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KMID : 0922320180250030156
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Journal of Korean Academic Society of Home Care Nursing
2018 Volume.25 No. 3 p.156 ~ p.163
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Case-based Learning through Home Care Nursing Specialists’ Critical Reflection: Application with Patients Using Home Mechanical Ventilator
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Park Hak-Young
Hwang Moon-Sook
Kim Yeon-Hee
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Abstract
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Purpose: This study is know the home care nursing specialists’ copying method for life-threatening emergency situation occurred while changing the tracheotomy tube in the patient’s home through case-based learning.
Methods: Two cases were analyzed using structured critical reflection while changing the tracheal tube. In the first case, the patient presented with dyspnea, cyanosis, and low oxygen saturation when connected to home mechanical ventilator after replacement of the tracheotomy tube. In the second case, replacement of the tracheal tube was difficult due to a narrowed airway from proliferated granulation tissue.
Results: From the case-based learning. using a critical reflection instrument, home care nursing specialists indicated that it was important to explain the possibility of danger to the client and that nurses must check the operation of the ambu-bag to prepare for an emergency when replacing a tracheotomy tube. Moreover, they stated a need for two nurses during client visits when there is the possibility of an emergency.
Conclusion: Case-based learning through critical reflection provides actual practice-focused knowledge that is helpful to home care nurse specialists who face emergency situations in a restricted environment. Therefore, we hope that home care nursing specialists will use this method to strengthen their professional knowledge.
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KEYWORD
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Learning, Home, Nursing, Mechanical ventilator, Tracheostomy
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