• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3483-3487
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• 2016

Background: Cigarette smoking is one of the leading causes of death in the world. Tobacco consumption has grave negative consequences for health so that it is important to understand the reasons and motivations towards cigarette smoking and barriers against quitting smoking among the young generation for developing effective policies to control this widespread problem. Materials and Methods: This cross-sectional survey was carried out at the Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia. A total of 438 young smokers participated from the University and the general population. Data were collected through anonymous, self-administered questionnaires in the Arabic language that contained questions about the reasons and motivations towards cigarette smoking and barriers against quitting smoking. The questionnaire also contained several questions regarding knowledge and attitude of the participants towards cigarette smoking. The data was analyzed on SPSS-16. Results: The mean age of the respondents was $22.9{\pm}3.48$, out of 438 subjects 87 (19.9%) were married, and 351 (80.1%) were unmarried, and 331 (75.6%) belonged to urban areas while 107 (24.5%) were from the rural areas. Responding to a question about a number of cigarettes smoked per day, 31% answered 11-20, 29% answered 21-30, and 25% answered 1-10. Questioned about smokers in the family, 34.5% responded more than one, with 19% for brother and 13% for father. About the reasons for not quitting smoking, 26% described lack of willpower, 25% had no reason, 22% said that people around me smoke, and 15.3% responded stress at home/work. The major motivation for smokers was smoker friends (42%), for 33.8% others, for 12% father/brother and 7.8% media. Conclusions: There are several avoidable and preventable reasons and barriers against quitting smoking. However, knowledge and attitude about smoking were good, and the majority of the smokers were well aware of the associated hazards. Therefore, there is a need to search out ways and means to help them to quit this addiction.

• 한국시조학회지:시조학논총
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• 제25집
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• pp.49-73
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• 2006

이 글은 현대시조의 다양한 주제 양식에 대한 관심에서 시작하여 시조의 제재를 시인의 자아, 혹은 인간사의 내면에 깃든 근원적 문제에 천착해 주제로 형상화한 작품을 세 가지 영역으로 나누어 살펴보았다. 첫째, 자아성찰과 시인의 자의식과 시인의식을 주제로 다룬 시조에는 메타시조 형식의 시, 시 쓰기에 대한 '시론'격의 작품 등이 있다. 시인 자신이 자아에 대한 인식이 치열할수록 현실적 자아와 이상적 자아 사이의 갈등을 통해 '부끄러움'을 느끼지만 이를 극복하고 의미 있는 시를 창작하고자 하는 진지한 자세와 시인의식 이 주제로 표출된다. 둘째, 인간이 직면할 수밖에 없는 죽음의 문제를 다룬 시조는 죽음의 타나톱시스(Thanatopsis: 사관(死觀))를 표현한다 그러나 죽음에 대한 철학적 성찰과 깊은 담론보다는 직정적인 감정과 죽음에 대한 단상들이 표현되고 있어 이러한 주제에 대한 형상화는 운문보다는 산문의 영역에서 보다 효과적으로 표현될 수 있음을 알 수 있다. 그러나 죽음에 관한 다양한 제재가 시조의 영역에서 주제화되는 것은 현실적 삶의 태도를 돌아보고, 생의 깊은 이면에 깃들인 인간의 본질적 문제에 관심을 갖게 한다는 점에서 의미 있는 일이다. 셋째, 인간과 신에 대한 근원적 문제를 제기하는 주제의식은 주로 기독교적 세계관을 토대로 창작된 작품을 통해 나타난다. 이러한 주제를 다루는 시조의 경우 속악하고 부조리한 현실의 삶을 방관하는 신의 의지에 대한 항의와 불만, 이기적 욕망으로 인해 고뇌하는 인간의 모습을 그리고 있다 그럼에도 불구하고 기독교적 사유를 바탕으로 쓰인 시조에는 역설적으로 신의 섭리에 대한 순명이 나타난다. 이러한 유형의 시조는 기독교 세계관과 종교적 신앙을 주제로 표현할지라도 시인이 지닌 자유로운 시 정신과 창작태도가 있다면 생경한 종교적 언어에 함몰되지 않고. 호교적 신앙시로 축소되지 않을 수 있다는 가능성을 보여준다. 위에서 살펴본 몇 가지 주제들은 우리 시조의 관심을 피상적인 현실의 문제를 넘어 생의 깊은 국면으로 전환해 그 이면에 깃들인 인간의 자아의식과 고독, 삶과 죽음, 절대적 존재에 대한 물음 등을 다루고 있다는 점에서 시인의식의 지평을 넓히고 현대시조의 주제 의식을 심화하고 있음을 알 수 있다.

• 간호행정학회지
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• 제7권3호
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• pp.403-414
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• 2001

The study was intended to identify the nurses' experiences, understanding, and attitudes on DNR. Also, the study was to provide the data base for a standard of DNR decision-making and practice. The sample consisted of 347 nurses in eight general hospitals. The data were collected between August 1 and August 31, 2000. The data were analyzed using descriptive statistics and $x^2-test$. The results of the study were as follows : 1. Regarding DNR-related experience, 74.6 percent of the participants experienced DNR situations. Eleven percent of the participants received DNR education. DNR was most frequently (81.5%) requested by family members and relatives of patients. The decision-making on DNR was most frequently (76.8%) made by agreement between family members and medical staff. The DNR order was recorded at 81.9 percent on charts. Problems after DNR order were negligence in treatment and nursing care (30.6%) and guilty feelings due to doing the best (22.1%). CPR (cardiopulmonary resuscitation) was performed about 49.8 percent of DNR cases. 2. Regarding understanding and attitude on DNR, most of the participants (93.1%) thought DNR was necessary. The major reasons for the necessity of DNR were impossible recovery (44.4%) and death with dignity (41.1%). The decision-making on DNR was most frequently made by patient and family members (47.8%) and followed by agreement between family members and medical staff (25.6%), and patients themselves (16.4%). Most of the participants thought that medical staff must explain DNR to critical and end-of-life patients and their family members. Forty four percent of the participants thought that the most appropriate time for DNR explanation was when patients with critical disease were admitted to hospitals. Most of the participants (90.2%) thought a guide book for DNR is necessary to be made in hospitals. 3. There were significant differences in the participants' understanding and attitudes on DNR according to religion career education and experience of DNR. Of the participants those who have religions and education experience on DNR thought that there would be more DNR requests after DNR is explained to patients and family members (p<.05). In addition, there was higher understanding on the necessity of DNR in those who have more career and DNR experience(p<.01). The findings of the study suggest that a guide book for DNR need to be made with inclusion of legal, ethical, and cultural aspects. Also, there needs to be more education on DNR in medical ethics to health care professional and to provide more information on DNR to the general public.

• 지역사회간호학회지
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• 제9권1호
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• pp.143-162
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• 1998

This is a study for the construction of nursing care based upon the Korean attitude toward medicine. Factors which were investigated include the source of nursing care, the reason for choosing care, the type of heath care chosen, the accessability of caregivers, and the desired location of death. The population examined in this study consisted of 517 adults distributed in six large cities and 191 adults from five rural communities. Data was analyzed using frequency, percent, Cronbach alpha, $X^2$ - test, t - test, F - test and scheffe post hoc contrast with an SAS program. The results of this study are summarized as follows: 1. Among sources of nursing care used, first rank rated-pharmacy(54.4), private hospital(18.2), general hospital(8.4), folk remedies in house (5.0), chinese hospital(2.8), prayer(2.8) and others(8.4), and the reasons for choosing nursing care rated 'the easiest method' (63.6), 'the best method'(15.7), 'reliable'(10.8) and 'lower cost burden'(4.6) in order of preference. 2. The type of nursing care chosen rated western medicine(6.80), chinese medicine(6.15), folk remedies(5.46), faith remedies(3.51) and divination remedies (1.41). There were significant differences in the effect recognition degree to various kinds of medicine. 3. The difference of the type of nursing care chosen according to general characteristics showed that urban residents were higher than rural community residents(t=2.15, p=0.0320) in western medicine, and urban residents, women, and singles were higher than rural community residents(t=2.04, p=0.0414), men (t= -2.89, p=0.0039), and married(t=2.50, p= 0.0126) on folk remedies. With repect to age and education those 21-30, under 20 and 31-40, graduated from college and graduate school were higher than above 51, above 61 (F = 7.76, p = 0.0001), graduated from elementary school(F=4.39, p=0.0006) on folk remedies. In other categories, rural community residents, women, younger people. Christians were higher than urban residents ( t = -2.73, p=0.0305), men(t= -4.15, p=0.0001), older people (F=2.48, p=0.0307), Catholic, Buddhist, or atheist (F= 70.18, p=0.0001) on faith remedies. Those graduated from high school and Buddhist were higher than unschooled, graduated from middle school(F=3.18, p= 0.0075), atheist, Catholic or Christian(F=18.32, p=0.0001) on divination redemies. There were significant differences concerning age and education level. 4. The accessibility of caregivers rated 'caregivers should be nearby if the patients need them' (50.0), 'caregivers must be there all day (24 hours)' (39.6), 'caregivers must be there at night only'(5.0), 'caregivers must be there during the day only'(2.6), 'caregivers always should visit during visiting hours' 0.4), 'caregivers don't need to be there at all' (1.2). The frist rank of suitable caregivers were rated as spouse(66.6), mother(24.2), daughter (3.6), daughter-in-law(1.9), and the reasons of thinking thus were rated as 'the most comfortable' (81.5), 'people should correctly with regards to family they'(7.1), 'the easiest' (5.4), 'take good care of the patient' (5.1) and 'lower cost burden' (0.4). 5. The desired location of death rated as the following: his/her house (91. 6) to the hospital(8. 4). A person going to encounter death in the hospital wanted his house(78.5) over the hospital(21.5), and a person dieing in the hospital prefered his house(52.9) over the hospital(47.1) as a funeral ceremony place. The following suggestions are made based on the above results. 1. A sampling method that enhances the re presentativeness should be used in regional and/or national related research and replicated to confirm the result of this study. 2. This study should be used to understand the Korean view of medical centers and to meet the expectations of patients in Korean nursing. 3. Research on the Korean traditional view of humans and expectations of the sick, health and illness, and health behavior, the perception of dying, the decision to heal, and the view of general medicine should continue to be conducted continuosly so that Korean nursing theory can be advanced on these concepts.

• 대한간호학회지
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• 제10권2호
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• pp.95-115
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• 1980

Current statistics reveal remarkable prolongation of the average longevity in this country for the past decade. Welfare of the aged is no longer sole concern of the person or/and family. but has aroused social concern on the community and national level. This study was designed to assess social, economic and emotional needs of the aged. and to identify problems they are confronting. Data were gathered through questioning 273 subjects living in Seoul from July 25, to August 31. 19 80. Frequencies and percentile scores were analysed to describe the fact. and the significance of int or-variable differences was tested by Chi-square method. Results are : 1. Majority of the subjects (male : 65.38%). (female : 62.13%)“talk about past experiences”to re-collect their past days, the difference between male and female respondents was not significant. 2. Except few who earn their pocket money (4.21%). majority were doing household errands (34.52% ) and looking after their garnd children (29.26 ％）. Main sources of their pocket money revealed to be their children (84.02%) and their own savings (24.64% ). Except few (15％）engaged with social activities directly or indirectly. leisure hours are spent in chatting with aged neighbors (44.81%). Highest in the rank order on the joyous moments for the aged revealed to be when the members of family living apart paying a visit (male : 37.5%, female : 63.72%)difference of male and female was significant ( P<0.05). Among female respondents. significant difference between age group was revealed (p<0.05). 3. Majority prefered sin91e houses (84.30% ). as residential environment. the suburban (36.26% ) area was the filet in the rank order : difference between age group and the educational status were not significant. Majority of respondents revealed to have their own room in the house. The first preference was given to live with their children (68.86%). Memory of the past (37.36% )revealed to be the highest in the rank order among the reasons why they dislike moving the house. 4. Majority favored current welfare benefts provided for the old age. however. the ideal way to live at their old age they responded was to live on their own savings (50.54%). 5. Majority revealed to be daunted occasionally (62.27%) by not being less active (34.16%) socially and by poor physical health(29.75%). Male and female differ in the causes of loneliness significantly (P <0.001) : retirement (37.89%) in ale and helpessness (43.05%) in female revealed the highest in the rank order. Majority talk over their feelings with aged neighbors to overcome the loneliness. 6 Majority were in favor of planting and looking after pet animal in the house. however. male and female differ in the kind significantly (p <0.001), 7. Majority think about death and dying occasionally or more (84.11% ). Many of the respondents believes in the life after life (53.49%) : female revealed to be significantly higher (p <0.01). and subjects with christian belief were significantly higher than non-christians (P<0.001). Attitude towards death and dying differs significantly between male and female (P <0. 001) and between christians ans and nonchristians (p <0.001). Highest preference was given to simple funeral (69.85%). Precious heritage that they would pass on to their descendants was onoscience and ethical value(57. 51%) : christian response as the first value was christian belief (52.38%).

• 한국철학논집
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• 제23호
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• pp.99-128
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• 2008

본 연구는 한국에 적합한 리더십 이론을 구성하기 위한 작업의 일환으로 역사적 인물의 사례를 분석하여 그들의 리더십 핵심가치를 제시하였다. 이는 우리가 그리고 바라는 리더의 모습을 발견하고 우리의 정체성을 확인하고자 하는 것이다. 우리 역사속의 인물은 일정한 범주로 구분한 결과 유형별로 그들을 묶어낼 수 있었으며 그들의 대표적 특성을 찾아낼 수 있었다. 실사(實事), 결사(決死), 풍류(風流), 창안(創案), 개신(開新)이 그것인데 그 중에서 본 연구는 결사의 선배들을 통해 리더의 모습과 가치를 구성하였다. 결사(決死),란 '옳은 일을 위하여 목숨을 다하여 싸운' 특성을 말하며, 12명의 인물을 선정하였는데 계백 강감찬 을지문덕 최영 정몽주 성삼문 이순신 곽재우 최익현 안중근 윤봉길 이준이 그들이다. 그리고 이들의 핵심가치와 역량, 그리고 그들의 구체적 사례를 개인영역, 관계영역, 조직영역, 사회영역으로 나누어 분석한 결과 공통된 요소를 발견할 수 있었다. 결사의 선배들은 이상과 목표를 제시하고 앞장서서 몸으로 행동하는 유형이다. 그들의 목표는 명확했고 의지는 확고했다. 2장의 개인영역의 핵심가치는 지청청(志靑靑)이다. 즉 뜻을 세우고 당당하고 꿋꿋하게 이를 지켜낸다는 의미이다. 옳은 일이라면 꿋꿋하게 혼자서라도 푸른 빛을 드러낼 수 있는 의지를 보여준다. 분명한 자기확신과 신념이 바로 개인영역의 핵심가치이다. 3장의 사람과 사람사이의 관계맺음에서 보여준 핵심가치는 수신결의(守信結義), 즉 의리를 지킴으로 해서 신뢰를 형성하고 이를 지켜내는 것이다. 믿음은 인간이 타인에게 보여줄 수 있는 최고의 애정이다. 따라서 상호간의 신뢰가 형성되기 위해서는 참된 마음과 인간애가 바탕이 되어야 하며[촌성함정(寸誠含情)], 인정(人情)에 치우치지 않는 엄격함과 분명한 자세로 원칙과 기준을 명확히 해야 한다[정우직행(淨友直行)]. 원칙을 중시한다는 것은 이중규범이 없어야 한다는 것이며, 스스로에게 더욱 엄격하면서 타인에게는 포용을 베풀 수 있는 것이다[박기후인(薄己厚人)]. 4장의 조직영역의 핵심가치는 단심합력(丹心合力)이다. 이를 위해서는 공동체의식과 조직에 대한 헌신과 책임의식, 그리고 솔선수범의 자세가 요구된다. 결국 조직을 이끌어가는 가장 큰 힘은 팀웍이며 이순신이 갑옷을 벗어던지고 앞장서는 행동으로 부하들을 독려했듯이 리더의 태도가 가장 큰 영향력을 끼치는 것이다. 5장에서 결사의 사회영역에 대한 가치지향은 명확하다. 그들은 대의를 위하여 죽음을 선택하는 召命을 완수하였다. 이들은 모두 부정에서 긍정을 찾는 신념속에서 소임을 다하며, 의리에 바탕을 둔 주체적 모습을 보여주었다. 리더는 단지 효율적으로 일을 처리하는 사람이 아니라 올바른 일을 하는 사람이어야 한다. 목표달성을 위하여 수단과 방법을 가리지 않는 사람이 아니라 올바른 가치관에 따라 움직이는 사람이어야 한다. 인격과 도덕적 행위가 바탕이 되지 않는다면 그 리더십은 효과적으로 수행될 수 없다. 따라서 도덕적 책임성과 주체적이며 개방적인 자세로 시대적 소명을 실천해가는 자가 진정한 리더이며 자기확신과 신뢰를 기초로 한 리더십이 그 해답이 될 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제13권10호
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• pp.325-346
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• 2013

본 연구는 노인의 인구사회학적 특성에 따른 종교활동, 신앙태도, 우울 및 자아통합감의 차이를 분석하고, 종교활동과 신앙태도가 우울 및 자아통합감에 미치는 영향을 분석하였다. 설문조사는 서울 수도권 지역에서 기독교 신앙을 가진 60세 이상의 노인을 대상으로 2013년 5월 4일에서 25일까지 실시하였으며, 총 408부의 자료를 분석하였다. 연구결과를 요약하면, 첫째, 노인의 인구사회학적 특성에 따라 종교활동, 신앙태도, 우울 및 자아통합감에서 부분적인 차이가 분석되었다. 둘째, 주관적 종교활동과 신앙태도는 우울 요인에 부(-)적인 영향을 미쳤고, 노인의 주관적, 조직적 및 비조직적 종교활동은 비활력 요인에 부(-)적인 영향을 미치고 있었다. 셋째, 주관적 종교활동은 자아통합감의 삶에 대한 태도와 죽음의 수용에, 조직적 종교 활동은 노령의 수용에 정(+)적인 영향을 미쳤고, 종교활동의 모든 요인은 현재 생활 만족에 정(+)적인 영향력을 나타냈다.

• 한국호스피스완화의료학회:학술대회논문집
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• 한국호스피스완화의료학회 2004년도 정기총회 및 하계학술대회
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• pp.100-102
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• 2004

Under the current medical system, a terminal patient and his/her family who are neglected inevitably face various aspects of crises including not only physical, but also psychological, social, economic, spiritual and legal problems. Nurses often look after many terminal patents with these types of complicated problems. Therefore, educating the nurses who will take care of such patents would greatly reduce stress so the patents end could their lives in peace and without losing their dignity. This research is a quasi experimental study of nonequivalent control group. A pretest-posttest design where a basic education program is developed for nurses, who frequently treat terminal patents, to understand the importance of the role of hospice and to apply their understandings to treat terminal lancer patents. A sample of the nurses were taken from those who were working in general wards at two general hospitals in Seoul during October, 2003${\sim}$December 2003. The study was composed of 46 experimental group and 43 control group. A basic hospice education program was developed by taking emphasized and overlapping parts from advanced practice hospice nurses education course, short-term education course, an extensive literature survey and by consulting three professionals as well. With the group of 5 professors with vast experiences in oncolgy, 5 nursing administrator, 3 nursing practitioner, the tentative first version of the program was developed and reviewed. Afterwards, by utilizing person to person interviews with 2 head nurses experienced with terminal patients, 1 nurse in charge of hospice, 1 nurse on the contents of the program, and a person to person rating on the educating medium by a nurse were performed. The final version of a basic education program was developed after the second revision. The hospice basic education program consists of introduction to hospice, hospice and commucation, management of pain for terminal cancer patients, physical management for terminal cancer patients, socio-psycological caring of terminal cancer patients and management of death and separation. Total education time was four hours organized into 50 minutes of instruction and 10 minutes of break. $Powerpoint^{(R)}$ software was used as the education medium. As research tools, "Knowledge on Hospice" was developed by the author after receiving a review from one expert. "Attitude of Hospice Nursing" was revised Kim(2001)'s attitude measuring tool which was based on Wang(1998), Kwon(1989), Park and Sung(1991)'s tool. "Liability on nursing terminal patients" was used as developed by Zarits(1980) and Mongomory(1985) translated by Lee(1985). For collecting data, preliminary investigation prior to 1 week of the hospice basic education program and post-investigations after 1 week and 4 weeks of the education were carried out for the nurses at a general ward who understood and agreed on the purpose of the program. Collected data were analyzed throughout t-test, $x^2-test$, Manova test and Bonferroni correction in $SAS^{(R)}$ program. The summary of the investigation is as follows: Hypothesis 1: "Educated experimental group would possess more knowledge on hospice compared to the un-educated control group" was supported after 1 (F=12.14, p=.00) and 4 (F=5.3, p=.02) weeks of education. Hypothesis 2: "Educated experimental group would take a positive attitude toward hospice nursing compared to the un-educated control group" was supported after 1(F=3.92, p=.05) and 4(F=5.05, p=.02) weeks of education. Hypothesis 3: "Educated experimental poop would feel less liability compared to the un-educated control group in nursing terminal cancer patients' was rejected. In this study, it was found that knowledge on hospice was significantly important. By applying hospice basic education programs to nurses, the education program helped nurses to take a positive attitude toward terminal patients. It was, however, seen that the education program had no effect on alleviating liability in nursing terminal patients. Therefore, it is expected that this educational program would help hospices and nurses at general wards to understand the concept and the role of hospice so that terminal patents, now neglected under current medical system, would be able to end their lives in peace.

• 사회복지연구
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• 제44권2호
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• pp.59-87
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• 2013

본 연구는 베트남에 거주하고 있는 한국 고령남성의 이주경험을 이해하기 위한 기술적 성격의 질적사례연구이다. 구체적인 연구질문은 다음과 같다. ① 베트남 이주로 인해 개별 사례가 무엇을 경험하는가?, ② 베트남 이주가 사례에게 어떤 의미인가? ③ 고령남성의 베트남 이주의 상황적 맥락이 가지는 의미가 무엇인가? 이를 탐색하기 위해 7명의 연구참여자에게 11개월에 걸쳐 심층면접을 중심으로 다각도의 자료를 수집하였다. 자료분석은 사례 내 분석과 사례 간 분석을 통해 주요 내용을 파악하였고, 이야기 재구성을 통해 분절된 의미들을 맥락을 고려하여 재기술하였다. 개별사례를 관통하는 주제들로는 '이주동기와 배경', '문화적응', '사회적 관계망', '일의 의미', '가족', '영성과 삶의 태도', '죽음에 대한 인식'으로 나타났다. 결론에서 연구결과를 요약하고, 연구의 함의 및 제한점, 후속 연구에 대해 제언하였다.

• 기독교교육논총
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• 제63권
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• pp.65-89
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• 2020

현재 인류는 전염병의 대유행 가운데 다양한 변화를 경험하고 있다. 교회와 성도 역시 Covid-19로 인해 예배, 성경 모임, 기도회 등 공동체 모임과 개인의 영적 삶에 영향을 받고 있다. 전염병의 대유행은 현시대를 포함해 인류에서 여러 차례 지속해서 발생했다. 가까운 예로는 1918-인플루엔자가 있고, 잘 알려진 예로는 14세기 이래로 진행된 페스트(흑사병)가 있다. 기독교는 전염병의 대유행에 어떻게 대응하였을까? 본 연구는 이 질문에 대해 영성의 관점에서 연구를 수행한다. 과거 전염병이나 질병의 창궐로 인한 사회와 교회의 변화를 연구하고, 이로부터 교회와 성도가 배워야 할 점은 무엇인지 살펴본다. 전염병 상황 가운데 본 논문이 제시하는 세 가지 제안은 영적 선구자의 삶과 태도, 침묵, 그리고 삼위일체 체험을 바탕으로 하는 영성의 사회적 실천이다.