• 제목/요약/키워드: Nurses' role

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급성요통의 치료에 홍화약침과 홍화약침+첩대요법의 비교연구 : 무작위 대조군 임상실험 (Effectiveness of herbal acupuncture of Carthami semen(Honghwa) vs its cotreatment with spiral taping for the treatment of acute low back pain : A randomized controlled trial)

  • 정민수
    • 대한약침학회지
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    • 제5권2호
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    • pp.25-38
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    • 2002
  • Spiral taping shows great effectiveness in relieving musculoskeletal pains. The purpose of this research is to compare effectiveness of herbal acupuncture of Carthami semen(Honghwa) vs its cotreatment with spiral taping for the treatment of acute low back pain. The target patients were those who satisfied with all of the following conditions. 1. Those who suffered from acute low back pain but without past history of the pain in the last six weeks. 2. The pain wasn't radiated to the lower limbs and were without any neurotic symptoms. A computerized randomization was used to set the patients in two groups. The control group was consisted of 41 patients and treated with herbal acupuncture. The experimental group was consisted of 49 patients and treated with spiral taping as well as herbal acupuncture. The treatment was given two times a week and the nurses measured the ROM and VAS evaluation before every treatment. The patients wrote ODI by themselves before the first treatment and after the 3rd treatment. After three months, an interview of the patients' condition through a follow up survey was done. In terms of acute low back pain in both the control group and experimental group, significant treatment effects were found by assessing VAS, ROM and ODI. By comparing the control group and the experimental group, there was more significant improvement in the experimental group than the control group of VAS and ROM, but no significant effect was found between the groups of ODI. This study shows that the herbal acupuncture of Carthami Semen plays a significant role in relieving acute low back pain. It also shows that spiral taping of the experimental group was more highly effective. As a result, spiral taping can be used with acupunture of Carthami Semen for a highly effective treatment for acute low back pain.

화병을 가진 중년여성의 일상생활 재편성 경험 (The Experience of Reorganization of the Everyday Lives among Middle-aged Women with Hwabyung)

  • 박영숙;채선옥;양진향
    • 한국콘텐츠학회논문지
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    • 제17권6호
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    • pp.239-249
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    • 2017
  • 본 연구는 화병을 가진 중년여성의 일상생활이 어떠한 양상으로 재편성되는 지를 사회문화적 맥락과 연관하여 이들의 시각에서 심층적이고 포괄적으로 이해하고, 나아가 이 과정에서 어떠한 간호중재가 요구되는지를 탐색하고자 시도되었다. 연구참여자들은 7명이며, 문화기술지 연구방법을 적용하여 자료를 수집하고 분석하였다. 화병을 가진 중년여성의 일상생활 재편성은 가족집단에 대한 인식과 위기의식으로부터 출발되었으며, 먼저 자신의 삶에 대한 인식을 재조정하면서 실제적인 재편성이 시작되었다. 이러한 과정에서 참여자들은 가족관계를 정리하고 강화하였으며, 가족 내 자신의 역할을 충실히 감당하고 가장의 빈 역할을 대신할 뿐 아니라 자신의 역량을 강화해 나감으로써 일상생활을 재편성하고 안정적인 정착을 도모해 나갔다. 이 연구 결과는 화병을 가진 중년여성의 일상생활 재편성에 대한 이해를 바탕으로 대상자와 그 가족들에게 실제적 도움이 될 수 있는 간호중재개발의 지침을 제공하였다는 점에서 그 의의를 찾을 수 있다.

사업장 중년기 남성근로자의 연령에 따른 식생활 습관, 체력, 혈압과의 관련성 (The Relationships of Blood Pressure with Dietary Habit and Level of Physical Fitness of Middle-aged Male Workers by Age)

  • 박경민;박정숙
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.105-116
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    • 2000
  • The purpose of this study is to evaluate the relationship of blood pressure with dietary habit and level of physical fitness of middle-aged male workers by age. The study subjects included 511 male employees who have worked at a company in C City, whose age was more than 40 years old. Between April 10 and May 30. 1998, all of the study subjects measured physical fitness (Balance, strength, power, agility, flexibility and endurance) and blood pressure. A questionnair was administered for dietary habit and socio-demographic characteristics. The average age (SD) of the study subjects was 46.61(3.98) years. The study subjects were classified by age into 3 groups; 40-44 aged group(34.6%), 45-49 aged group(41.3%), and 50-54 aged group (24.1%). The score of dietary habit of 40-44 aged group was $69.77{\pm}5.82$. that of 45-49 aged group was $69.77{\pm}5.83$, and that of 50-54 aged group was $71.85{\pm}6.82$(p=0.005). But age of health physical fitness tend to weaken in the age of 40-44. Systolic(p=.011) and Diastolic blood pressure (p= .011) were significantly increased with age increment. Diastolic blood pressure and dietary habit of 45-49 aged group showed the significant negative-correlation(r= .280. P<0.05). and Diastolic blood pressure and age of health physical fitness of 40-44 aged group showed the significant positive-correlation(r= .182. P<0.05). On the basis of the results of this study. I hope occupational nurses should play an active role to improve dietary habit and physical fitness for prevention of hypertension with increase of age in middle-aged male workers.

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DACUM 기법을 이용한 재활간호사의 직무분석 (Task Analysis of the Job Description of Rehabilitation Nurse based on DACUM)

  • 소희영;김정화;박지원;임난영
    • 재활간호학회지
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    • 제12권1호
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    • pp.16-29
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    • 2009
  • Purpose: The aim of this study was to develop and to analyze the duty and the task of rehabilitation nurse in Korea. Method: The definition of rehabilitation nurse and job description was developed based on developing curriculum(DACUM) by panels who have experienced in DACUM analysis and rehabilitation nursing. 228 nurses who were working at rehabilitation centers and rehabilitation unit in general hospitals were participated. The questionnaire included frequency, importance, and difficulty of duties and tasks. The data were collected in March and April 2009, analyzed by descriptive statistics. Results: The job description of rehabilitation nurse in Korea revealed 11 duties, and 61 tasks. On the all 11 duties, the highest duty in frequency and importance was direct nursing care ($2.47{\pm}.31$, $2.77{\pm}2.8$) and the highest duty in difficulty was self-development ($2.39{\pm}.48$). Among the tasks of duties 'direct nursing care' in 'manage medication' ($2.87{\pm}.35$) in frequency, the task 'prevent and manage bedsore' ($2.91{\pm}.31$) of duty 'direct nursing care' in importance, and 'cope emergency situations' ($2.72{\pm}.49$) of duty direct nursing care in difficulty showed the highest degree. Conclusion: The political efforts for the legislation of role and task of rehabilitation nurse were needed.

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응급의료종사자가 인식하는 병원 내 응급구조사의 이미지 (대전, 충남 3차의료기관 중심으로) (Images of Hospital Emergency Medical Technicians Perceived by Emergency Medical Service Providers (Focusing on tertiary medical institutions in Daejeon and Chungcheongnam do))

  • 한송이;배기숙;김진욱
    • 한국콘텐츠학회논문지
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    • 제12권4호
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    • pp.373-379
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    • 2012
  • 본 연구는 대전 충남 소재 3차 의료기관에서 근무하는 응급의료종사자(의사, 간호사) 122명을 대상으로 병원 내 응급구조사의 이미지를 조사하였다. 병원 내 응급구조사의 이미지를 향상시키기 위한 기초 자료를 제공하고자 연구를 실시한 결과, 이미지는 $3.27{\pm}0.34$점이었다. 영역별로는 전문적 이미지가 가장 높았고, 역할 이미지가 가장 낮았다. 문항별로는 '의사와 우호적 관계를 유지하고 있다.'가 가장 높았고, '잘난 체하고 업무 수행을 소홀히 한다.'가 가장 낮았다. 병원 내 응급구조사의 이미지를 더욱 향상시키기 위해서는 응급구조사가 환자와 동료에게 진정성 있는 태도로 일관해야하며, 전문직으로서 직업의식을 고취시키고, 응급구조사의 고유 업무와 역할을 충실히 해내야 할 것이다. 또한 전문 직업인으로서의 이미지를 구축할 수 있도록 협회 차원의 홍보와 대책이 마련되어져야 할 것이다.

구성원의 그릿(GRIT)과 잡 크래프팅, 조직효과성의 구조적 관계: 대학병원 종사자를 대상으로 (Structural Relationships of GRIT, Job Crafting and Organizational Effectiveness; Focusing on Medical Center Employees)

  • 현미숙
    • 융합정보논문지
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    • 제10권10호
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    • pp.259-267
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    • 2020
  • 본 연구는 대학병원에 근무하는 종사자를 대상으로 그릿과 잡 크래프팅이 직무몰입과 직무만족의 조직효과성 결과에 영향을 미치는 요인을 예측하고 관계를 검증하기 위한 구조모형 연구이다. 본 연구를 위해 일개 대학 부속병원에 근무하는 의사, 간호사, 행정직원, 기술보건직원 등 450명을 대상으로 2020년 6월 1일부터 6월 15일까지 자료를 수집하였으며, 수집된 자료는 SPSS 26.0과 AMOS 26.0을 이용하여 분석하였다. 본 연구에서 대상자의 그릿이 높을수록 잡 크래프팅 활동이 더 활발하였으며(β=.751, p<.001), 잡 크래프팅은 조직몰입(β=.297, p=.005)과 직무만족(β=.353, p<.001)에 긍정적 영향을 미치는 것으로 나타났다. 본 연구에서 병원종사자의 그릿은 조직효과성 지표인 조직몰입과 직무만족에 직접적인 영향을 미치지 못하는 것으로 나타났으나, 구성원의 잡 크래프팅이 그릿과 조직효과성 간의 관계에 완전 매개역할을 하는 것으로 나타났다. 이러한 결과는 대학병원 종사자의 인적자원관리 방안 설정에 유용한 정보로 활용될 것으로 기대된다.

산후 우울 경험에 관한 연구 -근거 이론적 접근- (The Experience of the Postpartum Depression : A Grounded Theory Approach)

  • 배정이
    • 대한간호학회지
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    • 제26권1호
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    • pp.107-126
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    • 1996
  • The Purpose of this study was to build a substantive theory about the experience of postpartum depression. The qualitative research method used was rounded theory. The interviewees were eight others who had experienced postpartum depression. The data were collected through in-depth interviews with audiotape recording done by the investigator over a period of twelve months. he data were analyzed simultaneously by a constant comparative method in which new data were continuously coded into categories and properties according to Strauss and Corbin's methodology. Analysis the grounded data resulted in 28 concepts being identified. Eight categories emerged from the analysis. The categories were regret, loss of freedom, isolation of oneself, heartache, loss, emotional upset, avoidance, recovery. These substantive categories are consistent with precious research results. Causal conditions included : regret, loss of freedom. Phenomena : heartache, loss, emotional upset. Context : isolation oneself. Intervention condition : avoidance. Action/interaction strategies : desire for recovery. Consequences : recovery. These categories were synthesized into the core concept-The process of filling the empty loss of self. The process of the experienced postpartum depression was ① change after delivery, ② searching for a reason for depression, ③ effort to recover from postpartum depression, ④ recovery from postpartum depression and return to previous life. The process of recovery from postpartum depression was proceeded by ① support from others, especially husband, ② resolution of stressful life events, ③ reconstructing of life goals and resolution strategies, ④ acceptance of depression and seeking psychiatric treatment. Seven hypotheses were derived from the analysis. ① Mothers who experienced stressful life event and economic problem are more depressive. ② Mothers who have conflict with parents are more depressive. ③ The more somatic symptoms, the more depression. ④ Social support facilitates recovery from postpartum depression. ⑤ Mothers who have lower self-esteem are more depressive. ⑥ Mother's role overload disturbs recovery from postpartum depression. ⑦ Ideal maternal identity facilitates recovery from postpartum depression. Through this substantive theory, nurses can understand the importance of postpartum depression management.

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Translation and Psychometric Testing of the Korean Versions of the Spiritual Perspective Scale and the Self-transcendence Scale in Korean Elders

  • Kim, Suk-Sun;Reed, Pamela G.;Kang, Youngmi;Oh, Jina
    • 대한간호학회지
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    • 제42권7호
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    • pp.974-983
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    • 2012
  • Purpose: The purpose of this study was to translate the Spiritual Perspective Scale (SPS) and Self-transcendence Scale (STS) into Korean and test the psychometric properties of the instruments with Korean elders. Methods: A cross-sectional survey design was used to implement the three stages of the study. Stage I consisted of translating and reviewing the scales by six experts. In Stage II, equivalence was tested by comparing the responses between the Korean and English versions among 71 bilingual adults. Stage III established the psychometric properties of the Korean versions SPS-K and STS-K among 154 Korean elders. Results: Cronbach's alpha of the SPS-K and the STS-K .97, and .85 respectively with Korean elders. Factor analysis showed that the SPS-K had one factor; the STS-K had four factors with one factor clearly representing self-transcendence as theorized. Both scales showed good reliability and validity for the translated Korean versions. However, continued study of the construct validity of the STS-K is needed. Conclusion: Study findings indicate that the SPS-K and the STS-K could be useful for nurses and geriatric researchers to assess a broadly defined spirituality, and to conduct research on spirituality and health among Korean elders. Use of these scales within a theory-based study may contribute to further knowledge about the role of spirituality in the health and well-being of Korean people facing health crises.

의료현장에서의 설명동의에 대한 윤리적 고찰 (An Ethical Appraisal of Informed Consent in the Clinical Setting)

  • 공병혜;이원희;김인숙;김수;이선희
    • 성인간호학회지
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    • 제19권4호
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    • pp.556-566
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    • 2007
  • Purpose: This study attempted to analyze problems of informed consent in the clinical setting and appraise ethical aspects inherent in such issues in order to boost awareness of informed consent and its implementation among healthcare professionals. Methods: Study methods included identifying ethical meanings of informed consent in the clinical setting based on the principal ethics, and exploring the process of informed consent utilizing communicative ethics and feminine care ethics Results: The ethical basis of informed consent encompasses not only respect for autonomy but also prohibiting malice, practicing beneficience, and establishing justice. These principles, however, are limited in illustrating the ethical aspects of communicative ethics and care ethics that are entailed in informed consent within clinical settings. The ethical meaning of informed consent involves a communicative and caring process between healthcare professionals, patients, and family built on mutual respect. Conclusion: Healthcare professionals must fully understand the ethical meanings of informed consent and in turn respect and protect the clients' right to know and making decisions. Nurses especially, must take on the role of mediator and advocate throughout the process of obtaining informed consent, and practice ethical caring by facilitating communication grounded in mutual understanding among the physician, patient, and family members.

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학교금연교육프로그램 현황 및 문제점: 부산광역시 중.고등학교를 중심으로 (School-based Educational Programs for Anti-tobacco Use at Busan Middle and High Schools)

  • 강소영;김숙남
    • 보건교육건강증진학회지
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    • 제22권4호
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    • pp.91-105
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    • 2005
  • Purpose: The purpose of this study was to describe the current status of managing educational programs for tobacco use prevention at middle and high schools located in Busan. Methods: Using a survey method with a 29-item self-administration questionnaire, the data were collected from January 10 through February 18, 2005, from school nurses as well as teachers major in healthcare of 227 participant schools. Results: A strategic plan for school-based educational programs of tobacco use prevention was mainly developed by a school nurse at middle school and a teacher in charge of school discipline at high school. The educational programs for tobacco use prevention were implemented for approximately 40% of schools in Busan with the budget ranged from 110,000 won to 200,000 won a year. Eighty five percepts of the schools had anti-tobacco regulations and guidelines in place. Twenty two percents of the middle and high schools collected the data regarding adolescents' smoking status periodically. Over 70% of schools provided tobacco use prevention education programs as a part of regular semester curriculum. Conclusions: For making the management of educational programs for tobacco use prevention effective and consistent with government's anti-smoking policy, schools need (a) development of tobacco management guideline and regulations with participation of teachers, students, and parents, (b) clear job and role descriptions for personnel to plan and implement anti-tobacco programs, (c) compilation of the budget enough to implement the programs, (d) periodically assessment of adolescents' smoking status, and evaluation of the programs to monitor whether those are effective for adolescents' health promotion; and (e) to make an effort to less range of quality in educational programs for tobacco use.