• The Journal of the Convergence on Culture Technology
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• v.7 no.3
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• pp.135-146
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• 2021

This study is a descriptive research study to identify the relationship between the performance of end-of-Life care of ICU nurses, moral distress, ethical climate, difficulties in end-of-life care, and positive psychological capital. Data were collected with structured questionnaires from 144 ICU nurses at a university hospital in J city, Gyeongnam, from October to November in 2020, and analyzed using SPSS/WIN 21.0. The subjects' performance of end-of-life care of ICU nurses is significantly different depending on marital status, experiences of end-of-life care education. The variables that had a significant effect on the performance of end-of-life care among ICU nurses were positive psychological capital and difficulties in end-of-life care. The explanatory power was 24.8%. Based on these results, it is necessary to intervention program and education to reduce difficulties in end-of-life care and increase positive psychological capital for ICU nurses.

• Journal of Hospice and Palliative Care
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• v.22 no.3
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• pp.125-133
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• 2019

Purpose: The purpose of this study was to investigate the relationship between end of life care competencies and terminal care stress of nurses in long term care hospitals. Methods: For this study, 140 nurses were sampled among those that have over 6-month end of life care experience and were working at long term care hospitals located in A city and C city of Chungcheongnam-do. Using a questionnaire, data were collected from January 2018 through March 2018. Data were analyzed using the SPSS, Windows version 21.0, according to the purpose of the study and analyzed by descriptive statistics, t-test, one way ANOVA, $Sch\acute{e}ffe^{\prime}s$ test, and Pearson's correlation coefficient. Results: The mean score on terminal care stress of nurses was above the normal level. The scores on end of life care competencies significantly varied by age, total career at hospitals, death/hospice and palliative care education, and bereavement experience. The mean score of end of life care competencies was negatively correlated with the mean score of lack of knowledge and skills among the subitems of the terminal care stress category (r=-0.260, P=0.002). Conclusion: To decrease the terminal care stress of long term care hospital nurses, it is suggested to carry out end of life care education tailored to nurses characteristics.

• Journal of Korean Critical Care Nursing
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• v.13 no.1
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• pp.27-43
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• 2020

Purpose : This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses' attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)'s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the "The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018)." All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients' comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses' emotional stress and moral distress during communication, decision-making, and implementation.

• Journal of Korean Critical Care Nursing
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• v.10 no.1
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• pp.41-50
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• 2017

Purpose: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life. Methods: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital. Results: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members. Conclusions: Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.

• Korean Journal of Social Welfare
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• v.61 no.1
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• pp.323-357
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• 2009

This study illuminates the mechanism of life course on labor status of old age complementing the limits of labor status hypothesis of old age and model of statues attainment and combining them. The main results from this analysis are summarized in four points. Firstly, older men mostly engaged in agriculture, forestry and fishing industry or low-class occupations. A very small portion held high level or professional occupations. Regular full-time employees or employers were only 4.4% while, about 70% of older employees were temporal employees or self-employed. This shows that the elderly affluence hypothesis which alleges that most older men maintain high level occupations, applies to only a few. The second finding is that wealth differentials are sizable: about 20% of older workers own less than 50 million won, while 9.3% possess more than 600 million won. Therefore, it is not safe to claim that most people have accumulated enough wealth for old age according to the elderly affluence hypothesis. This gap being mainly reflected by education level, suggests that the model of status attainment is appropriate as wealth accumulation hypothesis. Thirdly, educational level determined not only lifetime careers, but also labor status of old age. Fourthly, using path analysis, the last finding is that education had effect on labor status of old age through lifetime career and wealth. That is, old men who have low education level had unstable lifetime career and own less wealth. They work in low income job, low social occupations and unstable occupation type in old age. This shows that life inequality continues until old age. Therefore, the inequality of education opportunity, spread of part-time work and small scale self employees should be discouraged. Furthermore, related policy should be provided in order to prevent being caught in unstable work.

• Journal of Korean Critical Care Nursing
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• v.7 no.1
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• pp.40-46
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• 2014

Purpose: In Korea, about 30,000 people die in intensive care units annually. However, their quality of life at the end-of-life seems very low. The purpose of this study was to describe palliative care models that could be applied in intensive care units and examine nurses' roles in the models. Methods: A conventional literature review was performed focusing on palliative care in intensive care units and nursing roles in the approaches identified. Results: There are two different models regarding the implementation of palliative care approaches in the intensive care unit. Those are the consultative model and the integrative model. Each model has advantages and disadvantages. Therefore, an appropriate model must be chosen according to the setting. Nurses' roles could vary depending on the setting. Conclusion: Palliative care in the intensive care unit is important to improve patients' quality of life. Moreover, nursing roles are important in providing comprehensive palliative care in intensive care units.

• Proceedings of the Korean Society of Disaster Information Conference
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• 2022.10a
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• pp.213-214
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• 2022

본 논문에서는 한국사회 내 2014년 이후 2022년 현재까지 진행되고 있는 다양한 생애주기별 재난안전교육 체계를 분석하여 재난 발생 시 자신의 생명과 재산을 보호할 수 있는 재난안전교육 인프라 구축을 위한 제언을 통해 시민 대상별 최적화된 재난안전교육 체계화를 모색하고자한다. 2014년 4월16일에 발생한 세월호 침몰 사고는 2015년 '재난 및 안전관리 기본법' 시행규칙의 일부 개정 및 이에 근거한 '국민안전의 날'이 국민안전의 중요성을 되새기자는 의미로 제정된 계기가 되었을 뿐만 아니라, 재난안전교육에 관한 전반적인 변화의 필요성을 깨닫게 해준 가슴 아픈 사건이었다. 이에 서울시 소방재난본부 현장대응단에서 2014년 말부터 시민대상 초기대응을 위한 재난안전 교육체계를 기획하고 10만의 안전리더 양성을 추진했다. 동시에 다양한 형태의 시민대상의 재난안전교육이 시, 도별로 진행되었다. 특히 서울 시민의 1%인 10만 시민안전파수꾼 양성을 위해 진행되었던 시민안전파수꾼 정책 사업을 위한 재난안전 교육체계는 시민을 대상으로 황금시간 목표달성을 통한 초기대응으로 재난규모를 최소화 할 수 있도록 안전에 관한 소양교육의 기본을 구성해 교육했고, 이는 시민 대상 재난안전교육의 방향에 대해 시사하는 바가 크다. 정책사업 초기 대학생 이상의 성인을 교육 대상으로 선정하여 교육이 진행되었고, 그 후 2018년 이후 고등학교 이상으로 교육의 대상범위를 확대하여 진행했지만 안전리더로서 역할은 한국사회 전체 구성원들의 인식이 필요한 부분으로 어린 시절부터의 반복 교육을 통한 안전문화가 시스템으로 구축되어 자연스럽게 습득되어 질 수 있도록 해야 한다는 필요성을 절감하게 되었다. 이에 다양한 생애주기별 재난안전교육 체계를 분석하여 국민스스로 재난 발생 시 자신의 생명과 재산을 보호할 수 있는 재난안전교육 인프라 구축을 위해 시민대상 재난 안전교육을 '황금시간 목표달성'을 준거틀로 기존의 중앙, 서울시, 부산시, 경기도 및 산하 교육청에서 실시해온 재난안전교육 체계 관련 문헌의 비교분석을 통해 시민 대상별 생애주기별 최적화된 초기대응을 위한 재난안전교육 체계를 모색하여 재난안전교육의 방향을 제시해 보고자 한다.

• 건강소식
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• v.36 no.1
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• pp.40-41
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• 2012

골다공증은 뼈의 화학적 조성에는 변화가 없고 단위 용적 내의 물량 감소를 초래해 경미한 충격에도 쉽게 골절을 일으키는 질환으로 뼛속에 구멍이 많아져 골밀도가 저하된 상태를 말한다. 우리 몸의 뼈는 소아기와 청소년기를 거쳐서 점차 단단해지고 20~30대에 생애 중 최대골량을 형성하며, 나이가 들수록 골량이 서서히 줄어들다가 폐경기 이후 여성에서 매우 빠른 속도로 골량이 감소한다. 이러한 골다공증은 대부분 증상 없이 조용히 진행되다가 골절이 나타난 후에야 발견된다. 골다공증이 진행된 후에는 허리가 구부러지고 경미한 충격에도 골절을 일으키는데 주로 척추, 대퇴골 늑글 등의 골절이 흔히 발생한다.

• KOREAN POULTRY JOURNAL
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• v.12 no.3 s.125
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• pp.46-49
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• 1980

구슬은 진흙속에서도 그 빛을 잃지 아니하고 날카로운 송곳은 주머니 속에 감추어져도 뚫고 나온다는 말이 있다. 국산계 개량을 위하여 한평생을 보내었고 남은 여생도 오르지 국산계 개량에 바치기로한 집념의 양계인에 한국의 노벨상인 삼일문화상(근로부문)이 주어진다. 빛도 없이 이름없이 갖은 어려움을 참고 묵묵히 종계개량에만 전념하는 의지의 양계인을 우리사회에서 더 이상 모른다고 할 수는 없었으리라. 우리 양계인이면 너무도 잘아는 한협가금육종 농장의 박도현 사장이 금년도 영예의 삼일문화상 근로부문 수상자로 결정되었다. 본지는 이미 독자들과 약속한대로 휘경동에 있는 한협빌딩 3층 집무실로 찾아갔다.

• Journal of Families and Better Life
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• v.12 no.1
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• pp.200-208
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• 1994

본 연구는 한국전통사회의 자녀교육관을 율곡이 저술한 $\ulcorner$성학집요$\lrcorner$를 중심으로 고찰한 것이다. $\ulcorner$성학집요$\lrcorner$ 정가편 교자음에서는 인간의 본성은 선한 것이라고 믿고 누구 든지 노력하면 성인에 도달할수 있다고 보아 특히 교육시킬수 것을 강조했다 즉 애태시켜야 하며 일상생활을 통한 반복학습에 의한 습득형성을 강조했다 또한 유모를 정할때도 인성형 성의 막대한 영향을 고려하여 신중히 고를 것을 말 했다 셋째 교육하는 순서와 학문하는 자 세를 강조하였다 넷째 생활교육을 강조했다 가족에서의 자녀교육이란 일상생활을 통한 교육 이 중요함을 말했다 다섯째 학문을 할 때는 몸가짐과 마음가짐이 성패를 좌우한다고 했다. 이와 같은 자녀교육에 대한 가장 기본적인 사상은 성실함을 바탕으로 하고 있으며 생애학습 이나 자아실현이란 것도 입지를 돈독히 하여 꾸준히 성실한 자세를 갖는 것이 인간의 계속 적인 성장을 가능케 하는 동인이 된다는 것이다.