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KMID : 0378019760190030346
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New Medical Journal
1976 Volume.19 No. 3 p.346 ~ p.354
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A Study of Nursing Activities of the Professional Staff Nurse in the Operating Room
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Abstract
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A Study on Day Time Nursing Activities of Staff Nurse in Operating Room was carried out to analyze their activities by skill level and nursing area. The continuous time study method was applied to this study by observing and checking the activities performed by 12 nursing personnel at staff nurse level.
12 nursing students observed and recorded all the nursing activities during the day after certain process of training and the results were obtained as follows:
1. The average age of the observed personnel was 23.9 years and their active service period in operating room at Seoul National University Hospital was almost under 2 years (11 cases).
The type of educational background were 10 cases in Diploma course, 2 cases in Degree course.
2. The observed nursing activities were classified into as follows:
1) According to two nursing areas, 59.98% of the staff nurse´s activities were spent at scrubbing time, 40.02% at circulating time.
2) In the identification of the nursing activities by the skill level, 54.45% was for the assisting
activities for surgical procedure (S21~25), 14.37% was for other activities (051-52), 10.89% was for the house keeping activities, and 10.88% was for the clerical activities.
3) In the reclassification of the assisting activities for surgical procedure (S21~25) by skill level, 49.76% was for the activities of implementing operative procedure, 34.47% was for the activities of observation and waiting for emergency situation (S24) and supplies of the sterile equipments and instruments (S25), 13.57% was for the immediate preoperative assistance and the last 1.94% was for the care of patient in surgery.
4) In the compar.ison of the activities with two nursing area according to skill level, the assisting activities for surgical procedure (S) were performed in the area of scrub nursing (60.55%) more than circulating nursing (45.35%), and the other activities (P.H.C.O) were performed in the area of circulating nursing more than scrub nursing.
3. Analysis of the activities according to their professionalism and the type of nursing service indicated as follows:
1) The percentage of the professional activities was 65.36% of all activities, non professional activities was 20.27% and the ratio was 3 : 1. In the comparison with nursing area, the professional activities were performed by scrub time (69.95%) more than circulating time (58.47%) and the non professional activities of the circulating (25.56%) were more than scrub activity (16.75%).
2) In the classification of the type of nursing services in operating room, the direct patient care activities were only 1.85% and the technical assisting activities were 83.78% which means that the majority of the nursing activity in operating room was the technical, assisting skill.
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