Conflict Management Style, Communication Competence, and Collaboration among Hospital Nurses and Physicians / 재활간호학회지

PURPOSE: This study aimed to identify the relationship among conflict management style, communication competence and nurse-physician collaboration in hospital nurses and physicians. METHODS: This is a descriptive study. Using a questionnaire, data were collected from 230 nurses and 107 physicians at a university hospital in D city. With SPSS/WIN 22.0 program, data were analyzed by t-test, ANOVA, Scheffé test, and Pearson's correlation coefficient. RESULTS: Physicians scored the highest for communication competence in nurse-physician relationship and the lowest in medical decision making, while nurses scored the highest in patient information sharing and the lowest in nurse-physician relationship. Physicians with problem solving tendency scored higher in communication competence than those with avoiding tendency. Among the nurses, those with avoiding tendency scored the lowest. For both physicians and nurses, communication competence showed a significant negative correlation with avoidance. For nurses there was also a significant positive correlation with compromising tendency. Finally, there was a significant correlation between nurse-physician collaboration and communication competence in both groups. CONCLUSION: This study demonstrates that nurse-physician collaboration and communication competence are correlated with conflict management style. We suggest educational programs at more hospitals in various locations to improve nurse-physician collaboration reflecting conflict management style.

Succinylcholine Induced-Ocular Position under the General Anesthesia

Succinylcholine, 1.5mg/kg, was injected preoperatively and postoperatively under the general anesthesia in 21 strabismus patients. We measured ocular position induced by succinylcholine under the general anesthesia and compared it with ocular position of conscious state from photograph. Regression analysis was performed to find the predictive relationships between preanesthetic and preoperative succinylcholine-induced ocular position and postoperative succinylcholine-induced ocular position and ocular position at postoperative 1 week. The results were as follows: 1) X: Preoperative succinylcholine induced ILD(interlimbal distance) under the anesthesia. Y: Preanesthetic ILD. Y=0.71X+10.6, R=0.82(p<0.025). 2) X: Postoperative succinylcholine induced ILD. Y: Postoperative 1 week ILD. Y=0.76X+9.14. R=0.74(p<0.005). The succinylcholine induced-ocular positions were highly correlated with those of conscious state.

Microorganisms in Conjunctival Sac, Lacrimal Sac and Nasal Cavity

Microorganisms of conjunctival sac, lacrimal sac, and nasal cavity were studied in 86 patients with obstruction in the lacrimal system. We analyzed the data of bacteriologic culture and its antibiotic sensitivity. The results were as follows; 1. Staphylococcus epidermidis was the most common microorganism in conjunctival sac, lacrimal sac, and nasal cavity. 2. There was no correlation among the organisms in conjunctival sac, lacrimal sac, and nasal cavity. 3. Staphylococcus epidermidis and Staphylococcus aureus were most sensitive tocephalothin and cefatoxim.

Two Cases of Excyclotropia in Superior Oblique Palsy Treated with Barada-Ito Operation

Anatomic torsion of globe around the sagittal axis occurs in a large variety of strabismus conditions which are infinitively more common than paralysis of cyclovertical muscles. The anterior half of the superior oblique fibers are probably more effective intorters. The posterior superior oblique fibers are more effective depressors. Anterior shift of the superior oblique tendon has been advocated for treatment of torsional aspect of the superior oblque palsy. We experienced two cases of symptomatic excyclotropia in unilateral superior oblique muscle palsy without substantial vertical deviation. We operated paretic superior oblique muscle with Harada-Ito operation which is anterior and lateral displacement of the anterior fibers of the superior oblique tendon. In two patients with unilateral superior oblique palsy, the excyclotorsional deviations were reduced to 15 degrees to 2 degrees of excyclotorsion in primary position of the gaze and from 15 degrees to 2 degrees of excyclotorsion in downward gaze. In another case the cyclodeviation was reduced from 7 degrees to 0 degree in downward gaze.

The Effects of Transnasal Wiring on the Congenital Telecanthus associated with Blepharophimosis, Blepharoptosis and Epicanthus Inversus

Telecanthus is abnormal widening between the medial canthi. There are two kinds of telecanthus which are congenital and acquired. Many authors have described and reported about the surgical procedures and their results of telecanthus. We have had 5 cases of surgical experiences for correction of congenital telecanthus by means of transnasal wiring from 1983 to 1986. After surgery, we obtained good cosmetic results without significant complications. The mean postoperative decrease of intermedial canthal distance at 3 months after surgery was 7.2mm (from 38.2mm to 31mm). Transnasal wiring for telecanthus was combined with Y-V plasty for epicanthus inversus after lateral canthoplasty for blepharophimosis. Blepharoptosis was corrected by frontalis sling. More details about surgical procedures and results are described.