• 근관절건강학회지
• /
• 제4권2호
• /
• pp.197-220
• /
• 1997

The lack of a comprehensive theory describing the mechanism of adaptation scientifically has been one of the limiting factors for the development of nursing intervention of patients with chronic illness. Since Roy's theory provides the general conceptual framework depicting adaptation process with structural stimuli and control mechanism, it is appropriate to understand the process of adaptation. But in Roy's theory, the propositions about cognator and regulator as control mechanisms are not clearly defined. For this reason, most of the previous researches applying the Roy's theory have disregarded the study of cognator and regulator. For the patients with chronic illness such as rheumatoid arthritis, it was reported that adaptation states were different for the same stimuli due to the difference of the control mechanism. Moreover in nursing it is important to identify the control mechanism which can be and must be intervened by nurses. It was the Lazarus and Folkman's theory that proposed the control mechanism. They suggested that individual differences in the reaction against the perceived stress are due to the difference in appraisal and coping. Therefore, the synthesis of Roy's and Lazarus and Folkman's propositions might help to clearly understand the mechanism of adaptation. From this point, a theoretical framework has been developed and tested. The subjects were the 297 patients who had been diagnosed rheumatoid arthritis and attended the outpatient clinic. A hypothetical prediction model of adaptation was tested by the covariance structure analysis with PC-LISREL 7.13. As a result, the overall fit was good($x^2$=78.83, p=0.00 ; GFI=0.96 : AGFI=0.90 ; RMR=0.04) for the hypothetical model. In the final model added GA(5, 1), the overall fit was increased ($x^2$=57.82, p=0.003 ; GFI=0.97 ; AGFI=0.93 : RMR=0.036). Except the fact that illness symptoms affected physical adaptation directly, it was supported that focal and contextual stimuli affected physical and psychosocial adaptation through appraisal and coping. Therefore, it was asserted that the synthesis of two theory's propositions was appropriate. So this model would be useful for the theoretical framework in the nursing practice. And this study synthesizing and testing the theory might contribute to establish nursing's scientific base.

• 한국산업보건학회지
• /
• 제32권1호
• /
• pp.64-77
• /
• 2022

Objectives: The purpose of this study is to objectify the level of case management performance and the factors influencing performance, to improve the case management performance at the Korea Worker's Compensation & Welfare Service (KWCWS) on the basis of the recognition of the objective realities of case management by job coordinators at the KWCWS, to develop a model of case management fit for the KWCWS, and to provide a basis for establishing guidelines for standardized case management. Methods: A total of 156 questionnaires were distributed to job coordinators at the KWCWS's headquarters, six regional headquarters, and 55 branches. One hundred forty-one questionnaires were collected and 126 were analyzed statistically using SPSS 21.0. Factor analysis and reliability analysis were conducted to verify the validity and reliability of the main measurement items in the research model. Frequency analysis was conducted for general characteristics of survey subjects. Frequency analysis or descriptive statistics were conducted to identify the level of independent variables (case manager's individual variables, job variables, institutional and organizational variables). Dependent variables (case management performance) and the degree of correlation were analyzed through correlation analysis between research variables. Multiple regression analysis and hierarchical regression analysis were conducted to examine the effect of independent variables on case management performance. Results: The results of the study showed that the level of overall performance in the five stages of case management was ordinary, with an average level of 3.45 on a 5-point scale. Levels of performance by step were institutional approach and intake (3.69), assessment (3.63), goal setting and intervention planning (3.46), implementation of intervention plan (3.32), and evaluation and termination (3.20), in that order. The explanatory power of case management performance (overall) by case managers with the KWCWS was case manager's institutional and organizational variables, job variables, and individual variables, in that order. At each stage of case management, the explanatory power of a case manager's institutional and organizational variables was found to be the greatest. The model changes at each stage of case management assume similar aspects statistically. In hierarchical regression analysis, it was institutional support that had a significant effect on case management performance (overall), and institutional support had the greatest effect. The results of multiple regression analysis in which all variables are input simultaneously showed that institutional support and expertise as well as self-efficacy had a positive effect. However, case management work experience, expertise (technology), and autonomy were found to have a negative effect during the stage of case management performance. Conclusions: As a result of the study, it was confirmed that raising the case manager's expertise and support from the institution and organization are important factors to improve the level of case management performance. The research also derived practical ways of reinforcement of case manager capacity, institutional and organizational support, operation of rehabilitation-case management teams, and occupational health-related aspects.

• Asia Marketing Journal
• /
• 제11권1호
• /
• pp.1-27
• /
• 2009

본 연구는 소비자의 불평토로성향을 유발하는 동기적 네트워크로서 성격특성변수들을 한국과 미국 소비자들을 대상으로 비교하였다. 연구모델의 검증결과 전반적으로 불평토로성향은 두 문화 간에 큰 차이가 없는 것으로 나타났다. 가치의식성, 자기효능감, 감정적 불안정성, 물질적 욕구는 불평토로성향과 긍정적으로 관련이 있는 것으로 나타났다. 반대로 일처리의 신중함은 불평토로성향과 부정적인 관계인 것으로 나타났다. 한국과 미국소비자의 가장 큰 차이점은 '쇼핑을 즐기는 성향' 이었다. '쇼핑을 즐기는 성향'은 미국집단에서는 불평토로성향과 부정적인 관련이 있는 것으로 나타난 반면, 한국집단에서는 관련이 없는 것으로 나타났다. 즐거움을 위해 쇼핑하는 소비자들은 쇼핑에서 긍정적인 감정을 추구하려 하기 때문에 부정적인 감정을 유발하는 불평토로성향과는 부정적인 관계인 것으로 보인다. 그러나 이러한 부정적인 관계가 한국 소비자에게 나타나지 않은 이유는 쇼핑환경의 차이인 것으로 보인다. 교환 및 환불이 미국보다 용이하지 않은 한국에서는 소비자들이 쇼핑의 즐거움과 불평토로를 별개로 지각하거나, 또는 쇼핑을 즐길수록 제품이나 서비스에 불만족할 기회를 더 많이 접하기 때문인 것으로 사료된다. 고객의 불평토로행동은 기업이 미처 알지 못하는 불만족 원인들을 이해하고 복구기회를 제공함으로서 기존고객을 유지할 수 있게 해준다. 그런데 상당수 소비자들은 과연 자신의 불평토로행동이 효과가 있을까 혹은 불평토로행동에 소요되는 시간적 경제적 비용 등을 고려하여 불평을 토로하지 않는다. 마케터는 불평토로성향을 유발하는 소비자의 성격특성에 대하여 이해함으로써, 불만족한 고객이 자신의 경험을 이야기하도록 북돋워주는 메시지를 개발하거나 기업의 불평처리시스템을 개선할 수 있다.

• 보건행정학회지
• /
• 제14권1호
• /
• pp.65-88
• /
• 2004

In general, empowerment is defined as the motivational concept of autonomy and self-efficacy. Recently, the concept of empowerment is applied to improve organizational staff's job satisfaction and organizational commitment in many organizations. Empower-ment in service organizations, i.e., hospitals, has certainly generated more publicity than any other organizations. The objectives of this study are, first, to measure the degree of hospital employees' empowerment using Spreitzer(1995)'s empowerment theory, second, to analyze the causal relationship of organizational and job characteristics, a degree of empowerment, and organizational performance(job satisfaction and organizational commitment), and third, to offer the strategy for the improvement of job satisfaction and organizational commitment. Spreitzer insists that the empowerment is composed of 4 dimensions(meaning, competence, self-determination, and impact). And he argues that various work-related characteristics is a direct cause of empowerment and the indirect cause of job satisfaction and organizational commitment, mediated by the empowerment latent variable. In order to perform this study, data were collected by self-administered questionnaires from hospital employees working in administrative department of 3 university hospitals in Inchon and Kyunggi-Do region. The number of cases is 181(response rate; 86%). The Collected data were analyzed with SPSS Ver. 10.0 and AMOSV Ver. 4.0. First, to test validity of variables, the factor analysis was used. Second, to test reliability, Cronbach's alpha coefficients was calculated. Cronbach's alpha of empowerment variable is 0.8323 showing that there's no problem in regard to the internal consistency. Also the Cronbach's alpha of other variables are 0.8301 of the degree of perceived control, 0.6705 of job characteristics, O.8787 of compensation, 0.9254 of job satisfaction, and 0.8389 of organizational commitment, respectively. Among the questions of job characteristics, two survey questions are deleted due to lowering the reliability. Third, to test multicollinearity and correlation of variables, the correlation analysis was performed. There was no problem of multicollinearity. Finally structural equation modelling (SEM) analysis was conducted to find the causal relationship of organizational and job Characteristics, empowerment, job satisfaction and organizational commitment. The 16 variables are included for the SEM analysis. The major results of this study are as follows: First, in the case of model fitness, the condition of x$^2$ statistic(92.187) is not fully satisfied, but the indices of GFI(0.912), AGFI(0.863), NFI(0.917) and CFI(0.928) are partially satisfied, which needs to upper 0.90. Second, in the result of hypotheses testing, all hypotheses are accepted and have a positive effect in 95% or 99% confidence interval(P<0.05 or P<0.001) except the effect of compensation variable on empowerment(P=0.082). Third, in regard to the direct, indirect, and total effect of variables, the direct effect of perceived control, task characteristics, and compensation on job satisfaction are 0.728, 2.264, 0.328 and on organizational commitment are 0.094, 1.411, 0.418, respectively. Also the indirect effect of perceived control, task characteristics, and compensation on job satisfaction are 0.311, 0.196, 0.028 and on organizational commitment are 0.210, 0.132, 0.019, respectively. Thus, these findings imply that various work-related factors are direct effect of empowerment and indirect effect of result variables, job satisfaction and organizational commitment. Also These results showed that the workplace empowerment is significant mediating factor of employee's job satisfaction and organizational commitment.

• Journal of Hospice and Palliative Care
• /
• 제17권3호
• /
• pp.179-184
• /
• 2014

목적: 이 연구는 임종기 암환자들에서 말초삽입중심 정맥카테터(peripherally inserted central catheters, PICC)의 안정성 및 효과에 대해 확인하고자 한다. 방법: 2013년 한 해 동안 한전병원에 호스피스 완화의료를 목적으로 입원한 환자들 중, 말초삽입중심정맥카테터를 시행 받은 환자들을 대상으로 후향적으로 의무 기록 관찰하였다. 모든 말초삽입중심정맥카테터는 중재적 방사선의사에 의해 삽입되었다. 결과: 언급한 기간 동안 30명의 임종기 환자에서 말초 삽입중심정맥카테터가 시행되었고, 그들 중 1명의 환자에서 2회의 삽입이 이뤄져, 전체적으로 31회의 말초삽입중심정맥카테터 삽입 횟수와 571일의 거치기간(PICC days)이 분석되었다. 말초삽입중심정맥카테터 거치기간(PICC days)의 중앙값은 14.0일(범위, 1~90일)이었다. 25예는 계획된 시기(퇴원, 전원, 사망 등)까지 유지하였으나, 6예에서는 여러 이유로 계획된 시기보다 조기에 PICC를 제거하였다(PICC 조기 제거율, 19%; 10.5/1000 PICC days). 따라서, 카테터 유지 성공 비율(catheter maintenance success rate)은 81%였다. PICC 조기 제거 6예 중, 섬망 등에 의한 스스로 제거한 경우가 4예였고(13%; 7.0/1000 PICC days), 카테터 관련 혈액 감염 및 혈전증이 각각 1예씩 있었다(3%; 1.8/1000 PICC days). 조기 PICC 제거를 포함한 총 합병증 발생은 8예에서 있었다(26%; 14.1/1000 PICC days). 합병증 발생까지 기간은 중앙값 7일이었다(기간, 2~14일). 말초삽입중심정맥카테터 관련 합병증에 의한 사망은 없었다. 결론: 좋지 않은 전신 상태, 작은 시술 합병증에도 취약함, 제한된 여명등과 같은 임종기 암환자의 특징을 고려할 때, PICC는 임종기 환자에서 안전한 혈관 접근 방법이 될 수 있다.

• 만화애니메이션 연구
• /
• 통권29호
• /
• pp.129-149
• /
• 2012

최근 페이스북이 오픈 플랫폼을 통해 다면시장을 형성함으로써 게임 분야에 소셜이 본격적으로 등장하기 시작하였다. 그중 가장 크게 주목을 받고 있는 분야는 소셜 네트워크를 기반으로 발전한 SNG 분야이다. SNG란 Social Network Game으로 소셜 네트워크 서비스(Social Network Service)의 인맥 관계를 기반으로 제작한 게임을 말한다. SNG의 가장 큰 특징은 게임 실력보다는 네트워크를 통해 이루어진 이웃간의 교류가 게임의 가장 큰 요소로 작용하는 것이다. 이러한 소셜 네트워크 게임의 빠른 성장과 함께 연구되어야할 분야는 인간과 인간, 인간과 게임, 게임과 게임 간의 소통이라 볼 수 있다. 본 연구는 SNG을 플레이하는 유저들의 심리가 소셜을 기반으로 하는 게임 속 캐릭터에 어떠한 영양을 미치는지에 대한 것을 알아보고자 한다. 연구방식은 성격 특성의 상관관계를 검증하는 방식으로 심리학적 성격 5요인 특성(Big Five Factor Model)과 리커트(likert) 척도를 사용하여 유저가 생성한 캐릭터와 성격 5요인 특성을 대입하는 방식을 사용 하였다. 본 논문을 통해 게임을 플레이하는 유저들의 심리상태를 파악하는 방식이 연구되어짐으로써 미래의 소셜 네트워크 게임이 어떠한 방향으로 발전해 나갈 것인지에 대한 준거점 역할을 할 수 있을 것으로 기대한다.