• Child Health Nursing Research
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• 제2권1호
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• pp.69-92
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• 1996

The purpose of study was : 1) to analyze the trend of research on the family with chronically ill children in Korea, 2) to suggest direction for future study on the family with chronically ill children, and contributing to the use of intervention in family nursing practice. Research studies on the family with chronically ill children were selected from the Korean Nusre, the Korean Nurses' Academic Society Journal, and from dissertations, which were conducted between 1975 and 1995. The total numbers of the studies were 35. These studies were analyzed for 1)time of publication or presentation, 2)research design, 3)characteristics of subjects, 4) type of chronic disease, 5)main concepts, 6)measurement tool, 7) the sis for a degree or nondegree, 8) result of correlational studies. The findings of the analysis were as follows : 1) The numbers of studies on the family with chronically ill children have increas rapidly the early 1990's. In research design, the numbers of survey research studies were the highest. Especially, the most frequently research design was the correlational survey. There were 19 correlational studies(25.7%) during the early 1990's. 2) The subjects in 16 studies(45.7%) were mother of chronically ill children and, in 8 studies (22.9% ) were their parents. 3) In most types of chronic diseases, there were 14 hematooncologic disease(32.6%) and 14 hadicapped children (32.6% ). 4) Frequently used research concepts were stress, degree of coping or way of coping, social support, parents' support, family functioning, intensity of family and family adaptation. 5) Acceding to the results of correlational studies, the more family stress was higher the more degree of coping, family functioning, intensity of family and degree of family adaption was lower. The more degree of social support was higher the more stress was lower and degree of coping, family functioning and intensity of family was higher. The more family functioning was higher the more intensity of family and family adaptation was higher. 6) 24 researches on the family with chronically ill children were done for a thesis for a degree and 11 were nondegree research studies. The following suggestions are made based on the above findings : 1) The pattern of these studies related to the family with chronically ill children in domain of Nursing need to be compared with trend in other domains. 2) More replicated research on the family with chronically ill children is needed to develop family nursing intervention and prove the effect of that and more qualitative research on the family with chronically ill children is needed to comprehensive indepth the family with chronically ill children. 3) Further research on the family with chronically ill children is needed to verify subjects and type of chronic disease, develop applicable measurement tools in Korea and identify relation between other concepts. 4) Family nursing researchers should make an effort to apply research result in various clinical settings and community settings, and try to carry out not only team research with clinical nurse but also other multidisciplinary researcher related to the family.

• 대한간호학회지
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• 제25권1호
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• pp.30-44
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• 1995

This study aimed at analyzing the trend of re-search on pain in Korea, suggesting direction future pain research, and contributing to the use of pain interventions in nursing practice. Research studies on pain were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Central Journal of Medicine, the New Medical Journal, and from theses and dissertations, which were conducted between 1970 and 1994. The total number of the studies was 93. These studies were analyzed for 1) time of publication or presentation, 2) thesis for a degree or nondegree, 3) research design, 4) characteristics of subjects used in each study, 5) measurement tool, 6) types of correlated variables, 7) Korean terms for pain 8) types of nursing interventions, and 9) results of studies. The findings of the analysis can be summerized as follows : 1) The number of studies related to pain has increased rapidly since the early 1980's. The number of experimental research studies related to pain has increased chronologically, but the number of survey research studies related to pain was highest from 1981 to 1985, after that it decreased slowly. 2) The subjects in 19 studies were healthy people and, in 73 studies, patients with various illnesses. Thirty two studies were conducted with surgical patients. 3) Sixty one pain research studies were done for a thesis for a degree and 32 were nondegree research studies. 4) As measurement tools for pain, self- report pain scales were used in 54 studies and more than two tools were used in 28 studies. In the experimental studies, the trend was to use more than two tools. And in the nonexperirnental studies, the trend was to use self-report pain scales only. 5) There were 11 correlational studies. In these studies, the trend was to study anxiety, depression and variables such as intravenous infusion as related to pain.6) In the thirty six experimental studies, the effects of 16 types of nursing interventions weretested. Teaching and information, and relaxation technique were the most popular interventions for pain. 7) In eighteen methodological studies, the majority were studies testing the validity and re-liability of Dr. Lee's Korean Pain Rating Questionnaire. The following suggestions are made based on the above findings : 1) The patterns of these studies related to pain in Korea need to be compared with trends in other countries. 2) Meta - analysis should be done to analyze and integrate the results of various studies. 3) This analysis of pain research is needed to identify the present trend of pain research and to suggest the direction of future pain research, so these patterns of studies should be done in 5 to 10 year intervals. 4) More replicated pain research is needed to prove the effect of nursing interventions and more qualitative research on pain is needed to identify indepth the meaning of pain. 5) Pain researchers should make an effort to apply research result in various clinical settings and try to carry out team research with clinical nurses or with other multidiscipinary researchers.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.364-375
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• 2018

본 연구는 간호사의 도덕적 민감성과 병원 안전 환경이 간호사의 감염 표준주의 이행도에 미치는 영향을 파악하기 위해 시행되었다. 연구대상자는 일 개 종합병원 간호사 214명이었으며 2017년 8월 1일부터 15일까지 도덕적 민감성, 표준주의 안전 환경, 감염 표준주의 이행도에 관한 자가 보고식 설문지로 자료 수집하였다. 수집한 자료는 평균과 표준편차, 빈도 등 서술통계, 독립표본 차이 검정, 피어슨 상관관계, 분산분석, 다중회귀분석 방법으로 분석하였다. 대상자의 도덕적 민감성 평균점수는 7점 만점에 5.05점이었으며, 표준주의에 대한 안전 환경은 7점 만점에 5.76점, 감염 표준주의 이행도는 5점 만점에 4.50점이었다. 감염 표준주의 이행도는 도덕적 민감성 및 표준주의 안전 환경과 유의한 양의 상관관계를 보였다. 감염 표준주의 이행도에 영향을 미치는 요인은 근무 부서(응급실, 중환자실), 나이, 표준주의 안전 환경이었다. 이들 변수의 설명력은 25.3%였으며, 도덕적 민감성은 영향 요인으로 확인되지 않았다. 따라서 감염 표준주의 이행도를 높이기 위해서는 신규간호사들을 대상으로 한 지속적인 교육프로그램, 부서별 특성에 따른 맞춤 증진활동이 필요하며 표준주의 안전 환경 확립을 위한 기관의 인적, 행정적 지원이 요구된다.

• 보건행정학회지
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• 제9권1호
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.501-506
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• 2015

Background: To evaluate the effectiveness of the National Train-the-Trainers Program for Hospice and Palliative Care Experts (TTHPC) sponsored by the National Cancer Center of Korea between 2009 and 2012. This program was developed to improve the teaching skills of those in the field of hospice and palliative care (HPC). Materials and Methods: Training was offered in eight 1-day sessions between 2009 and 2012. The effect of the program was measured using Kirkpatrick's model of educational outcomes. First, levels 1 and 2 were evaluated immediately after the 1-day program (n=120). In 2012, the level-3 evaluation test was administered to trainers who offered at least one HPC training (n=78) as well as to their trainees (n=537). Results: The level-1 evaluation addressed participant reactions to and satisfaction with the program. Participants (n=120) were generally satisfied with the content, the method, and the overall course (mean range: 3.94-4.46 on a five-point Likert scale). The level-2 evaluation (learning) showed that participants gained knowledge and confidence related to teaching HPC (4.24 vs. 4.00). The level-3 evaluation (behavioral), which assessed trainers' application of teaching skills to HPC, showed that trainees rated the teaching methods of trainers (mean range: 4.03-4.08) more positively than did trainers (p<0.05). Female trainers were more likely than were male trainers to plan sessions in consideration of their trainees' characteristics (4.11 vs. 3.58; p<0.05), and nurse trainers were more likely than physician trainers to use a variety of instructional methods (4.05 vs. 3.36; p<0.05) Conclusions: We conducted systematic evaluations based on Kirkpatrick's model to assess the effectiveness of our train-the-trainers program. Our educational program was practical, effective, and followed by our HPC experts, who needed guidance to learn and improve their clinical teaching skills.

• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.311-329
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• 1996

This study was designed to compare the level of medical utilization between the urban and rural areas of Korea and to explain the differences between the two regions. Data from the National Health Interview Survey performed by the Korean Institute of Health & Social Affairs in 1992 were used for this study utilizing a sample size of 21,841 people. The level of medical utilization such as the number of physician visits and the number of hospital admissions was compared between the regions with ANOVA. Various determinants for medical use were also compared by univariate analysis. Statistical models which included enabling factors, predisposing factors, need factors and region were constructed for bivariate analysis in order to further elucidate the level of medical utilization. The results were as follows: 1. There was greater medical use, both in terms of physician visits and inpatient care in the rural areas in spite of insufficient health resources. The particular reasons for higher medical utilization in rural areas were attributed to a higher number of initial physician visits as well as a longer the length of stay per hospital admission. Therefore, indicators representing the degree of met need (utilization/need) showed no significant difference between rural and urban areas in spite of the fact that the medical need is larger in rural areas. 2. Use of public health facilities received a significant portion of physician visits in the rural area. The government's effort to enhance primary health care through health centers, health subcenters and the nurse practitioner's post in rural areas has contributed to the increase of access to medical care in the rural areas. 3. There were some differences in the socio-demographic characteristics between two regions ; There were more elderly people over the age of 65: unstable marital status, less education and lower incomes also characterized the rural areas. Therefore, among rural people, there were more predisposing factors for medical use. Additionaly, need factors such as poor self-reported health status and high morbidity level were also high in the rural area. 4. In contrast it was learned that, the supply of health resources was mostly concentrated in the urban areas except for public health facilities. Therefore, geographical access to medical care was lower in the rural area both in terms travel time and travel cost. 5. The coefficient of the region variable was insignificant in the regression model which controlled the supply factor only. However, utilization was significantly higher in urban areas if the model included predisposing factors and need factors in addition to the supply factor. The results were interpreted as rural people have greater medical needs.

• 사물인터넷융복합논문지
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• 제5권1호
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• pp.13-28
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• 2019

본 연구의 목적은 일 종합병원 간호사의 성격유형, 회복 탄력성, 자기효능감, 직장 내 괴롭힘 피해경험의 정도를 파악하고 이들 간의 상관관계를 규명하여 직장 내 괴롭힘에 영향을 미치는 요인을 파악하고자 한다. 본 연구는 서울시 소재 일 종합병원에 근무하는 간호사 260명을 대상으로 구조화된 설문지를 통해 2018년 10월 22일부터 2018년 10월 26일까지 자료를 수집하였으며, 수집된 자료는 SPSS/WIN 21.0을 이용하여 기술통계, independent t-test, one-way ANOVA, Pearson's Correlation Coefficients, 다중회귀 분석을 실시하였다. 일반적 특성에 따른 차이 분석 결과 직장 내 괴롭힘은 연구대상자의 괴롭힘 목격, 근무지 만족도에 따라 유의한 차이가 있는 것으로 나타났고, 회복 탄력성은 연구대상자의 결혼 여부, 종교 유무, 최종학력, 근무지 만족도에 따라 차이가 있는 것으로 나타났으며, 자기효능감은 연구대상자의 결혼 여부, 종교 유무에 따라 차이가 있는 것으로 나타났다. DISC 성격유형에 따른 차이를 분석한 결과 직장 내 괴롭힘이 유의한 차이가 있었다. DISC 성격유형, 직장 내 괴롭힘, 회복 탄력성, 자기효능감 간의 상관관계를 분석한 결과 직장 내 괴롭힘은 회복탄력성과 유의미한 부(-)의 상관관계를 나타냈으며, 회복 탄력성은 자기효능감과 유의미한 정(+)의 상관관계가 있는 것으로 나타났다. 직장 내 괴롭힘에 영향을 미치는 요인을 확인하기 위해 다중 회귀분석을 실시한 결과 직장 내 괴롭힘에 유의미한 영향을 미치는 요인은 괴롭힘 목격, 근무지 만족도, 회복 탄력성으로 괴롭힘을 목격한 경우, 근무지에 불만족한 경우가 직장 내 괴롭힘 점수가 높았으며, 회복 탄력성이 높을수록 직장 내 괴롭힘 정도가 낮아지는 것을 확인할 수 있었다.

• 한국산학기술학회논문지
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• 제21권3호
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• pp.89-95
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• 2020

본 연구는 간호사의 내부지향적 정책, 사회적지지 및 직무배태성이 이직의도에 미치는 영향에 대해 알아보기 위한 서술적 조사연구이다. 연구대상자는 연구 참여에 동의한 D광역시에 위치한 2개 대학병원 간호사들이며, 자료 수집은2018년 10월 2일부터 2019년 3월 20일 까지 실시되었다. 자료 분석은 SPSS 22.0 프로그램을 이용하였으며, 빈도와 백분율, 평균과 표준편차, 상관분석, t-test, ANOVA, Pearson's correlation, Multiple regression을 이용하였다. 연구결과 내부지향적 정책은 3.04점, 사회적지지는 상사 3.08점, 동료 3.81점, 가족 3.67점이었고, 직무배태성은 2.98점, 이직의도는 3.55점이었으며, 내부지향적 정책, 사회적지지 및 직무배태성이 높을수록 이직의도는 감소하는 것으로 나타났다. 일반적 특성에서 이직의도에 미치는 요인을 파악한 결과 임상경력과 근무부서가 유의미한 결과를 보였다. 임상경력은 높을수록 이직의도가 높았고, 근무부서는 외과병동, 내과병동, ICU, OR순으로 이직의도가 높았다. 이상의 결과를 바탕으로 간호사의 이직의도를 낮추기 위한 중재방안으로 병원 내부지향적 정책, 사회적지지 및 간호사의 직무배태성을 높이기 위한 프로그램 개발 및 교육이 적극적 이루어져야 할 것이다.

• 대한간호학회지
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• 제23권3호
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• pp.369-376
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• 1993

Since nursing has come of age both as a profession and as a scholarly discipline, there has been increasing concern with delineating its theory base. In 1978 Chinn and Jacobs asserted that “the development of theory is the most crucial task facing nursing today.” The basic building blocks of theories are concepts. Concept formation begins in infancy, for concepts help us to categorize and organize our environmental stimuli. Concepts help us to identify how our experiences are similar or equivalent by categorizing all the things that are alike about them. concepts can be primitive, concrete, or abstract. Concept Analysis is a strategy that examines the attributes or characteristics of a concept. It is a formal, linguistic exercise to determine those defining attributes. It encourages communication. Its basic purpose is to distinguish between the defining and irrelevant attributes of a concept similarities. It is a process of determining the differences between concepts and it is useful for several reasons. It is an excellent way to begin examining information in preparation for research or theory construction and results in an operational definition and a list of defining attributes and antecedents. It provides the scientist with an excellent beginning for a new tool, is an excellent way of evaluating an old one and is useful in evaluating existing instruments. The steps of concept analysis are : 1. Select a concept, 2. Determine the aims or purposes of the analysis, 3. Identify all uses of the concept that you can discover, 4. Determine the defining attributes, 5. Construct a model case, 6. Construct borderline, re-lated, contrary, invented, and illegitimate cases, 7. Identify antecedents and consequences, 8. Define empirical referents. In this paper, the concept selected for analysis was Love. The concept of love is of great interest to nursing because loving care is considered vital to the nursing care of patients. The aims of the concept analysis of love were to clarify the meaning of love, to develop an operational definition for it and to contribute to existing nursing theory. Love influences the quality of life which is the goal of nursing according to Parse in her Human Becoming Theory. Lived experiences are the entities for study in Parse's Research Methodology. Human caring, human understanding, and human becoming are the most important issues in lived experiences. In this research, dictionaries and literature from nursing philosophy and other human disciplines were used to identify the concept of love. As many different instances of the concept as could be found were examinned. The model case was a real life example of the use of the concept. Next borderline, related, invented, and contrary cases were constructed for the purpose of providing examples of “not the concept” and for promoting further understanding of the concept being discussed. The defining attributes of the concept of love were concern, responsibility, respect, understanding and dedication. Love was defined as showing concern and understanding. relating with mutual respect and dedicating oneself responsibly to others. Concept analysis is a highly creative activity and may add significant new information to a given area of interest. It is a strategy for developing a concept based on observation or other forms of empirical evidence. The purpose of concept analysis is to generate new ideas. It provides a method of examining data for new insights that contribute to theoretical development. This concept analysis suggests that a nurse’s love for patients is shown in the process of giving oneself in mutual relationships of responsibility and respect and in continuously providing understanding and quality human care for them.

• 사물인터넷융복합논문지
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• 제8권6호
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• pp.35-47
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• 2022

본 연구는 일 감염병 전담병원 간호사의 COVID-19와 관련된 직무스트레스, 감정노동, 임파워먼트 및 재직의도 정도를 파악하고 COVID-19와 관련된 직무스트레스, 감정노동, 임파워먼트가 재직의도에 미치는 영향을 확인하고자 한다. 본 연구의 자료수집은 S시 소재 감염병 전담병원 간호사 162명을 대상으로 구조화된 설문지를 통해 2021년 8월 27일부터 2021년 9월 17일까지 실시하였고, SPSS/WIN 25.0을 이용하여 빈도와 백분율, 평균과 표준편차, 독립표본 t-검정, 분산분석, 피어슨상관계수, 다중선형회귀분석을 이용하여 분석하였다. 일반적 특성에 따른 차이 분석 결과 재직의도는 근무부서 및 근무만족도에 따라 유의한 차이가 나타났고, 재직의도와 COVID-19와 관련된 직무스트레스, 감정노동, 임파워먼트간의 상관관계를 분석한 결과 재직의도는COVID-19와 관련된 직무스트레스와 유의한 부적 상관관계(r=-0.215, p=0.006)를 나타냈고 임파워먼트와 유의한 정적 상관관계(r=0.343, p<0.001)를 보였다. 다중선형회귀분석 결과 재직의도에 영향을 미치는 유의한 변수로 근무만족도, COVID-19와 관련된 직무스트레스, 임파워먼트가 확인되었으며(F=23.751, p<0.001) 설명력은 30.0%이었다. 이상의 결과를 통해 효율적인 간호인력 관리를 위한 전략개발의 기초자료를 제공하고자 한다.