• 대한간호학회지
• /
• 제51권6호
• /
• pp.703-719
• /
• 2021

Purpose: We aimed to identify collaborative disaster governance through the demand and supply analysis of resources recognized by nurses during the COVID-19 pandemic. Methods: We used a descriptive study design with an online survey technique for data collection. The survey questions were developed based on focus group interviews with nurses responding to COVID-19 and expert validity testing. A 42-question online survey focusing on disaster governance was sent to nurses working in COVID-19 designated hospitals, public health offices, and schools. A total of 630 nurses participated in the survey. Demand and supply analysis was used to identify the specific components of disaster governance during a pandemic situation and analyze priority areas in disaster governance, as reported by nurses. Results: Demand and supply analysis showed that supplies procurement, cooperation, education, and environment factors clustered in the high demand and supply quadrant while labor condition, advocacy, emotional support, and workload adjustment factors clustered in the high demand but low supply quadrant, indicating a strong need in those areas of disaster governance among nurses. The nurses practicing at the public health offices and schools showed major components of disaster governance plotted in the second quadrant, indicating weak collaborative disaster governance. Conclusion: These findings show that there is an unbalanced distribution among nurses, resulting in major challenges in collaborative disaster governance during COVID-19. In the future and current pandemic, collaborative disaster governance, through improved distribution, will be useful for helping nurses to access more required resources and achieve effective pandemic response.

• 산업융합연구
• /
• 제22권5호
• /
• pp.117-125
• /
• 2024

자연 재해와 대규모 사회 재난발생으로 인해 체계적이고 전문적인 재난교육의 필요성이 증가하고 있다. 본 연구는 간호학생과 간호사를 대상으로 한 재난교육에서 교육적 개입의 효과를 종합적으로 분석한 체계적 문헌고찰 연구이다. 주요 한국 데이터베이스에서 재난, 교육 프로그램, 시뮬레이션 관련 키워드로 문헌을 검색하였으며, 재난교육 프로그램 중재를 제공한 국내 간호사 및 간호대학생을 대상으로 한 논문들이 분석 대상이었다. 대부분의 프로그램에서 이론 강의, 시뮬레이션, 디브리핑 방법이 사용되었으며, 중재 시간은 2시간 이하에서 40~56시간에 이르는 다양한 구성으로 진행되었다. 가장 많이 측정한 변수는 재난간호 준비도와 재난간호수행능력이었으며, 재난교육 프로그램의 효과로 재난간호 준비도, 재난간호수행능력, 재난태도, 재난지식, 재난인식, 학습 자기효능감, 실습만족도, 재난간호 자신감 변수에 긍정적인 영향을 미친 것으로 나타났다. 다양한 중재 시간과 방법을 고려하여 참여자들에게 실제적이고 현장감 있는 학습 경험을 제공할 수 있는 프로그램을 구성하고 효과를 검증하는 것이 중요하다.

• 한국간호교육학회지
• /
• 제22권1호
• /
• pp.96-109
• /
• 2016

Purpose: The purpose of this study was to explore the levels of disaster preparedness competency in public health workers and identify influential factors on disaster preparedness competency. Methods: The data was collected through self-report questionnaires from a convenience sample of 281 public health workers in 2014 in Korea. The data was analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Results: The mean disaster preparedness competency score was 2.77 and the mean disaster educational needs score was 4.01. Disaster preparedness competency had a statistically significant difference by gender, position, experience of disaster education in workplace, and experience of BLS education. As a result of the multiple regression analysis, disaster preparedness competency accounted for 11.6% of the variance by gender, experience of disaster education in workplace, and experience of BLS education. Conclusion: The results of this study reveal that gender, strengthening education of disasters in the workplace, and education of BLS should be taken into consideration and integrated when developing an effective educational program in order to enhance disaster preparedness competency in public health workers.

• 디지털융복합연구
• /
• 제18권7호
• /
• pp.331-337
• /
• 2020

본 연구의 목적은 국내 간호사의 재난간호 경험을 탐색한 질적연구의 결과를 메타합성 하여 그 현상에 관한 이해를 하기 위해 시도되었다. 연구방법은 질적 메타합성연구로, Thomas와 Harden의 방법으로 분석하였는데 이는 개별 연구에 관한 질평가 탐색, 분석을 위한 자료 추출, 결과를 메타합성 하는 단계로 분석하였다. 연구 결과 5가지 합성 주제로 나타났다. 1)불안과 두려움으로 시작되는 재난간호, 2)재난간호 과정 : 고립과 단절 속에 외로움과 부담감 마저 느끼는 분위기, 3)재난간호 과정 : 열악하고 다양한 부족한 환경 속에 처함, 4) 재난간호 과정 : 소진되지만 버티고 극복해냄. 5)재난간호 이후 : 사명감과 자긍심을 넘어선 발전을 위한 도약. 따라서 본 연구는 향후 간호사의 재해간호 프로그램 및 교육 프로그램 개발과 적용에 유용한 기초자료가 되리라 본다.

• 지역사회간호학회지
• /
• 제30권2호
• /
• pp.217-225
• /
• 2019

Purpose: The purpose of this study is to assess socio-demographic, disaster-related, physical health-related, psychological, and social factors that may adversely affect disaster victims' QoL (Quality of Life). Methods: A cross sectional study was designed by using the secondary data. From the 3rd Disaster Victims Panel Survey (2012~2017), a total of 1,659 data were analyzed by using descriptive statistics including frequency, percentage, t-test, ANOVA, and multivariate linear regression. Results: Older people with lower health status lacking financial resources prior to a disaster were more at risk of low levels of QoL. Lower levels of perceived health status, resilience, and QoL were reported by disaster exposed individuals, while their depression was higher than the depression in the control group of disaster unexposed ones. Resilience, social and material supports were positively associated with QoL whereas depression and PTSD (Post-Traumatic Stress Disorders) were negatively associated. Conclusion: These findings suggest that psychological symptoms and loss due to disasters can have adverse impacts on the QoL of disaster victims in accordance with their prior socio-demographic background. They also indicate that targeted post-disaster community nursing intervention should be considered a means of increased social support as well as physical and mental health care for disaster victims.

• 대한간호학회지
• /
• 제34권4호
• /
• pp.636-645
• /
• 2004

Purpose. A natural disaster negatively affects children's emotional and behavioral adjustment. The purpose of this paper was to examine the prevalence, symptoms, and correlates of PTSD after the occurrence of Typhoon Rusa. Method. 261 elementary school children living in Kimcheon, which was a devastated rural area in South Korea by Typhoon Rusa, were selected. Data were collected 4 months after the disaster using the PTSD Reaction Index categories recommended by Frederick, severity of PTSD. Results. 12.3% of the children had either moderate or severe PTSD symptoms; 22.7% reported mild symptoms; and the remaining 65% had sub-clinical symptoms of PTSD. The most frequent symptom was recurrenct fear(67.0%). 13% to 17.2% of children exhibited difficulty in concentration, sleep disturbance, and guilt feeling. The regression model of severity of PTSD was composed of the level of exposure to traumatic experiences, grade in school, gender, negative coping style, and social support, and explained 34.3% for PTSD symptoms. Exposure to traumatic experiences was the strongest factor of all predictors. Conclusion. Emotional support from friends and coping style were correlated with PTSD severity. School-based interventions that emphasizes coping with disaster related problems and problem-solving may prove to be useful, and may aid in building close and supportive ties with teachers, classmates, and friends.

• International Journal of Advanced Culture Technology
• /
• 제6권1호
• /
• pp.23-31
• /
• 2018

The purpose of this study was to identify mediating effect of major satisfaction in the effect of critical thinking disposition on disaster recognition. For this study, 237 students of nursing students from universities in Jeollanam do participated in the study. The data collection was collected on Dec 1 to 7, 2017. The descriptive statistics was used to analyze general characteristics of participants, the differences in disaster recognition according to general characteristics were analyzed by t-test or ANOVA. Regression analysis was conducted to confirm the effect of critical thinking disposition on disaster recognition and Baron, R.M. And Kenny, D.A.'s mediation effect statistic analysis was used to confirm the mediating effect of major satisfaction in critical thinking disposition on disaster recognition. As a result, the critical thinking disposition affects the disaster recognition, and it was judged that the major satisfaction was mediating role. intellectual fairness sub-factor showed perfect mediating effect and confidence and general truth sub-factor showed partial mediating effect. Based on the above findings, it can be seen that not only critical thinking but also satisfaction with the major should be considered in order to increase the recognition of the sudden disaster. In this case, research for linking critical thinking disposition and major satisfaction is likely to be meaningful. Through the results of this study, we suggest the program development of a linkage between critical thinking disposition and major satisfaction to increase the recognition of disaster.

• 한국보건간호학회지
• /
• 제33권2호
• /
• pp.214-227
• /
• 2019

Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

• 한국학교보건학회지
• /
• 제30권3호
• /
• pp.344-354
• /
• 2017

Purpose: The purpose of this study is to assess school health teachers' awareness of the severity of natural disasters and nursing core competencies related to disasters. Methods: This cross-sectional study asked 119 school health teachers to complete structured questionnaires sent by email and mobile phones from Feb to Aug, 2017. Data were analyzed using t-test, ANOVA and multiple regression analysis with SPSS 21.0 statistical program. Results: The predictor that had a significant effect on school health teachers' core competency was the experience with natural disaster safety education. Its explanatory power was 14.3%. Conclusion: The finding of this study suggests a strong need for the implementation of disaster-related education targeting school health teachers in order to improve their disaster management ability.

• 대한간호학회지
• /
• 제28권1호
• /
• pp.210-220
• /
• 1998

The various and serious types of disaster occur everyday and everywhere on the earth. There is no doubt that it is very timely to discuss about the effectiveness and preparedness of disaster. The purpose of this study is to develop a curriculum on the disaster management through reviewing disaster concepts and the disaster management system. For the empirical relevance of the study, researchers participated in a couple or more disaster training program, reviewed references, and consulted to the experts working on action parts in the area. As a result, the 'Integrated Disaster Management System Model (IDMSM)' was designed, in which four dimensions were explained. Then the 'Disaster Curriculum Model (DCM)' was explored with its theoretical framework based on the system model. The developed curriculum is composed of four levels ; the introductory course, the fundamental course, the advanced course, and the expert course. From this DCM, basically the course-outlines of two subjects in the introductory course, 18 subjects in the fundamental course (5 of direct services. 13 of indirect services) were developed. Also each course-outline was explored by its course objective, learning objectives, contents, and its length. Finally to make the most of the results, suggestions are proposed. The governmental considerations on the policy should support the systematic and integrated educational program to practice, appointing 「Disaster School」 or 「Disaster Training Center」 of relevance and accountabilities. The further study should explore the higher levels of the DCM through interdisciplinary efforts, and develop the text aterials. ilities. The further study should explore the higher levels of the DCM through interdisciplinary efforts, and develop the text materials.