• 대한공업교육학회지
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• 제39권2호
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• pp.144-164
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• 2014

본 연구에서는 진로교육과 진로상담 분야에서 중요한 상담기법의 하나로 제시되고 있는 정보제공기법의 정의와 방법에 대해 살펴봄으로써 정보제공기법을 보다 명확하게 이해하고, 향후 해결해야할 문제점에 대해 제시하여 진로분야 전문가 교육을 위한 기초자료를 제공하기 위한 목적으로 수행되었다. 이를 위하여 첫째, 정보제공기법이 어떻게 정의되고 있는가? 둘째, 정보제공기법에 대한 구체적인 방법은 어떻게 설명되어 있는가? 하는 연구문제를 설정하였다. 연구문제 해결을 위해서는 문헌연구방법을 활용하였는데, 상담개론서와 상담기법 교재, 총 17권을 분석대상으로 선정하였다. 주요 결과는 다음과 같다. 첫째, 상담개론서와 상담기법 교재에 나타난 정보제공기법의 정의는 크게 두 가지 기준에서 분석해볼 수 있었는데, '정보'라는 의미를 어떻게 보고 있는가 하는 측면과 정보제공기법을 기술하는 방식의 측면이었다. 그 결과, 상담교재에 나타난 정보제공기법의 정의는 일관되지 않았고, 어떤 교재에서는 광의의 의미로, 어떤 교재에서는 협의의 의미로 정의되고 있음을 알 수 있었다. 또한 정보제공기법을 기술할 때도 상담자의 행동에 초점을 두는 경우와 상담자의 의도에 초점을 두는 경우가 있음을 확인할 수 있었다. 이러한 분석을 통해 정보제공기법이 일관되게 정의되지 못하고 다른 상담기법(예: 조언주기, 해석하기, 직접적 지시하기 등)들과 명확히 구분되기 어려운 이유를 알 수 있었다. 둘째, 상담개론서와 상담기법교재에 나타난 정보제공기법의 구체적 방법을 살펴본 결과, (1) 정보제공의 시점 (2) 제공할 정보의 선택 기준 (3) 정보제공의 절차 (4) 기타 유의사항을 기준으로 분석해볼 수 있었다. 이 네 가지 가운데 '정보제공의 시점'과 '기타 유의사항'에 대한 내용은 분석대상 여러 문헌에서 찾을 수 있었으나 '제공할 정보의 선택 기준', '정보제공의 절차'에 대한 내용은 일부 문헌에서 매우 간략한 내용만 확인할 수 있었다. 이는 정보제공을 하는데 있어서 어떤 정보를 제공해주어야 하는지, 어떤 절차에 따라 정보를 제공해주어야 하는지가 매우 핵심적인 내용임에도 불구하고 이에 대한 체계적 지식이 부족하다는 것을 보여주는 것으로, 정보제공기법에 대한 경험적 연구의 필요성을 확인할 수 있었다. 특히, 논의부분에서는 간호학 분야에서 수행된 정보제공에 대한 경험적 연구들을 제시함으로써 상담분야 정보제공기법에 대한 경험적 연구에 주는 시사점에 대해 제언하였다.

• 대한간호학회지
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• 제45권4호
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• pp.533-543
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• 2015

Purpose: This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus. Methods: A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0. Results: For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group. Conclusion: The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

• 한국직업건강간호학회지
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• 제1권호
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• pp.52-77
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• 1991

본 연구는 산업보건관련기록의 표준화를 위하여 산업장 건강관리실 기록지를 수집하여 기록의 종류, 내용과 양식을 비교 분석하므로써 간결하고 유용하고 필요한 정보를 효율적으로 제공할 수 있는 기록을 개발코자 조사연구한 것이다. 조사대상은 총 32개 산업체로써 조사기간은 1991년 2월 4일부터 4월 6일까지이며 자료 수집 방법은 우편을 이용하였다. 조사결과는 다음과 같다. 1. 근로자의 건강관련 정보기록으로 일일업무기록은 모두 쓰고 있었으며, 의약품 보호구 수불현황은 65.6%에서 사용하였고, 개인건강기록부, 매월업무보고서, 진료의뢰서는 각각 40.6%, 21.9%, 28.1%에서 사용하였다. 2. 간호사의 건강관리 업무관련정보기록은 일일간호 및 처치기록은 84.4%가 사용하였고, 현장순회일지, 환경위생점검일지 사용이 가장 낮았으며, 건강상담일지, 보건교육일지, 건강관리대상자 관리현황, 공상자 치료 및 관리현황은 제조업인 경우에는 21~26%가 사용하였고 기타 사업장인 경우에는 업거나 사용율이 매우 저조하였다. 산업안전보건법에 의한 사업장의 순회점검 지도 및 조치의 건의사항이나 작업환경개선 및 유지, 관리에 관한 사항을 수행하기 위해서는 현장순회일지나 환경위생점검일지에 대한 기록이 정확히, 철저히 이루어져야 될 것으로 생각된다. 또한 상담 및 보건교육일지 작성도 보건교육이 전반적인 산업보건 사업계획과 통합되고 지속적으로 이루어지기 위해서는 표준화된 기록양식을 개발해야 할 것으로 생각된다. 기록양식의 내용을 업종별 중요성에 따라 표준화된 기록지 개발을 제언한다.

• 동서간호학연구지
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• 제18권2호
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• pp.95-103
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• 2012

Purpose: This methodological study was done to develop a computerized telephone triage and consultation system for patients discharged with ophthalmic disease in order to provide more efficient practice guidelines for nurses, and evaluate the usability of the system. Methods: Development of the system consisted of six phases: strategic planning, analysis, design, implementation, evaluation, modification, and maintenance. Results: In the strategic planning phase, ophthalmic problems and nursing interventions of triage algorithms and practice guidelines were cross-mapped with the Omaha system. In the analysis phase, users requirements were identified. Then infrastructure including database, nursing knowledge base, and user interface were designed in the implementation phase. Usability and satisfaction of the system presented as very positive. Telephone consultation took about 2 minutes less than time in the previous system. The system was modified based on users' comments during the evaluation phase. Conclusion: This study was the first attempt in Korea to develop computerized triage system to prompt the quality of telephone consultation. It is suggestive that the computerized triage system may improve the quality of nursing.

• 한국직업건강간호학회지
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• 제24권4호
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• pp.340-351
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• 2015

Purpose: This study was conducted to identify the job competencies of HIV counseling nurses and to figure out the importance, level of difficulty, and performance frequency of the competencies. Methods: The job competencies were drawn from 22 HIV counseling nurses by developing new models and utilizing specialist groups. The importance, level of difficulty, and performance frequency of the competencies were analyzed using the average and deviation. Results: The results of this study identified 6 job competencies such as counseling performance, expertise utilization, cooperation, support, administration, and self-development, 28 sub-competencies, and 48 job descriptions. Out of the 6 job competencies, counseling performance recorded high levels in the importance, level of difficulty, and performance frequency. Conclusion: The study results will be used as the basic data of the training programs for strengthening the job competencies of HIV counseling nurses. Furthermore, it is expected that the results will contribute to the prevention of HIV/AIDS transmission, the core of the national HIV/AIDS control programmes, and the improved health and quality of life in people living with HIV.

• 한국직업건강간호학회지
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• 제25권3호
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• pp.188-198
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• 2016

Purpose: The present study was conducted to examine the effects of a health counseling program by occupational health nurses on the unemployed visiting the Employment Welfare Plus Center. Methods: The one-group pretest-posttest design was used. The study presented a secondary analysis of the data collected in a health counseling program run by occupational health nurses for the unemployed visiting the Employment Welfare Plus Center. Kolmogorov-Smirnov, Shapiro-Wilk test, ${\chi}^2$ test and Wilcoxon signed rank test were used to analyze 158 data collected between October 5, 2015 and January 5, 2016. Results: After the intervention, the participants showed a significant decrease in the level of stress index (uBioMacpa), stress (discomfort), musculoskeletal pain and depression. In addition, the participants showed a significant increase in self-rated general health, exercise and regular eating behavior. Conclusion: The health counseling program offered by occupational health nurses is an effective intervention to improve the physical and mental health of the unemployed individuals visiting the Employment Welfare Plus Center.

• 간호행정학회지
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• 제19권4호
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• pp.544-554
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• 2013

Purpose: This study was designed to describe the burnout experiences of nurses counseling people living with HIV/AIDS (PLWHA) in hospital-based counseling services in Korea. Methods: A qualitative research technique with focus group interviews was used and the data were collected in 2012. Participants were 13 counseling nurses from 16 medical hospitals in South Korea who had worked full-time for more than six months as a counseling nurse for PLWHA. The 13 nurses made up 68.4% of all 19 official HIV counseling nurses in South Korea. Data were collected using focus group interviews and analyzed with the content analysis methodology of Downe-Wamboldt. Results: Burnout experience of counseling nurses for PLWHA was analyzed for two domains-causes of, and effects of burnout. Each domain was classified into three categories; personal, job-related, and relationships. Further 17 sub-categories and 47 concepts were discovered. Conclusion: In this study various causes and effects of burnout experienced by nurses counseling PLWHA were identified. These findings can be used in developing effective strategies for nurses, administrators, and health policy makers to solve the burnout of counseling nurses. Further research is required to develop detailed and practical job description for nurses counseling PLWHA.

• 중환자간호학회지
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• 제11권3호
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• pp.95-107
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• 2018

Purpose : This study aimed to investigate the public's perception of reimbursement for the education and counseling services provided to advanced practice nurses in intensive care units. Method : This was a secondary data analysis study. The original data were collected utilizing an online panel. The sample comprised 615 individuals aged between 19 and 49 years nationwide. The study variables included the public's perception of reimbursement for education and counseling services, age, gender, education level, income, and health status. Variables such as past experience of being admitted to an intensive care unit by self, family, or relatives and the recognition of advanced practice nurses were also examined. Results : The mean of the perception score was 3.15 on a 4-point scale ranging from 1 (strongly disagree) to 4 (strongly agree). Among the participants, 89.2% answered "somewhat agreed" or "strongly agreed" to the question about the education and counseling services being covered by the National Health Insurance. Moreover, education level, past experience of being admitted to an intensive care unit by self, family, or relatives, and recognition of advanced practice nurses were significantly associated with the perception score. Conclusion : Efforts should be made to publicize the need for the education and counseling services that are provided to advanced practice nurses in intensive care units.

• 한국보건간호학회지
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• 제37권1호
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• pp.125-135
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• 2023

Purpose: The number of patients suffering from depression is rapidly increasing worldwide, and by 2030, it is expected to pose a severe social and economic burden. Reports suggest that approximately 30% of subjects with symptoms of depression do not attempt treatment. Therefore, predicting the characteristics of subjects with depressive symptoms who have not even attempted counseling treatment is essential to increase the participation rate for such treatment. This study intends to predict the participation rates for psychological counseling treatment for depression among subjects with depressive symptoms. Methods: This study used data from the 2021 Korea Community Health Survey (KCHS). Data analysis was carried out using a decision tree to design a model that predicted participation in psychological counseling for depression. Results: The results showed that subjects aged 65 to 74 had difficulty understanding the explanations of medical staff even though they did not have cognitive impairment. Only 11.1% of this group received psychological counseling, which was the lowest rate among the various age groups. Among the subjects, 62.4% of those aged 19-44 or 45-64, who had suicidal thoughts and attempted suicide, received psychological counseling and this was the highest rate among the age groups surveyed. Conclusion: The identification of people showing depressive symptoms is crucial for encouraging them to undertake treatment. Also, proper depression-oriented medical services should be developed and implemented for people with depressive symptoms who exhibit a blind spot towards attempting treatment.

• 한국보건간호학회지
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• 제36권2호
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• pp.184-195
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• 2022

The purposes of this study were to identify factors of institution-level 6-month quit rates and job satisfaction of counselors in smoking cessation clinics of community health centers. The study was a mixed-method study including descriptive study and secondary data analysis and the data collection period was April 3, 2020, to October 31, 2020. Data were collected using a self-report survey with counselor representatives in 267 smoking cessation clinics in the nation. Part of the data regarding institutional and community characteristics was obtained from the national database. Most survey respondents were middle-aged 42.4±9.2 years old women (96%). The institutional level of 6-month quit rates was 35.3±0.1%, and the job satisfaction of survey respondents was 7.4±1.7/10 on average. Work competency was the only statistically significant contributor of both institution-level 6 month quit rate (aOR=3.57, 95% CI=1.65, 7.74, p=.001) and job satisfaction of counselors (aOR=4.64, 95% CI=2.01 10.74, p<.001). More studies are needed on the work competency of smoking cessation counselors and the development of interventions to improve their competency.