• 성인간호학회지
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• 제18권4호
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• pp.593-602
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• 2006

Purpose: The purposes of this study were to provide baseline data for nursing service program and to elevate the quality of service by examining whether nurses' nursing service is related to job stress, job satisfaction, organizational commitment, leadership and nursing service satisfaction in hospitals. Method: Subjects were 135 nurses and 135 patients, working and being in the hospitals in C province & D city from November. 7 to 21, 2005 and completed a structured questionnaire. The data was analyzed using descriptive statistics, t-test, ANOVA, ANCOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The most powerful predictor of nursing service was leadership(60.7%). Altogether leadership, nursing service satisfaction, organizational commitment, and work stress explained 72.5% of nursing service of the nurses in hospitals. Conclusion: The results showed the nurses' nursing service in hospitals was influenced by leadership, nursing service satisfaction, organizational commitment, and job stress. It suggested that concepts of leadership, nursing service satisfaction, organizational commitment, and job stress should be considered in developing nursing services programs.

• 한국산학기술학회논문지
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• 제22권4호
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• pp.195-205
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• 2021

코로나19가 대유행이 되면서 국내 대부분의 간호학과에서는 기존의 실습방법이 아닌 온라인 비대면 실습을 시행하였다. 본 연구는 온라인 비대면 성인간호학실습 과정에서 경험하는 내용을 이해하고자 참여자들이 작성한 성찰일지를 분석한 질적연구이다. 연구 참여자는 일개대학 간호학과 졸업학년인 4학년 재학생 중 본 연구의 목적을 이해하고 참여에 동의한 45명이다. 온라인 비대면 성인간호학실습은 2학점 90시간으로, 1일 9시간씩 총 10일 운영되었다. 본 온라인 성인간호학실습은 컴퓨터 기반 시뮬레이션실습, 컴퓨터 기반 간호술기실습, 동영상 및 교육자료 제작, 실시간 온라인 퀴즈와 온라인 강의영상시청, 토론 등으로 구성되었다. 성찰일지를 분석한 결과, 6개의 범주, 13개의 주제모음, 33개의 주제가 도출되었다. 6개의 범주로는 '다양한 상황경험', '새로운 학습의 경험', '임상실습에 대한 성취감', '교수자와의 관계형성', '비대면 실습에 대한 양가감정', '예비간호사에 대한 두려움'으로 진술되었다. 본 연구는 포스트 코로나 시대를 준비하는 교육현장에서 성인간호학실습이 임상실습기관이 아닌 비대면 실습으로 진행하여 다양한 교육방법으로 운영하고 분석하였다는 데에 의의가 있다. 본 연구는 비대면 성인간호학 실습개발 및 운영의 중요한 기초자료가 될 것을 기대한다.

• 성인간호학회지
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• 제16권4호
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• pp.636-647
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• 2004

Purpose: This study aimed at developing the problem-based learning packages on the respiratory and cardiac system of an adult-health nursing course, and to examine the effect of PBL on the knowledge, learning attitude and motivation in nursing students. Method: A total of 7 PBL packages were developed through the analysis of learning contents and integration of concepts. Clinical scenarios used in 7 PBL packages were selected and composed at a respiratory and a cardiovascular unit, a medical ICU and a chest-surgery unit of C university hospital in G-city. The PBL method was implemented 3 hours a week for 12 weeks to 35 students of an experimental group, and the conventional lecture was implemented to 38 students at C college of C province from Sept. to Dec. 2002. A pretest-posttest experimental design was used. Result: The PBL students (n=35) scored significantly higher knowledge than conventional students (n=38) in the area of problem solving (t=3.418, p=. 001). But, there is no significant difference in the memory-dependent knowledge. Also, The level of learning attitude (t=3.570, p=. 001) and learning motivation (t=3.446. p=. 001) was significantly higher in PBL students. Conclusion: PBL method appears to be effective in improving nursing students' problem-solving knowledge and positive learning attitude and motivation.

• 성인간호학회지
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• 제20권3호
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• pp.365-374
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• 2008

Purpose: This study was conducted to evaluate quality of sleep and to assess the factors that influence quality of sleep in surgical ICU. Methods: The subject of the study were consisted 109 adult patients who admitted to surgical ICU. The data were collected from May 20 to December 10, 2007 by structured questionnaires. The data were analyzed with descriptive analysis, paired t-test, Pearson correlation coefficient and stepwise multiple regression. Results: The score of quality of sleep was 4.57 point. The main sleep disturbance factors related to quality of sleep in surgical ICU inpatient were sleep time, machinery alarm and noise(adjusted $R^2$=33.2). Conclusion: Based on the finding of this study, it is needed to develop a nursing intervention program that including to promote quality of sleep and to decrease machinery alarm and noise in surgical ICU.

• 성인간호학회지
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• 제16권1호
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• pp.60-71
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• 2004

Purpose: The purpose of this study was to analyze the subjectivity of smoking cessation methods of smokers. Method: The Q. methodology which provides a method of analyzing the individual's subjectivity was used. The 34 subjects classified 38 selected Q-statements into a 9 point scale to make a normal distribution. The collected data was analyzed using a QUANL PC program. Result: Three types of smoking cessation among smokers were identified. Type I, Family Centered; Type II, Suppressing Temptation; Type III, Self Overcoming. Conclusion: This study results revealed that different approaches of support programs are needed to address the three types of smoking cessation and their characteristics.

• 여성건강간호학회지
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• 제23권4호
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• pp.287-298
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• 2017

Purpose: The purpose of this study was to deepen understanding the nature of the care experience by the mothers with adult children in persistent vegetative state. Methods: Participants were 7 mothers caring for their adult children in persistent vegetative state. Data were collected individually through in-depth interviews on their lived experiences. Also texts were included as data from literary works, novels, movies, essays, and arts containing on patients with persistent vegetative state and their mothers. Data were analyzed by van Manen's phenomenological methodology. Results: The essential themes of caring experiences of the mothers were as follows. The theme in relation to lived time has shown as back to the past and caring experience related lived body has emerged as locked the body in children. The theme related lived space was getting into the swamp and the theme in lived others was derived as lonely struggle into. Conclusion: The nature of mothers' caring experiences for adult children in persistent vegetative state is summarized as 'Do not off hand of hope in a locked state'. This study suggests long-term supports are necessary for mothers to care persistent vegetative state children.

• 임상간호연구
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• 제23권1호
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• pp.64-72
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• 2017

Purpose: This study aimed to explore the distributions of nurse staffing grades and to report changes in staffing grades in general wards and adult and neonatal intensive care units(ICUs) by hospital type and location. Methods: Data collected from the Health Insurance Review and Assessment Service were analyzed. Nurse staffing was categorized from grades 1 to 6 or 7 for general wards, 1 to 9 for adult ICUs, and 1 to 4 for neonatal ICUs based on the nurse-to-bed ratio. Results: The staffing grade for the general wards improved during 2008-2016 in 69.8% of the tertiary hospitals, 58.5% of the general hospitals, and 31.7% of the non-general hospitals. The adult ICUs at tertiary hospitals exhibited a greater improvement in staffing grades (48.8%) than did those of general hospitals (44.2%) during 2008-2015. Tertiary hospitals in non-capital regions showed a greater improvement than those in the capital region. The majority of neonatal ICUs (67.1%) had no change in the staffing grade during 2008-2015. Conclusion: Improvements in nurse staffing differed by hospital type and location. Government policies to improve nurse staffing in non-tertiary hospitals and those in non-capital regions are required to reduce variations in nurse staffing.

• 정신간호학회지
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• 제28권1호
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• pp.50-63
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• 2019

Purpose: The objective of this study was to explore operational definitions and moderators of the resilience of adult children of alcoholics (ACOA) and its associated variables. Methods: This integrative review was conducted based on a literature review method suggested by Whittemore and Knafl. Databases including PubMed, CINAHL, PsycINFO, and RISS were searched using the combinations of search terms such as; 'adult children of alcoholics,' 'parental alcoholism,' 'resilience,' and 'children of alcoholics.' Results: Seventeen studies were selected for this review. Findings of integrative reviews reported operational definitions for the resilience of ACOA and moderators. The operational definition of ACOA's resilience is: (1) having no behavioral and emotional problem, (2) meeting social and developmental expectancies, (3) having the ability to cope with adversity, (4) having high self-concept, and (5) having a meaningful relationship. In addition, the varying environmental moderators include family communication, qualities of caring environment, parental communication, parentification, and social support. Several moderators were identified as positive effect, self-esteem, alcohol-specific coping style, locus of control, spirituality, the image of God, and dyadic cohesion in marital communication. Conclusion: Our study findings emphasize comprehensive understanding of diverse definition of resilience and moderators in developing nursing interventions to promote resilience in ACOA.

• 문화기술의 융합
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• 제8권6호
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• pp.373-380
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• 2022

본 연구는 간호대학생의 성인간호실습 가상현실 교육 중재 연구를 체계적 고찰 방법으로 탐색하여, 추출된 문헌들로부터 중재 방법, 연구 주제, 결과 변수, 효과성의 근거합성을 하였다. CINAHL, PubMed, Cochrane Library, EMBASE, RISS의 데이터 베이스로부터 7편의 연구가 추출되었고, 무작위 실험연구가 3편, 비무작위 실험연구가 4편이었다. 고찰 결과 간호대학생의 지식, 수행, 태도, 비판적 사고, 자기효능감, 정보수집능력, 문제해결능력, 자신감, 효율성에서 효과를 보였으므로, 성인간호실습에서 가상현실 교육 중재가 효과적임을 알 수 있었다.

• 임상간호연구
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• 제29권1호
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• pp.75-84
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• 2023

Purpose: This study developed a protocol for nursing care after death for adult patients in hospitals. Methods: This was a methodological study to develop a care after death protocol. The preliminary protocol was developed based on a literature review, guidelines, and practice recommendations from groups of experts and clinical nurses. Content validity was evaluated by a group of experts (n=6) and nurses (n=30) in two hospitals. Results: The preliminary protocol recommendations were modified by validation and the open-question analysis results. The final protocol comprised three general recommendations and 43 recommendations in five steps that are verification and notification of a death, personal care of the body, viewing the patient, patient transfer, and documentation and self-care. Conclusion: This study result provides nurses with a consensus information on patient care after death and family support in a hospital setting. This nursing protocol is expected to improve the quality of care after death for adult patients and their families, and can be used for developing educational and emotional support for nurses to accomplish their important role.