2021 간호실무 적용을 위한 간호과정

제1장 비판적 사고
1. 비판적 사고의 정의 ··············································································· 15
1) 비판적 사고란? _15
2) 비판적 사고의 정의 _16
3) 비판적 사고의 특성 _19
4) 간호학적 비판적 사고의 구성요소 _19
5) 비판적 사고능력 측정도구 _20
2. 비판적 사고의 배경 및 필요성 ····························································· 21
3. 비판적 사고에 영향을 미치는 요인 ······················································ 22
4. 비판적 사고에 대한 연구 ······································································ 23
5. 비판적 사고와 간호실무 ········································································ 25
1) 비판적 사고, 창의적 사고와 문제해결 능력 _25
2) 비판적 사고와 간호과정 _26

제2장 간호과정
1. 간호과정의 정의 ····················································································· 29
2. 간호과정의 배경 ····················································································· 29
3. 간호과정의 필요성 ················································································· 33
4. 간호과정의 특성 ····················································································· 34
5. 간호과정의 장점 ····················································································· 36
6. 간호과정의 단계 ····················································································· 37
1) 간호사정 _37
2) 간호진단 _38
3) 간호계획 _38
4) 간호수행 _39
5) 간호평가 _39

제3장 간호사정
1. 간호사정의 정의 및 목적 ······································································ 43
1) 간호사정의 정의 _43
2) 간호사정의 목적 _43
2. 간호사정의 우선순위 ·············································································· 44
3. 간호사정의 유형 ····················································································· 44
1) 시간의 경과에 따른 분류 _44
2) 범위에 따른 분류 _45
3) 임상적 상황에 따른 분류 _46
4. 간호사정의 과정 ····················································································· 46
1) 자료수집 _46
2) 자료검증 _56
3) 자료조직 _57
4) 자료기록 _62

제4장 간호진단
1. 간호진단의 개념 ····················································································· 65
1) 간호진단의 정의 _65
2) 간호진단의 특성 _65
3) 간호진단의 중요성 _66
2. 간호진단의 역사 ····················································································· 67
3. 간호진단 분류체계 ················································································· 68
1) NANDA 간호진단 분류체계 _68
2) 가정간호 분류체계 _68
3) 오마하 문제분류체계 _68
4. NANDA-I 간호진단 분류체계 ······························································· 69
5. NANDA-I 간호진단의 구성요소 ···························································· 79
1) 근거수준 _79
2) 정의 _80
3) 정의적 특성 _80
4) 관련요인 _80
5) 위험요인 _80
6) 위험대상자 _80
7) 연관조건 _80
6. NANDA-I 간호진단의 유형 ·································································· 81
1) 문제중심 진단 _81
2) 건강증진 진단 _81
3) 위험 진단 _81
4) 증후군 진단 _82
5) NANDA-I 비공인 간호진단 _82
7. 간호진단, 의학적 진단, 협력적 문제의 차이점 ···································· 83
1) 간호진단 _83
2) 의학적 진단 _83
3) 협력적 문제 _83
8. 간호진단 도출을 위한 추론과정 ···························································· 85
1) 중요한 단서 확인 _85
2) 단서 묶음 _86
3) 자료의 확인 _86
4) 간호진단의 추론 및 판단 _87
5) 원인 결정과 문제 확인 _88
9. 간호진단 진술 ························································································ 90
1) 기본적인 진술 _90
2) 세 부분 진술 _90
3) 한 부분 진술 _91
10. 간호진단 진술문 작성 요령 ································································· 91
1) 간호진단 진술문 작성의 원칙 _91
2) 간호진단 진술문 작성 시 사용할 수 있는 용어들 _92
3) 간호진단 진술문 작성 시 주의사항 _92
11. 기타 간호진단 ······················································································ 94
1) 영적 간호진단 _94
2) 가족 간호진단 _94
3) 지역사회 간호진단 _95

제5장 간호계획
1. 간호계획의 정의 ····················································································· 99
2. 간호계획의 목적 ····················································································· 99
3. 간호계획의 구성요소 ············································································ 100
1) 초기계획 _100
2) 진행계획 _100
3) 퇴원계획 _100
4. 간호계획 과정 ······················································································ 100
1) 간호계획의 우선순위 설정 _100
2) 간호계획의 목표 설정 _101
3) 간호계획의 목표 진술 _102
5. 목표 진술 시 고려사항 ········································································ 104
1) 간호결과를 원인구에서만 도출한 경우 _104
2) 목표 설정 시 대상자의 역할 _104
3) 간호팀 구성원 간의 의사소통 기능 _104
6. 간호결과 분류체계 ··············································································· 104
1) 간호결과 분류체계(NOC)의 구성 _105
2) 간호결과 측정척도 _119
7. 간호중재 분류 ······················································································ 120
1) 간호중재 분류의 목적 _120
2) 간호중재 분류체계(NIC) _120
3) NNN 연계 _136
8. 간호중재의 선택과정 ············································································ 137
1) 간호진단 검토 _137
2) 간호목표 검토 및 선택 _137
3) 간호계획의 작성 _138

제6장 간호수행
1. 간호수행의 정의 ··················································································· 141
2. 간호수행의 목적 ··················································································· 142
3. 간호과정 단계와의 관계 ······································································ 142
4. 간호수행의 구성요소 및 유형 ······························································ 142
1) 간호수행의 유형 _142
2) 직접간호와 간접간호 _143
3) 간호수행 기술 _144
5. 간호수행의 단계 ··················································································· 145
1) 준비 단계 _145
2) 실행 단계 _147
3) 기록 및 보고 _148

제7장 간호평가
1. 간호평가의 정의와 목적 ······································································ 167
1) 간호평가의 정의 _167
2) 간호평가의 목적 _168
2. 간호평가의 유형 ··················································································· 168
1) 대상자의 결과평가 _168
2) 질 평가 _171
3. 간호평가의 단계 ··················································································· 172
4. 평가에 대한 비판적 사고의 반영 ························································ 181
5. 평가오류 ······························································································· 181
6. 간호의 질 평가 ···················································································· 182
1) 유형별 간호의 질 평가 _183
2) 간호의 질 평가와 간호평가 비교 _184
3) 질 관리를 위한 의료기관평가 _185

제8장 간호과정 사례
Ⅰ. 성인간호(내과) ····················································································· 189
Ⅱ. 여성간호 ····························································································· 209
Ⅲ. 아동간호 ····························································································· 222

부 록
1. NANDA-I의 인간반응양상에 근거한 간호정보조사지 ························ 235
2. Gordon의 기능적 건강양상에 근거한 사정도구 ································· 242
3. 가족사정 점검표 ··················································································· 247
4. NANDA-I 간호진단 분류체계Ⅱ(2018-2020) ······································ 248
5. 간호결과 분류체계(NOC) 2018 ····························································· 264
6. 간호중재 분류체계(NIC) 2018-2020 ···················································· 291
.참고문헌 ······························································································· 326
.찾아보기 ······························································································· 333