응급전문간호사의 전문가적 실무수행 분석

Analysis on Advanced Practice Performance by Emergency Nurse Practitioners

본 연구는 우리나라 응급의료체계에 새로 도입된 응급전문간호사의 업무를 명확히 하기 위한목적으로 시도되었으며, 이를 위해 응급전문간호행위를 조사하여 분류하고, 이에 대한 실제 관찰을 통해 수행 시간측정과 빈도조사를 시행하였다. 그 결과 27개의 응급전문간호행위가 분류되었으며, 이들 행위별 정의와 수행절차가 기술되었다. 응급전문 행위에 대한 관찰 결과 27개 전문간호행위의 시간 범주는 30분 이내에 있었으며, 그 중 18개의 행위는 10분 이내로 측정되었다. 수행빈도 측정결과 읍급전문간호사들이 임상에서 주로 수행하고 있는 업무로 상위 5위에 해당하는행위는 ‘중증도분류’, ‘심전도검사’, ‘정맥로 삽입’, ‘혈액배양검사 관련 간호’, ‘동맥혈가스분석검사시 채혈과 판독’으로 나타났다.

Purpose : The purpose of this study was to analyze the advanced nursing practice in emergency department used frequently by Korean ENPs and to provide basic data in order to develop nursing fee of the health insurance. Method : Practices of emergency nurses were differentiated into RN’s and ENP’ practices by panel of emergency nursing experts. Each Practice of ENP was defined. General hospital of Seoul where ENP is being worked, nurse practice time and frequency were checked. Result : Practice of ENP were classified 6 domain of 27 practices. Each Practice was defined and presented as step of procedure. 18 practices were completed in 10 minutes and the other 9 practices were completed from 10 to 30 minutes. Priority of performance was triage, ECG check, IV insert, blood culture and ABGA. Conclusions : ENPs carried out advanced nursing practice. Some of ENP practice were differentiated from that in RNs. It is necessity to enhance and develop other advanced practice. In order to expand of advanced nurse practitioner in system, it is necessary to evaluate economic value of advanced nursing.