• Child Health Nursing Research
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• 제20권4호
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• pp.350-358
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• 2014

목적 본 연구는 미숙아에게 발달관련 합병증을 예방하고 최적의 성장발달을 촉진하기위한 발달지지간호 개념을 탐색하기위해 시도되었다. 방법 Schwartz-Barcott와 Kim (2000)의 개념 분석 방법을 사용하였으며 이론적 단계, 현장작업 단계, 최종분석 단계에 따라 개념을 분석하였다. 현장작업단계에서는 참여자와 심층면담방법을 통해 자료를 수집하였다. 결과 발달지지간호 개념의 속성은 간호실무차원과 가족중심차원인 2차원으로 구분될 수 있으며, 간호실무차원은 자궁 내 환경 따라가기, 상호작용, 개별화, 발달에 대한 인식을 간호에 통합 등의 4가지 속성으로 도출되었으며, 가족중심차원은 전문적인 협력, 부모-아기 애착지지인 2가지 속성으로 도출되었다. 결론 본 연구에서는 혼종모형을 사용한 개념분석을 통해 미숙아 발달지지간호에 대한 6가지 속성을 추출하였다. 아직 명확하게 제시되지 않은 미숙아 발달지지간호에 대한 개념정의를 제시함으로써 미숙아 발달지지간호 관련 이론 개발 및 실무 증진에 활용될 수 있다고 본다.

• 문화기술의 융합
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• 제9권6호
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• pp.813-825
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• 2023

본 연구는 혼종 모형 방식을 사용하여 정신 간호사의 공감적 의사소통역량에 대한 개념을 명확히 하기 위해 분석되었다. 이론적 단계에서 2000년부터 2022년까지 출판된 문헌을 수집하여 최종 38편의 논문을 분석하였다. 현장 작업단계를 위하여 2022년 12월 1일부터 12월 28일까지 8명의 정신 간호사를 대상으로 심층 면담을 진행하였다. 최종 분석 단계를 통해 정신 간호사의 공감적 의사소통역량의 차원과 속성을 도출하여 개념을 분석하였다. 이론적 단계와 현장 작업단계에서 파악된 속성을 바탕으로 정신 간호사의 공감적 의사소통역량을 정의하면 5개의 차원과 12개의 속성으로 종합되었다. 이에 따라서 정신 간호사의 공감적 의사소통역량은 정신 간호사가 대상자에 대한 공감과 이해를 바탕으로 효과적인 의사소통을 위해 적극적 경청과 공감적 스킬을 사용하고, 대상자의 생각과 감정에 민감하게 반응하여 대상자가 표현하고자 하는 바를 정확하게 전달하고 대상자를 존중하며 대상자에게 힘을 실어주는 기술과 능력을 의미한다.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.688-698
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• 2017

본 연구는 개념분석의 혼종모형을 기반으로 혈액투석환자의 피로에 대한 개념적 정의와 특성을 확인하기 위해 수행되었다. 연구방법은 혼종모형의 3가지 단계를 적용하여 문헌고찰을 통한 이론적 단계, 개념의 주 속성과 지표를 조사하는데 사용되는데 현장 작업 단계에서 데이터는 질적 조사를 포함한 관찰 및 인터뷰를 통해 수집한 현장작업 단계, 자료들을 종합적으로 분석하는 최종분석 단계를 적용하여 개념의 주 속성과 지표를 조사하였다. 연구대상은 광주 2개 병원의 혈액투석 센터에서 혈액투석을 받고 있는 환자 10명이었다. 연구결과, 혈액투석환자의 피로 개념은 신체 활동, 정서적 기분, 사회적 역할, 인지적 반영의 네 가지 차원으로 구분되었다. 혈액투석환자의 피로에 대한 정의는 '말기신부전으로 인한 요독증과 반복적인 혈액투석으로 야기되는 에너지 수준의 감소와 제한된 기능에 대해 신체적 활동, 정서적 기분, 사회적 역할, 인지적 반영 차원에서 인식하고 대처하는 과정 중에 일상적으로 경험하는 주관적인 느낌'으로 나타났다. 본 연구에서 혈액투석환자의 피로의 속성 및 정의를 규명함으로서 도출된 혈액투석환자의 피로개념의 네 가지 차원과 특성을 고려하여 효율적인 간호중재 프로그램을 개발하는데 기초자료로 사용되리라 사료된다.

• 대한간호학회지
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• 제26권2호
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• pp.290-303
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• 1996

There is a need to define the concept of suffering more appropriate in the context of Korean culture. This research is an attempt to analyze and develop the concept of suffering by applying the Hybrid Model suggested by Schwartz-Barcott and Kim. The data were collected from March 20, 1995 to September 17,1995. The subjects of the study were eight persons including in-patients and out-patients of a general hospital who were diagnosed as having cancer and those resting in sanatoria for natural treatment of cancer. Qualitative research methods of in-depth interview and participant observation were used for data collection. The contents of the interviews were recorded on tape. Data-analysis progressed according to the 3 phases suggested by the Hybrid Model. For each case, in-depth interview data and participant observation data were included and the attributes of suffering revealed in these data were analyzed. Finally, by summarizing the results from each case, the attributes of suffering, its dimensions, definition, and processes observed in the field were suggested. According to the results of the study, the followlng new definition of suffering is suggested : Suffering is a fundamental and inevitable experience of all human beings. When each individual experiences loss, damage, and pain which threaten one's personal integrity, suffering is perceived differently among each individual depending on their personal inner factors, one's significant others, exterior circumstances and stimuli, and the ultimate meaning of life. Suffering brings severe and unendurable distress which accompany despair, powerlessness, anxiety, bitterness, fear, anguish, guilt, depression, withdrawal and anger. The results of this study suggest that the more responsibility and burden a cancer patient felt, the more suffering she/he experienced and it tended to be more relevant to one's significant others and exterior circumstances and stimuli : the less responsibility and burden a cancer patient had, the less suffering she/he experienced and it tended to be related to one's inner factors. These findings have implications for nursing profession. When caring for patients who experience suffering, nurses need to consider the influence of responsibility, burden, and each dimension of suffering. Moreover, appropriate nursing interventions aimed at relieving pain and satisfying the spiritual need of patients experiencing loss need to be developed and implemented more widely.

• 대한간호학회지
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• 제48권6호
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• pp.637-655
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• 2018

Purpose: The purpose of this qualitative study is to investigate the nature of tacit nursing knowledge practiced in the clinical field in Korea using hybrid models, and to clarify the definitions and attributes of the concept. Methods: The definition and nature of tacit nursing knowledge, obtained through a review of the extensive literature at the theoretical stage of the research, and the analysis of the in-depth interview data conducted by the career nurses in the fieldwork stage, are compared and analyzed. Results: The tacit nursing knowledge was found in three dimensions as knowledge related to the person, the clinical situation work context, the self, the others, and the task. The tacit nursing knowledge was defined as personal nursing knowledge and artistic skills that show up as unconscious behavior patterns, learned informally, and internalizedthrough repeated clinical practice experience based on professional nursing knowledge. Conclusion: Tacit nursing knowledge has been widely used in clinical practice and has been shown to have a great impact, directly or indirectly, on clinical nursing. Therefore, individual and organizational efforts are needed for validation and clarification using the generation, sharing, collection, and peer review of sound implicit nursing knowledge to ensure that it is properly applied.

• 한국직업건강간호학회지
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• 제29권4호
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• pp.354-362
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• 2020

Purpose: This study aimed to define and clarify learning transfer in nursing. Methods: This study used a hybrid model to analyze the concept of learning transfer in nursing through three phases. For the theoretical phase, learning transfer attributes were identified through a scoping literature review. In the fieldwork phase, in-depth focus group interviews were conducted to develop attributes. Purposive sampling was performed with ten participants(five nursing students, two nurses, three nursing faculty members). In the analysis phase, the attributes and final analysis of learning transfer in nursing were extracted and integrated from the previous two phases. Results: According to the analysis, learning transfer was represented in two dimensions with eight attributes. The development of competency dimension had three attributes: 1) theory acquisition, nursing skills, professional attitude, 2) integration, and 3) analysis competency. The competency change dimension had five attributes: 1) appropriateness in patient care, 2) proficiency in patient care, 3) satisfaction, 4) achievement, and 5) confidence. Conclusion: The concept analysis might provide a basic understanding of learning transfer, a development framework toward a measurement of nursing learning transfer and effective educational nursing strategies.

• 한국직업건강간호학회지
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• 제26권1호
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• pp.19-29
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• 2017

Purpose: The purpose of this study was to define and clarify the concept of reality shock in new graduated nurses. Methods: The hybrid model was used to develop the concept of reality shock. The model included a field study. The participants were 9 newly graduated nurses with a nursing career spanning less than a year. Results: The reality shock in newly graduated nurses was identified to have three dimensions and seven attributes. Specifically: 1) the dimension of performance included two attributes (conflict between theory and practice, and being overwhelmed by the workload), 2) the dimension of relationship included three attributes (loss of support, embarrassment from interference, and relational withdrawal), 3) the dimension of expectations included two attributes(value confusions and incongruity in personal life). Conclusion: Newly graduated nurses' reality shock was defined as a state of incongruence in their entire life that the new nurses experienced owing to value confusions that occurred due to the conflicts between theory and practice in an unfamiliar work environment, getting overwhelmed by the workload, and withdrawing establishing relationships with others due to the loss of support and excessive interference. These findings could help develop intervention strategies to decrease reality shock in newly graduated nurses.

• 성인간호학회지
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• 제15권1호
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• pp.137-145
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• 2003

Purpose: This research is a descriptive study to explore "patient respect" in nursing. Respect was analyzed as a concept in the domain of the patient. The Hybrid Model suggested by Schwartz-Barcott and Kim was used in this study. Method: For the theoretical phase, nursing and other literature were reviewed to analyze attributes and develop a working definition of the concept, respect. For the fieldwork phase, four subjects in two general hospitals in Seoul participated. With the participants' permission, the data was collected between January and April, 2002, through in-depth interview and participant observation. The data analysis progressed at the same time as the fieldwork. Data analysis proceeded according to the analysis method of Strauss and Corbin. Result: The final attributes of patient respect are suggested by consideration, recognition, cordial treatment, concern, honesty, acceptance. The final definition of patient respect as a concept in the domain the of patient is suggested by "Patient respect is that the patient is recognized as an individual with worth and is accepted, and considered to be that kind of an individual person. In addition, the patient is recognized to be an independent person and is treated with concern and honesty." Conclusion: The results of the analyses is helpful in integrating into a comprehensive description of the concept, Patient Respect.

• 지역사회간호학회지
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• 제29권2호
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• pp.206-219
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• 2018

Purpose: This study tries to identify and clarify the concept of fear of dementia. Methods: The hybrid model method was used to perform a conceptual analysis of fear for dementia. Results from both the theoretical review of 35 studies and the field study with 8 community-dwelling older adults were included in the final stage. Results: Fear for dementia had 4 dimensions with 14 attributes including cognitive factors (direct experience of precursor symptoms of dementia, indirect experience of dementia, preliminary knowledge of dementia, impossibility of cognitive control, and confidence in dementia), emotional factors (negative feelings and pessimistic thoughts), social factors (social isolation, economic instability, embarrassment), and behavioral factors (existing health problems, making efforts to maintain health, impossibility of body control, peripheral autonomic nervous system response) along with 34 indicators. Conclusion: This study is meaningful because it reveals the attributes of Korean elderly adults' fear for dementia. In addition, the results may serve as a basis for the early assessment and management of fear for dementia.

• 한국간호교육학회지
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• 제27권2호
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• pp.117-131
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• 2021

Purpose: This study is a qualitative study that investigated the nature of Koreans' spiritual health using a hybrid model, clarifying the definition and attributes of the concept. Methods: The nature and definition of Koreans' spiritual health were identified through a review of the extensive literature at the theoretical stage and then compared with an analysis of the in-depth interview data conducted by the researcher in the fieldwork stage. Results: Koreans' spiritual health comprised nine attributes: awareness of the meaning and purpose of life, self-awareness, self-acceptance and recognition, self-transcendence, self-integration, harmony of relationships, self-actualization and development, the inner affective attributes of hope, happiness, fulfillment and thankful mind, and the interpersonal affective attributes of one connected mind, compassion, generosity and humility. The scope of the Absolute is expanded to 'heaven' and 'ancestors', and harmony with the community is emphasized. Conclusion: We have found that Koreans' spiritual health is important for total nursing care and that mental, social and physical health can be improved if spiritual health is promoted. Considering this point, personal and organizational efforts are needed to ensure that spiritual nursing is positively applied in community and clinical settings.