• 한국산학기술학회논문지
• /
• 제21권5호
• /
• pp.141-149
• /
• 2020

본 연구의 목적은 간호학생을 대상으로 한 시뮬레이션 실습 중재 연구의 현황을 파악하고 효과를 분석하기 위함이다. 연구방법은 비판적 고찰을 사용하였으며, 고찰을 위한 자료는 RISS, KISS, NDSL, DBpia와 KRI에서 검색하였으며 주요 용어는 간호와 시뮬레이션이었다. 채택된 연구들은 방법론적으로 연구의 질을 분석하였으며, 이에 따라 서술연구, 단일그룹 사후 조사 연구를 제외하였으며, 결과적으로 234편의 연구가 분석에 채택되었다. 자료분석 결과, 우리나라에서 간호학생을 대상으로 한 시뮬레이션의 중재연구는 2008년부터 시작되었으며 단일그룹 사전-사후설계와 비동등성 대조군 사후설계는 석사학위와 박사학위 논문보다 저널에서 많이 나타났다. 관찰자와 간호학생에 의해 측정된 임상수행 능력은 비동등성 대조군 사전-사후 설계에서 가장 많이 연구된 종속변수이었으며 시뮬레이션과 관련된 간호학생 핵심역량은 전인간호제공을 위한 교양 및 전공지식의 통합적 간호술, 간호문제해결을 위한 비판적 사고능력, 대상자 건강개선을 위한 의사소통과 협력능력, 간호목표 달성을 위한 리더십 능력과 간호전문직발전을 위한 법적·윤리적 책임인식 능력으로 나타났다. 비동등성대조군 사전-사후설계에서는 다른 연구 설계보다 다양한 핵심역량들에 대한 효과를 확인하였다. 결론적으로 시뮬레이션 실습 교육은 임상수행능력 향상을 위한 효과적인 교수학습방법이나 비판적 사고나 문제해결능력은 추후 검증이 필요하다고 사료된다.

• 한국산학기술학회논문지
• /
• 제13권11호
• /
• pp.5356-5363
• /
• 2012

본 연구의 목적은 한국의 간호대학생을 대상으로 단축형 공감척도의 심리측정 속성을 분석하여 한국판으로 타당화하는 것이다. 총 528명의 간호대학생(여학생 494, 남학생 34)을 대상으로 요인분석, 신뢰도 분석 및 상관분석이 이루어졌다. 연구1(N=298)에서 탐색적 요인분석을 실시한 결과, 전체 22문항 중 11문항 단일요인 구조가 확인되었다. 내적 신뢰도는 .88로 다소 높았으며 대인간 반응척도(IRI)와의 상관관계 분석을 통해(r=.279, p<.000) 한국판 단축 공감척도(EQ-Short-K)의 준거 타당도를 확인하였다. 연구2(N=230)에서 총 11문항의 한국판 단축 공감척도와 대인관계 유능성 척도(ICQ)의 상관분석결과 통계적으로 유의한 상관이 제시되었다(r=.351, p<.000). 본 연구결과는 한국판 단축 공감척도의 내적 신뢰도와 타당도를 확인하고 이를 토대로 한국의 간호 영역에서 의미있게 활용될 수 있는 공감 측정 도구로서의 타당성과 유용성을 제시하였다는 데 의의가 있다.

• 가정∙방문간호학회지
• /
• 제27권1호
• /
• pp.42-52
• /
• 2020

Purpose: This study aimed to find grounds for the development of a health promotion program by examining the risk factors affecting children in low-income families. Methods: This was a cross-sectional study. The subjects were 288 children under 13 years of age in We-Start, W city. The tools used included a household information questionnaire and risk assessment tools. The data were analyzed using t-test, ANOVA, and multiple regressions. Results: Risk factors like disability problems (β=.38, p<.001), residential environment (β=.37, p<.001), parenting type (β=.27, p=.003), the foster's educational level (β=.22, p=.011), and the gender of the child (β=.19, p=.030) explained 51% (p<.001) of the preschoolers in crisis. For the schooler, academic achievement (β=.39, p<.001), disability problems (β=.24, p<.001), adaptation to school (β=.23, p<.001), noise from the environment (β=.20, p<.001), and the foster's job (β=-.15, p=.007) explained 50% (p<.001) of crisis of schooler. Conclusion: The study found that children (disability, gender), family (residential environment, type of parenting), and caregivers (educational level, economic competence) had a complex impact on crisis situations. In children of a school-going age, school life appeared to be an important influencing factor. Therefore, an integrated case management approach that considers children, carers, and the home environment is necessary.

• 지역사회간호학회지
• /
• 제13권4호
• /
• pp.786-794
• /
• 2002

Purpose: The aim of the study was to investigate how adolescents' behavior is correlated with child abuse they experience, and how childrearing attitude of mothers perceived by the adolescents is correlated with child abuse experience by the adolescents. Method: A convenient sampling strategy was used. A total of 160 adolescents participated in this study. Of the 160 responses, 116 were used for final analysis. The data were analyzed using K-YSR program and SPSSWIN. Result: The results were as follows. Mild child abuse experiences reported by the subjects were Throwing the object at me (12.9%, N = 15), Clutching and pushing (12.9%, N = 15), and Slapping on the cheek (14.7%, N = 17)'. Severe child abuse experiences reported by the subjects were Kicking, pounding and biting (10.3%, N = 10), Rod, stick, belt, broom beating using various objects (41.4%, N = 38), and Beating all over the body (6.7%, N = 8). Very severe child abuse experiences reported by the subjects were Burning with cigarette (0.4%, N = 1), Threatening me with objects such as a knife, a hammer, an axe, or a gimlet (0.8%, N = 2). Injuring me with the objects (0.4%, N = 1), and Hospitalized by belting (0.4%, N = 1). In terms of correlations among the main study variables, physical child abuse had significant positive correlations with externalizing problem (r=.271, p=.001) and total behavioral problem (r=.288, p=.002). Physical child abuse also had a significant positive correlation with authoritarian childrearing attitude of mother (r=.363, p=.000). Physical child abuse had significant negative correlations with mothers affectionate childrearing attitude (r=-.191, p=.050) and active participative childrearing attitude (r=-.101, p=.035). Conclusion: Mothers childrearing attitude is a salient factor for preventing child abuse. In addition, child abuse is an important factor for preventing adolescent's behavioral problem.

• 한국보건간호학회지
• /
• 제30권2호
• /
• pp.274-287
• /
• 2016

Purpose: The purpose of this study was to examine the effects of Motivational Interviewing(MI) training program on communication skill and self-efficacy of home visiting nurses(HVNs). Methods: This study has a mixed-methods design that includes a one-group pre-post test study and focus group interviews(N=23). From April 16th to June 11th in 2014, total six two-hour sessions of MI training program were provided to the participants. The quantitative outcomes were collected using Global Interpersonal Communication Competence Scale(GICC-15) and Self-efficacy Scale, and the qualitative data were obtained by 5 focus group interviews. Group pre-post changes were evaluated by paired t-tests and the qualitative data were analyzed by content analysis method. Results: MI training program led to significant enhancement in communication skills(Z=-3.62, p<.001) and self-efficacy(Z=-3.67, p<.001). The qualitative study revealed that the participants had positive experiences to express empathy, support self-efficacy, and respect autonomy for their clients applying reflective-listening and affirmation skill. Conclusion: The HVNs who participated in the MI training program showed improved communication skills and self-efficacy in the quantitative and qualitative studies. A randomized clinical trial is needed to confirm the value of MI training program for HVNs.

• 여성건강간호학회지
• /
• 제8권4호
• /
• pp.494-505
• /
• 2002

The purpose of this study was to identify the relationship between self-empowerment and a existential spiritual well-being in pregnant women, and to provide the basic data for nursing intervention. The subjects were 182 women who visited 2 OBGY hospitals in Taegu, Korea and ranged in age from 21 to 40. The data was collected during the period from May 6th toMay 24th, 2002. The instruments were the revised existential spiritual well-being scale developed by Paloutzian and Ellison(1982). Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean. The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of total empowerment was 3.72 and the subcategory 'meaning', had the highest score at 4.15. 2. Mean score of existential spiritual well- being was 4.16. 3. Existential spiritual well-being was positively related to self-empowerment (r=.400, P=000). 4. A significant statistical difference between education, religion and self-empowerment was found. 5. A significant statistical difference between hope of pregnancy and a existential spiritual well-being was found. 6. The most important variable affecting the existential spiritual well-being was meaning which accounted for 15% of the total variance in stepwise multiple regression analysed. Three variables, competence and hope of pregnancy accounted for 22% in existential spiritual well-being. From the results of the study, the following recommendations are presented : 1) Indeed, we should identify existential spiritual well-being for real meaning of spiritual well-being in future. 2) It is required to check the effect of existential spiritual well-being and self-empowerment through the repeated studies. 3) We need to take a serious view of the meaning affecting existential spiritual well-being in pregnant women.

• 여성건강간호학회지
• /
• 제21권2호
• /
• pp.93-105
• /
• 2015

Purpose: We conducted a descriptive study to: 1) understand how husbands are aware of the importance of Sanhujoiri(i.e, Korean traditional postpartum care) and 2) identify their needs to learn how to take care of postpartum women and newborns and to strengthen family bonding. Methods: The subjects consisted of 123 husbands who had children under the age of 5 years. Data were analyzed with t-test, one-way ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, and Pearson's correlation. Results: The mean age of subjects was $37.1{\pm}4.63$ years. The mean scores of awareness, needs for education on postpartum mother and newborn care, and family strength were $4.57{\pm}1.18$, $4.61{\pm}1.18$, $4.92{\pm}1.07$, and $4.01{\pm}0.95$, respectively, indicating higher scores. There were statistically significant differences in awareness (F=5.08, p<.05), newborn care (F=3.70, p<.05), and family strength (F=4.64, p<.05) by husband's role in Sanhujori There was a positive correlation among study variables. Conclusion: This study shows that even though husbands want to participate in Sanhujori, they do not have enough information on Sanhujori and mother/newborn care and adequate paternity leave. Realistic paternity leave system and effective Couple Centered Childbearing (from pregnancy to postpartum) Education Program CCCEP development are required to help husbands' participation in mother/newborn care with confidence and competence in home based Sanhujori.

• 문화기술의 융합
• /
• 제6권2호
• /
• pp.397-407
• /
• 2020

본 연구는 간호대학생의 핵심역량인 시뮬레이션 기반 실습 교육이 눈치, 문제해결 능력, 회복 탄력성에 미치는 효과를 알아보기 위해 시도되었다. 연구 결과 눈치의 하위변인 눈치 파악이 유의미하게 증가하였고, 문제해결 능력과 하위변인 문제 인식, 정보수집, 분석능력, 확산적 사고, 의사결정, 기획력, 실행과 모험 감수, 평가, 피드백에 유의미하게 증가하였다. 회복 탄력성과 하위변인 통제성, 긍정성, 사회성이 유의미하게 증가하였다. 이러한 결과는 시뮬레이션 기반 실습 교육이 간호 대학생의 핵심역량을 강화할 수 있다는 것이므로 현장감 있는 실습 모듈 개발을 위한 기반이 마련되어야 할 것이다.

• 근관절건강학회지
• /
• 제19권3호
• /
• pp.362-372
• /
• 2012

Purpose: The purpose of this study was to identify the predictive factors on quality of life (QOL) in the urban residents by age. Methods: A cross-sectional descriptive design was used. A total of 592 urban residents, ages of 20 to 59, completed a self-reported questionnaire including WHO QOL Scale-Brief (WHOQOL-BREF), Health Promoting Life Style Profile II (HPLP), Personal Competence of Health Care Scale (PCHC), and self-efficacy scale. Data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and multiple regressions by SPSS 18.0. Results: The mean scores were 53.71 in QOL, and subscales were 14.41 in physical health, 13.31 in psychological, 13.87 in social relationship, and 12.12 in environment. There were significant differences by age groups, gender, education, family income, job, and present illness in QOL. QOL were significantly associated with HPLP, PCHC, and self-efficacy. The results of multiple regression indicated that HPLP, PCHC, marital state, and self-efficacy in the 20s, HPLP, self-efficacy, age, marital state, religion, and PCHC in the 30s, HPLP, PCHC, self-efficacy, and family income in the 40s, and HPLP, PCHC, self-efficacy, and gender in the 50s were statistically significant in predicting QOL. Conclusion: It is important to develop distinct programs by age for improving of quality of life for adults.

• 대한간호학회지
• /
• 제51권3호
• /
• pp.265-279
• /
• 2021

Purpose: This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits. Methods: This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0. Results: The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.