Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Importance-Performance Analysis (IPA) to Improve Emergency Care for Novice Nurses

신규간호사의 응급간호 역량 강화를 위한 중요도 - 실행도 분석

  • Park, Hayoung (Department of Nursing, Graduate School, Yonsei University) ;
  • Kim, Yoojin (Department of Nursing, Graduate School, Yonsei University) ;
  • Chu, Sang Hui (College of Nursing.Department of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 박하영 (연세대학교 일반대학원 간호학과) ;
  • 김유진 (연세대학교 일반대학원 간호학과) ;
  • 추상희 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2019.03.23
  • Accepted : 2019.08.12
  • Published : 2019.08.31
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Abstract

Purpose: Although emergency care is one of the most important capabilities for novice nurses, many novice nurses have shown difficulty in emergency care in the clinical field. The purpose of this study was to provide evidence data for the future development of educational programs by analyzing the priorities in emergency care of novice nurses using the Importance-Performance Analysis. Methods: This study was designed as a descriptive survey. The participants were 197 novice nurses who worked in general hospitals from August 1 to 31, 2018. The questionnaire consisted of 'common emergency care', 'cardiovascular emergency care', 'nervous system emergency care', 'respiratory system emergency care', 'communication and teamwork competency'. Results: As a result of this study, 'communication and teamwork' among emergency cares was evaluated as the most important capability in the clinical field. In the Importance-Performance Analysis, a total of 12 items were included in the quadrant A, including 5 items related to 'cardiovascular emergency care', 4 items to 'respiratory system emergency care', 2 items to 'nervous system emergency care' and 1 item to 'common emergency care'. The results showed a need for intensive improvement in items included in quadrant A which are the high importance low performance items. Conclusion: In order to improve the emergency care of novice nurses, a variety of emergency care education programs on the nervous system and respiratory system care should be implemented as well as cardiovascular emergency care education.

Keywords

References

  1. Korean Association of Cardiopulmonary Resuscitation. Korean guidelines for cardiopulmonary resuscitation and emergency cardiovascular care [Internet]. Seoul: 2015. Available form: http://www.kacpr.org/popup/file/2016_guidelines_1_0331.pdf
  2. Kim IB, Chung SW, Moon DS, Byun KH. Factors of cardiopulmonary resuscitation outcome for in-hospital adult patients. Journal of Korean Society of Critical Care Medicine. 2007;22(2):83-90.
  3. Kim SS, Kim BJ. Outcomes of in-hospital cardiopulmonary resuscitation according to the in-hospital Utstein style in a general hospital. Clinical Nursing Research. 2006;11:177-192.
  4. Yoo JH, Lee IS. The emergency care experience and demand for support of school nurse. The Journal of Korean Academy Community Health Nursing. 2017;28(2):182-195. https://doi.org/10.12799/jkachn.2017.28.2.182
  5. Kim EJ, Lee KR, Lee MH, Kim J. Nurses' cardiopulmonary resuscitation performance during the first 5 minutes in in-situ simulated cardiac arrest. Journal of Korean Academy of Nursing. 2012;42(3):361-368. https://doi.org/10.4040/jkan.2012.42.3.361
  6. Kim BJ, Kang KH, Lim YS. Factors influencing on prehospital emergency nurses' activities and procedures in the field. Journal of Korean Academy of Nursing Administration. 2009;15(1):64-71.
  7. Kim YH, Jang KS. Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses. Korean Journal of Adult Nursing. 2011;41(2):245-255. https://doi.org/10.4040/jkan.2011.41.2.245
  8. Burns P, Poster EC. Competency development in new registered nurse graduates: closing the gap between education and practice. The Journal of Continuing Education in Nursing. 2008;39(2):67-73. https://doi.org/10.3928/00220124-20080201-03
  9. Chang SJ, Kwon EO, Kwon YO, Kwon HK. The effect of simulation training for new graduate critical care nurses on knowledge, self-efficacy and performance ability of emergency situations an intensive care unit. Korean Journal of Adult Nursing. 2010;22(4):375-383.
  10. Kang HW, Hur HK. Development of a simulation scenario on emergency nursing care of dyspnea patients. Journal of Korean Critical Care Nursing. 2010;3(2):61-76.
  11. Hur HK, Park SM, Shin YH, Lim YM, Kim GY, Kim KK, et al. Development and applicability evaluation of an emergent care management simulation practicum for nursing students. Journal of Korean Academic Society of Nursing Education. 2013;19(1):228-240. https://doi.org/10.5977/jkasne.2013.19.2.228
  12. Oh JY, Song MS, Park JH, You MA. Effects of simulation-based training on nursing students' knowledge and ability to perform advanced cardiovascular life support. Journal of Korean Critical Care Nursing, 2015;8(2):23-32.
  13. Martilla JA, James JC. Importance-performance analysis. Journal of Marketing. 1997;41(1):77-79. https://doi.org/10.1177/002224297704100112
  14. Kim J, Lee JE. Analysis of educational needs for college students' career education using the IPA technique: focusing on career decision status IPA. The Journal of Learner-Centered Curriculum and Instruction. 2016;16(8):851-878. https://doi.org/10.22251/jlcci.2016.16.11.851
  15. Benner P. From novice to expert. The American Journal of Nursing. 1982;82(3):402-407. https://doi.org/10.1097/00000446-198282030-00004
  16. Cohen J. Statistical power analysis for the behavioral science. 2nd ed. Hillsdale NJ: Erlbaum; 1998. p. 27-40.
  17. Resuscitation Council. The immediate life support manual [Internet]. London: Resuscitation Council; 2010 [cited 2018 August 15]. Available from: https://www.resus.org.uk/archive/guidelines-2010/.
  18. Cooper S, Johnston E, Priscott D. Immediate life support (ILS) training. Resuscitation. 2007;72(1):92-99. https://doi.org/10.1016/j.resuscitation.2006.06.004
  19. Rice B, Gallagher P, Mc Kenna N, Traynor M, Mc Nulty T. The immediate life support course: implementation into an undergraduate nursing programme. Nursing in Critical Care. 2009;14(6):297-302. https://doi.org/10.1111/j.1478-5153.2009.00358.x
  20. Gallagher PJ, Rice B, Tierney P, Page K, McKinney A. An evaluation of a critical care course for undergraduate nursing students. Nursing in Critical Care. 2011;16(5):261-269. https://doi.org/10.1111/j.1478-5153.2010.00442.x
  21. D'amour D, Oandasan I. Interprofessionality as the field of interprofessional practice and interprofessional education: an emerging concept. Journal of Interprofessional Care, 2005;19 (1):8-20. https://doi.org/10.1080/13561820500081604
  22. Lee OS. The effect of SBAR report education on communication clarity communication skill and report confident for nursing students - adult nursing clinical practice. The Journal of Digital Convergence. 2018;16(10):253-260. https://doi.org/10.14400/JDC.2018.16.10.253
  23. Korean Accreditation Board of Nursing Education. Bachelor of nursing program [Internet]. Seoul: Korean Accreditation Board of Nursing Education; 2017 [cited 2018 August 15]. Available form: http://www.kabone.or.kr/kabon02/index03.php
  24. Kim HS, Kim MS, Park MH. Analysis of nursing students' knowledge, attitude and ability to perform cardiopulmonary resuscitation. Journal of Korean Academy Fundamentals of Nursing. 2009;16(4):430-437.
  25. Chun SH, Oh YH, Kin SS. Cardiopulmonary resuscitation learning experience, knowledge, and performance in newly graduated nurses. Korean Academy of Fundamentals of Nursing. 2011;18(2):201-209.
  26. Gallagher P, Traynor M. Does an Immediate Life Support (ILS) course enhance clinical practice? The students' perceptions. Nurse Education Today. 2012;32(5):594-599. https://doi.org/10.1016/j.nedt.2011.07.007
  27. McGettigan P, McKendree J. Interprofessional training for final year healthcare students: a mixed methods evaluation of the impact on ward staff and students of a two-week placement and of factors affecting sustainability. BMC Medical Education. 2015;15(1):185-195. https://doi.org/10.1186/s12909-015-0436-9

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