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2 "Hwa Ja Kang"
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Content Analysis of the Nursing Interventions and Telephone Calls to the Pediatric Nursing Unit
Kyung Ja Han, Myoung Ae Choe, Hwa Ja Kang, Seung Hyun Park, Young Mee Kim, Sun Gu Kim, Won Kyoung Kwon, Hye Young Ahn
Journal of Nurses Academic Society 1996;26(3):515-530.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.3.515
AbstractAbstract PDF

A descriptive study was conducted to describe the content of nursing interventions and incoming telephone calls from the parents whose child was discharged to home or who has planned immunization during the period from March 15, 1995 to November 30, 1995. Detailed notes on 145 telephone calls and 243 nursing interventions were recorded by head nurses on pediatiric nursing units were entered to data collection and content analysis. The results of the study are as follows: 1. Six analysis categories for the records on incoming telephone calls were identified judgement-dependence, dependent-coping, self-initiated coping, support, adjustment and intermediation need. 2. Five analytic categories for the records on tel-tphone interventions were identified: guidance, mediation, facilitating self -care abilities, support, instrumental use. 3. Problems related to physical signs and symptoms, medication, immunization, and vital signs were most often cited as concerns by parents and caregivers. 4. Instruction, suggention, provision knowledge and information, reassurance related to physical problems, medication, immunization and clinic visits were most often used as an nursing interventions by head nurses on pediatric nursing units. In spite of the fact that the telephone calls were initiated by the parents, dependency of parents during the telephone calls was remarkable. The dependency of parents on judgement and decision making of the pediatric nurses should be unhderstood in terms of the psychosocial content as well as cultural characteristics. Therefore, it is suppested that telephone interventions focus on facilitating the self-care ability of the parents whose children have chronic conditions. The results of this study will be useful as an essential reference in providing effective for children and their families after discharged from the hospital. The results can also be used as reliable data for ex tended pediatric nursing service in the health care delivery system as well as for the development of telephone intervention service program in responding to the current health care environment.

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Effects of Normal Saline for Maintenance of Arterial Lines of Surgical Patients
Sang Sook Han, Jee Eun Park, Nam Eun Kim, Hwa Ja Kang
J Korean Acad Nurs 2012;42(6):791-798.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.6.791
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze the effectiveness of saline solution vs. heparinized-saline for maintenance of arterial lines and to detect changes in platelet and aPTT as physiological indexes.

Methods

In this nonequivalent control group, non-synchronized, double-blind study the effects of heparinized and saline solution on the maintenance of arterial lines were compared. Fifty five patients received the heparinized solution and fifty nine patients received the saline solution. All patients who had surgery in K-university hospital between September and December 2011 were eligible for participation in the study.

Results

There was no statistically significant difference between the saline and the heparin group in the maintenance time of the arterial lines or the number of irrigations. There was no statistically significant difference between the groups in changes in the number of platelets and aPTT for interaction between the groups and time intervals.

Conclusion

The results indicate that saline solution can be used as an irrigation solution for the maintenance of arterial lines of adult surgical patients, rather than heparinized-saline, in view of potential risk factors in the use of heparin.

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