• 제목/요약/키워드: Clinical social work

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간호사 국가시험 방향설정을 위한 임상수행 능력- 기본간호학, 성인간호학, 정신간호학, 여성건강간호학, 지역사회간호학, 아동간호학, 간호행정을 중심으로 - (Clinical Competency for Directing of Registerd Nurses정 National Examination.)

  • 김분한;김소야자;이정섭;탁영란;김희순;최의순;신경림;최경숙;김귀분
    • 대한간호학회지
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    • 제28권4호
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    • pp.1075-1087
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    • 1998
  • For producing large numbers of professional nurses who could manage 21th century's human health, it is necessary to review the direction of registered nurses' national examination which evaluates the nursing education and is granted a licence. For adapting to social expectation of the nurse, we have to nurture the nurses' problem solving capability in clinical setting. Seven divisions of Korean Academy of Nursing suggested clinical competency according to their categories. This paper was presented in the work-shop for setting up direction of registered nurses' national examination. We expect that this paper would be more refine and confirm through reviewing subdivisions' learning objectives and discussing clinical minimum level of competence contents with clinical leaders.

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가정폭력에 노출된 아동의 문제와 개입프로그램에 관한 연구 (Analysis of the Problems of Children Exposed to Family Violence and Clinical Intervention Program for the Children)

  • 김재엽;조학래;양혜원
    • 한국사회복지학
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    • 제55권
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    • pp.27-54
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    • 2003
  • 본 연구에서는 서울과 대전지역의 초등학교, 사회복지관, 그리고 쉼터를 통하여 가정폭력 노출아동 문제의 실태를 조사하고 일반 아동과의 비교 분석을 실시하였다. 그 결과, 가정폭력 노출아동은 일반아동에 비해 정서문제와 공격성이 심하고, 사회성이 떨어지며, 가정폭력에 대한 인식 및 대처가 부적절하였다. 본 연구에서는 이러한 연구결과와 기존 가정폭력 노출아동을 위한 개입프로그램에 기초하여 쉼터와 일반 기관에서 공통적으로 활용할 수 있는 통합적 집단프로그램을 구성하여 실시하고 그 효과성을 검증하였다. 프로그램에 대한 효과성 검증은 참여 아동에 대한 개별사례분석과 솔로몬4집단설계(Solomon four group design)를 병행하여 실시하였다. 사례분석 결과, 대다수의 사례에서 프로그램이 진행되어감에 따라 초기의 위축되고 소극적인 행동에서 변화하여 점차 자기표현이 증가하고 다른 구성원들을 적극적으로 지지, 격려하는 등의 긍정적인 행동이 나타났다. 솔로몬4집단설계의 공식에 따라 본 프로그램의 순수실험효과를 산정한 결과, 정서문제, 공격성, 사회기술, 가정폭력에 대한 인식 및 대처에 상당한 정도의 순수실험효과를 갖는 것으로 입증되었다.

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의료기관의 사회적 책임활동에 대한 종사자의 수용태도에 관한 연구 (A study on the hospital employee's attitude towards CSR)

  • 김진주;진기남;김성호
    • 한국병원경영학회지
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    • 제18권4호
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    • pp.145-165
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    • 2013
  • The researches on corporate social responsibility(CSR) focused mostly on its effects on financial performance or consumer's behavior. However relatively few studies have dealt with employee's attitude towards CSR. The purpose of this study is to analyze determinants of hospital employee's attitude towards CSR. The data were collected from 163 employees at a general hospital in Gyeonggi-do from June 18 to July 18 in 2012. For the statistical analysis of data, t-test, ANOVA, and hierarchical multiple regression analysis were implemented. The result of hierarchical multiple regression analysis shows that first, perceived management support and direct benefits were positively related to the attitude towards the acceptance of CSR while interruption of work was negatively related. Second, as interruption of work was controlled, the statistically significant relationship between clinical department and attitude towards the acceptance of CSR was disappeared. In order to accommodate CSR in hospitals, first, the enterprise-wide support is more effective rather than expecting the action of each employee. Second, hospitals should provide the education about CSR to let employees expect direct benefits such as improving of their moral sense. Third, the burden of work causing interruption needs to be managed to cause employees to accept CSR.

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DASH로 평가한 상지 근골격계 질환자의 기능 제한 (Determining the Degree of Disability in Workers with Upper Limb Musculoskeletal Disorders using DASH)

  • 김규상;장기언
    • 대한인간공학회지
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    • 제29권3호
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    • pp.311-320
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    • 2010
  • This study aimed to examine the development and characteristics of the workers with upper limb musculoskeletal symptoms and disorders and to analyze the upper limb musculoskeletal symptoms and disorders for its relationship with the individual socio-demographic characteristics. This study investigated the effect on the limitations of physical activities using standardized surveillance tool and clinical diagnosis. Musculoskeletal symptoms and the limitations of physical activities were examined. The clinical diagnosis of musculoskeletal disorders were carried out by physical examination, radiological examination and electromyography-electroneuronography for 22 workers in kitchen hood assembly process and 50 workers in toggle process of leather product manufacturing. The proportion of workers with musculoskeletal disorders was higher and the DASH score was also statistically higher in female and aged workers with longer working hours, longer household working hours, less leisure/hobby activity and higher physical load. Physical activities component score increased in the following order: workers in normal health, workers with musculoskeletal symptoms, and workers with musculoskeletal disorders as clinically diagnosed. Score for each DASH component increased in the following order: sports/performing arts ability, social activities, specific physical functional activities, work or other regular daily activities, work ability, psychological activities, insomnia and upper limb symptoms. The overall and each component DASH scores were higher in workers with symptoms of status praesens and of more severity, and receiving medical intervention. Musculoskeletal symptoms and disorders are associated with individual socio-demographic characteristics, and DASH score for physical activities of upper limb was higher in workers with musculoskeletal disorders. Musculoskeletal symptoms and disorders have a remarkable epidemiological significance for physical activities, social activities, work or other regular daily activities, upper limb symptoms and insomnia, where work ability, sports/performing arts ability and preventive measure is needed.

치위생과 학생의 전문직 자아개념과 임상실습 만족도와의 관계 연구 (A study on the professional self-concept of dental hygiene students and their satisfaction level with clinical practice)

  • 강용주
    • 한국치위생학회지
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    • 제9권1호
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    • pp.73-84
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    • 2009
  • The purpose of this study was to examine the professional self-concept of dental hygiene students, their satisfaction level with clinical practice and the correlation of the two factors. The subjects in this study were 129 dental hygiene seniors at a college located in the city of J. The selected students had been engaged in a 16-week clinical practice. The findings of the study were as follows: 1. The dental hygiene students investigated got a mean of 3.34 out of possible five points on professional self-concept. As for the subfactors of professional self-concept, they got 3.75, 3.38 and 2.87 respectively on communication, professional work handling and satisfaction level. 2. They got a mean of 3.29 out of possible five points on satisfaction level with clinical practice. As to the subfactors of the satisfaction level, they gave 3.60, 3.50, 3.46, 3.04 and 2.83 to environments for practice, the content of practice, supervision, the length of practice and evaluation respectively. 3. In regard to the relationship of general characteristics to professional self-concept, satisfaction level with the major and social perception of dental hygienist made significant differences to professional self-concept. 4. As for connections between the general characteristics and satisfaction level with clinical practice, satisfaction with clinical practice was significantly different according to satisfaction with the major, satisfaction with the amount of practice and satisfaction with social perception of dental hygienist. 5. There was a significantly positive correlation between professional self-concept and satisfaction level with clinical practice(r=.383, p=.001). In conclusion, how much dental hygienists who are trained to be a dental hygienist are gratified with clinical practice is one of integral factors to affect their development of professional self-concept. Therefore prolonged research efforts should be directed into determining in which way clinical practice should be implemented to develop the professional self-concept of would-be dental hygienists and how to raise their satisfaction with clinical practice.

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가정폭력피해여성들과 일하는 한국 사회복지사들의 감정이입 갈등에 관한 연구 (Korean Social Workers' Struggles to Be Empathic with Their Battered Women Clients)

  • 정혜숙
    • 사회복지연구
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    • 제37호
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    • pp.145-170
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    • 2008
  • 본 연구는 한국의 가정폭력피해여성들과 일하는 사회복지사들의 감정이입에 관한 임상적 경험을 현상학적으로 조사한 것으로 이 현장에 종사하는 사회복지사들의 심층면담을 통해 그들의 감정이입 욕구와 갈등을 질적으로 분석하였다. 주요 연구결과로 첫째, 사회복지사들은 상담과 사회복지전문직에 대한 클라이언트들의 선입견과 낯설음이 초기관계에서 그들이 시도하는 감정이입노력에 저항하는 요인들로 경험하고 있으며, 둘째, 친밀한 배우자관계에서 발생하는 가정폭력 피해의 특성들(쉽게 단절될 수 없는 폭력 위기와 정서적 유대감의 공존 등)로 인해 사회복지사들은 클라이언트에 대한 감정이입을 계속 유지하는데 매우 큰 의지와 에너지를 소진하고 있음을 보고 하였다. 따라서 가정폭력피해여성들과 일하는 사회복지사들의 감정이입능력을 개발하고 유지하기 위해서는 전문가들의 투신과 에너지를 지지해 줄 수 있는 대안들(임상슈퍼비젼과 전문적 지지망 등)의 필요성이 제안되었다.

비정규직 임상연구 간호사의 근무경험 (Work Experience of Irregular Clinical Research Nurses)

  • 김혜옥
    • 디지털콘텐츠학회 논문지
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    • 제16권4호
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    • pp.623-634
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    • 2015
  • 지방 종합병원 임상 시험센터에서 근무하는 임상연구 간호사로서의 근무경험의 의미와 본질이 무엇인지를 심층적으로 탐색하기 위함이다. "비정규직 임상연구 간호사로서의 근무경험은 어떠한가?" 임상연구 간호사의 업무 역할 경험을 사회문화적 맥락에서 해석하고 그 의미를 밝히기 위해 Spradley의 문화기술지 연구방법을 이용하였다. 연구를 통하여 도출된 주제는 다음과 같다. 임상연구 간호사로서의 업무 역할 경험에 있어 기존 간호업무와 관련하여 '임상연구 간호사로서의 사회화 되어 가는 과정', '연구 대상자들을 통한 애환'이었다. 임상연구 업무전문성은 전문교육부재', '연구 총 기획자의 역할'이었다. 근무환경 측면은 '자신만의 공간', '여유와 배려 속에서 주도적인 근무 환경'이었다. 복지 측면은 '비정규직만이 가진 고충'이었다. 비정규직 임상연구 간호사로서 근무경험은 간호사 역할 확대와 더불어 사회화 학습과정을 통하여 자신의 업무과정을 원활하게 수행하려는 경험을 하고 있었다. 결론은 간호사의 역할 확대에 따른 간호 전문직론에 임상연구 간호사의 직무분석과 역할이 추가로 구성될 필요가 있다. 사회적으로 비정규직 임상연구 간호사의 근로조건 개선에 기초적인 자료가 될 것이다.

A biomedically oriented automatically annotated Twitter COVID-19 dataset

  • Hernandez, Luis Alberto Robles;Callahan, Tiffany J.;Banda, Juan M.
    • Genomics & Informatics
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    • 제19권3호
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    • pp.21.1-21.5
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    • 2021
  • The use of social media data, like Twitter, for biomedical research has been gradually increasing over the years. With the coronavirus disease 2019 (COVID-19) pandemic, researchers have turned to more non-traditional sources of clinical data to characterize the disease in near-real time, study the societal implications of interventions, as well as the sequelae that recovered COVID-19 cases present. However, manually curated social media datasets are difficult to come by due to the expensive costs of manual annotation and the efforts needed to identify the correct texts. When datasets are available, they are usually very small and their annotations don't generalize well over time or to larger sets of documents. As part of the 2021 Biomedical Linked Annotation Hackathon, we release our dataset of over 120 million automatically annotated tweets for biomedical research purposes. Incorporating best-practices, we identify tweets with potentially high clinical relevance. We evaluated our work by comparing several SpaCy-based annotation frameworks against a manually annotated gold-standard dataset. Selecting the best method to use for automatic annotation, we then annotated 120 million tweets and released them publicly for future downstream usage within the biomedical domain.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 갈근황연황금탕(葛根黃連黃芩湯) 투여 후 호전된 성인, 소아 ADHD 4례 (Case Series Reporting 4 Cases of Attention Deficit Hyperactivity Disorder (ADHD) Treated with Galgeunhwangryeonhwanggeum-tang based on Disease Pattern Identification Diagnostic System by Shanghanlun)

  • 윤효중;김민환;두인선;이성준
    • 대한상한금궤의학회지
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    • 제15권1호
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    • pp.85-115
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    • 2023
  • Objectives : This study reports on the cases of four ADHD patients who treated with herbal medication based on Disease Pattern Identification Diagnostic System (DPIDS). Methods : Two children and two adults were diagnosed with ADHD according to DSM-V, and Galgeunhwangryeonhwanggeum-tang was administered. The parents of the two children completed the Korean ADHD Rating Scale (K-ARS) before and after treatment, while the other patients used the Korean ADHD Self Rating Scale (K-ASRS). The patients' somatic symptoms and other issues were evaluated through interviews. Results : In the first case, the K-ARS scale exhibited a change from 28 to 3. The patient demonstrated improvements in attention, concentration, and social behavior, along with the elimination of self-injurious behavior. In the second case, the K-ARS scale showed a change from 41 to 9. The patient in the third case demonstrated improved chronic fatigue, increased attention, work efficiency, and enhanced social skills, leading to maintaining employment for over six months for the first time in their life after the treatments. Additionally, the patient in the fourth case demonstrated improved work concentration and relief in nocturia. Conclusions : In this study, four patients exhibited improvements in symptoms of attention deficit, hyperactivity, and impulsivity before and after herbal treatment, leading to enhanced academic and social relationships. As the patients progressed in their health restoration, symptoms related to the genitourinary system also showed improvement.

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순환교대근무 간호사의 일주기유형에 따른 근무조별 수면시간, 사회적 시차, 주관적 수면장애 비교 (Comparison of Sleep Duration, Social Jetlag, and Subjective Sleep Disturbance in Rotating Shift Nurses According to the Chronotype)

  • 최수정;주은연;김경숙
    • Journal of Korean Biological Nursing Science
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    • 제23권3호
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    • pp.227-236
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    • 2021
  • Purpose: The purpose of this study was to investigate the sleep duration, social jetlag (SJL), and subjective sleep disturbance according to the individual chronotype in rotating shift nurses. Methods: A total of 344 rotating 3-shift nurses (mean age 28.67 years) were recruited at one university affiliated hospital. They completed the following questionnaires, which were used to assess their chronotype and sleep: the morningness-eveningness questionnaire (MEQ), self-reported sleep duration of work days (SDWshift) and free days (SDFshift) in each shift (day [D], evening [E], night [N]), and sleep disturbance (Insomnia severity index, ISI). SJLshift was calculated as the difference in midsleep (MS=sleep onset+1/2 sleep duration) between work days (MSW) and free days (MSF). Results: Subjects were divided into 3 chronotype groups according to the MEQ; morning (MG, 4.4%) intermediate (IG, 57.8%), and evening groups (EG, 37.8%). SDWD was shortest (4.68 hr) and SDFE was longest (8.93 hr) in the EG. SJLD was longest in the EG (3.77 hr), and SJLN was longest in the MG (7.37 hr). The prevalence of sleep disturbance was 33.3% (MG), 29.6% (IG), and 40.0% (EG), respectively, without any statistical significance. Conclusion: In order to improve the sleep of shift workers, it is recommended that the evening chronotypes should reduce the day shifts and the morning chronotypes should reduce the night shifts. We also propose a study to determine whether these shift assignments can improve the sleep in shift nurses.