투약은 임상실무에서 전문적이고 책임감이 따르는 중요한 업무로 모든 간호사는 안전하고 효과적인 투약을 제공할 수 있어야 한다(Kim, Park, & Kim, 2012). 간호사들 또한 투약이 간호 업무 중 가장 중요하며, 약물의 투약간호 및 약물의 작용과 부작용, 환자 교육, 정확한 의사 처방 이행 등을 위해 투약간호가 가장 중요하다고 하였다(Park, 2011). 특히 경구, 피내, 피하, 근육, 정맥 및 국소 투약 등의 투약업무는 간호사 근무조별로 12.6-21.2%의 직접 간호 비중을 차지하고 있으며(Kim & Park, 2010), 1일 평균 투약 건수가 52.2회에 달하고 있어(Lee et al., 1998) 직접 간호업무 중 두 번째로 업무 빈도가 높았다(Park, 2011). 반면, 업무 빈도가 높을수록 사고 발생 빈도도 높아 병원에서 발생하는 오류 중 33% 정도를 투약오류가 차지하고 있었으며(Milch et al., 2006), 신규간호사를 대상으로 한 연구에서도 23%의 간호사가 투약오류를 경험하였다고 하였다.
Purpose: The purpose of this study was to identify clinical nurses’ knowledge of pharmacology, their need on pharmacology education contents, and perceived connectivity between knowledge and clinical practice. Methods: Subjects consisted of 114 clinical nurses. They responded to self-administered questionnaires about knowledge of pharmacology and need in pharmacology, and perceived connectivity between the knowledge and clinical practice. Results: The mean score of knowledge of pharmacology was 5.2±1.7. The mean score of need on pharmacology in clinical practice was 7.9±1.9, and those of satisfaction, application, and confidence with clinical performance by applying the knowledge to clinical practice were 7.4±1.9, 6.8±2.0, and 7.5±2.1 respectively. Knowledge of pharmacology was positively correlated with perceived connectivity between knowledge and clinical practice. Scores of need of dose calculations was the highest among 14 units of pharmacology education contents in undergraduate courses while that of development of new drugs was the lowest. Scores of need of coagulation modifier drugs and thrombolytic agents were the highest among 16 units of pharmacology education contents by system specific drug while those of dermatologic and ophthalmic drugs were the lowest. Conclusion: The results indicate that knowledge of pharmacology is important in promoting perceived connectivity with clinical practice by applying knowledge to clinical practice.
서 론 연구 방법 연구 결과 논 의 결론 및 제언 REFERENCES
