• 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.

• 한국응급구조학회지
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• 제21권3호
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• pp.109-120
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• 2017

Purpose: The purpose of the study was to investigate the mediating effects of self-efficacy on the relationship between job stress and turnover intention of paramedics in hospitals. Methods: A self-reported questionnaire was completed by 209 paramedics in hospitals from September 4 to 24, 2015. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using Baron & Kenny's 3 step procedure. Indirect effect was confirmed with Sobel test using SPSS/Win 22.0 program. Results: There were negative relationships between job stress, self-efficacy, and turnover intention (r=-.509, p<.001). There was a negative relationship between job stress and self efficacy (r=-.821, p<.001). The self-efficacy and turnover intention showed a positive relationship (r=.636, p<.001) with job stress and turnover intention. Concerning the mediated effect of self efficacy on job stress and turnover intention, the influence of job stress at step 2 on turnover intention was significant (B=1.207, p<.001), while job stress at step 3 had significant influence on turnover intention (B=.474, p<.001). The mediated effect of self-efficacy on job stress and turnover intention showed significant partially mediated effect of self-efficacy (z=7.100, p<.001). Conclusion: Improvement of self-efficacy and job stress was effective at decreasing turnover intention in paramedics in hospitals.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3648-3657
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• 2014

본 연구는 보육교사들의 영유아 건강관리 능력을 향상시킬 수 있는 교육프로그램을 개발하여 적용하고 그 효과를 측정하기 위함이다. 연구대상은 3개 도시, 400명의 보육교사들이며 영유아 건강관리 교육 전 후의 교육효과를 검정하기 위해 단일군 전후설계 유사실험연구로 실시되었다. 자료수집 기간은 2013년 9월초부터 10월말까지 이루어졌으며, 영유아 건강관리 교육의 내용은 영유아 건강관찰, 영유아 응급처치, 영유아 건강문제관리 세 영역으로 구성되었다. 교육은 주1회, 3시간씩 3주간 총 9시간으로 이루어졌다. 영유아 건강관리 교육을 실시한 후 보육교사들의 '영유아 건강관찰', '영유아 응급처치', '영유아 질병관리'에 있어서의 지식점수는 교육전보다 교육후에 유의미하게 높은 것으로 나타났으며, 이러한 결과는 보육교사를 위한 영유아 건강관리 교육 프로그램이 효과가 있었다고 해석된다. 그러므로 보육교사의 영유아 돌봄의 질을 향상시키기 위해 이와 같은 교육이 보수교육에 적용되기를 기대한다.

• 한국콘텐츠학회논문지
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• 제15권1호
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• pp.495-505
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• 2015

본 연구는 응급실 내원 호흡곤란 환자사례에 관한 시뮬레이션 실습교육이 간호학생의 문제해결능력에 미치는 효과를 시뮬레이션 학습단계에 따라 비교분석한 연구이다. 대상자는 간호학과 3학년 학생으로 2013년 4월 22일부터 5월 31일까지 성인 시뮬레이션 실습에 참여하는 학생 중 연구에 동의한 117명으로 하였으며, 수집된 자료의 분석은 SPSS 21.0 프로그램을 사용 분석하였다. 본 연구결과 자가 학습교육 실시 후 문제해결능력보다 시뮬레이션 실습교육 후 문제해결능력이 유의하게 높았다(t=2.59, p=.010). 문제해결능력 하위 영역별로 분석하면 문제정의(t=2.95, p=.004), 문제해결책 고안(t=2.10, p=.0.37) 및 문제해결책 검토(t=3.06, p=.002)에서 통계적으로 유의한 차이가 있었다. 이상의 결과로 시뮬레이션 실습은 대상자의 문제해결능력 향상에 효과적인 교육방법으로 확인되었다.

• 한국간호교육학회지
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• 제15권2호
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• pp.274-284
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• 2009

Purpose: This study surveyed how victims with acute traumatic hand injuries received pre-hospital care and how satisfied they were with that care. Method: A total of 100 adults were interviewed using a questionnaire at one microsurgical clinic in Korea. Results: Only 12 patients (12.0%) were transported by the ambulance and the others by private or company's vehicles. Only 9 patients (9.0 %) were able to get appropriate first response from the EMTs or industrial health providers at the scene of the accidents. The mean time required for transportation from the scene of the accident to the operation room of the microsurgical clinic was $372.65{\pm}719.17$ minutes. Most of the patients were satisfied with the pre-hospital care provided by the EMT or industrial health providers but dissatisfied with that provided by lay persons. Conclusion: This study demonstrates that there is a lack in the first response provided at the scene and the activation of EMS (Emergency Medical System) for acute hand injury. It is necessary to educate the public about the appropriate first response and rapid transportation to the appropriate microsurgical clinic.

• 한국응급구조학회지
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• 제20권3호
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• pp.107-120
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• 2016

Purpose: The purpose of this study was to investigate the factors influencing death anxiety, hospices knowledge, and attitude towards end-of-life care among paramedic students. Methods: A self-reported questionnaire was completed by 196 paramedic students in D university college in J city from November 2011 to November 2014. The study instruments included death anxiety, hospices knowledge, and attitude towards end-of-life care. Data were analyzed by t test, ANOVA, post hoc $Scheff{\acute{e}}$ test, Pearson's correlation test, and stepwise multiple regression analysis using SPSS v. 20.0. Results: According to a stepwise regression on the factors influencing attitudes towards end-of-life care, 80.4% of variance (F=161.360, p<.001) was explained by experience of death, hospices knowledge, disappearance of death anxiety, satisfaction with relationships (${\geq}2$) and student attitude toward end-of-life care. In addition, 44.1% of the variance (F=39.434, p<.001) was explained by experience of death, satisfaction with relationship(${\leq}4$), warning of others about death anxiety, and family attitude towards end-of-life care. Conclusion: The attitude towards end-of-life care was influenced by hospices knowledge and death anxiety in paramedic students. It is necessary to provide training in understanding attitudes towards death anxiety and end-of-life care. An effective educational program should be developed and implemented among paramedic students to improve their awareness of death and anxiety hospices knowledge.

• 농촌의학ㆍ지역보건
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• 제46권4호
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• pp.207-217
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• 2021

Objectives: The purpose of this study was to investigate the factors in which employee's health beliefs affect their intention to get COVID-19 vaccines. Methods: The participants of this survey were 237 emlpoyees living in Busan. Data were collected using structured online questionnaires from April 26th to May 6th, 2021. The data were analyzed in SPSS WIN version 25.0 using descriptive statistics, t-test, chi-square test, multiple logistic regression analysis. Results: At the average score for each area of health beliefs regarding COVID-19, self-efficacy was 4.45 points, perceived sensitivity 4.71 points, perceived severity 3.59 points, perceived benefit 4.46 points, and perceived disability 2.19 points. Monthly income, perceived sensitivity, perceived severity, and perceived benefit were found to be factors affecting the intention to get COVID-19 vaccines. Conclusions: In order to improve the vaccination intention of COVID-19, it is necessary for subjects to recognize the seriousness of the disease, increase their sensitivity to the disease, and actively promote and educate the community about the benefits of vaccination.

• 사물인터넷융복합논문지
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• 제9권3호
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• pp.75-80
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• 2023

국내 의료취약지에서 공중보건의는 지역민의 일반의료는 물론 응급의료에서 큰 역할을 수행하고 있다. 그러나 공중보건의는 일반적으로 현장 경험이 부족하기 때문에 응급 환자에 대한 대처 능력이 부족하고, 의료장비를 효과적으로 다루지 못하는 것으로 나타났다. 본 연구는 공중보건의에게 필요한 의료장비에 대한 사용법을 스마트 글래스를 이용하여 원격교육으로 진행 후 교육의 효과를 확인하였다. 구체적으로 의료장비 활용 교육을 위해서 스마트 글래스는 리얼웨어를 사용하였으며, 신안군 10개의 섬 지역 공중보건의 10명을 대상으로 하였다. 교육 후 장비 활용 효과와 만족도 모두 3점 이상이었다. 따라서 스마트 글래스를 활용한 원격교육이 의료취약지의 공중보건의를 대상으로 유용하게 활용될 수 있다는 것을 확인하였다.

• 한국의료질향상학회지
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• 제20권1호
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• pp.42-57
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• 2014

Objective: The objective of this research was to develop a guideline for more effective use of physical restraint on patients in the intensive care unit and training the nurses on it and applying it on clinical practice to assess its effectiveness. Method: This research analyzed the before and after effect of the development of a guideline for physical restraint by dividing the category into nurse and patient. In the case of nurse, a comparison of knowledge and nursing service regarding the use of physical restraint from before the training on physical restraint guideline(Jan. 2011) and after the training on physical restraint guideline(Dec. 2011) was made. In the case of patient, a comparison of physical restraint usage rate and average usage time, the number of unplanned extubation cases were compared from before the use of physical restraint (Jan.~Apr. 2011) and after the use of physical restraint (Sep.~Dec. 2011) were made. Result: After the training on the physical restraint guideline, the knowledge of the nurse and the nursing practice showed notable improvement by (p<0.000) and (p<0.048) respectively and in patient, physical restraint usage rate and average time of usage decreased by (p<0.001) and (p<0.001) respectively. And despite the decrease in the number of cases in which the physical restraint was used, the number of unplanned extubation cases remained the same. Conclusion: Physical restraint guideline training and guideline usage can be stated to have brought out positive effect in both the nurse and patient. In order to maintain such positive effects, continuous training is necessary and continuous revaluation is necessary, regarding knowledge and nursing practices.

• 여성건강간호학회지
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• 제2권2호
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• pp.284-297
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• 1996

A maternity ward in a hospital in Seoul has an educational program for postpartal mothers since its opening, but evaluation on the program has not been done. This study was to find whether the educational program contributed to increase of knowledge and confidence of the post-partal mothers in the area of postpartal self-care and the newborn baby care or not. This study aimed at improvement of the educational program for posrpartal mothers and the newborn babies. Subjects were 40 primiparae who were admitted to the obstetric ward in a general hospitals in Seoul from August 20th to September 10th, 1995. Subjects were those who had no labor pain at the admission time, had no complications during labor and delivery, gave a birth to a healthy baby, and agreed to participate in this study. All subjects were well educated and were in well-to-do group. Most of them received antenatal care adequately. They were tested on knowledge and self-confidence in the area of postpartal self-care and infant care two times, one at the admission time and the other prior to discharge. After the first test, nurses in a maternity ward and nursery taught them on postpartal self-care and infant care. Education consisted of a 1 hour planned program and incident teachings done at bed side. Four tools were developed by authors based literature review. The test tool for knowledge of postpartal self-care consisted of 15 items which included the definition of postpartum, dangerous symptoms in postpartum, lochia, time to begin coitus, postpartum exercise, sitz-bath, and perineal care. The test tool for self-confidence in postpartal self-care included such items as emergency care on dangerous symptoms in postpartum, sexual life and contraception after postpartum, self-confidence in postpartum exercise and perineal care. The test tool for knowledge of newborn baby care consisted of 18 items which included bathing, umbilical cord care, vaccination, breast feeding, abnormal symptoms of neonate. The test tool for self confidence in the newborn baby care included umbilical cord care, vaccination, breast feeding, emergency care for baby. Analysis of demographic data were analyzed with calculation of percentage. Score differences between the first test and the second test were analyzed with paired t-test. SAS / PC (Release 6.04 for DOS) program are as follows. 1. Mothers' knowledge of postpartal self-care increased significantly after education (t=10.04, df=38, p=0.0001). 2. Mothers' self-confidence in postpartal self-care increased significantly after education (t=6.53, df=38, p=0.0001). 3. Mother's knowledge of the newborn abay care increased significantly after education (t=9.74, df=38, p=0.0001). 4. Mothers' self-confidence in the newborn baby care increased significantly after education(t=8.22, df=38, p=0.0001) Suggestions for further studies and nursing practice were as follows. 1. We suggest studies by randomized control-group pretest-posttest design or nonequivalent control group pretest-posttest design will be done. 2. We suggest follow-up studies to find if mothers's confidence will last or not after discharge. 3. We suggest general hospitals to establish a phone-counseling system.