• 제목/요약/키워드: Indirect experience practice

검색결과 23건 처리시간 0.026초

간호학생의 임상실습 간호활동시간 분석 (Analysis of Nursing Care Activities of Nursing Students in Clinical Experience)

  • 이정희;성영희;정연이;김정숙
    • 한국간호교육학회지
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    • 제4권2호
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    • pp.249-263
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    • 1998
  • The competence of newly graduated nurses is based on various clinical expriences gained when they were students. Therefore, instructors of nursing students, professors in nursing schools or directors in hospitals must play a critical role in assisting them to obtain various knowledge and experienced nursing skills. The purpose of this study was to investigate nursing care activities and nursing care hours practiced by nursing students in a general hospital. The subject students were total 214 nursing students, 2nd graders(sophomores) and 3rd graders(juniors) from 5 Junior Nursing Colleges in Seoul and they practiced at S general hospital to gain clinical experience. The data were collected for 4 days. The tools for this study were the direct nursing care activity list consisted of 15 nursing areas and the indirect nursing care activity list consisted of 9 nursing areas. The subject students were supposed to record their own score. The results of this study are ; 1. The nursing care hours per nursing student 1) The average total nursing care hours a day per each nursing student are 362.65 mins(6.04hr), the direct nursing care hours per each nursing stuent are 202.09 mins(direct nursing care rate 56.0%) and it is higher than the indirect nursing care hours, 159.75mins(indirect nursing care rate 44.0%). The direct nursing care rate of each student by a team approach in the evening shift(56.3%) is higher than that in the day shift(55.8%). 2) The hours of checking vital signs are the longest(47.35mins) among the direct nursing care activites and next is in order of counseling 8l emotional support, nurse rounds, and accompaning a patient during examination. The hours of reporting are the longest(32.39mins) among the indirect nursing care activites, and next is the activities related to education such as reviewing chart, looking up references, etc. 3) The freqency of checking vital signs practiced by nursing student is the highest(the average of 55.7 times) among the direct nursing care activities and next is in order of nurse rounds, assistance of feeding, and counseling & emotional support. The required time for nursing students to accompany their patient during examination is the longest(20.7mins) and next are in order of restriction on patient' activity, orientated by a head nurse, skin care, sitz bath, bathing & hair shampoo, and assisting with patients' exercise. 2. The nursing care hours per grader 1) The average hours of total nursing care per a nursing student are 369.2mins(6.2hrs) to 2nd graders, 355.9mins(5.9 hrs) to third graders. The direct nursing care rate per each nursing student to 3rd graders(59.3%) was higher than that to End graders(52.8%). 2) For 2nd graders, the highly marked nursing activities are teaching associated with direct nursing care activities such as drawing up papers, looking up references, reviewing charts, and being orientated by staff nurses. For 3rd graders, measurments, observations, and nurse rounds in indirect nursing care activities are taken highly 3) The most frequent practice of the nursing care activites is checking vital signs : 65 times to 3rd graders and 46.5 times to 2nd graders. Our suggestions based on the results of this study are : 1. It is recommanded to repeat the same designed study in a variety of clinical fields for further study. 2. It is recommanded to collect data not by self-record method but by observated method. 3. It is needed for nursing instructors in Nursing Schools and in hospitals to develop the guidelines and check-list of clinical practice courses.

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빈곤이 위험한 지역사회 환경을 통해 청소년의 우울 및 불안에 미치는 영향 (Poverty, Risky Environments of Disadvantageous Neighborhoods, and Adolescents' Depression and Anxiety)

  • 강현아
    • 사회복지연구
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    • 제41권3호
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    • pp.327-348
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    • 2010
  • 본 연구는 청소년에 대한 빈곤의 영향을 주로 가족의 측면에서 연구하였던 기존의 관점에서 탈피하여, 빈곤청소년이 거주하는 지역사회 환경의 위험성과 폭력성에 주목하였다. 즉, 본 연구는 빈곤으로 인해 더 위험한 환경에서 거주하게 되는 청소년이 일반 청소년보다 폭력에 더 많이 노출되는지를 살펴보고, 이것이 그들의 우울과 불안을 높이는지 분석하였다. 분석 자료로 '한국청소년패널데이터' 중2 패널자료 중에서 3-5차년도 종단데이터가 활용되었으며, 통계방법으로는 구조방정식모형이 이용되었다. 분석 결과, 청소년의 빈곤 자체가 폭력피해 경험을 직접적으로 증가시키지는 않았으나 빈곤으로 인해 위험한 지역사회 환경에 거주하게 됨으로써 더욱 많은 폭력피해와 두려움을 경험하게 되며 이는 우울 및 불안으로 이어지는 것으로 나타났다. 이 결과를 바탕으로 청소년에 대한 빈곤의 부정적 영향을 줄이는 데에 지역사회의 역량 강화의 중요성을 함의로 지적하였다.

정신장애인의 긍정적 인지와 정서, 사회적 관계, 대처가 회복에 미치는 영향의 관계 구조 탐색 (Structural Exploration of the Effects of Positive Cognition and Emotions, Social Relationship, and Coping on the Sense of Recovery of Persons with Psychiatric Disabilities)

  • 박선영
    • 한국사회복지학
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    • 제60권4호
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    • pp.175-203
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    • 2008
  • 정신장애인의 회복은 정신건강상태, 긍정적 인지와 정서, 친한 사람의 수와 그 관계의 질 등 개인적, 사회적 자원을 활용하여 대처하는 중 형성되고, 이는 주관적 경험뿐 아니라 장기적 조사에 의해 지지된다. 회복을 촉진하기 위해 이 요인들 간의 유기적인 관계를 밝혀 사회복지실천 방법을 발전시킬 필요가 있다. 이에 본 연구는 460명의 지역사회 거주 정신장애인들의 낙관성, 정신건강상태, 정서, 사회적 관계의 양과 질, 대처가 어떠한 관계를 통해 회복에 영향을 주는지 구조방정식모형을 통해 살펴보았다. 연구결과, 첫째, 이론모형의 경로파악 결과 낙관성과 정서가 사회적 관계, 대처, 회복에 영향력을 행사한 한편, 정서는 대처에, 정신건강상태와 사회적 관계는 회복에 유의한 영향이 없었다. 둘째, 낙관성과 긍정적 정서는 회복에 직접 효과를 보이고, 양적, 질적 사회관계는 회복에 간접효과만 보였다. 낙관성보다는 긍정적 정서가 양적, 질적 사회관계에 직접 및 간접효과를 보이고, 회복에 더 큰 효과를 나타냈다. 끝으로, 낙관성과 회복, 양적관계와 회복, 질적 관계와 회복 각각의 관계에서는 대처가, 긍정적 정서와 대처 간에는 질적, 양적 관계가, 그리고 양적관계와 대처 간에는 질적 관계가 부분적 매개효과를 보였다. 이러한 결과에 따라 정신장애인의 회복에 영향을 미치는 긍정적 인지와 정서, 사회적 관계의 상이한 기제, 이들 자원과 대처, 회복의 관계에 대해 논의하고 사회복지실천 및 연구를 위한 함의를 제언하였다.

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보건계열과 비보건계열 대학생의 심폐소생술에 대한 인지도 (Analyzing the Cognition of CPR by College Students Who Major in Public Health or Not)

  • 권혜란
    • 한국응급구조학회지
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    • 제4권1호
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    • pp.35-46
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    • 2000
  • The results of analyzing the cognition of CPR by college students who major in public health or not order to enhance the educational efficiency of first aid ability and its expansion are as follows. 1. In case of students majoring in public health, the students who have the knowledge of term 'CPR' are 95.3% of total 300 students and 62.6% of the students who don't major in public health know it. In the item test of examining the degree of theoretical knowledge of CPR, the cases who know all 12 items are 5.2% and 1.6% respectively in cases who major in public health and don't major in it and it is judged that the extension of educational opportunity for them should be urgent. 2. The students who have experienced the practice of CPR are 20.6% in case who major in public health and 7.4% in other case. Therefore it seems to desirable that indirect field experience should be obtained by strengthening practice centered education. 3. The order of practice to examine the CPR ability is asked and the students who show very good remark are just 21~22% in both cases and they conducted very ineffective CPR and it is examined that they did first aid which may a serious damage to patients. Then the cases who recovered pulse and respiration after CPR were very low as 28.8% in the students who major in public health and 35.7% in others. It is therefore considered that the exact education of conducting the maintenance of respiratory trace, artificial respiration and CPR is necessary. 4. The cases who had the education of CPR were 51% in the students who major in public health and 39.4% in others, who had little opportunities to have CPR and 92.5~93.2% in both groups fee the necessity of continuous education and it is very encouraging to extend the education of CPR. 5. The education of CPR is mainly done at school (70.3~79.4%) and from teachers (52.7~55.4%) and 71.2% of the students majoring in public health responded that it is good for them to have education of CPR at school and lecture by first-aider and 58.9% of others did it. The cases who ask for lecture by the Professors of Dept. of First-Aid are 11.8 in students majoring in public health and 13.1% in others and it is judged that lecture by them having the theoretical foundation and first-aider with practical ability will be desirable. 6. On teaching methods, 57.5% of the cases majoring in public health and 63.3% of others ask for practice and 20% of both groups need theory centered teaching. 7. On lecture fee, 83% of the cases majoring in public health and 83.3% of others consider it should be free and 8~11.8% who are to pay for 10,000 won and it is judged that it should be opened and operated as liberal arts by college in the dimension of lifelong education. 8. On the objects of education, 83% of cases majoring in public health and 66.6% of others consider it should be conducted in people of all ages and both sexes and it is known that everyone recognizes the necessity of popularizing the education of first-aid.

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우리나라 수학교사의 다문화역량 실태 연구 : 다문화수학교사교육 방안 탐색을 위한 제언 (An Analysis of Korean Mathematics Teacher's Multicultural Competence: Implications for Multicultural Mathematics Teacher Education)

  • 송륜진;노선숙;주미경
    • 대한수학교육학회지:수학교육학연구
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    • 제23권3호
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    • pp.313-333
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    • 2013
  • 본 연구는 초 중등 수학교사의 '다문화역량' 실태를 파악하고 이를 바탕으로 수학교과에서 다문화교육을 실천할 수 있는 역량 함양을 위한 다문화교사교육의 방향을 제안하고자 한다. 이를 위해 이론적 검토 및 통계적 검증을 거쳐 5점 척도의 '수학교사의 다문화역량 측정도구'를 구성하고 서울, 경기, 인천 지역의 초 중등 수학교사 309명을 대상으로 설문조사를 실시하였다. 그 결과 수학교사들의 다문화역량 평균은 2.636(표준편차 .290)로 조사되었고 다문화와 관련한 일반적인 지식 및 신념을 묻는 범주A와 비교하여 수학교과의 특성이 반영된 범주 B, C, D의 평균이 낮다는 것을 확인할 수 있었다. 또한 집단별 비교를 위한 분산분석 결과 '교사의 경력', '다문화교사 교육 이수 여부', '다양한 배경의 사람들에 대한 간접 접촉 경험 여부'에 따른 집단별 차이가 없는 반면, '다양한 문화적 배경의 사람들과 직접 접촉 경험 여부', '교사의 전공'에 따라 다문화역량이 집단별 유의한 차이가 있는 것으로 조사되었다. 이와 같은 결과를 바탕으로 수학교과를 통해 다문화교육을 수행할 수 있도록 실천적 맥락의 다문화교사교육에 대한 시사점을 논의하였다.

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애도상담자 전문역량 향상을 위한 교육과정 탐색 (A Study on Curriculum to Improve Grief Counselor's Competency)

  • 전희정
    • 한국콘텐츠학회논문지
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    • 제18권2호
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    • pp.602-615
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    • 2018
  • 상실은 죽음 뿐 아니라 인생 전환기의 변화까지 포함하는 개념으로 확대되었다. 이와 더불어 자연재해, 예기치 않은 사고 등으로 주변의 죽음을 직 간접적으로 경험하는 비율도 증가하였다. 따라서 애도 상담에 대한 수요 증가와 전문 애도 상담에 대한 필요성이 제기되고 있다. 이에 본 연구는 애도 상담자의 전문역량 향상을 위해 애도 상담 역량 요인을 조사하고, 무엇을 학습하고 훈련해야 하는지 문헌을 검토하고 조사하는데 초점을 두었다. 구체적으로 애도 상담 이론 및 모델, 애도의 평가, 죽음 교육, 상담자 자기-관리로 나누었고 각 교육 내용을 기존 상담교육과정에 통합시키고 경험적 실습 방법을 제시하였다. 본 연구는 애도 상담자 교육에 대한 관심을 고취시키고 애도 상담자 역량 모형 및 체계적인 교육과정 개발에 기초자료로 활용될 수 있다.

영재교육에 대한 유치원교사의 인식수준

  • 이수남;오연주
    • 영재교육연구
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    • 제9권1호
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    • pp.63-84
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    • 1999
  • This study is to examine the current problems of teaching gifted children and suggest elements(or factors) to be considered in setting up goals thereof by analyzing incumbent teachers awareness. 121 teachers were arbitrarily selected from 30 different kindergartens located in Seoul and Anyang, and they were interviewed with two parts questionnaires(or opinions) of improving current practice. The first part of the questionnaire is composed of the questions about teachers awareness of gifted children, actual state of teaching gifted children, effects of teaching in kindergarten for gifted children, and desired direction for teaching improvement. The second part of the questionnaire provided interpretation of precociousness by study habit, creativity and definitive properties and asked the number of children qualified in their classes. Since the results of the first interview as to awareness of gifted children were dismal, 40 teachers were thereafter randomly selected again, and the second interview was warranted. The results alarmingly revealed that program of teaching gifted children were barely existing even though the teachers awareness for the needs of special education for the precocious as well of study materials and programs thereof was high. In addition, the teachers familiarity of gifted children was surprisingly low. At the second interview whereby gifted children was explained, the teachers awareness of gifted children was dramatically improved to 40% in comparing with 7.4% at the first interview without explanation of gifted children. Teachers awareness of gifted children was low because of lacking direct or indirect experience of having gifted children and special programs therof in their classes as well as teachers nonchalance. Therefore not only adequate training and education of teachers, but also cultivation of qualified teachers for special programs for the precocious are obligatory. Training of incumbent teachers and determination of gifted children are prerequisite for timely discovery of gifted children and adequate education for them. Development of special education programs and diffusion are also crucial.

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치과위생사 이미지, 전공만족도 및 중도탈락의도의 구조적 관계 (Structural relationship of dental hygienist image, major satisfaction, and dropout intention)

  • 김창희;김정희;김형미
    • 한국치위생학회지
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    • 제22권2호
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    • pp.143-151
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    • 2022
  • Objectives: This study investigates dropout intention and the structural relationship between the dental hygienist role and satisfaction with the study major perceived by dental hygiene students. Methods: A survey was conducted on 269 dental hygiene students. The survey items covered general characteristics, department choice motivation, the desirability of dental hygienist career, practice clinical experience, perception of dental hygienist role, satisfaction with study major, and dropout intention. Independent sample t-test, one-way ANOVA, Mann-Whitney U test, multiple linear regression analysis, and structural equation modeling were used for statistical analysis. Results: The dropout intention level of dental hygiene students was 2.4 out of 5.0. Satisfaction with study major partially mediates perception of dental hygienist role and dropout intention (direct effect=0.182, p=0.024, indirect effect=-0.437, p=0.010). Perception of dental hygienist role (β=-0.255, p=0.010) and satisfaction with study major (β=-0.661, p=0.010) showed a negative relationship with dropout intention. The factor most affecting dropout intention was satisfaction with study major. Dropout intention was high when selecting a major based on external motivations (β=-0.448, p<0.001). Conclusions: Perception of dental hygienist role and satisfaction with study major directly or indirectly affect dropout intention. Therefore, improving satisfaction with study major and improving the perception of dental hygienists will help reduce dropout intention.

간호사고와 관련판례에 대한 임상간호사의 지각 (Perception of the Nurse on the Nursing Malpractice and Its Case)

  • 정지연;이명하
    • 간호행정학회지
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    • 제5권3호
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    • pp.445-462
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    • 1999
  • The purpose of this study is to provide some basic data for the direction of nursing education and practice to prevent nursing malpractice as investgating perception of the nurse on the nursing malpractice and its case. Data were collected from 450 nurse working in four general hospitals which were located in Chonbuk province from November 9 to 21, 1998 through questionnare. The structured instruments developed by the reseacher were used for collecting data. The Results were as follows: 1) As for the cognition of the nursing malpractice case, the transfusion accident was 37.3%, the side-effects of KCL injection(19.3%), hymen rupture by uterus cancer test, the side-effects of aminophyllin injections on dyspnea patient and the others were 10% below. 2) With regard to the channel of the perception of the nursing malpractice case, mass-communication was taken first and followed through by neighbors, In-service education, school education, continuing education 3) As for the direct${\cdot}$indirect experience of the nursing malpractice case, transfusion accident was 51.3%, the fall of NPO patient after an operation 40.1%, the side-effect of KCL injection 32.5%, suicide of the psychiatric patient 32.5%, and the others were 30% below. 4) The possibility of nursing malpractice case was an average 2.57(${\pm}$0.91) and the highest was the fall of the NPO patient after an operation. 5) The perception on the responsibility of the nursing malpractice in its case was indicated as a joint-fault in ten nursing malpractice instances. As compared to the real decision, nurse's perception of the responsibility in the fall of the NPO patient after an operation, the side-effect of KCL injection, the tracheal edema of the patient who had a thyroid operation, the suicide of psychiatric patient, the hymen rupture by uterus cancer test accorded real decisions. But the other cases were different from the real decisions. These cases were perceived as ones of joint fault even in cases determined as Dr's single fault cases or those in which both doctor and nurse were declared free of fault. 6) Knowledge levels of the nursing malpractice, school education and In-service education were perceived as low but anxiety levels of the malpractice were high. 7) With regard to the countmeasure of the hospital after nursing malpractice, the rate answered as "the practice settled the accident temporarily and forced the person in charge to be punished" was highest. In conclusion, the level of the cognition of the clinical nurse on nursing malpractice cases was low. As nurses' perception on the responsibility of the nursing malpractice case was compared to the real decision, there was a difference in five cases out of the ten cases.

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치과용 인상재의 사용 실태에 대한 융합 연구 (The convergence study on the use of dental impression materials)

  • 장선옥;최은미;강민경;심연수;조윤정;오상환;최유리
    • 디지털융복합연구
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    • 제16권4호
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    • pp.195-203
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    • 2018
  • 본 연구에서는 우리나라 치과임상에서 사용되고 있는 치과인상재의 종류 및 채득 방법에 대해 조사해보기 위해 실시되었으며, 설문조사는 전국치과병(의)원 치과의사를 대상으로 기관당 1부씩 자기기입식 방법을 통해 조사하였으며, 수집된 자료는 SPSS 20.0을 사용하여 통계 처리하여 분석하였다. 그 결과 인상재의 종류별 진료 내용에서는 대부분의 진료에서 부가중합형 인상재의 사용빈도가 가장 높았다. 인상채득방법은 점도에 분류에 의한 light body와 heavy body를 사용하는 흐름성이 다른 인상재를 한번에 채득하는 방법을 가장 선호하는 것을 확인할 수 있었고, 임플란트 인상채득방법에는 직접법과 간접법 모두 흐름성이 다른 두 가지 고무인상재를 한번에 채득하는 방법이 가장 선호되었다. 일반적인 특성에 따른 주조수복재와 보철물의 인상채득방법에서는 각각 연령과 임상경력에서 통계적으로 유의한 차이를 보였다. 본 연구결과는 임상에서 주로 사용되고 있는 인상재의 종류를 파악해보고 치과전문가에게 요구되는 인상재의 선호도에 따른 이론과 실무에 대한 업무개발에 도움이 될 수 있으리라 판단된다.