Park S A, Kang H S, Moon H J, Kim K J, Rhee H Y, Cho M Y, Cho K J, Kim Y H, Kim K B
Kanho Hakhoe Chi. 1989 Apr;19(1):24-39. doi: 10.4040/jnas.1989.19.1.24.
This study was conducted to investigate the present situation and problems related to the use of nursing diagnosis in practice. The data were obtained from 332 subjects (27 director of nursing service, 302 staff nurses) who worked in university hospitals in Korea from July through August 1988 using a mailed questionnaire. Data were analyzed by frequency, X2 test and t-test. The findings were as follows: 1. Clinical use of nursing diagnosis by directors of nursing service and staff nurses. 1) The majority of the nursing departments (88.9%) conducted group education on nursing diagnosis during the last 5 years and 81.5% of them kept a record format for nursing diagnosis; 88.9% of them had had prior experience with the nursing diagnosis. 2) Most of nurses (97.0%) had received education on nursing diagnosis. 2. Factors related to the clinical use of nursing diagnosis in nursing service departments and by staff nurses. 1) The one factor related to the use of nursing diagnosis in the nursing service department was the existence of a record. 2) Factors related to the use of nursing diagnosis by the staff nurses were the organization style of the nursing service department, group education during the last 5 years, existence of a record, the attitude of the director of nursing service, and prior experience of the use of the nursing diagnosis as characteristics of nursing service department and educational experience of nursing diagnosis as a character of nurse. 3. Problems with the use of nursing diagnosis. 1) The primary problem was the lack of time and personnel (mean:3.757); the second problem was the lack of knowledge and will to use nursing diagnosis in practice by the staff nurses (mean:3.546). 2) There was no significant difference in problems expressed by the director of nursing services and the nurses. The majority of nurses who worked in the university hospitals expressed interest in and concern about the use of nursing diagnosis. Most of the nurses had had education about on nursing diagnosis but use in practice was limited. The primary problem was lack of time and manpower.(ABSTRACT TRUNCATED AT 400 WORDS)
本研究旨在调查护理诊断在实际应用中的现状及相关问题。数据来自1988年7月至8月在韩国大学医院工作的332名受试者（27名护理服务主任、302名护士），采用邮寄问卷的方式收集。数据通过频率、卡方检验和t检验进行分析。结果如下：1. 护理服务主任和护士对护理诊断的临床应用。1）大多数护理部门（88.9%）在过去5年中开展了护理诊断的集体教育，其中81.5%保存了护理诊断的记录格式；88.9%的部门有护理诊断的先前经验。2）大多数护士（97.0%）接受过护理诊断的教育。2. 护理服务部门和护士临床应用护理诊断的相关因素。1）护理服务部门使用护理诊断的一个相关因素是记录的存在。2）护士使用护理诊断的相关因素包括护理服务部门的组织形式、过去5年的集体教育、记录的存在、护理服务主任的态度，以及护理服务部门使用护理诊断的先前经验和护士护理诊断的教育经历。3. 护理诊断使用中的问题。1）主要问题是缺乏时间和人员（平均：3.757）；第二个问题是护士在实践中缺乏使用护理诊断的知识和意愿（平均：3.546）。2）护理服务主任和护士表达的问题没有显著差异。在大学医院工作的大多数护士对护理诊断的使用表示感兴趣并关注。大多数护士接受过护理诊断的教育，但在实践中的应用有限。主要问题是缺乏时间和人力。（摘要截断于400字）
