• 농촌의학ㆍ지역보건
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• 제41권3호
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• pp.129-139
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• 2016

본 연구는 재가 허약노인의 허약정도에 영향을 미치는 예측요인을 파악하기 위해 대상자의 허약정도를 확인하고 일반적인 특성, 건강증진행위, 역량강화, 사회참여, 주관적 건강상태 간의 관계를 분석한 후 다중회귀분석을 실시하였다. 연구결과로는 재가노인의 허약정도 점수는 31점 만점에 10.05점으로 고위험 허약노인군에 포함되었고, 건강증진행위는 4점 만점에 2.56점, 역량강화는 5점 만점에 2.74점, 사회참여는 5점 만점에 2.58점, 주관적 건강상태는 14점 만점에 7.17점으로 중간 정도였다. 재가노인의 허약정도는 연령이 높을수록, 생활만족도가 불만족일수록 심했으며, 허약정도와 건강증진행위, 역량강화, 사회참여, 주관적 건강 상태와는 부적인 상관관계를 나타내었다. 대상자의 허약정도를 설명하는 예측요인으로는 주관적 건강상태, 건강증진행위, 연령으로 나타났고, 이 세 변수가 허약정도의 37.4%를 설명하였으며, 이중 주관적 건강상태가 가장 주요한 예측인자로 나타났다. 따라서 재가노인의 허약을 예방하고 관리하기 위해서는 허약에 영향을 미치는 주요 예측 요인들을 반영한 중재전략을 개발, 적용해야 할 것으로 사료된다. 본 연구의 결과를 토대로 다음과 같은 제언을 하고자 한다. 첫째, 재가노인의 허약정도를 사정할 수 있는 표준화된 도구의 마련이 필요하다. 둘째, 재가노인의 허약정도를 가장 잘 예측할 수 있는 변수로는 주관적 건강상태로 나타났으므로 재가노인의 허약을 예방, 관리하는 프로그램에는 주관적 건강상태를 강화하는 내용을 포함할 것을 제언한다.

• 대한간호학회지
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• 제48권1호
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• pp.38-49
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• 2018

Purpose: This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery. Methods: The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients. Results: The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96). Conclusion: This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

• Asian Pacific Journal of Cancer Prevention
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• 제14권7호
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• pp.4455-4457
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• 2013

In the new millennium people are facing serious challenges in health care, especially with increasing non-communicable diseases (NCD). One of the most common NCDs is cancer which is the leading cause of death in developed countries and in developing countries is the second cause of death after heart diseases. Cancer registry can make possible the analysis, comparison and development of national and international cancer strategies and planning. Information technology has a vital role in quality improvement and facility of cancer registries. With the use of IT, in addition to gaining general benefits such as monitoring rates of cancer incidence and identifying planning priorities we can also gain specific advantages such as collecting information for a lifetime, creating tele medical records, possibility of access to information by patient, patient empowerment, and decreasing medical errors. In spite of the powerful role of IT, we confront various challenges such as general problems, like privacy of the patient, and specific problems, including possibility of violating patients rights through misrepresentation, omission of human relationships, and decrease in face to face communication between doctors and patients. By implementing appropriate strategies, such as identifying authentication levels, controlling approaches, coding data, and considering technical and content standards, we can optimize the use of IT. The aim of this paper is to emphasize the need for identifying positive and negative effects of modern IT on cancer registry in general and specific aspects as an approach to cancer care management.

• 대한간호학회지
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• 제43권2호
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• pp.145-153
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• 2013

Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

• 보건교육건강증진학회지
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• 제24권3호
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• pp.99-118
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• 2007

There are little program and services that have been developed to address the health and health care needs of vulnerable women. The access for their timely and appropriate health care and health promotion services have been a increasing concern. The purpose of this study was to suggest health promotion program for vulnerable women with collaboration of women's NGOs. At the first part of this study, we reviewed a conceptual framework for identifying vulnerable population, and issues regarding health problems, unmet needs, policies and programs that have been developed to address their need. In second part, we focused on investigating the role, subjects and activities of women's NGOs and their capacity for health promotion program. The last part of this study proposed health promotion programme with integrating above two parts of study. In describing what type of health promotion program available in women's NCOs, eight major programs and services were summarized. 1. Direct health promotion program and collaborating program with other services. 2. Education and training for empowerment of vulnerable women 3. Organizing mutual support system such as self-help group 4. Community supports. Vulnerable women living at home may benefit from linkage to community services as much as women living in facility 5. Organizing collaboration system with program for economic support and job training, social rehabilitation 6. Trainer's training for practitioners in NGOs 7. Technical, informational support from professional groups 8. A national coordinating policies for vulnerable population should be established at the central level. National support for NGOs' health promotion program are needed hi solving unmet needs of vulnerable women.

• 통상정보연구
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• 제16권3호
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• pp.307-329
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• 2014

의료관광은 의료관광객의 응급하지 않은 의료행위에 대해 해외 의료서비스에 접근할 수 있도록 의료서비스와 관광을 함께 연계하는 것을 의미한다. 전세계적으로 의료관광객의 수가 상당한 수준으로 증가함에 따라 의료관광에 대한 관심은 연구자, 정책 입안자, 그리고 매스 미디어에 이르기까지 폭넓게 관심을 받고 있다. 그러나 의료관광에 대한 체계적이며 세부적인 연구노력은 현재 매우 미진하고 제한적인 편이다. 본 연구에서는 중국 의료관광객이 목적지를 선택할 때 선호하는 의료속성을 파악 및 분석하였다. 중국 의료관광객의 중요 선호속성의 이상적 조합을 통해 한국으로의 중국 의료관광객을 유치를 증진할 수 있을 것이다. 본 연구에서는 컨조인트 분석을 통하여 의료관광 중요 선택속성조합을 도출하였으며 연구결과, 목적지 선택에 있어서 의료 기술의 경쟁력이 가장 중요한 것을 파악되었다. 선택속성조합의 하위요소에 있어서는 국제의료인증이 중요한 사항으로 입증되었다. 본 연구를 통하여 의료기관과 여행에이전시 등 관련 기업에게 마케팅활동을 위한 통찰력을 제공할 것으로 판단된다. 또한 의료관광객이 선호하는 브랜드와 그에 따른 선호요소를 기존의 의료관광목적지 분석연구와 연계하여 좀 더 체계적인 의료관광 상품의 개발과 한국의료관광의 역량을 강화하는데 본 연구가 일조할 것으로 판단된다.

• Child Health Nursing Research
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• 제20권2호
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• pp.105-112
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• 2014

목적 본 연구는 입원 환아에게 최적의 간호를 제공하기 위한 전제조건인 입원 환아 간호에 대한 부모의 참여의 개념을 탐색함으로써 아동간호 실무에 대한 이해를 증진시키고자 시도되었다. 방법 Walker와 Avant (2005)의 개념분석 방법을 사용하였으며, 선행연구를 근거로 1994년부터 2012년 사이에 이루어진 부모의 참여 관련 논문 중 입원 환아 간호, 부모참여를 주요어로 하여 고찰한 논문 30편을 통해 속성, 선행요인, 결과를 확인하였다. 결과 입원 환아 간호에 대한 부모의 참여의 속성은 협상, 돌봄 활동 수행, 개별화된 간호 제공으로 확인되었다. 선행요인은 환아의 연령과 상태, 환아 부모 참여 필요성에 대한 환아 부모와 아동간호사의 태도 및 상호 이해이며, 결과는 환아 부모와 아동간호사의 효율적인 파트너십이 이루어지고, 환아 부모와 아동간호사를 임파워먼트시키게 되는 것으로 확인되었다. 결론 본 연구에서 확인된 입원 환아 간호에 대한 부모의 참여의 개념 정의와 속성은 아동간호실무 이론 개발의 기초자료로 활용될 것이다.

• 농촌의학ㆍ지역보건
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• 제29권1호
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• pp.15-28
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• 2004

Objectives: This study was performed to examined the effectiveness evaluation of peer education program on smoking prevention and cessation for elementary school students. Methods: Data were collected from 60 students in a rural area through self-administrated questionnaires. Child-leaders participated the peer education program to assist their friend, parent, and adult in community to quit the smoking for 4 weeks. Results and Conclusions: Major conclusions were as follows : 1. The peer education program on smoking prevention and cessation for elementary school students was reinforce to increasing the tobacco knowledge and the cessation skill, learning the communication skill, and improving the empowerment. 2. Image of tobacco, intention of smoking in future, recommendation for smoking cessation, pro of smoking. con of smoking, and level of assert in post-test were higher than those in pre-test. 3. There were significant differences in image of tobacco, con of smoking, and level of assert by grade between the pre-test and the post-test of peer education program. But intention of smoking in future, recommendation for smoking cessation, and pro of smoking were not related to effectiveness of peer education program. 4. Child-leaders for smoking prevention and cessation performed the their task to 1.4 persons per student. 5. Participating students were satisfied with the contents of program, the usefulness of educational materials, and preference of parents, but they were not satisfied with the usefulness of task note, learning time, and lecture room.

• 대한간호학회지
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• 제50권6호
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• pp.799-812
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• 2020

Purpose: This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone. Methods: A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs. Results: The final model with 14 of the 8 analysed paths showed a good fit to the empirical data: χ2 = 173.26(p < .001, df = 53), normed χ2 = 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects. The variables included in the eight significant paths explained 83.7% of variance in the prediction model. Conclusion: Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.

• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.783-797
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• 2014

본 연구는 병원종사자들을 대상으로 내부마케팅 요인이 조직 구성원의 직무만족, 직무몰입, 조직몰입 및 고객지향성에 미치는 영향을 분석하기 위해 수행하였다. 구조화된 설문조사를 통해 자료를 수집하였으며, 최종분석 대상자는 부산과 경남지역의 대학병원에 근무하는 584명이고, 연구모형의 가설검증은 AMOS 21.0을 이용하여 경로분석을 시행하였다. 본 연구의 주요 결과는 다음과 같다. 내부마케팅 요인 모두 직무만족에 직접적인 영향을 미쳤고, 직무몰입에는 경영층지원, 권한위임, 보상제도만 직접적인 영향을 미쳤으나, 직무만족을 통해 간접적으로는 내부마케팅 요인 모두가 영향을 미쳤다. 직무만족은 조직몰입에 직 간접적으로 모두 영향을 미쳤으며, 직무몰입도 고객지향성에 직 간접적으로 모두 영향을 미쳤다. 결과적으로 내부마케팅 요인은 직무만족, 직무몰입, 조직몰입 및 고객지향성에 직 간접적으로 영향을 보였으며, 또한 직무만족, 직무몰입 및 조직몰입은 고객지향성에 직 간접적으로 영향을 미쳤다. 본 연구결과의 정책적 시사점은 병원종사자들의 고객지향성을 높이려면 직무만족, 직무몰입 및 조직몰입을 향상시킬 수 있는 쾌적한 근무환경을 만들고 적정한 의사결정권을 부여해야 한다. 더불어 근무성과에 대한 보상을 비롯하여 구성원들의 충성도를 높이기 위한 경영층의 전폭적인 지원이 뒷받침 되어야 할 것이다.