.8 88.333 11 Ba sic Or a l H ealt h Pr om ot ion 4.6 66.500 17 Self- ca r e Assist a n ce 4.6 66.500 17 Or a l H ealt h Maint en a n ce 4.5 55.527 36 Or a l H ealt h Rest or at ion 4.4 44.527 4 7 Self- ca r e Assist a n ce : Toilet in g 4.4 44.527 4 7 Self- ca r e Assist a n ce : Bat h ing/ Hygien e 4.3 33.70 1 56 Pr ost h esis Car e 4.2 22 1.30 1 65 F oot Ca r e 4.1 11.333 72 Self- ca r e Assist a n ce 4.1 11.927 72 Bat h ing 4.0 00.500 82 Dr essin g 4.0 00.000 82 H a ir Ca r e 4.0 00.000 82 Sleep E nh a n cem ent 4.0 00.000 82 Elim in at ion Ma n agem ent Bow el Ma n agem ent 4.7 77.44 0 14 F lat u len ce Redu ct ion 4.6 66.500 17 Tu b e Ca r e : Ur in a ry 4.6 66.500 17 Con st ip at ion/ Im pa ct ion Ma n a gem ent 4.5 55.726 36 U rin a ry Bla dder Tr ain ing 4.5 55.527 36 Bow el Ir rigat ion 4.3 33 1.000 56 Bow el Tr a inin g 4.3 33 1.322 56 U rin a ry Ret ent ion Car e 4.3 33.500 56 Im m obilit y Ma n a gem en t Bed Rest Ca r e 4.6 66.500 56 Ca st Ca r e : Main t en a n ce 4.6 66.500 17 Ca st Ca r e : Wet 4.4 44.88 1 4 7 P osit ion ing 4.4 44 1.333 4 7 P osit ion ing : Wh eelch a ir 4.1 11 1.269 72 Tr a ct ion/ Im m obilizat ion Car e 4.0 00 1.224 82 N u t r it ion Su pport F eedin g 4.7 77.44 0 14 E nt er a l Tu b e F eeding 4.6 66.707 17 N u t r it ion Th er a py 4.6 66 1.000 17 Diet St aging 4. 1 11.333 72 Weigh t Redu ct ion Assist a n ce 4.0 00 1.322 82 Ph ysical Com fort P a in Ma n a gem en t 4.2 22.97 1 65 Pr om ot ion Pr ogr essiv e Mu scle Rela xat ion 4.2 22.44 0 65 H ea t/ Cold Ap plicat ion 4.2 22.97 1 65 Sim ple Ma ssa ge 4.0 00.000 82-8 0 1 -
2 0 0 1 10 <Ta ble 5> Interv e nt io ns Us ed Most Freq uently (At Least Da ily) in S pecia lty Med ica l Un its (co ntin ued) Dom a in Cla ss N u r sin g Inr erv en t ion Mea n SD Ra n k Ph ysiological : Ph ysical Com fort H eat / Cold Ap plica t ion 4.2 22.97 1 65 Ba sic Pr om ot ion Sim ple Ma ssa ge 4.0 00.000 82 Act ivit y a n d Exer cise Exer cise Pr om ot ion 4.5 55 1.333 36 E nh a n cem ent Exer cise Th er a py : Am bu lat ion 4.5 55.527 36 Exer cise Th er a py : J oin t Mobilit y 4.2 22.44 0 65 Beh a vior Beh avior Th er a py Su b st a n ce U se Tr ea t m ent : 4.5 55.527 36 Alcoh ol Wit h dr awl Su b st a n ce U se P r even t ion 4.4 44.527 4 7 Self- Respon sibilit y F a cilit at ion 4.0 00.000 82 Sm ok in g Cessa t ion Assist a n ce 4.0 00.000 82 Su b st a n ce U se Tr ea t m ent 4.0 00.000 82 Su b st a n ce U se Tr ea t m ent : Dr u g Wit h dr a wl 4.0 00.000 82 Copin g Assist a n ce Em ot ion a l Su ppor t 4.0 00.500 82 Safet y Crisis Ma n a gem en t Em ergen cy ca r e 4.3 33.500 56 Fir st Aid 4.3 33.500 56 H ea lt h H ea lt h Syst em Media t ion Adm ission Car e 4.1 11 1.364 72 Syst em Inform a t ion Ma n a gem en t In cid en t Rep ort in g 4.2 22 1.30 1 65 4 ),,,. 32 :. (, :,,,, ) / (,,,,,, ). (M = 4.9 28 ), : (M = 4.78 5 ), (M = 4.769 ), (M = 4.7 14 ), (M = 4.64 2 ), : (M = 4.500 ) <Ta ble 6 >. <T a b le 6 > Int e rv e nt io ns Us e d Mo s t F req u e nt ly (At Le a s t Da ily ) in Ot h e r Me d ic a l U n its Dom a in Cla ss N u r sin g Int ervent ion Mea n SD Ra n k Ph ysiological : P eriop er at ive Ca r e Su rgical Assist a n ce : 4.7 14.6 1 1 4 Com plex P r eop er at ive Coor din a t ion 4.64 2.4 9 2 5 Su rgical Pr ecau t ion s 4.500.854 7 Su rgical Pr ep ar at ion 4.4 28.85 1 10 P osit ionin g : In t r a oper a t iv e 4.285 1. 13 7 18 In fect ion Con t r ol : Int r a op er at ive 4.000 1.03 8 29 P ost a n et h esia Car e 4.000 1.03 8 29 Sk in/ Wou n d Ma n agem ent P r essu r e U lcer Pr ev en t ion 4.64 2 1.08 1 5 P r essu r e Ma n a gem ent 4.4 57.93 7 9 Sk in Su rveilla n ce 4.4 28.64 6 10 P r essu r e U lcer Ca r e 4.357.63 3 16 Wou n d Car e 4.000.67 9 29 Wou n d Irriga t ion 4.000.39 2 29 Tissu e P erfu sion H em or rh a ge Con t r ol 4.4 28.93 7 10 Ma n a gem ent In t r a ven ou s (IV) Th er a py 4.4 28.52 3 10 In t r a ven ou s (IV) In sert ion 4.285.4 6 8 18 F lu id Resu scit a t ion 4.000 1.5 19 29-8 0 2 -
3 1 5 <Ta b le 6 > Inte rv e nt io ns Us ed Most Freq u e nt ly (At Least Da ily ) in Ot h e r Me d ica l Un its (co nt in ued ) Dom a in Cla ss N u r sin g Int ervent ion Mea n SD Ra n k Ph ysiological : Respir at or y Ma n agem ent Air wa y Ma n agem ent 4.357 1.44 6 16 Com plex Air wa y Su ct ion ing 4.2 14 1.25 1 2 1 Oxygen Th er a py 4.07 1.73 0 2 6 Dru g Ma n agem ent Medicat ion Adm inist r a t ion : 4.000.67 9 2 9 P ar en t er a l N eu r ologic Ma n agem ent P osit ionin g : N eu r ologica l 4.500.854 7 Th erm or egu la t ion Tem per a t u r e Regu la t ion : 4.285.994 18 In t r a oper a t ive Ph ysiological : Act ivit y a n d Exer cise Exer cise Th er a py : Am bu la t ion 4.785.4 2 5 2 Ba sic E nh a n cem ent Exer cise Th er a py : J oint Mobilit y 4.4 28.85 1 10 Exer cise Pr om ot ion : St r et ch in g 4.4 28.85 1 10 Body m ech a nics Pr om ot ion 4. 14 2 1.23 1 2 3 N u t rit ion Ma n agem ent Ga st r oint est in a l Int u ba t ion 4.2 14 1.4 7 6 2 1 N eu t r it ion Th er a py 4. 14 2.864 2 3 Elim in at ion Ma n a gem en t Con st ipa t ion/ Im pa ct ion 4.000.67 9 2 9 Ma n a gem ent Im m obilit y Ma n a gem ent P osit ionin g 4.928.26 7 1 Bed Rest Ca r e 4.000.784 2 9 Ph ysical Com fort P r ogr essive Mu scle Rela xa t ion 4. 14 2.864 2 3 Pr om ot ion Safe Crisis Ma n a gem ent F ir st Aid 4.07 1 1.20 6 2 6 Risk Ma n a gem en t Vit al Sign s Mon it oring 4.07 1 1.4 3 9 2 6 H ea lt h Syst em H ea lt h Syst em Ma n a gem en t P h ysicia n Su pp ort 4. 14 2 1.29 2 2 3 Inform a t ion Ma n agem ent Sh ift r eport 4.769.4 3 5 3 <T a b le 7 > Us e o f Int e rv e nt io n s p e r Do m a in U nit Dom a in GM GS SGM OT F, P, Sch effé Ph ysiological : Ba sic 3.27 0 (.665 ) 1.762 (.0 60 ) 3.6 23 (.20 1) 3.04 3 (.4 66 ) F = 8.86, p =.00 02 1,3,4 >2 Ph ysiological : Com plex 2.99 2 (.44 2 ) 2. 119 (.0 16 ) 3.3 95 (. 16 3 ) 2.90 1 (.4 0 1) F = 7.84, p =.00 05 Beh a vior 2.59 8 (.4 59 ) 1.750 (.0 07 ) 2.4 19 (.53 7 ) 2.50 3 (.379 ) F = 2. 11, p =. 1192 F am ily 2.34 5 (.554 ) 1.650 (0 ) 2.5 55 (.52 8 ) 2.92 1 (.688 ) F = 3.63, p =.02 37 Safet y 2.50 1 (.4 58 ) 1.323 (.04 1) 1.9 69 (.75 6 ) 1.58 8 (.62 1) F = 5.09, p =.oo56 1>4 H ea lt h Syst em 2.77 5 (.4 58 ) 1.606 (o) 2.6 63 (.624 ) 2.53 2 (.283 ) F = 3.6 6, p =.02 3 1>2 Gen er a l Medica l U nit = 1, Gen er al Su r gica l U nit = 2, Specia lt y Medical U nit = 3, Ot h er s = 4 5) <Table 7 >. 6 4. Sch effé :,,. : Sch effé., <Table 7 >... - 8 0 3 -
2 0 0 1 10 N IC,. :. 28 2 7 : :.,,. N IC Yom (19 9 5).. N IC Yom (19 99 ) 18 2 8..,, 2.....,,,, :,, Yom (19 99 ), :,,,,,,..,,,.. Yom (19 99 )..,..,,,. 54 18. 6 :,,,. Yom (19 99 ). Yom (199 9 ), :, : - 8 04 -
3 1 5,,, 6..,... Yom (199 5) (, ).,, :,., (,,, ). 36 4 500 8 %.. N IC.... 2 3 6. McClosk ey Bu lech ek (19 96 ) N IC (N IC U se Qu est ion n air e ) N IC b a ck - t r a n sla t ion. 4 33, 4 33 5.. 1. :, 2 8. 2.,,,,. 3. :,,, :. 4. 54 :,,,, :,. 5. 18, :,, :, :. 6. 110 :,,,,. 7. 3 2, :,,,.. 1.. 2.. - 8 0 5 -
2 0 0 1 10 3.. Re fe re nce Bar ry- Wa lk er, J., Bu lech ek, G. M., & McClosk ey, J. C. (19 94 ). A d escript ion of m edical nu r sin g. Med Su r g Nu r sin g, 3 (4 ), 26 1-268. Bu lech ek G. M., McClosk ey, J. C., Tit ler, M., & Deh eny, J. A. (1994 ). Rep or t on t h e N IC pr oj ect : N u r sin g in t ervent ion s u sed in pr a ct ice. A J N, 94 (10 ), 59-66. Kim, S. J. (200 0 ). Th e 2n d confer en ce on u nifica t ion of Kor ea. Depa rt m ent of Nu r sin g, H a llym U n iver sit y. Ma rt in, K. S., & Sch eet, N. J. (199 2 ). T h e Om ah a Sy st em : A pplicat ion for com m u n ity h ealt h nu rsing. P h ila delph ia, Sa u n der s. McClosk ey, J. C., & Bu lech ek G. M. (199 6 ). N u rsing Int erv ent ion s Classificat ion (N IC). St : Lou sis : Mosby Yea r Book. McClosk ey, J. C., & Bu lech ek G. M. (200 0 ). N u rsing Int erv ent ion s Classificat ion (N IC ). 3r d d Edit ion. St : Lou sis : Mosby Yea r Book. McClosk ey, J. C., & Bu lech ek, G. M. (1996 ). N u rsing Int erv ent ion s Classificat ion (N IC ). 3r d E dit ion. St : Lou sis : Mosby Yea r Book. P a rk, J. H., Hw a n gbo, S. J., & Lee, E. S. (199 2 ). Iden t ifica t ion of nu r sin g a ct ivit ies of nu r sin g cost. J Korean A cad N u rs, 2 2 (2 ), 18 5-206. Sa ba, V. K. (19 9 1). A n u r sin g int ervent ion t a xon om y for h om e h ealt h ca r e. N u rsing an d H ealt h Care, 12 (6 ), 2 96-2 99. Yom (19 9 5). Ident ificat ion of nu rsing int erv ent ion s in Korea. Ph D. Dissert a t ion, Th e U niver sit y of Iow a. Yom (199 9 ). An a lysis of t h e Nu r sin g Int ervent ion s p er for m ed by h ospit al nu r ses u sin g N IC. J Korean A cad N u rs, 29 (2 ), 34 6-360. Ryu, E. U., Ch oi, K. S., Kw on, Y. M., J oo, S. N., Yu n, S. R., Ch oi, H. S., Kwon, S. B., Lee, J. H., Kim, B. J., Kim, H. Y., Ah n, O. H., Rh o, E.S., & P ar k, K. S. (199 8 ). An alysis of t h e nu r sin g int ervent ion s don e by MICU a n d SICU n u r ses u sin g N IC. J Korean A cad N u rs, 28 (2 ), 4 57-4 67. - Ab s t r a c t - An a ly s is of Nu r s in g In t erv en t ion s Per for m e d b y Ch os u nj ok Nu r s e s in Ya n b ia n Us in g NIC Y om, Y ou n g -He e * Le e, Kw u -Eu n ** Ch a n g, Hae -Ky u n g *** Kim, Eu n -J u *** Li, Ch u n -Y u **** Kim, Ky u n g -Y u n ***** Hu a n g, Zh e n -Y u ****** Y u k, Moon -A e ******* P u r p o s e : To iden t ify nu r sin g int er vent ion s p er for m ed by Ch osu nj ok nu r ses in Ya nbia n u sin g N IC. Me t h o d s : Th e sa m ple con sist ed of 36 n u r ses w or k in g in 2 h ospit a ls. Th e N u r sin g Int er vent ion s U se Qu est ion n a ir e develop ed by t h e Iowa Int ervent ion Pr oj ect t eam wa s u sed for da t a collect ion. Th e in st r u m ent w a s t r a n slat ed t o Kor ea n u sin g t h e m et h od of b a ck - t r a n sla t ion. Re s u l t s : Twent y- eigh t int ervent ion s wer e p er for m ed at lea st da ily. Int er vent ion s in t h e Ph ysiologica l : Ba sic dom a in wer e m ost fr equ ent ly u sed at lea st daily. Th e m ost fr equ ent ly u sed int ervent ion s w a s P osit ionin g, follow ed by t h e int er ven t ion s Pr essu r e U lcer Pr event ion, Int r a ven ou s (IV) Th er a py, Hyp ot h erm ia Tr ea t m en t a n d Int r aven ou s (IV ) * D ep a r t m en t of N u r sin g, H a llym U n iv er sit y ** D ep a r t m en t of N u r sin g, Kw a n d on g U n iv er sit y *** D ep a r t m en t of N u r sin g, H a n su U n iv er sit y **** D ep a r t m en t of N u r sin g, Ya n bi a n U n iv er sit y ***** T h e P u bli c H e a lt h Bu r e a u of Ya n b ia n K or e a n Au t on om ou s P r efe ct u r e in Ch in a ****** Ya n bi a n N u r se s As s oci a t i on ******* Ya n bian Tr a dit ion al Ch in ese Medicin e H osp it a l - 8 0 6 -
3 1 5 In sert ion. Th e lea st fr equ ent ly u sed in t ervent ion s wa s Elect r onic F et a l Monit orin g : Ant epa rt u m. N u r ses work in g in sp ecial m edica l ca r e u nit s perform ed int er vent ion s m ost oft en, wh ile nu r ses w or k in g in gen er al su r gica l u nit s p er for m ed t h em lea st. N u r ses work in g in gen er al m edica l, specia l m edical a n d ot h er car e u n it s perform ed int ervent ion s in t h e Ph ysiologica l dom ain m or e oft en t h a n t h e nu r ses work in g in gen er a l su r gical u nit s. Co n c lu s i o n : Ch osu nj ok nu r ses in Ya nbia n p er for m ed ph ysiological int ervent ion s fr equ ent ly. F u rt h er st u dies will b e n eeded t o com par e in t ervent ion s perform ed by nu r ses in t wo cou n t ries. Ke y w o rd s : N u r sin g int er ven t ion, N u r sin g Int er vent ion s Cla ssificat ion - 8 0 7 -