• 간호행정학회지
• /
• 제7권3호
• /
• pp.403-414
• /
• 2001

The study was intended to identify the nurses' experiences, understanding, and attitudes on DNR. Also, the study was to provide the data base for a standard of DNR decision-making and practice. The sample consisted of 347 nurses in eight general hospitals. The data were collected between August 1 and August 31, 2000. The data were analyzed using descriptive statistics and $x^2-test$. The results of the study were as follows : 1. Regarding DNR-related experience, 74.6 percent of the participants experienced DNR situations. Eleven percent of the participants received DNR education. DNR was most frequently (81.5%) requested by family members and relatives of patients. The decision-making on DNR was most frequently (76.8%) made by agreement between family members and medical staff. The DNR order was recorded at 81.9 percent on charts. Problems after DNR order were negligence in treatment and nursing care (30.6%) and guilty feelings due to doing the best (22.1%). CPR (cardiopulmonary resuscitation) was performed about 49.8 percent of DNR cases. 2. Regarding understanding and attitude on DNR, most of the participants (93.1%) thought DNR was necessary. The major reasons for the necessity of DNR were impossible recovery (44.4%) and death with dignity (41.1%). The decision-making on DNR was most frequently made by patient and family members (47.8%) and followed by agreement between family members and medical staff (25.6%), and patients themselves (16.4%). Most of the participants thought that medical staff must explain DNR to critical and end-of-life patients and their family members. Forty four percent of the participants thought that the most appropriate time for DNR explanation was when patients with critical disease were admitted to hospitals. Most of the participants (90.2%) thought a guide book for DNR is necessary to be made in hospitals. 3. There were significant differences in the participants' understanding and attitudes on DNR according to religion career education and experience of DNR. Of the participants those who have religions and education experience on DNR thought that there would be more DNR requests after DNR is explained to patients and family members (p<.05). In addition, there was higher understanding on the necessity of DNR in those who have more career and DNR experience(p<.01). The findings of the study suggest that a guide book for DNR need to be made with inclusion of legal, ethical, and cultural aspects. Also, there needs to be more education on DNR in medical ethics to health care professional and to provide more information on DNR to the general public.

• 종양간호연구
• /
• 제4권2호
• /
• pp.124-134
• /
• 2004

The major results of this study were as follows : 1. The percentage of nurses who know the complementary and alternative therapies was 50.1% Most of them(70.6%) acknowledged the therapies from newspapers, television and magazines. 2. The complementary and alternative therapy was perceived as effective by 64.9% of the nurses and as trusted by 60.2% of them The effective methods of the therapy are acupuncture herb medicine and massage. 3. Most of the nurses 93.4% experienced getting inquiries from patients or their guardians whether to use the therapies. 4. The complementary and alternative therapies was experienced by 38.9% of nurses and 7.1% of them use the therapies frequently 92.9% of patients and families were satisfied with the result 'Massage Therapy' was used the most with no side-effects and thus higher need of education for nurses. 5. They wanted to be trained for massage therapy finger-pressure, music therapy, acupuncture, aroma therapy in order. 6. Reliance on the complementary and alternative therapies, 75.2% of nurses completed the course trusted the therapies and the result of others uncompleted was similar as 52.2% Moreover both 79.5% of nurses completed it and 61.6% of the others said that the complementary and alternative therapy's nursing interventions is possible to develop. 7. It shows high relation to recognition having possibilities for applying and developing as the nursing intervention. if the confidence is as high as about the complementary and alternative therapies. Based of the results of this study as above this study proposes as follows. First, The nurses should understand mentality of the patients so that the nurses have to put in operation appropriate nursing intervention as accurate knowledge of the alternation therapies using to cancer patients for having on damages to patients from their rash using way. Furthermore, it is necessary to supply the special place and the professional nurses taking complete charge at them. Next politic interest and support from government are required to develop and practice systematic and resonable education programs for the complementary and alternative therapies. Moreover, it is necessary for nurses to be educated about the therapies continually. Finally, it is compulsory that the research and development for complementary and alternative therapies is needed. In addition, it has to be made standard and legal equipment for safety efficacy and theory about the therapies.

• 한국산학기술학회논문지
• /
• 제19권1호
• /
• pp.168-178
• /
• 2018

본 연구의 목적은 초기 노인의 은퇴 후 재취업 경험의 본질과 의미 구조를 규명함으로써 지지적 간호중재 방안을 찾기 위함이다. 본 연구의 대상자는 C 시에 거주하고 있으며 은퇴한 후 재취업 경험이 있는 60세에서 74세 사이의 한국인 노인 7명을 편의표본 추출하여 선정하였다. 연구방법은 심층 인터뷰와 테이프 녹음을 사용하여 2016 년 6월에서 8월까지 자료를 수집했다. 인터뷰 자료는 Giorgi의 현상학적 분석 방법으로 분석하였다. 분석 결과 다음과 같은 네 가지 구성 요소가 도출되었다; 삶의 변화에 혼란스러움, 다시 일하기가 쉽지 않다는 것을 인식함. 새로운 변화에 적응함, 새로운 인생이 열림. 결론으로 평균수명의 증가와 노인인구의 증가로 인해 노인 간호에 있어서 핵심적인 역할을 수행해 왔던 간호사는 임상에 국한된 업무에서 벗어나 사회 전반에 걸친 확장된 업무를 담당해야 한다는 중요성이 점점 주목받고 있다. 따라서 초기 노인 은퇴자를 포함하여 노인을 대상으로 하는 간호 시 은퇴 이후 노인의 삶에 대한 만족도를 높일 수 있고 건강한 노년기를 보낼 수 있도록 사회적 지원 시스템과 지속적인 간호중재에 필요한 간호지침이 제공되어야 하므로 생각한다.

• 한국산학기술학회논문지
• /
• 제21권5호
• /
• pp.476-484
• /
• 2020

본 연구는 졸업학년 간호대학생의 간호직에 장기간 근무하고자 하는 의도를 파악하기 위한 서술적 조사연구이다. 연구 대상자는 G도의 G시와 J도의 G시에 소재한 간호학과 4학년 116명이었다. 자료 수집 기간은 2018년 11월 1일부터 11월 27일까지였으며, 구조화된 설문지를 이용하여 자료를 수집하였다. 자료 분석은 SPSS/WIN 21.0 program을 이용하였고, t-test, One-Way ANOVA, Pearson's correlation coefficient 그리고 Stepwise multiple regression 방법으로 분석하였다. 연구 결과, 졸업학년 간호대학생의 간호직 장기근무 의도에 유의한 영향요인은 전공만족도(β=.54, p<.001), 취업 후 진로를 병원으로 원하는 경우(β=.28, p<.001) 순으로 나타났으며, 모형의 설명력은 46.5%이었다(F=51.00, p<.001). 전공만족도를 높이기 위해서는 간호대학생의 간호전문직관, 간호사 이미지를 긍정적으로 인식하고, 낙관성 및 사회적 효능감을 높일 수 있는 다양한 교육프로그램 개발 및 적용이 필요하다. 취업 후 진로(병원)가 유의한 영향요인으로 나타난 것에 대해서는 간호대학생 대상의 간호직 장기근무 의도를 측정할 수 있는 도구개발의 필요성이 있음을 제언한다. 본 연구는 대학에서부터 전공만족도 향상을 통해 간호직 장기근무 의도를 높일 수 있는 방안을 제시하였다는데 의의가 있다.

• 해양환경안전학회지
• /
• 제22권2호
• /
• pp.160-166
• /
• 2016

승무원의 피로는 해양사고의 주요 원인으로 인식되고 있다. 해양사고 원인의 대부분을 차지하는 인적오류를 예방하기 위한 다양한 방안이 강구되고 있으나 인적요인에 직접적인 영향을 미치는 승무원의 피로에 관한 체계적인 연구는 아직 미흡한 실정이다. 본 연구는 교원 학생 직원, 그리고 남성 여성과 같이 다양한 승선경력 및 업무 형태를 가지고 있는 실습선 한바다호 승무원 128명을 대상으로 87일간의 해양실크로드 항해탐험 동안 이들의 피로도 변화를 분석하였다. 승선기간에 따른 승무원의 피로도 변화는 설문조사와 간호사의 개별 면담을 통해 이루어졌고, 수집된 데이터는 정량적인 통계 처리를 실시하여 피로도 요인으로 분류한 후, 승선 집단별로 피로도 요인의 변화를 비교하였다. 연구 결과 승무원의 피로도 요인은 정신적 피로도, 생리적 피로도, 신체적 피로도로 분류되었고, 승선기간에 따른 직위별, 성별 피로도 변화에 대한 반복측정 분산분석 결과, 직위별로는 교수 부원 집단이 학생 집단보다 정신적, 신체적 피로도를 더 많이 느끼는 것으로 나타났고, 성별로는 여성 승무원이 남성 승무원에 비해 신체적 피로도를 더 많이 느끼는 것으로 나타났다.

• 대한영양사협회학술지
• /
• 제20권4호
• /
• pp.235-246
• /
• 2014

The purpose of this study was to evaluate nurses' perception of clinical nutrition services. A cross-sectional survey design was performed. The research was accomplished by using questionnaires developed for this study and administered from September 12 to December 31, 2013 to 343 nurses at 43 tertiary hospitals and 20 general hospitals. The percentage of nurses who recognized clinical nutrition certificate as issued from nation was 27.8%. The mean scores of perceived usefulness on clinical nutrition services was 4.23/5.00, whereas that of perceived implementation was 3.76/5.00. The mean scores of necessity of disease-specialized clinical dietitian at capital hospitals were significantly higher for obesity (P<0.01), cancer (P<0.05), and infant & childhood disease (P<0.01) than at local hospitals. The rates of nurses' experience in group education on cancer at capital hospitals (21.7%) was significantly higher than that at local hospitals (10.3%) (P<0.05). The mean scores of perceived importance of clinical nutrition services were 4.46/5.00 for 'group nutrition education', 4.46/5.00 for 'individual consultation', and 4.40/5.00 for 'nutrition management for enteral nutrition (EN) patients'. The most common reason why clinical nutrition services are important was 'improving malnutritional status'. To activate clinical nutrition services especially at local hospitals, clinical dietitians should give systematic assistance to patients and also institutional supports are needed.

• 대한치과의사협회지
• /
• 제50권12호
• /
• pp.763-770
• /
• 2012

The purposes of this work were to assess the cognition of the registered nurse(RN) on oral and maxillofacial emergency treatment and to compare cognition of the RN with that of the 119 emergency medical technician(EMT). 450 RNs who were working at each of secondary hospitals in Jeju province had responded to the questionnaire. Independent sample t-test and chi-square test were used to assess the state of RN on dental emergency treatment and to compare RN with EMT. The question 'education time on dentistry in formal education' that marked '0 hour' and '1-3 hours' were 73.3% and 20.0%, respectively. The question 'refresher training class on dentistry' that marked '0 hour' and '1-3 hours' were 92.9% and 6.7%, aggregately 99.6%. The results showed low score in the question 'reduction of temporo-mandibular joint(TMJ)'($1.67{\pm}0.857$), 'fixation of dislocated TMJ'($1.70{\pm}0.853$) and 'post-avulsed tooth treatment'($1.78{\pm}0.774$) by 5-point Likert scale. Likewise, the scores were $2.02{\pm}0.806$ in the question 'treatment of maxillofacial trauma', $2.76{\pm}1.061$ in the question 'emergent care of avulsed tooth', $2.70{\pm}1.095$ in the question 'treatment time of avulsed tooth' and $2.79{\pm}1.056$ in the question 'mouth guard', respectively. Compared to EMT, results of RN showed a statistically lower figure(p<0.05) in all items compared except the question 'medicine control', and the question 'doctor care in emergency room' was borderline(p=0.069). From this study, it is necessary for RN and student of nursing science to be educated on the oral and maxillofacial emergency treatment for the initial management of injuries. Authors suggest further co-study and nation-wide research with nursing care.

• 한국간호교육학회지
• /
• 제5권2호
• /
• pp.267-284
• /
• 1999

The purpose of this study are 1. Evaluate the degree of knowledge of Vaginal Birth After Cesarean(VBAC) of Korean nurses. 2. To gather and develop educational material for VBAC. The sample was surveyed Korean Nurses knowledge about VBAC, from November 1998 through March 1999. For the data analysis, the SPSS computer program percentage and frequency were used for descriptive statistics. The x2 and the t-test were used to compare the results of the two sample groups. Open questions asked in the survey were sorted out by content, then displayed in chart form. For the education material, the Internet was the main source of information. Information on the Internet was provided by professional doctors and prenatal educational nurses. The results of the survey are as follows: 1. Out of 97 Nurses 15.3% answered that cesarean deliveries do not need to be performed after previous cesarean sections : however. 46.4% answered that cesarean sections must be performed after previous cesarean sections. 2. Of the nurses surveyed 14% had no knowledge or had never heard of VBAC. 3 Nurses did not have questions from patients concerning VBAC was 34.7%. This led to the conclusion that patients either do not have knowledge about VBAC or patients have no interest in the trial of labor. 4, Nurses indicated that their information about VBAC originated from other people's experiences (31%), Nursing School (25%), Media information (9%), and through literature review (6%). This data led to the conclusion that the knowledge about VBAC may not be extensive enough to counsel and guide patients who are willing to endure the trial of labor. 5. Nurses preferred hospital education programs to develop their knowledge concerning VBAC. Based upon survey, the conclusion was made that General Nurses and Maternity Nurses did not have knowledge about VBAC success rates and the possibility of a trial of labor. In order for nurses to help patients make decisions concerning VBAC, nurses have to gam more knowledge through hospital educational programs. Further more, the study suggests that through hospital educational programs, the possibility and importance of VBAC must be emphasized to nurses who work in maternity areas. Second, through prenatal educational programs, the possibility and importance of VBAC must be explained and emphasized to patients who had previous cesarean sections. Third, the clinical pathways of VBAC need to be developed. Fourth, each hospital needs to develop multi-disciplinary teams, consis-ting of obstetricians, risk management/quality management, staff registered nurses, and the director for perinatal services. This team can review cesarean section rates and help to increase the practice of VBAC.

• 한국산학기술학회논문지
• /
• 제18권10호
• /
• pp.652-662
• /
• 2017

본 연구는 간호대학생이 임상실습 중 경험하는 폭력, 폭력에 대한 반응과 차후 행동을 알아내기 위함이다. 조사연구가 실시되었고, 자료는 2012년 4월 30일부터 7월 6일까지 수집되었다. 4개 도시의 6개 대학에서 290명의 간호대학생을 대상으로 자기설문방식이 사용되었다. 약 91%의 학생들이 폭력을 당하였다. 언어적 폭력(85.2%)이 가장 빈번하게 맞닥뜨리는 폭력의 종류였고, 신체적 위협(74.8%), 성폭력(41.0%), 신체적 폭력(26.2%)의 순서였다. 참가자들은 환자 또는 환자 가족, 의사 및 간호사와 같은 임상스탭에 의해 학대를 당하였다. 간호대학생은 폭력에 노출된 이후 생리적 또는 사회적인 면보다는 심리적인 면에서 더 부정적으로 반응하였다. 대부분의 학생들의 대처 행동은 "폭력을 가한 사람에게 반응하지 않고, 임상실습을 지속함 (51.7%)"이었고, 이러한 반응은 폭력을 경험한 후의 대처행동에서 가장 빈번하게 사용되었다(79.5%). 간호대학생이 임상 현장에서 경험하는 폭력을 예방할 수 있도록 하는 전략이 수립되어야하며, 학생들은 교육 과정에서 폭력에 대처할 수 있는 의사소통 및 방법과 관련된 정보를 제공 받을 수 있어야 한다.

• 한국인구학
• /
• 제34권3호
• /
• pp.55-84
• /
• 2011

이 연구는 사회정체성 개념을 이론적 자원으로 활용하여 사회성원들이 직업 관련 정체성들을 인식하는 방식에서 나타나는 세대별 특성을 비교, 분석함으로써 사회적인 합의와 균열의 지점들을 살펴보았다. 사회정체성의 세 차원인 평가성, 권력성, 활동성을 살펴본 결과, 직업 관련 정체성에 있어서는 세대 차이보다는 합의가 우세하였다. 총 44개 정체성 중 세대차가 유의미한 것은 장관, 국회의원, 비행기 조종사, 농부의 평가성과, 대기업 사장, 교수, 의사, 간호사, 연예인, 무당, 실업자의 권력성뿐이다. 지도자 및 전문직에서는 평가성과 권력성 모두에서 50대가 다양한 정체성들을 일관되게 높이 평가한 반면, 30대는 부정적 태도를 견지했으며, 20대와 40대는 다분히 중간적인 입장을 보였다. 권력성에서는 2, 30대와 4, 50대로 나뉘어 젊은 세대가 이 범주 정체성들의 권력을 상대적으로 낮게 평가하는 경향이 관찰된다. 일반 직군의 경우에도 2, 30대의 평가 점수가 다소 낮은데 그 정도는 평가성에서 더욱 뚜렷하다. 종교와 관련해서는 2, 30대가 스님에 대해, 4, 50대가 목사에 대해 호의적이다. 지도자 및 전문직에 대한 세대별 태도를 분석해본 결과, 이 정체성들의 평가성과 권력성 모두를 높게 인정하는 50대에 비해 40대, 30대, 20대로 오면서 평균값의 하락과 분포의 집중 경향이 심화된다. 30대는 평가성 차원에서, 20대는 권력성 차원에서 이 범주에 대한 비판적인 태도를 보여준다.