• 대한간호
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• 제33권3호
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• pp.79-91
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• 1994

The purpose of this study was to identify the meaningful nursing diagnosis in maternity unit and to suggest formally the basal data to the nursing service with scientific approach. The subject for this paper were 64 patients who admitted to Chung Ang University Hospital, Located in Seoul, from Mar. 10, to July 21, 1993. The results were as follows: 1. The number of nursing diagnosis from 64 patients were 892 and average number of nursing diagnosis per patient was 13.9. 2. Applying the division of nursing diagnosis to Roy's Adaptation Model, determined nursing diagnosis from the 64 patients were 621 (69.6%) in physiological adaptation mode and (Comfort, altered r/t), (Injury, potential for r/t), (Infection, potential for r/t), (Bowel elimination, altered patterns r/t), (Breathing pattern, ineffective r/t), (Nutrition, altered r/t less than body requirement) in order, and 139 (15.6%) in role function mode, (Self care deficit r/t), (Knowledge deficit r/t), (Mobility, impaired physical r/t) in order, 122 (13.7%) in interdependence adaptation mode, (Anxiety r/t), (Family Process, altered r/t) in order, 10(1.1%) in self concept adaptation mode, (Powerlessness r/t), (Grieving, dysfunctional r/t) in order. 3. Nursing diagnosis in maternity unit by the medical diagnosis, the average hospital dates were 3.8 days in normal delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 64.6%, (Self care deficit r/t) 13.6% in order, and the average hospital dates were 9.6 days in cesarean section delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 51.6%, (Self care deficit r/t) 15.2%, (Infection, potential for r/t) 9.9%, (Injury, potential "for r/t) 8.1%, (Anxiety r/t) 5.0%, (Mobility, impaired physical r/t) 3.3% in order, and the average hospital dates were 15.8days in preterm labor and majority of used nursing diagnosis, (Comfort, altered r/ t), (Anxiety r/t), (Injury, potential for r/t) in order, and the average short-term hospital dates were 2.5days, long-term hospital dates were 11.5days in gynecologic diseases and majority of used nursing diagnosis, (Comfort, altered r/t). (Self care deficit r/t), (Injury, potential for r/t), (Infection, potential for r/t) in order.

• 간호행정학회지
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• 제3권2호
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• pp.137-150
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• 1997

This study was done to evaluate patient satisfaction with nursing care. The study subjucts were 164 patients admitted in a general hospital in Incheon province. The instrument used in this study was developed by Risser (1975) and Lim Hae Kyoung (1980) based on classification of nursing care area and modified by Chow Kwang Nam (1995). The relaiability alpha of this tool was 0.93695. The survey method was applied to collect data and the period of data collection was total 30 days from April Ist to April 30th in 1997. The data was analyzed by statistical method of %, mean, t-test and ANOVA through SAS program. 1. The highest scores of satisfaction were shown in the area of reliance, area of treatment, area of environment and area of education in order. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a signficance in the department of patient's admission and the highest satisfaction score was found in the general surgery ward (p<0.05). 3. General characteristics of patients which influence on the satisfaction showed a significant response according to the department of patient's admission in the treatment area, education area and environment area of nursing.(p < 0.05). Recommendation The followings are deriven from the above study results. 1. Area of nursing education which showed the lowest satisfaction should be empathized by making improvement of nursing care approach because the area in the basis to achieve nursing goal. 2. The development of systematic and objective instrument is necessary for evaluation of nursing quality and the evaluation should be performed in the area of patient satisfaction, hospital facility and hospital environment as well.

• 한국간호교육학회지
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• 제20권4호
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• pp.523-533
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• 2014

Purpose: The purpose of this study is to analyze how the experiences of nurses influence their role model function when they are mothers of children who in turn have become nurses or nursing students. Method: The subjects of this study were 12 nurses, 8 of their children who became nurses and another 4 children then in training to become one. Data were collected through in-depth personal interviews and subsequently analyzed through a phenomenological approach. Results: Four main themes were identified as follows; 'Persuasion and dissuasion,' 'Proud but still pathetic,' 'As mom and senior nurse' and 'Great to pass it down.' Conclusion: The results of this study show that the nurse as mother could be a positive professional role model for her children. However, they tended to stress the arduous clinical routines and poor work conditions nurses currently experience. Should such routines and conditions improve, mothers who are nurses would be more willing to recommend the nursing profession to their children. Improving the professional environment is thus important because intergeneration nursing mobility provides a reliable resource to recruit qualified and dedicated nursing personnel.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권3호
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• pp.21-28
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• 2013

Purpose: General hospital in korea is getting large-scaled, specialized and upgraded. So, nursing unit of race track type has been advanced along with a spatial organization, building equipment and environmental approach. This study is to search the guidelines for renovation of nursing unit with race track type in the case of K university hospital in Daejeon. Methods: 9 cases of recently opened general hospital has been analyzed for spatial and environmental design solution. Questionnaires and interviews about user needs of nursing staff, patient and visitors, have been conducted for a nursing care system and facility of nursing units in K university hospital. Results: The user needs are represented as followings. Center core public zone in each floor plan and center core nursing station and supporting areas in nursing unit are good for an adjacency and separation of spatial organization. Toilet of group patient room is necessary to equip for easy, safe and infective aspects, and so toilet install will decrease the patient number and increase the nursing care service. Hall type of station front is good for visibility and observation. It is appropriate to renovate into south facing group patient room for privacy, enough space for nursing care facility and supporting area, enough width of door to move portable medical equipment, room for medical doctor and practical student, noise absorbing of day room. Implications: Upgrading the nursing care service and facility equipment is necessary to reflect the user needs and cooperate with hospital management.

• Journal of Korean Biological Nursing Science
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• 제17권1호
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• pp.78-87
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• 2015

Purpose: The purpose of this study was to investigate the effects of case-based learning (CBL) on learning motivation and learning satisfaction of nursing students in a human physiology course. Methods: The development and application of CBL scenarios was conducted from February to June, 2013. Nursing students (n=142) who registered for a human physiology course were assigned into either a control or CLB group. The control group received traditional lectures for 14 weeks. The CBL group received the same 14-week lectures and an additional 5 CBL sessions. The learning motivation and satisfaction were measured by questionnaires at the beginning and the end of the semester. Seven students in the CBL group were randomly selected for a focus-group interview. Quantitative data were analyzed by ${\chi}^2$-test and t-test, and qualitative data were analyzed by content analysis. Results: The learning motivation and learning satisfaction were not significantly different between the two groups. However, 59% of the CBL group answered with a positive impression on the CBL approach as it helped them to feel a sense of achievement, excitement, to form their identity as nursing students, and so on. Conclusion: These findings suggest that the CBL could be a challenging but useful learning method in a physiology course for nursing students. Further studies with guidance, such as instructors' questions and feedback design are needed to utilize CBL more effectively.

• 한국융합학회논문지
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• 제11권5호
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• pp.381-389
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• 2020

환자 특히 노인환자들은 자신의 특성과 속도에 적합한 간호를 필요로 하는 데 비해, 우리나라 현실에서는 '빠른 간호'가 강조되는 실정이다. 이에 본 연구는 한국에서의 '느린 간호'의 속성을 파악하고자 한다. Walker & Avant의 방법을 사용하여 문헌고찰을 통해 '느린 간호'에 대한 개념분석을 실시하였다. 2000~2019년 Pubmed, Riss, NDSL, DBPIA, Google scholar에서 '느린', '느림', '느린 간호', '느린 처방'을 핵심단어로 하여 문헌을 찾고 개념분석을 실시한 결과, '느린 간호'의 속성으로 '대상자의 속도 존중', '주의 깊음', '과정 중 안위', '참여', 그리고 '삶의 의미 숙고'가 나타났다. 이러한 '느린 간호'의 속성을 중심으로 모델사례를 도출하였다. '느린 간호'의 선행 요인은 환자의 기능 저하, 심리적 처짐, 무관심, 치료에 대한 두려움, 삶의 의지 부족으로 나타났으며, 느린 간호로 인해 나타나는 결과로는 잠재 능력 발견, 자신감 회복, 건강증진, 의료진과의 의사소통 향상, 신뢰감 및 자아통합감이 도출되었다. 향후 '느린 간호'의 속성을 이용한 측정도구를 개발하여 대상자 간호와 연구에 이바지하기를 기대한다.

• 여성건강간호학회지
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• 제26권2호
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• pp.120-130
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• 2020

This study aimed to evaluate Cox's interaction model of client health behavior (IMCHB) as used in studies on women's health. Using keyword combinations of "women" and "IMCHB" or "interaction model of client health behavior," we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women's health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett's theory evaluation criteria and Chinn and Kramer's criteria. We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women's health research and practice.

• 한국산학기술학회논문지
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• 제22권3호
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• pp.362-373
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• 2021

본 연구는 비주얼 씽킹과 윈도우 패닝을 적용한 간호윤리와 전문직 교과목 수업개선의 실행과정과 그 효과를 확인하기 위한 통합연구방법설계의 실행연구이다. 이 연구는 G시 소재 간호학과 2학년 학생들 중 114명을 대상으로 2018년 2월부터 9월까지 이루어졌다. 실행연구에 대한 개념적 모형을 기반으로 하여 양적·질적 접근을 통해 통합적으로 자료를 수집하고 분석하는 과정을 거쳤다. 양적접근으로는 윤리적의사결정 자신감, 생명의료윤리의식, 간호전문직관을 설문지를 통해 평가하였고, SPSS WIN 23.0 program 으로 분석하였다. 질적 접근으로는 수업참여에 대한 경험을 개방형 질문을 통해 면담하고 전사된 자료는 내용분석을 실시하였다. 비주얼 씽킹과 윈도우 패닝을 적용한 결과 윤리적의사 결정자신감(t=6.748, p<.001), 간호전문직관(t=-3.52, p<.001)은 통계적으로 유의한 변화를 보였으나 생명의료윤리의식(t=1.291, p=.199)은 유의한 변화가 없었다. 질적분석 결과, 신선한 경험, 낯설지만 편안한 느낌, 내것이 되어감, 부족한 시간, 이론 기반의 체계적인 사례연구 접근, 토의토론을 통한 협력과 조정능력함양, 다양한 전문직 분야에 대한 체감, 자긍심, 윤리적 책임의식, 학습내용의 현장적용 등을 경험하는 것으로 나타났다. 비주얼 씽킹과 윈도우 패닝을 적용한 교수법은 간호교육에 있어서 다양한 역량을 함양하고 통합적인 학습이 일어나도록 돕는다. 따라서 본 연구의 결과를 반영하여 간호핵심역량을 개발하기 위한 타교과목의 수업개선에도 적용할 것을 제안한다.

• 대한간호학회지
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• 제44권6호
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• pp.617-629
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• 2014

Purpose: The purpose of the study was to identify and explain the essences and structures of maternal conflicts in Vietnamese married immigrant women in Korea. Methods: A phenomenological methodology was used for the study. Eleven Vietnamese married immigrant women participated in the study. Verbatim transcripts were analyzed using Colaizzi's method. Results: Four categories, 10 clusters and 26 themes emerged from the data for the experience in maternal conflicts of Vietnamese married immigrant women. The four categories were 'An unprepared young motherhood in another culture', 'Feeling left out of the mother's place along the bands of Nap tai tradition', 'My image is like not-being able to stand alone/be independent' and 'Finding hope in motherhood despite of conflicts and stigmas'. Conclusion: Vietnamese married immigrant women experienced not only the negative aspects but also sublimation of maternal conflicts. Based on the results, health professionals need to develop effective nursing interventions toward a positive maternal identity and approach with interculturalism for the Vietnamese married immigrant women in Korea.

• 대한간호학회지
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• 제48권3호
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• pp.335-348
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• 2018

Purpose: The purpose of this study was to identify parental coping strategies in the face of early infant and toddler injury, and to provide basic data for a parental education program and the most desirable directions it should take. Methods: A Q-methodology to analyze the subjectivity of each item was used. Thirty-four Q-statements were derived from a literature review and interviews. Forty-seven parents were classified into a shape of normal distribution using a 9-point scale. Collected data were analyzed by the pc-QUANL program. Results: Five types of parental coping in early infant and toddler injury were identified. Type I was "hospital treatment focused", type II was "Improving the safety of the child's environment", type III was "expression of negative emotion", type IV was "taking the lead in problem solving", and type V was "Interrogating the person in charge of the situation in which the injury occurred". Conclusion: The results of this study indicate that different approaches to educational programs can be used for parents in early childhood injury.