• 대한간호학회지
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• 제33권4호
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• pp.495-502
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• 2003

Purpose. This ethnography is aimed at describing the care-giving practices of the nuclear family and relatives of the elderly within a clan village in relation to their socio-cultural context. Four basic notions of the study came from Leininger's culture care theory and the nurse-client negotiation model of Anderson. In order to understand the cultural system of caring, the following questions were explored: What caring behaviors are performed for the elderly person in a clan and how do these behavior relate to the various components of that particular culture\ulcorner Method. Data for this study was gathered through twenty-one fieldwork expeditions between September 1994 and December 2002 using interviews and participant observation of 7 families drown from two extended families. Data was analyzed using the techniques of taxonomy, value, and proxemics analysis. Findings. The socio-cultural context of caring for elderly people, their caring values, and four categories of caring were explored. Values of caring and every day life in the clan were hierarchical, reciprocal, and collective. The four categories of caring were: being with, empowering, keeping territory, and enhancing spirituality. Conclusions. The results of this study can be used to understand culture-specific care and to provide culturally congruent care for the elderly in a clinical setting.

• 근관절건강학회지
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• 제28권3호
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• pp.252-262
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• 2021

Purpose: To define the concept of digital health literacy and identify its attributes. Methods: Walker and Avant's approach was employed for concept analysis. Attributes, antecedents, consequences, and the definition of digital health literacy were derived from a review of 28 studies. Results: Digital health literacy was identified to possess the following five attributes: health information seeking, health information processing, health information communication, health-related knowledge translation, and utilizing digital technology. Basic literacy skills, health concerns, motivation to use technology for health information, and access to digital technologies were all antecedents of the concept. The consequences of the concept were health behaviors, patient engagement, health status, and quality of life. Digital health literacy is the ability to seek relevant health information utilizing digital technology to solve health problems and improve quality of life. Furthermore, it refers to the translation of health-related knowledge obtained through health information processing-finding, understanding, and evaluating health information and health information communication-into the context in which individual and social factors interact. Conclusion: This study presented a new definition of digital health literacy that goes beyond existing internet-based eHealth literacy, by incorporating the context of emerging digital technologies. This proposed definition can serve as a foundation for the development of instruments and educational programs to improve individuals' digital health literacy.

• 지역사회간호학회지
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• 제30권2호
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• pp.195-205
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• 2019

Purpose: This study was conducted to identify effects of Medicaid Case Manager's communication competence and stress on their job satisfaction. Methods: The current work is descriptive research, and the participants were 154 medicaid case managers. Data were collected between May and July, 2017 through Embrain, a specialized research organization. The data were analyzed using independent t-test, ANOVA, and multiple regression. Results: The mean communication competence of the medicaid case managers was 3.61, stress 1.76, and their job satisfaction 2.74. Age and average monthly compensation brought significant differences in their job satisfaction. Their communication competence was correlated with stress (r=-.35, p<.001), but not with their job satisfaction. The stress was the most influential factor in job satisfaction (${\beta}=-.45$). Conclusion: The results of this work show that the medicaid case managers' communication competence was not an influence factor of their job satisfaction, which is different from implications from the previous studies and needs confirmation through future research. In addition the results of this study also suggest that stress management can be a useful approach to the improvement of medicaid case managers' job satisfaction.

• Child Health Nursing Research
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• 제20권1호
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• pp.58-66
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• 2014

목적 본 연구에서는 국내에서 보고된 유머와 관련된 간호연구의 동향을 분석하고, 이를 고찰, 비평, 탐색, 논의하여 의미 있는 결과를 통합함으로써 유머와 관련된 간호연구의 속성을 도출하고자 한다. 이를 통해 궁극적으로는 아동을 대상으로 간호현장에서 유머중재 프로그램 개발의 과학적인 근거와 기초자료를 제공하고자 한다. 방법 본 연구는 최근 20년간 유머와 관련된 국내 간호연구논문을 통합적 고찰 방법으로 분석한 문헌고찰 연구이다. 결과 유머와 관련된 국내 간호연구논문 13편을 객관적이고 체계적으로 고찰하여 유머와 관련된 간호의 속성을 긴장완화를 위한 구체적인 도구의 사용, 즐거운 기분 유발로서 환자의 증상 완화, 유머를 활용한 간호사의 직무만족과 업무향상이라는 세 가지로 도출하였다. 결론 본 연구를 통해, 유머는 스트레스, 질병 등의 위기상황에 놓인 아동을 도울 수 있는 간호중재로서 가치가 있을 것으로 고려된다. 따라서 임상상황에서 간호사들이 아동간호 시, 유머의 기능을 충분히 활용한다면 대상자의 안녕과 건강증진에 긍정적인 결과를 가져 올 수 있을 것으로 기대된다. 또한 유머란 개인마다 차이가 있으며 시대와 사회 문화적 특성에 따라 끊임없이 변화되고 발달되어 간다는 점에서 이에 대한 계속적인 연구가 이루어질 필요가 있다고 생각한다.

• 치위생과학회지
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• 제2권1호
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• pp.25-29
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• 2002

본 연구에서는 분자량 78,000과 9,600의 poly-L-lysine(PLL)이 일차배양된 햄스터의 기관표면 상피세포로부터의 뮤신유리에 어떠한 영향을 미치는지를 검증하고자 하였다. 완전히 다 자란 배양세포에 $^3H$-glucosamine을 함유하는 완전 배양액을 첨가하고 24시간 배양함으로써 배양세포 중의 뮤신에 대사적 방사선 표지를 완결한 후 다양한 농도의 PLL을 30분간 처리하고, 유리되는 방사성 뮤신의 함량을 측정하였다. PLL에 의한 세포독성 발현여부를 검증하기 위하여 PLL 처리 후 배양세포로부터 유리되어 배양액 중에 존재하는 Lactate Dehydrogenase(LDH)의 활성을 측정하였다. 실험 결과, PLL은 분자량 78,000 및 9,600의 두 물질 공히 용량 의존적으로 뮤신유리를 억제하였다. 그러나 세포독성의 지표인 LDH 유리에 대한 영향은 PLL 9,600의 경우에는 유의성이 없었으나, PLL 78,000의 경우에는 현저한 유리 증가를 보였다. 이러한 결과는 PLL의 경우, 분자량이 10,000 이하의 범위에서 세포독성을 발현하지 않으면서도 뮤신유리를 특이적으로 억제할 가능성을 제시하고 있으며, 동시에 PLL이 기도점액 과다분비 현상을 연구함에 있어서 유용한 실험수단으로 이용될 가능성도 제시하고 있는 것이다.

• 사물인터넷융복합논문지
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• 제9권3호
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• pp.35-43
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• 2023

본 연구는 AI 기반 맞춤형 학습 시스템을 시범적으로 운영하여 대학 수업에서의 AI 기반 맞춤형 학습 시스템의 적용 가능성과 효용성을 알아보고자 하였다. 이를 위하여 C지역 소재 B대학교 1학년 재학생 중 기초수학 교과목 수업에 참여한 42명 학습자를 대상으로 AI 기반 맞춤형 학습 시스템을 적용 및 운영하였고, 학생 및 교수를 대상으로 설문 문항 조사와 인터뷰를 진행하였다. 연구 결과, AI 기반 맞춤형 학습 시스템의 활용은 학생의 학업성취도를 향상시켰다. 심층인터뷰 결과 교수자와 학습자 모두 기초 개념 학습에 있어 학습 성과 향상에 기여하는 것으로 파악되었다. 이는 AI 기반의 맞춤형 학습 시스템이 자기 주도 학습의 역량을 향상하고 개념학습을 통해 지식 강화에 효과적인 방안이 될 것임을 시사한다. 본 연구는 인공지능 기반 적응형 학습 시스템의 기초 과학 교과목 도입과 적용에 관련한 기초자료로 활용될 수 있을 것이다. 향후 AI 기반 맞춤형 학습에서 학생들에게 제공한 학습과정과 분석한 데이터를 대면수업에 연계한 효과 검증과 분석한 데이터의 활용 방안에 대한 전략 연구를 제언한다.

• 간호행정학회지
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• 제1권1호
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• pp.97-111
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• 1995

In our society today, a variety of medical caring system, along with a scientific development in the area of oriental medical science plus national demand, has increased the augmentation and the opening of oriental wards and hospitals (Han Bang), which has come to create an additional requirement of nursing activity at oriental medicine wards should be different from that of the general wards or the same as the other. In view of this, various studies need to be made in this connection. The purpose of this study is to comprehend the number of nurses who want to work at oriental medicine wards and measure job satisfaction in nursing as compared with those working at general wards so as to provide basic materials for future assignment and supplementary training for the nurses. An attempt was made to contribute toward nursing administration on the one hand improving nursing training course on the other hand. A total of 72 nurses currently working at two oriental medicine hospitals available in Seoul and 82 general nurses were selected for this study using the questionaire from December 1993 to January 1994. An instrument for the study was based on the measurement of work satisfaction developed by Paula L. Stamps including 37 questions complemented by Kim for revision (1993) and 14 questions regarding general characteristics and oriental medicine wards. The instrument to test dependability showed Cronbach's=0.7711. The collected data have been processed by computer package SPSS. General characteristics of the two groups and the matters involved in oriental medicine wards were calculated into real figure and percentage an similarities between the two groups were analyzed by t-test and F-test according to the characteristics of variables. The comparative test on work satisfaction among the two groups including general characteristics and work factors were conducted by t-test and F-test. The major findings as a result of the study are as follows : 1. As general characteristics, age group of $26{\sim}30$ years are more than any segment of age. As to marital status, the number of those in single status is slightly higher than the married. Approximately 80% of them are graduates of nursing schools and nursing colleges. They are mostly in service for one to three years. There is no significant difference between the two groups. 2. The number of those who want to work at oriental medicine wards represents 40.3% against 58.4%, being in favor of general wards. 3. The reason for service at oriental medicine wards is that "there is room for potential research" which happened to rank first, followed by "easy job," "good working atmosphere" and "growing interest in oriental medicine." 4. Work satisfactions among nurses who work at oriental medicine wards prove greater than that of nurses who work at general wards. 5. Work satisfaction between the two groups by work factors is reflected with significant difference statistically on task requirement, interaction and doctor-nurse relationships. 6. The general charcateristics and the work satisfaction by work factors prove that there are significant difference in age, marital status, education and the period of work. They tend to be more satisfied with the work as they grow in age. Significant differneces are found in the work factors such as autonomy, adiministration and professional job in the relationship with doctor-nurse. As to marital status, the married are more satisfied than the unmarried. There are significant differneces in the factors respecting administration and doctor-nurse college graduates are highly satisfied with task requirement. However, satisfaction with the professional level has proven the highest degree for those having master degree. The period of work and satisfaction : There are significant differneces in task requirement, administration, interactions, professional level and doctor-nurse relationships. As a general rule, the degree of satisfactions is in proportion to the lengrh of service. The following conclusions are drawn based on the fndings mentioned above. Even though the work satisfaction of the nurse who work at oriental medicine ward is relatively high, it is desired that personal consultation be given as to disposition of nurses when they are assigned to oriental medicine wards. It is also recommended that lectures on oriental medicine be conducted through supplementary training and/or basic nursing course in order that they may be motivated for ingenious activities with an increasing sense of self-esteem which will eventually enhance positive changes for the patients who are in need of oriental medicine nursing and for the medical teams. In addition, joint reseaches involvingclinical care and education should be in constant process for unique and scientific development for those who are subject to oriental medicine nursing care.

• 한국산학기술학회논문지
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• 제15권5호
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• pp.3014-3024
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• 2014

본 연구는 적절한 간호서비스 개선을 위한 기초자료를 제공하기 위해 실시하였는데. S시에 소재한 병원의 안심병동(보호자 없는)과 일반병동에 입원한 65세 이상 135명의 노인환자들에게 2013년 12월 5일부터 31일까지 간호서비스 만족도를 조사하였다. 연구결과, 적정 간호인력을 배치하여 간호사가 간호서비스를 직접 제공한 안심병동(4.41점)은 일반병동(4.07점)보다 간호서비스 만족도가 높았다(t=3.45, p=.001). 안심병동과 일반병동 간 하부 영역별 차이를 살펴보면, 전문기술 영역(t=2.96, p=.004), 교육 영역(t=3.30, p=.001), 신뢰성 영역(t=3.79, p<.001) 모두에서 안심병동이 유의하게 높게 나타났다. 안심병동의 간호서비스 만족도 하부영역 중에서는 신뢰성 영역이 가장 높았고, 전문기술 영역, 교육 영역 순이었다. 이를 근거로 간호서비스의 만족도를 높이기 위해서는 적정 간호인력을 확보하는 것이 필요하다.

• 사물인터넷융복합논문지
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• 제10권1호
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• pp.29-37
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• 2024

본 연구의 목적은 기본간호학 수업에서 간호대학생에게 하브루타 수업방식을 적용한 교육이 문제해결능력, 자기 주도적 학습능력, 비판적 사고성향 및 학습몰입에 미치는 영향을 알아보는 것이다. 연구는 2023년 9월 18일부터 11월 6일까지 진행되었고, 간호학과 학생 43명을 대상으로 기본간호학 수업에서 6주 동안 하브루타 수업을 적용하였다. 자료는 SPSS/WIN 28.0을 사용해 평균, 표준편차, 대응표본 t-검정으로 분석하였다. 간호대학생을 대상으로 하브루타 수업전후로 문제해결능력(t=4.52, p<.001), 자기주도학습능력(t=-4.61, p<.001), 비판적사고성향y(t=-4.10, p<.001)이 통계적으로 유의하게 증가했으나, 학습몰입에서는 통계적으로 유의한 차이가 없었다(t=-0.28, p=.782). 하브루타 수업은 문제해결능력, 자기주도적 학습능력, 비판적 사고 성향을 향상하기 위한 효과적인 수업방식이다. 본 연구 결과는 간호학과 교수들이 하브루타를 활용한 교수학습 전략을 기획할 때 기초자료로 활용될 수 있을 것이며, 하브루타 수업방식을 다양한 교과목에 활용하고 그 효과를 평가하기 위한 후속 연구를 제안한다.

• 대한간호학회지
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• 제26권3호
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• pp.576-590
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• 1996

Advanced countries such as the USA and Japan are eagerly seeking ways to improve health and welfare of the elderly. One of the services is home health care service using the telephone. Various types of services using the telephone have been developed, improved and are being utilized ranging from the basic consulting to emergency response systems in the area of health care for the elderly. A demonstration project was launched to study the feasibility of a consulting system and telemedicine for the elderly using the public phone system in Korea. For this project, a gathering site for the elderly was selected and those who visited this place were interviewed to find out what kinds of services they wanted and what kind of system they needed to provide the required services. Based on the users' requests and the surrounding environment, a telephone consulting facility was established at the Research Institute of Nursing Science at Seoul National University and consulting personnel was recruited, trained and posted at the center. An Application program for home health care nurses to use when they visited the patients at their homes was developed. This system operates on a notebook Computer and allows nurses to communicate with a doctor at a local hospital through a modem and telecommunication line. These systems were implemented for three months and problems which developed during operation of the systems were identified and progressively modified. Through system evaluation, it was found that a consulting system using phone service will be an invaluable system for the welfare of the elderly in the future. But in order to meet the elderly's need, more services than mere consultation are needed. That is, communication with physicians and hospitals are needed. Thus, when there is any need for physicians' attention, physicians or hospitals should be contacted directly. Similarly for telemedicine, when the home health care nurse visits elderly patients she can assess the patient's problem and provide nursing care, access a physician or hospital to refer her patient to or consult directly using the telecommunication the system. The above mentioned system is a basic form of futuristic telemedicine for the elderly and those who have chronic disease problems. This kind of system will be of great value when it is used on the national information super-highways in the future. In order to get to that stage, of course, this project needs great improvement in the technical, academic, and legal aspects.