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NTIS 바로가기중환자간호학회지 = Journal of Korean critical care nursing, v.11 no.3, 2018년, pp.95 - 107
Purpose : This study aimed to investigate the public's perception of reimbursement for the education and counseling services provided to advanced practice nurses in intensive care units. Method : This was a secondary data analysis study. The original data were collected utilizing an online panel. Th...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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외국에서는 활발히 이루어지고 있는 전문간호사의 중환자 가족에 대한 교육상담이 우리나라에서는 이루어지지 않는 이유는? | , 2009). 외국에서는 활발히 이루어지고 있는 전문간호사의 중환자 가족에 대한 교육상담이 우리나라에서는 이루어지지 않는 이유 중 하나로 경제적 이유를 생각해 볼 수 있다. 인공호흡기 치료 등은 의사의 진료 행위의 일부이므로 전문간호사의 행위에 대해 독립적인 수가가 인정되는 것은 아니지만, 진료행위를 도움으로써 의료기관이 의료비 보상을 받는데 결과적으로 기여하게 된다. | |
중환자실에서 근무하는 전문간호사의 역할은? | 중환자전문간호 영역에서도 교육과 상담은 중요한 업무이다. Lee, Sung, Yi, Cho와 Kwon (2007)이 제시한 중환자실에서 근무하는 전문간호사가 담당해야 할 간호행위를 보면 환자 교육 및 효과 평가, 환자 및 가족의 의사결정 및 문제해결 돕기, 환자 및 가족에게 필요한 자원에 대한 정보 제공 및 조정이 포함되어 있다. | |
중환자 전문간호사가 제공하는 교육상담은 수가화되어야 하고 궁극적으로는 급여화될 필요가 있는 이유는? | 그러나 중환자실에서의 교육 및 상담은 수가화되어 있지 않아 전문간호사가 개인적으로 교육 및 상담 서비스를 개발하여 제공하여도 의료기관은 전혀 이에 대한 경제적 보상을 받지 못한다. 그러나 중환자실에서 전문간호사가 제공하는 교육상담은 중환자실 입원 기간을 단축시키고, 의료비용을 감축시키며,생애 말 의사결정 과정이나 전동 과정에서 환자와 가족들에게 도움이 된다(Ahrens et al., 2003; St-Louis& Brault, 2011). |
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