• Title/Summary/Keyword: 간호센타

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Development of Nursing Center for Elderlies and the Disabled (노인 및 장애자를 위한 건강간호센타 운영모형 개발 - 대학 건강간호센타를 중심으로 -)

  • Lee Kap-Soon
    • Journal of Korean Public Health Nursing
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    • v.7 no.1
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    • pp.17-29
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    • 1993
  • Nursing centers are nurse-managed organizations that give the client direct access to professional nursing services. Academic nursing centers are faculty-created and -organized nursing centers integrated into nursing school or cooperated with community nursing center. Academic nursing centers are needed for providing services to the forgotten or underserved populations in the community, providing learning opportunities for nursing students and practice opportunities for faculties. The intent of this study is to identify the elements needed in developing process and operations of acedemic nursing center for elderlies and the disabled, and to present the desired model for academic nursing center. The processes of my study were : 1) The articles of the academic nursing centers in U. S. were reviewed and analysed. 2) The academic nursing center for elderlies and the disabled was developed and operated in my paper. 3) Desired model for academic nursing center was presented in my paper. The followings are the results of my study: 1. Elements needed in developing process of academic nursing center were philosophy and goals, the community support, assessment of the validity of the service and health needs, identification of the service contents, roles and responsibilities, communication lines, finances for facilities and operations, cooperation with resources, and developing record system. 2. Elements needed in operations of academic nursing center were the structural organizations, realization of the above philosophy and goals, development of policy and nursing standards, faculty participation, continuity of services, and financial solutions. 3. The desired model was presented according to the process and operations.

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유질 개선과 미생물(II)

  • Korea Animal Improvement Association
    • 종축개량
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    • v.9 no.11 s.46
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    • pp.91-99
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    • 2005
  • 소비자중심의 고품질우유의 생산이 소비시장의 확대에 가장 기본적인 명제로써 "고품질우유의 생산"을 연재하고자 한다. 이 책의 원문은 일본 낙농저널증간호로써 한국어판은 한경대학교 최일신 교수님과 남기택 교수님이 편역하여 국립한경대학교 낙농기술지원센타에서 발행한 내용이다.

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A Study of the Experience of Patients with Terminal Cancer Who are in an Independent Hospice Center (호스피스 간호시 말기 암환자의 임종 현상 연구 -독립형 호스피스 센타를 중심으로-)

  • 김분한;탁영란;전미영
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.668-677
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    • 1996
  • This study is a phenomenological study done to promote understanding of the dying process in patients with terminal cancer who were in an independent hospice center. The purpose of study was to explore and understand indepth information on the dying process in order to provide data for holistic hospice care in nursing and to give insights in to practical applications in the nursing care In-depth interviewing was done from may, through November, 1995 with 11 patient with cancer who were being cared for at K Hospice Care Center. Experiences in the dying process were discussed as they expressed feelings about death including (a) feeling of isolation because family members try to hide the diagnosis of cancer. (b) hopelessness, (c) guilt, anger, and hostility, (d) suffering from pain, (e) fear of death. However, subjects did not deny death itself and were developing peace of mind and acceptance of death through religion.

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The Approaches to Postoperative Pain Management (술후 통증관리의 접근)

  • Song, Sun-Ok
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.1-7
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    • 1995
  • 효율적인 술후 통증치료를 위해서는 통증치료의 방법과 환자관리면을 동시에 고려하여야 한다. 방법은 상술한 바와 갈이 술후 통증기전에 부합되는 방법들이 예방적으로 적용되어야 하고 아울러 환자 개개인에 맞는 지속적인 균형제통이 시행되어야 한다. 그리고 환자관리면에서는 환자의 통증을 자주 평가하고 그에 동반된 처치 및 간호업무가 수반되어야 한다. 그러므로 술후 통증관리는 진통제에 대한 전문지식을 갖춘 의료인이 적합한 제통방법을 지속적으로 시행하여야 하는데 그러기 위해서는 효율적인 조직체제가 필요하다. 구미각국에서는 여러해 전부터 술후 통증관리가 통증관리센터란 체제하에서 효과적인 급성 통증치료실로 운영되어져 왔으며 현재는 병원의 중심센타로 확립된 실정이다. 우리나라도 국민의료보험이 도입된지 17년이 지났고 환자 위주의 병원환경이 마련되어야 한다는 데에는 대다수의 국민들로부터 공감대가 형성된 현시점에서 이제는 통증관리센터가 설립되어야 한다고 생각된다. 이러한 제안이 기정사실화 되기까지는 많은 논의와 임상결과에 대한 자료들이 있어야 하겠지만 무엇보다도 마취과 의사들의 술후통증관리에 대한 지속적인 관심과 연구가 뒷바침되어야 할 것으로 생각된다.

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A Study on Need Assessment in Health Promotion Programs for Developing Nursing Centers - Breast Self Examination- (간호센타 개발을 위한 건강증진 프로그램 요구사정 연구-유방자가검진 프로그램을 중심으로-)

  • Park, In-Hyae;Kang, Hae-Young;Lee, Jeong-Hee;Ryu, Hyun-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.21-36
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    • 2000
  • The purpose of this study was to assess the needs of breast self examination education (BSEE) programs for developing nursing centers. A first, we reviewed the literature of activity and management-related factors of nursing centers: and, second. we used a questionnaire to discover the degree of knowledge, attitude, and practice on breast cancer, as well as an individual's intention to participate BSEE program. 1. Reviewing the literatures of nursing center activities. Nursing centers which were administered by a professional nurse are an ideal site for faculty and student practices. With the use of nursing models of health. professional nurses in nursing centers diagnose and treat human responses to potential and actual health problems and offer holistic, client-centered health service. In nursing centers professional nursing services include health education, health promotion, and health-related research. A nursing center is comprised of the advisory and exacutive commitee; the advisory commitee serves consultants and links community needs to the nursing center, while the director of the exacutive commitee identifies the potential resources to generate funds, support, and facilitate the activities of staffs in a nursing center. Nursing centers mobilize various financal resources for reimbursement of services from college and insurance companies, collect minimum service fees from the client, and further collect fees for providing programs to community groups, this also includes membership fees, and donations. The services provided by nursing centers focus on services related to primary prevention, health maintenance & health promotion, direct nursing care for acute & chronic diseases, and holistic care for actual and potential health problems. The client satisfaction for the services was high. Students also showed positive reponses for their clinical experiences and independent working conditions. 2. The degree of knowledge, attitudes, and practices for breast cancer. and an individual's intention to participate in the BSEE program. The subjects of this study were 308 females in K-city in the Republic of Korea. Data were collected using a self-administered questionnaire. The mean age of the respondents was 35.0 years old. Those who already participated in the BSEE were 64.9%, and those who had support and encouragement to practice BSE from significant others were 25.1 %. Clients intent to participate in the BSEE were 37.0%. The mean score of knowledge(2.4 out of 5 points) and practices(1.8 out of 5 points) for breast cancer were quite low, but the mean score of attitudes was relatively positive04.5 out of 20 point) for breast cancer. Those who already had BSEE showed significantly high scores in knowledge(t=6.48, p<0.01), attitudes (t=10.54, p<0.01). and practices(t=57.07, p<0.001) for breast cancer than those who had not participated in the BSEE. In all age groups no intention to participate in the BSEE was higher than who the intention to participate. These findings suggest some strategies should be developed to increase the awareness of breast cancer's early detection.

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A Survey on Health Service Activities of Public Health Nurses in Pusan, Kyung Nam (부산.경남지역 보건소 간호사의 보건업무 수행활동에 관한 조사)

  • Hwang, Bo-Sun;Bae, Jung-Ha;Kim, Bong-Im
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.115-128
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    • 1989
  • The purpose of this survey was to measure the health service activity of the Public health nurses and analyze the related factors influencing to their activities. The subjects of this study were 249 PHN in Health Centers, Pusan and Kyung Nam area and survey was conducted from 5th, January to 28th, February, 1987. The results of this study were as follow; 1. Total performance average of health service activities was 2.52. Among the 1 t health categories, health service planning (3.05) was the most and others health care (2.07) was the least active. 2. In performed degree of activities in department of Health Center. The hightest performed activities were T.B care in T.B clinic (3.79), family planning in family planning clinic (3.94), screening for disease in medical office (3.42), prenatal care in M.C.H. room (3.46) work planning in injection room (3.76), postpartum care in MCH center (3.63). 3. There were significient difference in age, education, religion, section of service, duty between the general characteristics and health service activities.(p<.05).

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Influence of the Educational Planning Model(ADDIE) Utilization and Self-Leadership on Work Performance among Occupational Health Managers (보건관리자의 ADDIE 모형 활용정도와 셀프 리더십이 직무성과에 미치는 영향)

  • Kim, Young-Im;Jung, Hye-Sun;Lee, Da-Ye
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.3
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    • pp.394-403
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    • 2019
  • Objectives: This study was conducted to examine the effect of the utilization of the educational planning model (ADDIE) and self-leadership of occupational health managers (OHM) on work performance. Methods: The sample of this study was 180 OHM with over six months of experience, who attended continuing education by the Korean Academic Society of Occupational Health Nursing. Data were collected from April to June 2019 and analyzed using frequency analysis, t-test, F-test, Pearson's correlation analysis, and multiple regression analysis through SPSS Program Ver. 23. Results: According to the results of multiple regression analysis of the factors influencing the work performance of OHM, the model was significant and the explanatory power was 40%. Self-leadership (${\beta}=.45$, p=.001), utilization of the educational planning model (${\beta}=.20$, p<.005), and position (${\beta}=.16$, p=.024) were significant influence factors on work performance. Conclusions: To improve the work performance of OHM, a customized program needs to be developed that promotes the utilization ability of the educational planning model and a strategy of benchmarking high performers in the light of their positions. The improvement of the work performance of OHM will eventually make a contribution to the reduction of industrial disaster and occupational diseases.

A Study on the Job Ability of Industrial Health Service Agency Members - with the Focus on the Industrial Health Service Agency in Seoul and Kyungki - (산업보건관리자의 직무능력에 관한 연구 - 서울$\cdot$경기 지역의 산업보건센타를 중심으로)

  • Kwon Soon Ju
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.37-50
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    • 1996
  • To analyze the roles by abilities between manpower through the analysis of industrial health service agency personnel, 115 industrial health service agency personnel in 19 Industrial Health Service Agency personnel scattered in Seoul and Kyungki areas have been investigated according to the questionnaires formulated in line with the Likert 5-point scale from September 1 through October 30, 1995 and the following significant result has been obtained: 1. The job abilities by fields. 1) In the field of health care, the level of medical personnel's job ability was 3.30 on average and that of industrial hygienists' was 2.54 on average, which showed that the level of medical personnel's job ability was higher. 2) In the field of health management, there was a difference between the level of medical personnel's job ability and that of industrial hygienists' only in the health education but there was not so much difference between manpower' which showed that it was 3.00 on average. 3) In the field of working environment management. the level of industrial hygienists' job ability was 4.03 on average and that of medical personnel's was 2.62, which showed that the level of industrial hygienists' job ability was higher than that of medical personnel's. 2. The job abilities by manpower. As for the job ability by manpower. on the health care the medical personnel's ability was more excellent than the industrial hygienists' and on the working environment management the latter's{industrial hygienists') ability was more excellent than the former's(the medical personnel's). However. the field that a difference between both manpower as mentioned above was not recognized was the health management. 3. As for the difference of potential factors between manpower. in Factor '1' the industrial hygienists' 80.7 points by percentage was higher than the medical personnel's 52.5 points and in Factor '2' the latter's(medical personnels's) 72.6 points by percentage was higher than the former's{industrial hygienists') 50.6 points in the level of job abilities. The above result shows that the industrial health service agency personnel can be classified into the job with a difference between manpower and that without any difference manpower. Therefore, the following issues: First: The field of health care shall be defined as the medical personnel's exclusive job. Second: The field of working environment management shall be defined as the industrial hygienists' exclusive job. Third: The field of health management shall be defined as a common job to lead the limits of time and space in the collective group occupational health management to be controlled effectively.

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Application and Effectiveness of a Preceptorship for the Improvement of Clinical Education (임상실습 교육개선을 위한 일 실습지도자 활용모델 (preceptorship model)의 적용 및 효과에 관한 연구 -암센타, 재활센타, 중환자실 실습을 중심으로-)

  • 이원희;김소선;한신희;이소연;김기연
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.581-596
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    • 1995
  • Clinical practice in nursing education provides an opportunity for students, through the process of ap-plying theoretical knowledge to practice, and to learn nursing skills as well as being socialized into nursing and as such decrease the reality shock of actual nursing practice. Because of a shortage of nursing faculty, the job of achieving the objectives of the clinical practice had been turned over to the head nurses. This resulted in many problems, such as, unclear location of responsibilities and inadequate feedback from head nurses. Therefore this study was done to introduce and evaluate the use of preceptors as a way to minimize the above problems, and to maximize the achievement of the clinical practice objectives. Using an adaptation of Zerbe's (1991) three-tiered team model, clinical practice was done using a preceptor, a head nurse and a clinical instructor, each with different and well defined roles. The subjects of this study were 67 senior students of the College of Nursing of Y University in Seoul whose clinical practice in adult nursing was carried out between May 1, 1994 and December 8, 1994. There were 22 preceptors who had at least two years of clinical experience and who were recommended by their head nurses. They were given additional education on the philosophy and objectives of the College of Nursing, on communication skills, on the theory and practice of education, and on nursing diagnosis and education evaluation. The role of the preceptor was to work one-to-one with students in their practice. The role of the head nurse was to supervise and evaluate the preceptors. The role of the clinical instructor was to provide the education program for the preceptors, to provide ad-vice and suggestions to the preceptors and to maintain lines of communication with the college. With each of these roles in place, it was thought that the effectiveness and efficiency of the clinical practice could be increased significantly. To evaluate the effectiveness of the preceptorship, the three - tiered model, Lowery's Teacher Evaluation Opinion Form translated and adapted to Korea was used to measure student statisfaction. The Clinical Practice Compentency Evaluation Tool developed by Lee et ai was also used to measure student competencies. The results of this study are as follows 1. The satisfaction with clinical practice was higher with the introduction of the perceptors than it was before they were used. (t=-5.96, p=<.005) 2. The clinical practice competencies were higher with the introduction of the preceptors than it was before they were used(t=-5.l3, p<.005) 3. In order to analyze areas not measured by the quantitative tools additional analysis of the open questions was done. The results of this analysis showed that : 1) The students felt positive about their sense of security, confidence, handling of responsbility, and being systematic. They also felt positive about improvements in knowledge, opportunities for direct care, and socialization. 2) The students felt negative about the technical part of their role, lack of knowledge by the preceptor, unprofessional attitudes on the part of the preceptor, difficulty in the role of the professional nurse(student). 3) The preceptors felt positive about their responsibility, motivation, and relationship with the college. 4) The preceptors felt negative about their bur-den. Introduction of the preceptorship model will lead to change and improvement in the negative factors discussed above, solve problems in the present clinical education system, increase continuity in the education of the students, help with socialization of the students and motivation of the preceptors to up-grade their education and increase their confidence. These objectives must be obtained to further the development of professional nursing, and thus, making the preceptorship a reality is our job for the future.

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