Job Analysis of the Nursing Unit Managers of Women's Hospital Using DACUM Analysis / 여성건강간호학회지

PURPOSE: To analyze the job of nursing unit managers working at women's hospital, using DACUM (developing a curriculum), DACUM is a method for analyzing job-focused competency. METHODS: This study involved a descriptive survey. A DACUM workshop was held to define women's hospital nursing unit managers' role and identify their duties and tasks. For the workshop, a committee was formed consisting of 5 women's hospital nursing unit managers. Finally, after validation, the developed contents were made into a survey asking about nursing unit manager's duties and tasks. RESULTS: Sixteen duties and 83 tasks were identified on the DACUM chart. The importance, difficulty, and frequency of the tasks were ranked in terms of A, B, and C, with A being the highest degree. Eight tasks received A's all in importance, difficulty, and frequency of performance. The 8 tasks were: ‘taking over’, ‘taking care of seriously ill patients on handover’, ‘ward rounding’, ‘analyzing and resolving demands identified during handover and patient tour’, ‘reporting patient status during rounding’, ‘promoting breast-feeding’, ‘uterine contraction, and training for breast-feeding’. The duty with the biggest determinant coefficient (DC) was ‘patients complaint management’ (DC=7.09). Based on tasks, the one with the biggest DC was ‘solving patient and patient guardian's complaints’ (DC=7.53), followed by ‘making infection control guidelines’ (DC=7.5). CONCLUSION: When expanding the nursing staff of the hospital, women's hospitals nursing unit managers also need to use administrative functions as intermediaries to focus on the operation management of the entire hospital rather than direct nursing to suit their role.

Emotional Labor, Job Stress and Professional Quality of Life of Public Health Nurses according to the Employment Type / 간호행정학회지

PURPOSE: This study is a descriptive survey to identify emotional labor and job stress recognized in the course of administrative work, and how these affect the professional quality of life of public health nurses according to the employment type.METHODS: Data was collected through a survey of public health nurses conducted from Dec. 2018 to Jan. 2019 (N=232).RESULTS: The emotional labor of public health nurses was 3.27 out of 5 and full-time public health nurses had the highest scores. The job stress score was moderate at 2.45 out of four. The job stress of full-time nurses was also the highest. Among the sub-divisions of professional quality of life, compassion satisfaction was 3.55 out of five, while secondary traumatic stress was moderate at 2.48 and exhaustion at 3.01. Factors affecting compassion satisfaction were shown to be employment types and exhaustion. Factors affecting secondary traumatic stress were exhaustion, job stress and emotional labor. Factors affecting exhaustion were secondary traumatic stress and compassion satisfaction.CONCLUSION: The results of this study shows that full-time public health nurses in charge of nursing organizations at public health centers have extreme difficulty with excessive role responsibilities, resulting in high emotional labor intensity and high job stress.

Job Analysis of Maternal Fetal Intensive Care Unit Nurses Using DACUM Technique / 임상간호연구

PURPOSE: This study was performed to establish the role and to analyze the job of MFICU (Maternal Fetal Intensive Care Unit) nurses using DACUM (Developing a curriculum). METHODS: A DACUM workshop was held to define MFICU nurses' role and identify their duties and tasks. A DACUM committee was consisted of 7 nurses, 2 nursing professors and 1 medical doctor and as a result, a survey was developed which contained duties and tasks of MFICU nurse. Pre-test was carried out for the validity, finally collected the data from 97 nurses who worked at 7 MFICU and 10 delivery room. RESULTS: A total of 60 duties, 115 tasks and 822 elements of tasks were defined on the DACUM chart and survey. The importance, frequency and difficulty of the tasks were presented the determinant coefficient (DC), the highest DC duty was ‘Manage maternal ventilator’ (15.09) and the lowest DC was ‘Provide nursing care for leisure to gestation extension mother’ (6.52). Twenty-eight tasks were differentiated between MFICU and delivery nurses significantly. And the most important, frequently, difficulty task perceived by MFICU nurse was ‘Check fetal heartbeat with electronic fetal heart monitor’. CONCLUSION: The organized educational program and policy was needed to develop for MFICU nurses.

Factors Affecting Hospital Nurses Intention to Remain: Focusing on Role Conflict / 한국간호교육학회지

PURPOSE: The purpose of this study is to investigate nurses' role conflict and intention to remain and to identify factors that may influence this intention. METHODS: Data were collected from 172 nurses in a 600-plus bed hospital on nurses' intention to remain, which included 47 items and nurses' role conflict, which included 82 items from a self-reported questionnaire. Data were analyzed by descriptive statistics and stepwise multiple regression using SPSS 22.0. RESULTS: The mean of the role conflict frequency was 2.71(±.39) and the mean severity was 2.86 (±.47). The most significant item among the items of intention to remain was “a nurse's job is to help people.” The intention to remain employed showed a significant difference in the duration of desired working period and subjective job satisfaction. The subjective job satisfaction of nurses was the most influential variable as a factor affecting the intention to remain, followed by frequency of role conflict in nursing practice. CONCLUSION: These results suggest that inadequate nursing environments in nursing practice require improvement and support the idea that nurses with positive attitudes of the nursing organization and theirs leaders reduce nurses' related fatigue.

Fever Screening and Detection of Febrile Arrivals at an International Airport in Korea: Association among Self-reported Fever, Infrared Thermal Camera Scanning, and Tympanic Temperature / 한국역학회지

OBJECTIVES: The purpose of this research was to measure fever prevalence and the effectiveness of a fever screening procedure in detecting febrile arrivals at an international airport in Korea. METHODS: Data were retrieved from arrivals' health declaration forms and questionnaires for febrile arrivals at an international airport collected by a national quarantine station during the year 2012. Self-reported health declaration forms were returned by 355,887 arrivals (61% of the total arrivals). Of these, 608 symptomatic arrivals (0.2%) including 6 febrile arrivals were analyzed. RESULTS: Fever prevalence at an international airport in Korea was 0.002%. Self-reported fever was significantly positively associated with tympanic temperature (p<0.001). The difference between the thermal camera temperature (36.83degreesC) and tympanic (or ear) temperature (38.14degreesC) was not statistically significant. CONCLUSIONS: The findings imply that a procedure for mass detection of fever such as self-reported questionnaires and thermal camera scanning may serve as an effective tool for detecting febrile arrivals at quarantine stations. Future research can benefit from looking at the sensitivity, specificity, positive predictive value, and negative predictive value of the entry screening system.

Retrospective Analysis of Anesthesia for Cesarean Section of the Patients with Hypertensive Disorders in Pregnancy for 15 Years / 이화의대지

OBJECTIVES: To compare the clnical data of general and regional anesthesia for cesarean section in patients with systemic hypertension. METHODS: We conducted a retrospective survey with the medical records of the patients with hypertensive disorders in pregnancy, who under went cesarean section from January 1998 to December 2012. We collected data including patients' demographics, anesthesia and maternal and neonatal outcome. According to anesthetic method, the subjects were divided into general anesthesia and regional anesthesia group and the clinical outcome were compared. We reclassified the patients according to the use of magnesium sul fate (MgSO4) and compared the clinical outcomes. RESULTS: Of the 1,050 hypertensive parturients, 848 (80.8%) patients went through cesarean section. Three hundred and sixty three patients (42.8%) underwent epidural anesthesia, general and spinal anesthesia were used in 268 (31.6%), and 217 (25.6%) patients, respectively. There was no significant difference in maternal and neonatal outcome according to anesthetic method. In the patients administered MgSO4, 1 minute Apgar score was lower and maternal gestational age and birth weight were less than the patients not receiving MgSO4. CONCLUSION: Anesthetic methods did not have effect on outcome of cesarean section of the patients with hypertensive disorder of pregnancy.

Factors Associated with Self-Reported Depression, Diagnosis, and Treatment among Korean Adults

BACKGROUND: We compared factors associated with self-reported depression and, in particular, diagnosis and treatment of depressive symptoms in Korean adults. METHODS: The sample included 13,306 adults aged 19 years or older from the 2010 and 2011 Korea National Health and Nutrition Examination Survey (KNHANES V). Data were applied to the chi2 test and multivariate logistic regression analysis. RESULTS: The following characteristics of individuals are significantly associated with self-reported depression: female (vs. male, OR [odds ratio]=3.35), ages 50-59 years (vs. 60+, OR=1.45), economic status (low vs. high, OR=1.35; middle-low vs. high OR=1.29), unemployed (vs. employed, OR=1.23), education (elementary vs. college, OR=1.18; middle school vs. college, OR=1.27; vs. high school vs. college, OR=1.18), current smoking (vs. no, OR=1.19), high-risk alcohol consumption (vs. no, OR=1.18), perceived health (good vs. very good/excellent, OR=1.156; poor/fair vs. very good/excellent, OR=2.65), chronic disease (vs. no, OR=1.26), activity limitation due to health problems (vs. no, OR=1.74), and being in a sickbed during the past month (vs. not in a sickbed, OR=1.69). Living in a metropolitan area (vs. rural, OR=1.40) is significantly associated with greater odds of being diagnosed with depression. The odds of being treated for depression are lower for female (vs. male, OR=0.53). Greater odds of being treated for depression was seen for those with chronic conditions (vs. no, OR=1.73) and activity limitation due to health problems (vs. no, OR=2.05), as well as, those in a sickbed (vs. not, OR=1.88). CONCLUSIONS: Applying our findings, policy makers should address the lower rates of depression diagnosed in non-metropolitan areas to reduce regional variations, and also promote treatment in females.

Factors Associated with Intentions of Korean Youth Smokers to Smoke Consistently after Tobacco Price Increase in the Future

BACKGROUND: The intention among Korean youth smokers to smoke consistently even after tobacco prices may rise in the future may be associated with tobacco dependence. METHODS: Data for 8,988 Korean youth smokers from the 2011 Korea Youth Risk Behavior Web-based Survey were used in this study. A chi-square test was used to analyze smoking behavior changes after increase in tobacco price by socioeconomic characteristics, tobacco-related characteristics, and quality of life-related characteristics. Logistic regression was used to assess the factors related to existing smokers' intention to smoke consistently should tobacco price increase in the future. RESULTS: Of all smoking adolescents, 26.6% had no intention to quit smoking even if the tobacco price were to rise in the future. Logistic regression analysis showed the following significant factors related to intention to continue smoking after an increase in price: age (odds ratio [OR], 0.93), amount of smoking (2-9 vs. or =10 vs. < or =1 cigarettes per day OR, 4.84), daily smoker (OR, 2.73), experience with electronic cigarette (OR, 1.17), attempt to quit smoking (no vs. yes OR, 2.32), age at trying to smoke (before or at elementary vs. high school OR, 1.31), exposure to anti-smoking campaign (no vs. yes OR, 1.20), anti-smoking education (no vs. yes OR, 1.21), happiness (low vs. high OR, 1.31), depression (OR, 1.13), and suicidal ideations (OR, 1.30). CONCLUSIONS: Those with the intention to continue to smoke even after an increase in tobacco price have high tobacco dependence. Therefore, policy makers need to enforce not only price policies but also those unrelated to price, such as smoking cessation programs to help youth smokers quit smoking.

Factors Associated with Intentions of Korean Youth Smokers to Smoke Consistently after Tobacco Price Increase in the Future

BACKGROUND: The intention among Korean youth smokers to smoke consistently even after tobacco prices may rise in the future may be associated with tobacco dependence. METHODS: Data for 8,988 Korean youth smokers from the 2011 Korea Youth Risk Behavior Web-based Survey were used in this study. A chi-square test was used to analyze smoking behavior changes after increase in tobacco price by socioeconomic characteristics, tobacco-related characteristics, and quality of life-related characteristics. Logistic regression was used to assess the factors related to existing smokers' intention to smoke consistently should tobacco price increase in the future. RESULTS: Of all smoking adolescents, 26.6% had no intention to quit smoking even if the tobacco price were to rise in the future. Logistic regression analysis showed the following significant factors related to intention to continue smoking after an increase in price: age (odds ratio [OR], 0.93), amount of smoking (2-9 vs. or =10 vs. < or =1 cigarettes per day OR, 4.84), daily smoker (OR, 2.73), experience with electronic cigarette (OR, 1.17), attempt to quit smoking (no vs. yes OR, 2.32), age at trying to smoke (before or at elementary vs. high school OR, 1.31), exposure to anti-smoking campaign (no vs. yes OR, 1.20), anti-smoking education (no vs. yes OR, 1.21), happiness (low vs. high OR, 1.31), depression (OR, 1.13), and suicidal ideations (OR, 1.30). CONCLUSIONS: Those with the intention to continue to smoke even after an increase in tobacco price have high tobacco dependence. Therefore, policy makers need to enforce not only price policies but also those unrelated to price, such as smoking cessation programs to help youth smokers quit smoking.

Factors Associated with Intentions of Korean Youth Smokers to Smoke Consistently after Tobacco Price Increase in the Future

BACKGROUND: The intention among Korean youth smokers to smoke consistently even after tobacco prices may rise in the future may be associated with tobacco dependence. METHODS: Data for 8,988 Korean youth smokers from the 2011 Korea Youth Risk Behavior Web-based Survey were used in this study. A chi-square test was used to analyze smoking behavior changes after increase in tobacco price by socioeconomic characteristics, tobacco-related characteristics, and quality of life-related characteristics. Logistic regression was used to assess the factors related to existing smokers' intention to smoke consistently should tobacco price increase in the future. RESULTS: Of all smoking adolescents, 26.6% had no intention to quit smoking even if the tobacco price were to rise in the future. Logistic regression analysis showed the following significant factors related to intention to continue smoking after an increase in price: age (odds ratio [OR], 0.93), amount of smoking (2-9 vs. or =10 vs. < or =1 cigarettes per day OR, 4.84), daily smoker (OR, 2.73), experience with electronic cigarette (OR, 1.17), attempt to quit smoking (no vs. yes OR, 2.32), age at trying to smoke (before or at elementary vs. high school OR, 1.31), exposure to anti-smoking campaign (no vs. yes OR, 1.20), anti-smoking education (no vs. yes OR, 1.21), happiness (low vs. high OR, 1.31), depression (OR, 1.13), and suicidal ideations (OR, 1.30). CONCLUSIONS: Those with the intention to continue to smoke even after an increase in tobacco price have high tobacco dependence. Therefore, policy makers need to enforce not only price policies but also those unrelated to price, such as smoking cessation programs to help youth smokers quit smoking.

Intracerebral hemorrhage after inadvertent dural puncture and cesarean section under general anesthesia: A case report

Epidural analgesia is frequently used for control of labor pain. Seizure of parturient could be misdiagnosed as eclampsia. A parturient presented a generalized tonic clonic seizure during first stage of labor in two and a half hour after dural puncture and epidural blood patch. She had received an emergency cesarean section under general anesthesia and had another seizure during transfer to the intensive care unit. A brain computed tomography showed intracerebral hemorrhage and pneumocephalus. After conservative treatment, she could discharge without any sequelae in 13 days. The anesthesiologists should be aware of the possibility of intracerebral hemorrhage when they confront a seizure of parturient although there is no evidence of relation between dural puncture and intracerebral hemorrhage.

Job Analysis of Clinical Research Coordinators Using the DACUM Process

PURPOSE: This study was done to analyze the job of clinical research coordinators (CRCs). METHODS: Through the "developing a curriculum (DACUM)" workshop, the definition of CRCs' role was described and CRCs' duties and tasks were identified. Finally, the developed duties and tasks were validated for importance, difficulty, and frequency. RESULTS: A CRC is defined as the one who coordinates and performs tasks related to clinical research/trials among investigators, participants, and sponsors according to the Good Clinical Practice at institutions conducting clinical trials. Twelve duties and 78 tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks represented as A, B, and C respectively. Based on determinant coefficient (DC) of the task, the highest ranked task was confirming the eligibility of participants for research (DC=8.03) and the lowest was inventory management for clinical study materials (3.95). CONCLUSION: In this study, the job of a CRC was analyzed through the DACUM process and it was found that CRCs were doing various duties and tasks. Based on these results, it is suggested that it is necessary to develop CRC education programs considering the career ladder of CRCs.

Effect of Injection Speed of Local Anesthetic on Hypotension during Spinal Anesthesia for Cesarean Section / 이화의대지

OBJECTIVES: Maternal hypotension is a common problem during cesarean section under spinal anesthesia. We evaluated the influence of injection speed of local anesthetic to subarachnoid space on maternal hypotension and level of sensory block. METHODS: Bupivacaine (0.5%) 9 mg with fentanyl 10 microg was injected to subarachnoid space either quickly (during 20 seconds, 0.1 mL/sec, n=20) or slowly (during 100 seconds, 0.02 mL/sec, n=20) in parturients scheduled for elective cesarean section. The onset and level of sensory block was checked and heart rate and blood pressure was checked by 2.5 minutes during 20 minutes. Hypotension (systolic blood pressure <100 mmHg or <70% of baseline) was treated with ephedrine. RESULTS: Hypotension occurred 70% of parturients with spinal anesthesia. Slow injection didn't influence on the onset and level of sensory block and didn't reduce the incidence of hypotension. But onset of hypotension was delayed. CONCLUSION: Slow injection (during 100 seconds, 0.02 mL/sec) of local anesthetic delayed onset of hypotension and required less amount of ephedrine. Slow injection of local anesthetic was one of the effective methods for the cardiovascular stability during cesarean section under spinal anesthesia.

Effects of Individualized Postoperative Education on Anxiety Levels and Self-Care Compliance after One-Day Cataract Surgery

PURPOSE: To investigate the influence of additional postoperative individualized teaching on the anxiety levels and self-care compliance of postoperative care in patients after one-day cataract surgery. METHODS: The present study included 80 cataract patients who underwent phacoemulsification and posterior intraocular lens insertion performed by a single operator between January 2011 and February 2011. The control group consisted of patients who received postoperative education from an ophthalmology coordinator based on previous hospital policy. The experiment group consisted of patients who received additional individualized postoperative education from an operator in the recovery room. Trait anxiety on operation day, state anxiety on postoperative day 1, and self-care compliance and postoperative satisfaction at postoperative 1 month were evaluated. RESULTS: There were no significant differences of trait anxiety levels on operation day or state anxiety on postoperative day 1 between the control and experiment groups. The experiment group revealed a higher score on the postoperative self-care compliance questionnaire, especially regarding care of the operation site. CONCLUSIONS: Individualized postoperative education increases self-care compliance level and contributes to improve postoperative recovery after one-day cataract surgery.

Evaluation of the Korean Formal Educational Program for Training Care Workers for Frail Elderly

PURPOSE: This study was done to evaluate the formal education program provided by the Korean government for care workers for frail elderly people. METHODS: This study was a cross-sectional survey in which 438 certified care workers who had completed the education program participated. Data were collected from June to October 2009, using a self-report questionnaire consisting of satisfaction with, and understanding of the education program. RESULTS: The participants had a mean age of 46.7 yr, 87.9% were female and 58.2% were high school graduates. For the theory part of the education, the highest score for understanding was for 'supporting household & activities of daily living' while the lowest score for understanding was for 'care for death and dying'. For the practical education, the highest score for understanding was for 'talking with the client' and the lowest score was for 'first aid & basic life support'. There was a significant difference in satisfaction and understanding of the theoretical and practical parts according to educational level. CONCLUSION: Continuing education programs are needed for care workers for elders, both in the theoretical and practical areas. Also the content of programs should address the weak points of this formal education program.

The onset and duration of 0.2% ropivacaine with a varying dose of fentanyl in epidural labor analgesia

BACKGROUND: The purpose of this study was to identify the effect of fentanyl dose on the onset and duration of 0.2% ropivacaine. METHODS: Sixty-one nulliparous women with singleton vertex pregnancy who requested epidural labor analgesia were enrolled. Patients were administered randomly 0, 50, 100microgram of fentanyl with 10 ml of 0.2% ropivacaine (Group F0, F50 and F100, respectively). VAS pain scores were recorded 0, 5, 10, 15 min after epidural injection, after which they were recorded every 15 min. The onset and duration of analgesia were measured. Side effects such as, pruritus, motor blockade, and hypotension were recorded.Satisfaction scores, type of delivery, and neonatal outcomes were recorded. RESULTS: The onset of analgesia was at 8.5 +/- 3.4 min in Group F100, compared with 13.7 +/- 7.2 min in Group F0 and 13.6 +/- 5.3 min in Group F50 (P = 0.009). The duration of analgesia was 122.6 +/- 20 min in Group F100, compared with 72.3 +/- 21.2 min in Group F0 and 97.8 +/- 22.4 min in Group F50 (P = 0.000). There were significant differences in VAS pain scores and satisfaction scores among the three groups. There were no differences in the incidences of maternal side effects and operative delivery or neonatal outcomes. CONCLUSION: Fentanyl 100microgram was the most appropriate dose when combined with 0.2% ropivacaine due to the rapid onset and long duration of epidural labor analgesia.

Pulmonary edema following intramyometrial injection and paracervical infiltration of vasopressin during laparoscopic myomectomy and LAVH (Laparoscopic abdominal vaginal hysterectomy): A report of 2 cases

Vasopressin is often used locally to reduce blood loss in gynecologic surgery. The use of local infiltration of low concentration vasopressin (0.05-0.3 units/ml) has been considered to be safe. However, serious side effects such as bradycardia, hypertension, arrhythmia, pulmonary edema, coronary vasospasm, myocardial infarction and even cardiac arrest were reported during low-dose vasopressin. In 2 healthy women with myoma and multiple myoma combined with adenomyosis, we experienced pulmonary edema after intramyometrial injection and paracervical infiltration of vasopressin. After diuretics and oxygen therapy, the patients were recovered without any complications.

Clinical evaluation of anesthesia for cesarean section of the patients with hypertensive disorders in pregnancy: retrospective study for 10 years

BACKGROUND: There are many difficulties in anesthetic management for cesarean section of the patients with hypertension.The anesthetic management of hypertensive disorders in pregnancy has been controversial. METHODS: We reviewed the medical records of the patients with hypertensive disorders in pregnancy from Jan., 1998 to Dec., 2007, and made clinical analysis of the anesthesia for cesarean section. RESULTS: Of the total 775 parturients with hypertensive disorders, 638 (82.3%) was delivered by cesarean section.Indications for cesarean section were, in order of frequency, hypertensive disorders in pregnancy (36.9%), multiple pregnancy (13.8%), previous cesarean section (11.6%), etc.Of the total cesarean section, 468 (73.4%) were emergency cases.The majority of preoperative systolic blood pressures were 141-160 mmHg (36.2%) and 161-180 mmHg (35.2%). The majority of preoperative diastolic blood pressures were 91-100 mmHg (28.6%) and 101-110 mmHg (25.0%). 350 (54.9%) had epidural anesthesia, 195 (30.5%) had general anesthesia, and 93 (14.6%) had spinal anesthesia.Estimated blood loss was significantly lower after regional anesthesia than after general anesthesia.In patients received magnesium sulfate (MgSO4), (40.0% of total) 83.5% had regional anesthesia and 16.5% had general anesthesia.In the cases with MgSO4 1 min Apgar score was lower and neonatal birth weight was smaller than in cases without MgSO4. CONCLUSIONS: Anesthesiologist must have much attention on the prevention, treatment and anesthetic management for cesarean section of patients with hypertensive disorders in pregnancy.

Analysis of Importance, Difficulty, and Frequency of Nurses' Job in Outpatient Departments / 기본간호학회지

PURPOSE: The purpose of this study was to analyze the importance, difficulty, and frequency of work (duties and tasks) done by nurses' in Outpatient Departments (OPD). METHOD: Data were collected using structured questionnaires, which included 11 duties and 92 tasks making up the OPD nurse's job. Questionnaires were completed by 286 nurses. Each duty and task was analyzed for importance, difficulty, and frequency (range 1-3). RESULTS: The mean score for importance was 2.58+/-0.29, for difficulty, 2.11+/-0.31, and for frequency, 2.18+/-0.31. OPD nurses recognized'patient education and consultation' as important and difficult. However, in practice OPD nurses reported the most frequent task as'support for medical services'. There was a significant difference in importance and difficulty of duties according to OPD nurses' university degree (F=3.693, p= .026; F=4.089, p= .018) and hospital size (F=4.274, p= .006; F=3.154, p= .025). However there were no differences in importance, difficulty, or frequency according to clinical experience in OPD. CONCLUSION: The findings indicate that OPD nurses must be able to do important and difficult duties and tasks, especially patient education and consultation. To have time for these uniquely nursing tasks, OPD nurses need to delegate'preparation for medical service', and'management of facility and environment' to nonmedical health-care workers.

Job Description of the Nurses Who Work in Operating Room Using DACUM Technique / 기본간호학회지

PURPOSE: Developing a curriculum(DACUM) is a method of analyzing job focused competency, which is obtained from the data of an expert belonging to a certain career. In this study the DACUM method was used to analyze the jobs of operating room nurses. METHOD: Through the DACUM workshop which was arranged by two DACUM facillitators, a definition of the role of operating room nurses was developed and then duties and tasks of operating room nurses' were identified. For the workshop, a DACUM committee with 10 operating room nurses was organized. Finally, the duties and tasks which were identified were validated by 422 nurses for importance, difficulty, and frequency. RESULTS: Thirteen duties and 105 tasks were identified on the DACUM chart, where importance, difficulty, and frequency of tasks were represented by alphabet letters A, B, and C as higher degree of importance. The determinant coefficient(DC) showed that the most important duty was assisting with operations(DC=6.61), and the least, managing operating materials(DC=4.22). For tasks, the most important ones were assisting in orthostatic surgery(DC=7.60), and assisting in thoracic surgery(DC=7.38), and the least important making gauze ball(DC=2.39), and saving of operation site((DC=3.27). CONCLUSION: The results suggest a need to develop an education program using the DACUM chart as a basis for the development and as a clinical career ladder and for curriculum of operating room nursing.