• 종양간호연구
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• 제8권2호
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• pp.111-119
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• 2008

Purpose: The purpose of this study was to describe the experience of hospice nurses on spiritual care. Methods: Data was collected from 9 hospice nurses by using in-depth interview. The main questions include what they understand as spiritual care, when they feel the needs of spiritual care, how they perform spiritual care, and what is the outcome of spiritual care. The data was analyzed by grounded theory methodology developed by Strauss and Corbin. Results: The core category of experience of hospice nurses on spiritual care was identified as "Untie a knot of mind". In the process of spiritual care in hospice nurses was consisted of soothing, dwelling with, releasing, giving meaning, plunging, and going beyond a life. Conclusion: The result of this study was expected to give useful information to nurses and nursing managers about the real situation of performance of spiritual care. The findings of this study contributes to developing programs and supportive policies for encouraging spiritual care.

• 종양간호연구
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• 제4권1호
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• pp.82-90
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• 2004

Purpose: This study is part of questionnaire survey concerned with the views of nursing staff for cancer patients. This study was done to describe cancer pain management problem, pain management knowledge. Methods: The participants were 188 nurses at cancer ward. Data were collected from July 2003 to August 2003. Data were collected with multiple-choice items and one open-ended question, which were constructed structured questionnaire. The data were analyzed by means of SPSS statistical software and content analysis. Results: Experiences of pain education are 53.7%, pain assessment sheet not use 86%, pain management status are partial. Education need of pain management was 87.8% patients in pain were very often(23.9%) or rather often (35.1%) cancer patients. The nurses are respond to open question. Pain management problems as assessed by nurses are categorized 11 item. The health professional problems are Knowledge deficit pain management, Incontrollable pain, Doctor's busy. The patient problems afraid of narcotics for addiction, side effect, distinguishing between physical and suffering, economical problem. The scores of knowledge about pain was average 16.7 score. The pain knowledge showed significant correlation education need(r=.180, p=.013). The effective variable was need of $education({\beta}=.163)$. Conclusion: It was found that pain knowledge was middle score and pain management problem was multiple. The study highlights the need to increase pain education for health professional. Therefore, This study suggest that health professionals education should be done to improve pain management problem.

• 종양간호연구
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• 제7권2호
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• pp.140-149
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• 2007

Purpose: The purpose of this study was to investigate nurses' perceptions and attitudes towards euthanasia. Method: The subject consisted of 345 nurses from the four general hospitals above 500 beds. Measurement tools were the Ryu's perceptions towards euthanasia, and Park's attitudes toward euthanasia. The data were analyzed using descriptive statistics, t-test, and ANOVA by using SPSS WIN 10.0 program. Results: The approval rate of passive euthanasia was 62.6%. Main reason of approval for the passive euthanasia was that euthanasia was "act of mercy". On the other hand, main reason of opposition was that "life is invaluable". 81.2% of subjects responded saying that they would ask for passive euthanasia. The approval rate of active euthanasia was 15.7%. 54.8% of subjects responded saying that they will not ask for active euthanasia. General characteristics significantly related to attitudes to euthanasia were the units, nursing degree, and meaning of euthanasia. The mean score for attitudes to euthanasia was 2.36 and it was negative attitudes. Conclusion: Man has the right to live within his life with dignity. What is most important here seems to be the legalization of euthanasia which still remains unresolved.

• 한국방사선학회논문지
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• 제16권3호
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• pp.357-363
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• 2022

본 연구 목적은 방사선관계종사자와 방사선작업종사자들의 직종별 방사선 피폭선량을 분석하여 폐 부작용 유발확률을 연구하는 데에 있다. 즉, 피폭관리 실태를 점검함으로써 방사선종사자들의 직업상 피폭에 대한 안전 점검 의식을 향상시키고 방사선안전관리에 도움을 주고자 한다. 방사선관계종사자와 방사선작업종사자 각각 3개의 직종별 (방사선사, 의사, 간호사)로 분류하였다. 피폭선량으로 인한 폐의 부작용 유발확률을 산출하기 위하여 ICRP103에 근거한 명목위험계수(Nominal risk factor)를 활용하였다. 방사선관계종사자의 1년간 심부선량은 방사선사 1.63 ± 2.84 mSv, 의사는 0.12 ± 0.22 mSv, 간호사는 0.59 ± 1.08 mSv로 나타났다. 이로 인하여, 폐의 부작용 유발 확률은 방사선사는 100,000당 1.1명, 의사는 10.082명, 간호사는 0.4명으로 나타났다. 방사선작업종사자의 1년간 심부선량은 방사선사 2.44 ± 3.30 mSv, 의사의 경우 0.19 ± 0.26 mSv, 간호사의 경우 0.12 ± 0.00 mSv이었다. 이 선량으로 인하여, 폐의 부작용 유발 확률은 방사선사는 100,000당 1.2명, 의사는 0.096명, 간호사는 0.06명으로 나타났다. 본 연구에서는 방사선 피폭선량의 직종별 폐에 부작용이 발생할 확률을 연구하여 향후 확률적 영향과 관련하여 방사선 안전관리를 위하여 유용한 자료로 활용될 것으로 사료된다.

• 간호행정학회지
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• 제14권3호
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• pp.352-363
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• 2008

Purpose: The purpose of this study was to investigate nursing services of Oncology Advanced Practice Nurses(OAPNs) from the view point of structure and process. Methods: Roles and practices of OAPNs for cancer patients on chemotherapy were investigated by semi-structured interview and survey. Subjects were 14 OAPNs in 3 hospitals. Results: OAPNs had high level of education and certification than registered nurses. Most subjects of OAPNs were patients on chemotherapy and OAPNs used most of their time in education and expert nursing practice. 57.1% of OAPNs used delegated order. They were satisfied with their job in general, but satisfaction in communication with nurse manager or resident doctor was low. Conclusion: These results will be the concrete explanation for the nursing services of OAPNs. On the basis of theses results, more study about effects of OAPNs will be needed.

• 기본간호학회지
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• 제13권3호
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• pp.457-466
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• 2006

Purpose: This study was done to investigate oncology nurses' perception, attitude, knowledge and practice of CAT and to describe nurses' needs for education on CAT Method: A cross-sectional descriptive study was conducted. A total of 270 oncology nurses working at four medical centers in Seoul and Kyungki participated in this study. They completed the questionnaire between December 2005 and February 2006. Results: Oncology nurses perceived CAT as possible nursing interventions, but felt that there was no conclusive evidence on effectiveness/safety. Of the participants 44.4% have used CAT for themselves, and 73.9% of them were satisfied after using CAT. Two biggest reasons for CAT use were symptom control and emotional support. However, 80.8% of the participants had not had any training related to CAT Both nurses who have used CAT and those who have been trained to practice CAT represented a more positive perception toward CAT (p=.000). The biggest perceived obstacles to the practice of CAT were concerns about side effects (71.2%) and lack of knowledge and skill (69.6%). The most favorable CAT modalities in both practice and training were mind-body medicine. Conclusion: Overall oncology nurses' perception toward CAT was encouraging. However a high number of the nurses reported lack of knowledge and skill in CAT Education and training strategy for CAT need to be developed.

• 종양간호연구
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• 제1권1호
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• pp.65-74
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• 2001

This study was to investigate the degree of the nurses' burden and the attitude on the terminal cancer patients, as well as the relationship between two variables using questionnaire. The non-randomized convenient samples were 252 nurses with the experiences in caring the terminal cancer patients more than 1year in 5 university hospitals in Seoul and Inchon city. The cross-sectional one time survey was conduced by using the modified questionnaires on the burden and the attitude on the terminal cancer patients at October, 2000. n SPSS for Window, the demographic information and the degree of the burden and the attitude of subjects were analyzed with descriptive statistics. Pearson correlation coefficiency was used to investigate the relationship between the degree of the burden and the attitude from subjects. The additional analysis were performed to examine the differences the degree of the burden and the attitude by the general characteristics of the nurses using t-test and ANOVA. The result was as follow: 1) The degree of the nurses' burden on the terminal cancer patients was the mean of 2.91 ranged from 2.08 to 3.96. 2) The degree of the nurses' attitude on the terminal cancer patients was the mean of 3.52 ranged from 1.83 to 4.68. 3) There was no significant relationship between the degree of the burden and the attitude on the terminal cancer patients(r=.08, p=.23). However, the burden and. the nursing environment among 4 aspects of the attitude showed a significantly positive relationship each other (r=.16, p=.01). 4) The degree of the nurses' burden was different by the nursing specialties (F=2.79, p=.03) and the professional perspectives on nursing(F=3.52, p=.02). 5) The degree of the nurses' attitude was different by the age(F=5.33, p=.01), the married status(t=3.93, p=.05), nursing specialties (F=7.42, p=.00), the amount clinical experience(F=2.85, p=.04), the job satisfaction (F=10.58, p=.00) and, the professional perspectives on nursing (F=6.30, p=.01).

• 종양간호연구
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• 제3권2호
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• pp.122-132
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• 2003

Purpose: The purpose of this study was to identify predictive factors of Brest Self-Examination practice of clinical nurses. Method: The subject for this study were 277 nurses in 8 university hospitals in Busan. The data were collected from September 21 to October 20, 2001 by means of a structure questionnaire. The instruments used for this study were Choi's BSE knowledge scale. Kim's BSE attitude scale and Jung's BSE practice scale. The data were analyzed using frequency, percentage, mean, Peason Correlation, t-teat, ANOVA, scheffe's test, and multiple stepwise Regression using SPSS program. Result: 1. The mean score of BSE practice for the total sample was 7. 25${\pm}$4.62. 2. Statistically significant factors influencing the BSE Practice among social demographic characteristics were age(F=2.734, P=0.44), Married status(t=2.598, p=0.010). 3. Statistically significant factors influencing the BSE Practice among BSE relating characteristics were enlisting the help of significant peers(t=3.34, P=0.00), Intention of Practice for BSE(t=10.462, p=0.00), performance of BSE(t=7.800, P=0.00), frequency of performance in BSE(F=13.932, p=0.00), confidence in Knowledge of BSE technique(F=5.350, p=0.00), confidence in finding breast nodule(F=7.204, p=.00), asking client's BSE (t=3.153, P=0.01). 4.The mild correlation between nurse's BSE knowledge and practice was found(r=0.366,p=0.000). 5. There were significant predictors of BSE Practice. Performance of BSE was the best significant predictive factor(R2=.383, p=.000) Another significant predictive factors were knowledge, intension of practice, married status, frequency of performance. Conclusion: Degree of nurses' performance of BSE was average. It is necessary to develope the nurses' educational program for BSE with its focus on above predictive factors of performance of BSE.

• 종양간호연구
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• 제3권1호
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• pp.75-84
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• 2003

Purpose: this study was to identify influencing factors of burnout on oncology nurses. Method: the data was collected using a questionnaire from October 18, 2002 to November 20, 2002 in five general hospitals at Seoul. Participants of this study were the nurses who worked in the wards occupied by more than 50 percent of cancer patients. The collected data were analyzed by using the SPSS10.0 program. Result: 1. The burnout of the subjects show a mean score of 2.72 using the 5 point Likert scale. There were statistically significant difference in burnout between the general characteristics; age, marital status, educational background, job experience, position, nursing service period, and attitudes on nursing job. 2 The self-esteem of the subjects show a mean score of 3.72 using the 5 point Likert scale. The spiritual well-being of the subjects show a mean score of 3.83 using the 6 point Likert scale. The social support of the subjects show a mean score of 3.74 using the 5 point Likert scale. The job stress of the subjects show a mean score of 2.16 using the 4 point Likert scale. 3. The result of correlation between burnout and other variable was that relationship between the burnout and job stress(r=-.206, p<.05), self-esteem(r=-.417, p<.01), spiritual well-being(r=-.403, p<.01), social support(r=-.386, p<.01) were significant variables. 4. The result of the Stepwise Multiple Regression was that self-esteem (17.4%), spiritual well-being(7.9%), social support(3.4%) and job stress(2.3%) explained 31% of burn out.

• 간호행정학회지
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• 제18권2호
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• pp.189-201
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• 2012

Purpose: The purpose of this study was to explore the use of outcome indicators and perception of outcome evaluation of oncology advanced practice nurses (APNs). Method: A total of 111 oncology APNs from hospitals which have over 400 beds were surveyed. The participants' use of outcome indicators and perception of outcome evaluation were collected using a questionnaire including 84 outcome indicators for APNs developed by Sung et al. and 13 items on APNs' contribution to the hospitals developed by Kleinpell (2005). Data were analyzed using descriptive statistics, t-test, and $x^2$ test. Result: Twelve items out of 84 outcome indicators were used over 50% of the time and 57 items could be used in the future by the participants. Seven of the 10 top-ranking outcome indicators in use were education related and were also expected to be used frequently in the future. The score for participants' perception of outcome evaluation was average-high, 3.82 out of 5. Conclusions: The results of the study show that the main outcome indicator for oncology APNs is education related, and thus the use of education related outcome indicators is recommended to make oncology APNs' activities be more visible.