• 한국산학기술학회논문지
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• 제17권1호
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• pp.188-198
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• 2016

결혼이주를 통한 외국여성의 국내이주가 증가하면서 다양한 질병 및 출산으로 인한 의료기관 방문기회가 증가하고 있으며 의료관광 등 외국인 환자의 국내 의료기관 이용이 활발해 지고 있다. 따라서 본 연구는 외국인 환자의 증가에 발맞추어 여성전문병원 간호사를 대상으로 외국인 환자에 대한 인식과 돌봄 현황을 파악해 보고자 하였으며 세부적으로 임상현장에서 외국인 산모에게 돌봄을 제공하는 임상간호사의 경험을 파악해 보고자 하였다. 이를 위해 질적연구방법 중 서사연구 연구방법을 적용하여 다문화 환자 및 자녀를 돌본 경력이 5년 이상인 임상간호사 10명을 대상으로 심층 면담을 통해 자료를 수집하였다. 외국인 환자를 돌본 임상간호사의 경험은 돌봄제공자의 시각에 따라 자민족중심 시각, 수용적 시각, 그리고 문화중심시각으로 나누어 각 시각에 따라 제공되는 간호의 질을 파악해내었다. 특히 타문화에 대한 존중 및 환자 맞춤형 돌봄이 제공되고 있는 경우 돌봄제공자는 스스로를 치료적 돌봄제공자로 인식하고 있는 것으로 나타났다. 따라서 의료현장에서는 타문화에 대한 민감성과 문화중심 돌봄의 필요성에 대한 자각과 교육이 지속적으로 강화되어질 필요가 있다.

• 성인간호학회지
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• 제28권5호
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• pp.572-584
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• 2016

Purpose: The purpose of this study was to explore the subjective experience of job stress among nurses working in long-term care hospitals. Methods: A phenomenological approach was used for the study. Data were collected from May to June, 2016 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of stress. Six nurses participated in this study. Results: Six themes emerged from the analysis using Colaizzi's method: (a) Heavy workload and responsibility due to nurse shortage, (b) Getting exhausted by caring for cognitively impaired patients, (c) Feeling pressure due to conflict with patients' family, (d) compassion for patients who are getting worse, (e) Low value in being a long-term hospital nurse, and (f) Efforts to overcome stress. Conclusion: Sufficient labor supply, environmental improvements, program for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long term hospital are suggested to reduce the job stress of long-term hospital nurses.

• Child Health Nursing Research
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• 제15권1호
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• pp.42-52
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• 2009

Child is a being and provides the genetic continuity of parents and society, and therefore the fitness of these children for survival, growth and development towards reproduction, is of significance to parents and society. The aim of health care for high-risk children is not only to minimize or eliminate health problems, but also to optimize their fitness. Considering that the health care of children is influenced by available resources of parents and society, and sociocultural values and paradigms in a given environment of evolutionary adaptedness (EEA), child health care professionals need to understand factors affecting the optimal fitness of children with risks. This paper introduces a new integrated theory for health care in high-risk children, entitled, Health for Optimal Fitness of High-Risk Children. Five main components were identified with associate concepts or midrange theories affecting heath for optimal fitness of high-risk children; EEA, optimal fitness, health problems, investment resources, and anthropological values. It may provide an integrated perspective on health of high-risk children in both the proximately biomedical approach and ultimately evolutionary approach as optimizing their fitness. Further study is needed to develop substantial statements between components with existential examples.

• Child Health Nursing Research
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• 제26권2호
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• pp.140-153
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• 2020

Purpose: This mixed-methods study was conducted to compare and analyze the perceptions of children and their parents regarding the meaning of the children's life. Methods: First, children's and parents' perceptions of the meaning of life were analyzed using a quantitative approach, and the cognitive differences between children and parents were then confirmed through a qualitative approach. We integrated the collected data comprehensively. Results: Ten significant differences (awareness of strong points, recognizing oneself as a precious being, relationships with friends, happy memories, liking people, experiencing difficulty, dreams and goals, experiencing love, appreciating life, helping people who are poorer than me) were identified between children and parents. The results of the content analysis of the qualitative data were divided into two variables: children's experiences of the meaning of life (78 significant statements, 32 sub-themes, and 10 themes) and parents' perceptions of the meaning of life of their children (89 significant statements, 36 sub-themes, and 10 themes). Conclusion: Based on these results, we propose developing meaning-centered intervention programs for children and parents and applying them for educational purposes. By doing so, we expect that meaning-centered education for elementary school students will become more active.

• 성인간호학회지
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• 제21권4호
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• pp.367-378
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• 2009

Purpose: The purpose of the study was to understand and describe health-related experience of women with physical disabilities, using feminist qualitative approach. Methods: Eight women with physical disabilities participated to the study. Their mean age was 43, ranging from 39 to 67 years old. The data were collected by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using traditional qualitative content analysis from a feminist perspective. Results: Six major categories emerged from the data. Category 1: "Isolation and alienation from the world.", Category 2: "A distorted self-image of physically disabled body.", Category 3: "Difficulties due to a fixed gender role.", Category 4: "Constant suffering from chronic pain.", Category 5: "Health problems that they have to endure by themselves.", Category 6: "Sublimation through self-reliance." The results of the study show how Korean women with physical disabilities suffer from social stigma, indifferences, and discriminations and struggle to survive in these unfriendly surroundings. Conclusion: The results of the study would help health professionals in designing effective intervention to improve health and to empower women with physical disabilities by providing deep understanding and critical insights of those women.

• 한국직업건강간호학회지
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• 제15권2호
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• pp.153-164
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• 2006

Purpose: This study aimed to develop hypertension control programs and to analyse their effects in small scale enterprises(SSE). Method: One program was based on 'Transtheoretical Model and Stages of Change' and named 'Individual Approach'. Another program was based on 'Ecological Model' added to the former theory and named 'Integrating Approach'. The target population of the programs are 33 and 34 workers each. The two intervention programs were conducted for 18 weeks after a pre-intervention survey. Immediately after the programs end, first post-intervention survey was done, and second post-intervention survey was done after 28 weeks. Results: First, at the beginning of intervention, the target workers were evenly distributed over the five stages of Transtheoretical Model. But after the intervention, all workers were found in the maintenance stage. Second, the blood pressure level was diminished in the two programs. In Individual Approach, the workers have lost systolic blood pressure by 17.3 mmHg and diastolic blood pressure by 11.8mmHg. In Integrating Approach, the workers have lost systolic blood pressure by 20.0mmHg and diastolic blood pressure by 15.0mmHg. Conclusion: Integration Approach is more favorable than Individual Approach as an intervention program of hypertension in small scale enterprises.

• 기본간호학회지
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• 제19권1호
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• pp.109-121
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• 2012

Purpose: This study was conducted to provide background information on nursing interventions to further enhance the quality of nursing practice and related professions, based on those performed for stroke patients. Methods: The analysis was performed in light of 84 researches papers on nursing intervention published between 1990 and 2010, and based on NIC(Nursing Interventions Classification) and NOC(Nursing Outcomes Classification). Results: 1. The quasi-experimental design was used as the most primary form of research design across 69 papers that constitute 82% of the total. 2. The number of nursing intervention methods identified throughout 84 research papers was 144. Based on the NIC that 90(62.5%) of those interventions fell into the physiological basic domain while 53(36.8%) belonged to the behavioral domain. 2) Interventions on activity and exercise management, physical comfort promotion, patient education conducted by class level of NIC were 40(27.78%), 34(23.61%), and 31(21.53%) respectively. 3) Outcomes of mobility, psychological well-being, energy maintenance, health & life quality measured by class of NOC among 317 dependent variables 79(24.92%), 64(20.19%), and 63(19.87%) respectively. Conclusion: Most interventions were classified as belonging to few particular domain types, which triggers needs for the development and application of multidisciplinary intervention methods through a more collective approach.

• 간호행정학회지
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• 제8권1호
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• pp.55-72
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• 2002

Purpose : This study aimed at understanding the lived experience of new graduate nurse in hospital setting.Method : This study was based on a phenomenological approach. For this study, 8 new graduate nurses participated. The unstructured in-depth interviews were carried out from June to October, 1998. The data was analyzed Van Kaam's method.Results : Clinical new graduate nurses experienced clinical adaptation and endeavor, professional conflict of nursing, disability of nursing performance, work stress and management, maladaptation of human relationships, diverse emotions of interpersonal relationships, change of personal identity, difference between theory and reality of nursing.Clinical adaptation and endeavor included to get familiar with hospital life, satisfaction and worth for nursing, to get familiar with scoldings, calm down by oneself, efforts for self-development. Professional conflicts of nursing included future uncertainties in the hospital, dissatisfactions in work, doubts and regrets in nursing.Disability of nursing performance included lack of knowledges and skills, desolate working, stresses from mistake in working. Work stress and management included psychological signs and symptoms, physical signs and symptoms, management of stress. Maladaptation of human relationships included unsuitabilities in nursing unit climate, difficulties in human relationship. Diverse emotions of interpersonal relationships included regrets and absurdities to clients, thanks and regrets to colleagues, difficulties with doctors, sense of rivalry with colleague nurses. Change of personal identity included to become narrowing life circle, change of personality. The differences between theoretical knowledge and practice included needs of systematic pre-education for clinical nursing practice, differences between nursing educations and clinical practices.Conclusion : Therefore, the human resource management reflecting new graduate nurses' experiences should be developed.

• 대한간호학회지
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• 제38권5호
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• pp.739-747
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• 2008

Purpose: This study aimed to uncover the fundamental nature of living alone in female elderly. Methods: The phenomenological research approach developed by van Manen was adopted. Results: The theme was 'taking a firm stand alone on the edges of life'. The composition elements of living alone experienced by elderly women were as follows: 1) Corporeality: participants perceived their bodies by their health status. Unhealthy participants were suffering with diseases and dependant on other persons, while healthy participants were free from family responsibility and kept on moving. 2) Spatiality: participants felt both freedom and loneliness while they stayed home. 3) Relationality: participants felt pity and yearning for their bereaved husband and sometimes talked to his picture. According to their children's filial piety, participants were pleased or displeased. However, they incessantly devoted themselves to their children. 4) Temporality: participants considered the rest of their life as extra-time which was proceeding to death, and tried to keep themselves busy before they died. Conclusion: A nurse should understand the multifarious aspects of elderly women's life, and then intervene to consolidate their strengths for self-supporting the final years of life.

• 대한간호학회지
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• 제45권4호
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• pp.523-532
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• 2015

Purpose: The usability, user satisfaction, and impact of electronic nursing record (ENR) systems were investigated. Methods: This mixed-method research was performed as a time-motion (TM) study and a survey which were carried out at six hospitals between August and November 2013. The TM study involved 108 nurses from medical, surgical, and intensive care units at each hospital, plus an additional 48 nurses who served as nonparticipating observers. In the survey, 1879 volunteer nurses completed the Impact of ENR Systems Scale, the System Usability Scale, and a global satisfaction scale. Qualitative and quantitative analyses were performed. Results: The mean scores for the ENR impact, system usability, and satisfaction were 4.28 (out of 6), 58.62 (out of 100), and 74.31 (out of 100), respectively, and they differed significantly between hospitals (F=43.43, p<.001, F=53.08 and p<.001, and F=29.13 and p<.001, respectively). A workflow fragmentation assessment revealed different patterns of ENR system use among the included hospitals. Three user characteristics-educational background, practice period, and experience of using paper records-significantly affected the system usability and satisfaction scores. Conclusion: The system quality varied widely among the ENR systems. The generally low-to-moderate levels of system usability and user satisfaction suggest many opportunities for improvement.