• 제목/요약/키워드: Fear experiences

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간호대학생의 정신간호학 실습경험 (The Lived Experiences of Psychiatric Nursing Practice among Nursing Students)

  • 최숙희;변은경
    • 문화기술의 융합
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    • 제6권4호
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    • pp.21-30
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    • 2020
  • 본 연구는 간호대학생을 대상으로 정신간호학 실습경험을 심층적으로 파악하기 위해 현상학적 방법으로 시행되었다. 본 연구의 자료수집기간은 2018년 6월~8월까지였고, 간호대학생 9명의 참여자를 대상으로 정신간호학 실습경험을 심층 면접을 통해 이루어졌다. 수집된 자료는 Colaizzi 방법으로 분석하였다. 연구참여자의 원자료에서 정신간호학 실습경험을 분석한 결과 206개의 본질적인 의미단위를 추출하였고, 본질적인 의미단위에서 9개의 주제와 6개의 주제모음을 구조화할 수 있었다. 연구결과 6개의 주제모음은 '편견으로 인한 실습의 두려움', '전혀 다른 실습을 경험함', '한계에 부딪힘', '친밀한 인간관계를 맺음', '긍정적인 변화가 나타남', '도움을 줄 수 있는 역할을 깨달음'으로 나타났다. 본 연구결과를 바탕으로 간호대학생을 대상으로 정신질환에 대한 편견 해소에 대한 경험을 확인하는 연구가 필요하다.

심리적 공포 완화를 위한 아동병원 대기공간의 환경 그래픽 디자인 연구 (A Study on the Children's Hospital Waiting Room Environmental Graphic Design to Ease Phobic Psychology)

  • 윤향화;장초;유우종
    • 한국콘텐츠학회논문지
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    • 제22권3호
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    • pp.401-412
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    • 2022
  • 아동은 병원이라는 특수 환경에 들어간 초기부터 상당한 심리적 공포심을 느끼게 되기 때문에 병원의 환경 구축에 아동의 심리적 정서를 고려해야 한다. 본 연구는 아동병원의 대기공간을 중심으로 아동의 심리적 공포 요인을 파악하고, 아동의 감성적 반응을 이끄는 3가지 단계와 7가지 감성 요소를 탐색하며, 이를 병원의 환경 그래픽 디자인에 적용하여 개선방향을 모색하였다. 또한 국내외 대표 아동병원에 대한 사례분석을 통해 아동병원의 환경 그래픽 디자인 유형을 현대적 디자인, 일러스트레이션을 이용한 디자인, 입체적 디자인, 인터랙션을 이용한 디자인으로 분류하고, 감성 요소를 포함시켜 평가 및 논의하였다. 평가결과, 현대적 디자인에는 감성 요소가 거의 없고, 일러스트레이션을 이용한 디자인과 입체적 디자인은 감각과 경험이 부족하기에 감성 요소가 비교적 적으며, 인터랙션을 이용한 디자인은 전반적으로 아동에게 좋은 감각과 경험을 주는 감성 요소가 많았다. 결론에서는 이러한 평가결과를 바탕으로 아동병원 대기공간의 환경 그래픽 디자인가이드를 제안하였다.

Barriers to measles mumps rubella vaccine acceptance in the three southern border provinces of Thailand

  • Uraiwan Sirithammaphan;Ubontip Chaisang;Kwanjit Pongrattanamarn
    • Clinical and Experimental Vaccine Research
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    • 제12권4호
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    • pp.298-303
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    • 2023
  • Purpose: This qualitative study utilizing phenomenological methodology aimed to depict parental measles mumps rubella (MMR) vaccine acceptance through the work experiences of health personnel. Materials and Methods: Twenty-two public health workers working as vaccination providers in the three southern border provinces of Thailand were recruited. In-depth, face-to-face, semi-structured interviews were conducted. Data were analyzed using thematic analysis. Results: Four main themes emerged: (1) religious beliefs, (2) personal disagreements, (3) fear and mistrust regarding potential vaccine side effects, and (4) misperceptions about the potential severity of measles. Four subthemes were identified: (1) haram (prohibited), (2) the will of Allah, (3) spousal disagreement, and (4) disagreement from a religious leader. The results of this study indicated that perceived religious prohibition was the most important reason for refusing to vaccinate among Muslim parents. Vaccine-hesitant parents were concerned that the vaccine might contain gelatin derived from pig products. Also, halal certification of the vaccine was required from Muslim parents to ensure that vaccine has been approved for Muslims. Meanwhile, a lack of knowledge and positive attitudes concerning immunizations of vaccine-hesitant parents were also found as predominant reasons for incomplete childhood immunizations in the deep south of Thailand. Conclusion: Health education and engagement by religious leaders to endorse the vaccination and bridge the gap between religious beliefs and vaccine acceptance is needed to overcome this issue. This study findings could be effectively applied to improve vaccination uptake in a Muslim majority context.

대퇴경부 골절 환자의 입원 생활 (The Hospital Life of the Patient with Femoral Neck Fracture)

  • 김경자;지성애
    • 간호행정학회지
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    • 제2권1호
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    • pp.35-56
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    • 1996
  • Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

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간호대학생의 의사소통능력, 임상수행능력, 인수인계 경험이 인수인계 자기효능감에 미치는 영향 (The Effects of Communication Competence, Clinical Competence and Experience of Handover on Self-efficacy of Handover Reporting among Nursing Students)

  • 오효숙
    • 한국엔터테인먼트산업학회논문지
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    • 제14권4호
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    • pp.321-331
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    • 2020
  • 본 연구는 간호대학생의 의사소통능력, 임상수행능력, 인수인계 경험, 인수인계 자기효능감을 파악하고 인수인계 자기효능감에 영향을 미치는 요인을 규명하여 인수인계 교육프로그램을 개발하는데 기초자료를 제공하고자 수행되었다. 연구방법은 서술적 조사연구로서 G시에 소재한 4년제 2개교 간호대학생 255명을 2019년 6월부터 9월까지 구조화된 설문지를 통해 자료수집하였다. 자료분석은 t-test, ANOVA, Pearson's correlation coefficents 그리고 단계적 다중회귀분석을 활용하였다. 연구결과, 간호대학생들의 의사소통능력은 57.3점(100점 만점에 76.4점), 임상수행능력은 69.8점(100점 만점에 73.5점), 인수인계 자기효능감은 33.8점(100점 만점에 51.2점)으로 나타났다. 간호대학생의 인수인계 자기효능감은 성(F=4.60, p<.001), 연령(F=16.72, p<.001), 학년(t=-6.39, p<.001), 임상실습 만족도(F=3.68, p=.027), 인수인계 교육 경험(t=26.44, p<.001), 인수인계 경험(t=4.84, p<.001), 인수인계에 대한 두려움(F=16.97, p<.001), 환자안전에 있어서 인수인계 중요도(F=6.42, p=.002)에 따라 유의한 차이를 보였다. 간호대학생의 의사소통능력, 임상수행능력, 인수인계 자기효능감 간의 상관관계를 분석한 결과, 인수인계 자기효능감은 의사소통능력(r=.249, p<.001)과 임상수행능력(r=.426, p<.001) 간에 유의한 순 상관 관계가 있었다. 간호대학생의 인수인계 자기효능감에 영향을 미치는 요인으로 인수인계에 대한 두려움(β=-.294, p<.001), 임상수행능력(β=.252, p<.001), 학년(β=.191, p=.001), 인수인계 경험(β=.185, p<.001), 성별(β=.150, p=.003), 인수인계 교육 경험(β=.126, p=.017)순으로 모형의 설명력은 40.0%이었다. 결론적으로 간호대학생들의 인수인계 자기효능감을 높이기 위해서는 임상수행능력을 향상시키고 임상실습 시 인수인계 경험을 포함한 인수인계 교육을 제공하여 인수인계 두려움을 감소시키는 인수인계 교육프로그램의 개발이 필요하다.

여성농업인 리더의 생애경험을 통한 심리적 장애요인에 관한 소고 (A Pilot Study of Rural Women Leader's Psychological Trap for Getting Some Informations to Reinvent One's Life)

  • 김경미;이진영;최윤지
    • 농촌지도와개발
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    • 제13권1호
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    • pp.149-171
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    • 2006
  • This is a pilot study on rural women's psychological trap to define some obstacles to self directed learning. During few decades, according to major crop of each farm household has shifted from rice to other crops like as vegetables, fruits, horticultures, livestock, etc., women's role or labor sharing of women in farming has been also increased. Although women are important human resources, till now, there is no a research or an approach to rural woman on the view of individual human being. Therefore this study will contribute to understand woman's behavior or attitudes based on psychological description at each person's experiences. For this study, the data was collected from 23 women leaders who participated in a training course in 2005, through the scale of Jeffrey E. Young & Janet S. Klosko which was developed to improvement of one's repetitious behavior based on cognitive psychological care. It was categorized into 11types of psychological trap of one person, named as follows; (1) trap of being deserted by someone (2) trap of disbelief and being ill-treated (3) trap of weakness (4) trap of dependence (5) trap of emotional deprivation (6) trap of feelings of alienation among society (7) trap of deficiency (8) trap of anxiety to failure (9) trap of subordination (10) trap of the merciless standard by self-estimation (11) trap of the sense of privilege. From the data, the average age of subjects was 52.8years old, and the educational back of subjects was higher than general rural women. In both of the trap of weakness and the trap of the merciless standard by self-estimation, the ratio of over and 4 point score of 6 points was 71.4% and 76.2%. It means most of subjects have experienced fear of unexpected calamity(trap of weakness), and mental press hard for efforts to meet one's ideal standard(trap of the merciless standard by self-estimation). Especially the trap of the merciless standard by self-estimation may have relation with rural women's over burden from farming and local society activities.

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Nursing Students' First Clinical Experiences of Death

  • Park, Hyoung Sook;Jee, Youngju;Kim, Soon Hee;Kim, Yoon-Ji
    • Journal of Hospice and Palliative Care
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    • 제17권3호
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    • pp.161-169
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    • 2014
  • 목적: 본 연구는 "병원 실습 중 간호대학생의 환자의 죽음에 대한 첫 경험은 어떠한가?"라는 질문을 통해 실습 중 간호대학생이 직면하는 환자의 죽음에 대한 경험을 포괄적이고 심층적으로 파악하고자 실시되었다. 방법: 본 연구는 2012년 1월 27일로부터 시작하여 2012년 3월 6일까지 양산시 부산대학교 간호학과 4학년에 재학 중인 여학생으로, 병원실습 중 환자의 죽음을 처음 경험한 실습생들 8명에게 실시되었다. 연구방법은 Colaizzi의 현상학적 연구 방법이 이용되었다. 결과: 17개의 주제, 15개의 주제묶음과 8개의 범주가 도출되었다. 8개의 범주는 '피하고 싶은 죽음현실', '무력감', '건강회복의 기대감에서 공포로', '죽음의 다양한 해석', '간호학의 한계', '간호사 부족에 대한 원망', '갈증의 증폭', '성장의 계기'이다. 결론: 간호대학생들은 환자의 죽음에 대한 첫 경험 과정에서 다양한 감정을 경험하고, 임종간호를 감당하고 있는 간호사의 모습을 미래의 간호사라는 자신의 입장에서 해석해가고 있었다. 이와 동시에 그들은 죽음을 간호의 영역으로 받아들이고, 공부하고 익혀나가는 성장의 노력을 하고 있었다. 따라서, 본 연구의 결과를 통해 죽음관련 내용이 간호대학 교육과정에 꼭 포함되어야 함을 알 수 있었고, 이는 신규간호사 시기에 큰 부담이 되고 있는 임종간호의 스트레스를 줄여서 업무 적응을 높이고, 이직 의도를 낮추는데 긍정적 영향을 미칠 것이다.

산모가 인지한 분만지지자별 분만경험분석 (Analysis Pregnant Women's Perceived Delivery Experiences According to Delivery Supporters)

  • 신기수
    • 여성건강간호학회지
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    • 제2권1호
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    • pp.5-24
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    • 1996
  • The Delivery Process can be viewed as one of the developmental crisis that forces the majority of women. During the labor and delivery process the women may face a variety of problems and pain with all its subjectivity. This developmental crisis may lead a pregnant women to have a negative experience in delivery. For nurses, to help to pregnant women check with the crisis and perceived support and to positive experience. This study intended to analyze the pregnant women's delivery experience according to supporter during labor. The subjects for this study were 45 pregnant women who had normal delivery without complications, within 37 to 42 weeks of pregnancy. Data Collection was done from April 24th to May 20th 1995 by two instruments, a support measurement scale and a delivery experience measurement scale which were consisted it 18-items scale developed by researcher. The data was analyzed by SPPS program using descriptive statistic Kruskal-Wallis one way analysis and Spearman Correlation Coefficient. The result of this study are as follows. 1. Support distribution by support contents is shown is order of holding the hands (97.8%), help to urination(86.7%), bed arrangement(57.8%), massaging the arms and legs(55.6%), changes in posture(44.4%), teaching how to produce power(44.4%), while emotional support is disclosed in order of sympathy(97.8%), encouragement(82.2%), hearing the needs(60.0%), However, information support was as low as less than 33.3%. 2. The extent of delivery experience a Pregnant woman perceives is revealed in order of a sense of comfortableness(44%), satisfaction(43.2%), reduction of fear(43.2%), familiarity (42.8%), self-confidence (42.5%), decrease of laborpain(39.9%). 3. The extent of delivery support a pregnant woman perceives reveals that physical support($x^2$=22.4452, P=.000) and information support($x^2$=7.5187, P=.0233) Show a significant difference among the mothers group, the mothers-in-law group, the husbands group, but to significant difference was found in emotional support among them. 4. The extent of delivery experience a pregnant woman perceives represents a significant difference in order of the mothers group, the mothers in-law group, and the husbands group($x^2$=13.4255, P=.0012). 5. A positive correlation was manifested between the extent of support and delivery experience a pregnant woman perceives(r=.8643, P=.000). This information can be utilized as data to further the understanding delivery experience according to supporter. In Consequence, it is recommended that the range of family support limited to husband should be expended including mother and mother-in-law.

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간호학생이 임상실습시 느끼는 불안의 정도와 불안야기 상황연구 (Nursing Students Anxiety level and Perceptions of Anxiety-Producing Situations in the Clinical Setting)

  • 박춘자
    • 한국간호교육학회지
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    • 제3권
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    • pp.34-45
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    • 1997
  • Aspects of nursing student's clinical experiences are anxiety provoking. High anxiety may contribute to decreased learning. The purpose of this study was to identify the level of anxiety and potentially anxiety-producing clinical experience, the relation between the level of anxiety and their Trait-Anxiety and State-Anxiety. Finally, it is aimed at getting preparing data for guidance of students which can enhance learning effect of students for clinical experience. The samples of this study were 36 junior students(1 semester experience) and 44 senior students (3 semester experience) from Junior College of Nursing in Seoul on September 1996. The tools of this study were two kinds ; questionare of Spielberg' STAI measuring State and Trait-Anxiety, and author's for measuring the level of Anxiety producing situations and 10cm visual analogue scale was also used for measuring self stated level of anxiety on clinical setting. The collected data were analyzed by SPSS using percentage, t-test, ANOVA and Pearson correlation coefficient. The results of this study were as follows : 1. The self perception of anxiety level was 4.3/10cm and the level of anxiety in clinical setting situations was 3.5/5. 2. Among 20 questions for perception of anxiety-producing situations in the clinical setting. 'deficit of nursing knowledge' was the highest item(4.18), 'vagueness of role'(4.11), 'lack of nursing skill'(4.00), 'evaluation by faculty'(4.00) 'fear of making mistakes'(3.81) 'initial clinical experience on a unit'(3.76) 'initial application of nursing knowledge'(3.74) in turn. 3. The level of State-anxiety of senior students was higher than junior's (p=0.005)and the level of Trait-Anxiety of insufficient interpersonal relationship and unhealthy students were higher than others (p=0.015) There was no differences according to the student's grade in level of anxiety. 4. Both of self-stated anxiety and situationa anxiety of unhealthy students were high (p=0.007, p=0.000) and the level of self-stated anxiety of unsatisfied students for selection major and clinical experience were high (p=0.050, p=0.009). 5. Self-stated anxiety and situation anxiety (p=0.0000), self-stated- anxiety and Trait-anxiety(p=0.003), situation anxiety and Trait-anxiety(p=0.004), and Trait-anxiety and state-anxiety(p=0.000) of the students were interrelated. By the above conclusion, the nursing students still feel anxiety on clinical experience and on making a mistake due to the lack of their nursing knowledge and skill. And the students are afraid of the faculties' evaluation. In addition, the students who are not healthy and have not sufficiently interpersonal relationship feel more anxiety. But, since there was no difference significantly between each grade, we think it is needed that further study on the same topic in large samples. And, we have to equip the students with much nursing knowledge and philosophy apparently before the students have clinical experience. Finally, the faculty have to reduce the students' anxiety by making a climate of acceptance in clinical setting with good personality.

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과거와의 대면 : ${\ll}$미르티스${\gg}$ 전시를 통해 기억된 아테네 대 역병 (Face to Face with the Past: Memorizing the Plague of Athens through the Exhibition)

  • 조은정
    • 미술이론과 현장
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    • 제14호
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    • pp.7-32
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    • 2012
  • The exhibition was started in 2010 in the New Acropolis Museum of Athens and embarked a journey since 2011 as a travelling exhibition inside Greece and abroad. The main purpose of the exhibition was to draw attention of the general public to the value of the 'rescue excavation' and of cultural heritage of Greece, by presenting the reconstruction bust of a girl whose skull was found in Kerameikos cemetery of ancient Athens. The new Kerameikos excavation was initiated by the construction of Metropolitan Railway lines in the center of Athens between 1992 to 1998. It revealed a pit of a mass burial where about 150 people were inhumed in a very hasty way without proper funeral rites or offerings. These bodies are identified as the victims of the infamous plague of Athens in the first years of the Peloponnesian War(430-426 BC). The epidemic disease killed almost one third of the city population including Pericles, and brought extreme fear and panic to the Athens society. The traditional funerary rites were totally disrupted, and the social decorum and the morality among the citizens became enfeebled. The plague and the civil war were the decisive factors to end the Golden Age of Democratic Athens. However, the exhibition organizers did not focus on the tragic aspect of this disaster and its casualties. Their main concern was to simplify the scholarly works of archaeological excavation and microchemistry analysis so that the exhibition viewers will easily understand and empathize the living value of the scholarly works of ancient Greek civilization. The centripetal element of the exhibition was the vivid face of an 11 years old ancient girl 'Myrtis', which was carefully reconstructed based on both the scientific data and artistic imagination. Also the set up of the exhibition was structured in order to stimuli cognitive and emotional experience of the visitors who witnessed the rebirth of a vibrant human being from an ancient debris. The museologists' continuous efforts to promote projects of contemporary artists, publications, and school programs related to the exhibition indicate that the ulterior motive of this exhibition is the cultural education of the present and future generation through the intimate experiences of ancient Greek life. Also this is the reason why the various museums that held the travelling exhibition try to make the presentation as a gesture of memorial service for an anonymous Athenian girl who deceased circa 2400 years ago. The pragmatic efforts of Greek scholars and museologists through exhibition show us a way to find a solution to the continuous threat of cultural resources by massive construction projects and land development, and to overcome public indifference to the history and cultural heritage.

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