• 제목/요약/키워드: Nursing approach

검색결과 945건 처리시간 0.034초

병원조직에 있어서 간호사들이 지각하는 조직문화 프로필과 성과와의 관계에 관한 연구 - 병원조직을 대상으로 한 경청가치 모형의 경험적 검증 - (A Study on the Relationships between Cultural Profiles and Performances in Hospital Organizations : An Empirical Test of Competing Values Model on the Korean Hospital Organizations)

  • 박상언;한수정
    • 한국병원경영학회지
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    • 제6권2호
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    • pp.86-114
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    • 2001
  • As the environment related to hospital operation has changed very competitively in recent years, a need to reform the hospital management is ever growing. For that reason, it has become more urgent and strategically important for us to diagnose the organizational culture of the hospitals and to make efforts to change them towards more performance- and customers-oriented one. So far, there have been many studies done on the hospital organizations. However, this research distinctively attempts to base itself on the competing values approach in studying the organizational culture and empirically examine how different profiles of the organizational culture may have an impact on the organizational performances in hospital organizations. The results of this study has showed several interesting findings and posed the discussions to be dealt with. First, most hospitals selected for this research are characterized by the inner-oriented culture with more focused on 'hierarchy' and 'relationship-oriented' culture rather than on 'reform' and 'work-oriented' one. And the strong 'hierarchy-oriented' culture is a very general phenomenon in the sample hospitals. From these findings, we can inference that despite the recent efforts of most Korean hospitals for organizational change and innovation they still have long distance way to go. In addition, another important implications of this research has come from the analysis of the relationships between the cultural profiles and organizational performances. For this purpose, this research has conducted a series of cluster analysis and identified four distinct cultural profiles from the sample organizations. Several major findings are as follows. First, with respect to the dependent variable of 'job satisfaction' perceived by the nurses working in the sample hospitals, we found that the balance of competing organizational values had more positive impact on the job satisfaction. This result confirms the hypothesis of competing values model on the organizational performances. However, such result was not replicated on the other dependent variable, 'patients' satisfaction'. The reasons for these results and other discussions including the limitations of this study are suggested.

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관절염에 관한 국내 간호학 연구 논문 분석 (The Analysis of Research in Arthritis)

  • 박상연;백명화
    • 근관절건강학회지
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    • 제7권2호
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    • pp.227-240
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    • 2000
  • The purpose of this article was to identify trend in Arthritis research and to provide ba an approach of Arthritis research. The results of analysis of 69 Arthritis articles public year of between 1970-1999 found that most articles(27.6%, n=19) were published since few(10.1%, n=7) were before 1994. Vast majority of articles(79.8%, n=55) were printed in The Journal of Rheumatology Health, and 79.8%(n=55) of those were quantitative research, 8.7%(n=6) were qualitative research, and 14%(n=1) was methodological research. 29.0%(n=20) of quantitative research were carried in experimental design and over half(50.8%, n=35) in nonexperimental design. Having concerned the types of treatment(or intervention) used in experimental study, the most common treatment was 'exercise' (45.0%, n=9), and other less common were 'self-help education(15.0%, n=3), home care(10.0%, n=2) supportive care(10.0%, n=2), flexibility exercise combined with local heat therapy(5.0%, n=1), relaxation training(5.0%, n=1). Of the types of exercise, aquatic exercise was 30.0%(n=6). The effect of exercise on outcome variable was found to be most strong among the other types of treatment. 18 articles of nonexperimental research were correlational research. From the analysis of correlational research, 29 concepts were identified, and the relationship between depression and other variable were strongly reported. In descriptive studies, most commonly physiological variables were examined in 5 articles(29.5%). Only one study(5.9%) explored patient's perception of the causal factors and those causality. In qualitative researches, two study were carried out by the means of grounded theory. Majority of those subjects were RA patients, and the largest number of sample were 23 and the smallest was 1 In two studies, patient's perceived causality of RA was identified as a research problems, and an experience of ADL, fatigue Phenomenon, an experience of having a total knee replacement with osteoarthritis were each found in one study. Methodological research was carried out to test validity and reliability of the RA Fatigue Scale.

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요양보호사의 노인에 대한 지식정도, 태도 및 요양업무 능숙도에 대한 융복합적 접근 (Convergence Approach about the Knowledge, Attitude toward the Elderly, and Competence of Carers)

  • 박경옥
    • 디지털융복합연구
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    • 제14권9호
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    • pp.399-406
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    • 2016
  • 본 연구는 요양보호사를 대상으로 요양보호사의 노인에 대한 지식, 태도, 요양업무 능숙도 간의 관계를 파악하고자 장기요양시설에 종사하는 요양보호사 145명을 대상으로 2014년 6월부터 9월까지 구조화된 설문지를 사용하여 요양보호사의 노인에 대한 지식, 태도, 요양업무 능숙도에 대해 조사하였다. 본 연구에서 사용한 통계방법은 서술통계, ANOVA, 독립 t-검정, Pearson correlation coefficient를 사용하였다. 연구 결과 노인에 대한 지식수준, 태도와 요양업무 능숙도는 서로 양의 상관관계가 있음을 확인하였다. 따라서 요양보호사에 대한 교육내용을 개발할 때 요양보호사의 낮은 지식수준을 고려하여 쉬운 교육내용과 다양한 교육방법을 활용하는 것이 필요하다. 그리고 요양보호사의 근무환경 개선을 통해 노인에 대한 긍정적인 태도를 증진시켜 노인 요양서비스의 능숙도를 높이는 것이 필요하다.

학교 밖 청소년의 문제행동 관련 융복합적 요인: 성별차이를 중심으로 (Convergent Factors Affecting Problem Behaviors in Out-of-school Adolescents: A Focus on Gender Difference)

  • 이재영
    • 디지털융복합연구
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    • 제16권10호
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    • pp.333-342
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    • 2018
  • 본 연구는 학교 밖 청소년을 대상으로 문제행동에 미치는 융복합적 요인을 성별차이를 중심으로 분석하였으며, 부산여성가족개발원에서 실시된 학교 밖 청소년 연구자료를 이용한 이차자료 분석 연구이다. 연구대상자는 총 499명의 학교 밖 청소년이며, 남자는 337명, 여자는 162명이었다. 본 연구에서 조사한 문제행동은 가출, 학업중단, 성매매, 폭력, 인터넷게임중독, 절도, 약물중독 및 흡연이었다. 수집된 자료는 로지스틱 회귀분석으로 분석하였다. 본 연구의 문제행동 중 인터넷게임중독과 절도는 남자 학교 밖 청소년이 여자 학교 밖 청소년보다 높았다. 인터넷게임중독은 남자 학교 밖 청소년이 여자학교 밖 청소년보다 1.90배 높았다(p=.008, 95% CI=1.18-3.06). 절도는 남자 학교 밖 청소년이 여자 학교 밖 청소년보다 1.92배 높았다(p=.006, 95% CI=1.21-3.03). 앞으로 학교 밖 청소년의 문제행동을 예방하고 이에 대한 사회적 대책을 마련할 때, 문제행동의 양상과 성별에 따라 차별화된 접근이 필요하다.

대학생의 문제음주행위 영향 요인: 대구·경북지역 대학생을 중심으로 (Influencing factors on problem drinking behavior among college students: focusing on college students in Daegu·Gyeongbuk provinces)

  • 조남희;권기홍
    • 융합정보논문지
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    • 제8권2호
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    • pp.11-18
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    • 2018
  • 본 연구는 대구 경북지역 대학생들의 인구사회학적 특성, 지각된 스트레스 및 우울이 문제음주행위에 미치는 영향을 분석하기 위해 시도되었다. 연구 대상은 본 연구의 목적을 이해하고 동의한 295명의 대학생이며, 구조화된 설문지를 이용하여 설문조사를 실시하였다. 자료 분석은 빈도, 백분율, 평균, 표준 편차, T검정(t-test), 일원배치 분산분석(ANOVA)과 Scheffe 검정, 피어슨 상관계수(Pearson Correlation Coefficient) 및 다중회귀분석((Multiple Regression Analysis)을 사용하였다. 연구 결과, 대구 경북지역 대학생의 문제음주행위에 가장 큰 영향을 미치는 요인은 우울로 나타났으며 다음으로는 성별, 학업성적, 주거유형의 순으로 확인되었다. 따라서 대학생의 문제음주행위를 예방하기 위해서는 대학생의 우울을 예방하는 사회심리적인 접근과 성별, 학업성적, 주거유형 특성을 고려한 통합적인 중재 프로그램의 개발이 필요할 것이다.

한국 중년성인의 희망에 관한 주관성 (Subjectivity of Hope among Korean Middle-Aged Adults)

  • 김금숙
    • 디지털융복합연구
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    • 제11권10호
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    • pp.629-638
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    • 2013
  • 본 연구는 중년성인기 개개인이 느끼는 희망의 주관성을 과학적이고 체계적으로 분석, 설명하여 희망의 구조나 과정에 대한 포괄적이고도 깊은 이해를 하는데 있다. 본 연구는 행위자의 관점에서 출발하여 개인을 중시하고 개인에게 내재되어 있는 관점으로부터 주관적 현상의 차원을 이해하는데 유용한 Q 방법론을 적용하였다. 총 34개의 Q 표본과 21명의 P 표본이 본 연구에 사용되었으며, QUANL 분석프로그램을 이용하여 최종적으로 3개의 유형이 나타났다. 연구결과 한국 중년성인의 희망에 관한 독특한 3개의 희망유형은 (1) 수동적 소망형(Passive Wish Type), (2) 긍정적 실용주의적 희망형(Positive Pragmatic Hope Type), (3) 능동적 내적가치지향형(Active Internal Value-Oriented Hope Type)이었다. 한국 중년성인의 희망에 관한 주관성은 다른 생애주기에 있는 대상자와는 삶의 의미구조의 역동성, 목표지향성에서 차별화된 유형을 나타내었다. 중년기는 앞으로 삶의 위기가 따르는 즉, 여러 유형의 상실, 삶의 중대한 전환 등을 경험할 수 있는데, 이러한 시기의 대상자들이 경험하는 희망을 이해하였다는데 의의가 있다고 하겠다.

대학생의 스트레스와 회복탄력성이 스마트폰 중독에 미치는 영향 (Effect of a Smartphone Addition on Stress and Resilience in University Students)

  • 김혜자;심미정
    • 문화기술의 융합
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    • 제4권1호
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    • pp.41-50
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    • 2018
  • 본 연구는 대학생의 스마트폰 중독과 스트레스, 회복탄력성과의 관계를 확인하고, 스마트폰 중독에 미치는 영향을 파악하기 위해 실시하였다. 연구대상자는 전라남도 소재 4년제 대학생 241명이다. 자료수집은 2017년 7월 6일부터 8월 31일까지 실시하였다. 연구결과, 대상자의 스마트폰 중독과 스트레스(r=.37, P<.001)는 양의 상관관계가 있었으며, 회복탄력성(r=.-25, p<.001)과는 음의 상관관계가 있었다. 대상자의 스트레스 중 당면과제(r=.40, p<.001)와 대인관계(r=.25, p<.001)는 양의 상관관계가 있었으며, 회복탄력성 중 자기조절능력(r=-.32, p<.001)과 대인관계능력(r=-.21, p=.001)은 음의 상관관계가 있었다. 스마트폰 중독에 영향을 미치는 변수는 학업문제(${\beta}=.15$, p=.047)와 자기조절능력(${\beta}=-.21$, p=.007)으로 총 설명력($R^2$)은 22.1%였다. 따라서 대학생의 스마트폰 중독을 예방하고 관리하기 위한 체계적인 교과외 프로그램의 개발이 필요할 것으로 사료된다.

여성건강과 성 (Women's Health and Sexuality)

  • 이경혜
    • 부모자녀건강학회지
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    • 제2권
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    • pp.53-63
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    • 1999
  • The purpose of this study is to describe how what influence sexuality has on women's health. Sex is determined by the sex chromosome: but sociocultural norms have much influence on the sex role of a woman or man. Women's sexuality has had a negative impact on them in a male-dominated society, which destroyed women's health, put women in a powerless position and forced them to live as dependent persons. Sociocultural perception of the sex role has not been very open, and very strict rules have controlled those perceptions; but currently these perceptions have been changing dramatically. Especially, women's sex role has changed, bringing about many problems: the number of women engaging in premarital sex, the number of unwed mothers, the number of pregnancies without marriage, the divorce rate, and the number of dysfunctional families have all increased. Those kinds of problems have negative effects on women, children and members of the whole family. Sexually transmitted disease because of free sex is a serious health issue for women: the number of women with AIDS has increased rapidly. Another big issue is sexual abuse, which is insulting to women, decreases women's self-esteem, increases depression, puts women in a powerless position and eventually causes women to get sick. Male-preference (among newborns) ideology raises health issues for women, such as artificial abortion. In the area of sex differentiation, therefore, we have to change people's thinking from male-preference ideology to equal sex preference. Finally, we have to use a holistic approach for women's health and increase awareness of the fact that the sex role and women's health are very important for the family, society and nation. Women's health is the nation's power.

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Impact of Self-Citations on Impact Factor: A Study Across Disciplines, Countries and Continents

  • Pandita, Ramesh;Singh, Shivendra
    • Journal of Information Science Theory and Practice
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    • 제3권2호
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    • pp.42-57
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    • 2015
  • Purpose. : The present study is an attempt to find out the impact of self-citations on Impact Factor (IF) across disciplines. The study examines the number of research articles published across 27 major subject fields covered by SCImago, encompassing as many as 310 sub-disciplines. The study evaluates aspects like percentage of self-citations across each discipline, leading self-citing countries and continents, and the impact of self-citation on their IF. Scope. : The study is global in nature, as it evaluates the trend of self-citation and its impact on IF of all the major subject disciplines of the world, along with countries and continents. IF has been calculated for the year 2012 by analyzing the articles published during the years 2010 and 2011. Methodology/Approach. : The study is empirical in nature; as such, statistical and mathematical tools and techniques have been employed to work out the distribution across disciplines. The evaluation has been purely under-taken on the secondary data, retrieved from SCImago Journal and Country Ranking. Findings. : Self-citations play a very significant part in inflating IF. All the subject fields under study are influenced by the practice of self-citation, ranging from 33.14% to 52.38%. Compared to the social sciences and the humanities, subject fields falling under the purview of pure and applied sciences have a higher number of self-citations, but a far lesser percentage than the social sciences and humanities. Upon excluding self-citations, a substantial amount of change was observed in the IF of subject fields under study, as 18 (66.66%) out of 27 subjects fields faced shuffle in their rankings. Variation in rankings based on IF with and without self-citation was observed at subject level, country level, and continental level.

일부지역 청소년들의 흡연실태 및 흡연관련 건강위험행위 (Health Risk Behaviors Associated with Smoking Experiences in Adolescence)

  • 김재희
    • 한국학교보건학회지
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    • 제20권1호
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    • pp.77-90
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    • 2007
  • Purpose : This study identified the patterns of smoking of students attending middle schools and high schools, and analyzed its related health risk behaviors. Methods: The data was based on the survey of 1,517 middle students and 911 high students residing in Kyung-Gi district. Results: The current smoking rates of male and female middle students are 5.3%, and 3.1% respectively. The rates of experiences in smoking are 21.4% and 16.0%(male/female). The current smoking rates of male and female high students are 17.9% and 8.5%, whereas the rates of experiences in smoking are 34.2% and 23.3% respectively. On the other hands, 14.1% of middle students and 12.0% of high students were exposed to smoking for at least 2 hours per day. The majority of middle and high school smokers started smoking when they were in middle or high school. And the most popular places to smoke were children's playgrounds, public open area., parks, and so on. Whether having a smoker as a friend or not and students' own perception towards smoking influenced the decisions to smoke for middle and high students. Both middle and high students, regardless of their gender, who have higher rates of drinking experiences and the hours of computer usage were found to have higher rates of smoking experiences. Meanwhile, the sleeping hours is in reverse proportion to the rate of smoking experiences. There was statistically significant difference in smoking experiences related to the degree of obesity only in the female high students: underweight and overweight students showed higher rates of smoking experiences than those falling in the normal weight range. Conclusion: For the effective prevention of adolescence smoking, it is necessary to adopt a comprehensive approach, which classifies the target population according to their age and sex and cover all health risk behaviors.