• 간호행정학회지
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• 제2권1호
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• pp.35-56
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• 1996

Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

• 한국산학기술학회논문지
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• 제14권11호
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• pp.5627-5635
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• 2013

본 연구의 목적은 분만을 위해 내원한 여성들의 의료환경 만족도에 영향을 미치는 요인을 파악하기 위함이다. 전국 101개의 병원에 내원한 783명의 분만 여성을 대상으로 구조화된 설문지를 이용하여 자료를 수집하였으며, 수집된 자료는 빈도, t-test, ANOVA, 상관계수, 다중회귀 분석으로 평가하였다. 분만여성의 만족도는 개인적, 환경적 특성과 유의한 관련성을 보였다. 세부적으로, 입원실 종류, 본인 의사/취향을 고려치못한 다인실 사용, 가족분만실 사용, 계획된 내원, 분만주수, 병원이 위치한 지역이 만족도를 유의하게 설명하였다. 그러므로 병원내원자의 만족도는 개인과 환경사이 상호작용의 결과물로 주의깊게 이해되어야 하며, 만족도의 정도는 개인-환경적 특성간의 일치성 정도로 표현될 수 있다는 것을 제시한다. 또한, 건강간호 전문가는 개인의 취향/의지/통제력과 환경적 상황사이의 차이를 줄이기 위한 전략을 개발해야 하며, 이러한 노력은 분만 여성의 의료환경 만족도 향상에 기여할 것이다.

• 지역사회간호학회지
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• 제6권1호
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• pp.5-33
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• 1995

The objective of the study are two-fold: one is to explore the relationship between environment, organizational structure, and organizational effectiveness of public health centers in Korea, and the other is to examine the validity of contingency theory for improving the organizational structure of public health care agencies, with special emphasis on public health nursing administration. Accordingly, the conceptual model of the study consisted of three different concepts: environment, organizational structure, and organizational effectiveness, which were built up from the contingency theory. Data were collected during the period from 1st of May through 30th of June, 1990. From the total of 249 health centers in the country, one hundred and five centers were sampled non proportionally, according to the geopolitical distribution. Out of 105, 73 health centers responded to mailed questionnaire. The health centers were the unit of the study, and a various statistical analysis techniques were used: Reliability analysis(Cronbach's Alpha) for 4 measurement tools; Shapiro-Wilk statistic for normality test of measured scores of 6 variables: ANOVA, Pearson Correlaion analysis, regressional analysis, and canonical correlation analysis for the test of the relationships and differences between the variables. The results were. as follows : 1. No significant differences between forma lization, decision-making authority and environmental complexity were found(F=1.383, P=.24 ; F=.801, P=.37). 2. Negative relationships between formalization and decision-making authority for both urban and rural health centers were found(r=-.470, P=.002 ; r=-.348, P=.46). 3. No significant relationship between formalization and job satisfaction for both urban and rural health centers were found (r=-.242, P=.132, r=-.060, P=.739). 4. Significant positive relationship between decision - making authority and job satisfaction were found in urban health centers (r=.504, P=.0009), but no such relationship was observed in rural health centers. Regression coefficient between them was statistically significant($\beta=1.535$, P=.0002), and accuracy of regression line was accepted (W=.975, P= .420). 5. No significant relationships among formalization and family planning services, maternal health services, and tuberculosis control services for both urban and rural health centers were found. 6. Among decision-making authority and family planning services, maternal health services, and tuberculosis control services, significant positive relationship was found between de cision-making authority and family planning services(r=.286, P=.73). 7. A significant difference was found in maternal health services by the type of health centers (F=5.13, P=.026) but no difference was found in tuberculosis control services by the type of health centers, formalization, and decision-making authority. 8. A significant positive relationships were found between family planning services and maternal health services and tuberculosis control services, and between maternal health services and tuberculosis control services (r=-.499, P=.001 ; r=.457, P=.004 ; r=.495, P=.002) in case of urban health centers. In case of rural health centers, relationships between family planning services and tuberculosis control services, and between maternal health services and tuberculosis control services were statistically significant (r=.534, P=.002 ; r=.389, P=.027). No significant relationship was found between family planning and maternal health services. 9. A significant positive canonical correlation was found between the group of independent variables consisted of formalization and de cision-making authority and the group of dependent variables consisted of family planning services, maternal health services and tuberculosis control services(Rc=.455, P=.02). In case of urban health centers, no significant canonical correlation was found between them, but significant canoncial correlation was found in rural health centers(Rc=.578, P=.069), 10. Relationships between job satisfaction and health care productivity was not found significant. Through these results, the assumed relationship between environment and organizational structure was not supported in health centers. Therefore, the relationship between the organizational effectiveness and the congruence between environment and organizational structure that contingency theory proposes to exist was not able to be tested. However decision-making authority was found as an important variable of organizational structure affecting family planning services and job satisfaction in urban health centers. Thus it was suggested that decentralized decision making among health professionals would be a valuable strategy for improvement of organizational effectiveness in public health centers. It is also recommended that further studies to test contingency theory would use variability and uncertainty to define environment of public health centers instead of complexity.

• 인터넷정보학회논문지
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• 제15권3호
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• pp.21-30
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• 2014

고혈압은 전 세계의 심혈관 및 뇌혈관 질환의 중요한 사망 원인으로서 지속적인 혈압관리가 필요하다. 본 연구에서는 급성장하고 있는 모바일 헬스케어 환경에서 지속적으로 혈압 관리를 받을 수 있는 생체정보 교환 서비스 모델로서 HL7 FHIR을 선택하였다. 개발한 HL7 FHIR 프레임워크는 매니저(스마트폰)과 에이전트(혈압계) 간에 블루투스 헬스기기 프로파일과 통하여 IEEE 11073-10407 PHD 프로토콜로 통신하여 혈압정보를 획득한다. 테스트 결과 고혈압 환자의 혈압 모니터링, 측정기록관리, 문서 생성, 측정정보전송을 성공적으로 수행하였다. 실제 임상환경에서는 TCP/IP 프로토콜을 통해 측정정보를 전송할 수 있으므로 모바일 헬스케어에서 지속적인 연구와 활성화가 기대된다.

• 한국학교보건학회지
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• 제9권1호
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• pp.31-41
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• 1996

School health promotion is related to reinforce on various roles of school health teachers including health instruction, health services, healthful school living. In this aspects, there would be necessory for qualified continous education proceed to activate roles of school health teachers. So the objectives of this study are first, to develop curriculum framework for inservice training of health school nurses, second, to descrive of curriculum objectives, third, to state of curriculum objectives and learning methods. There were used study methods as literature review, expert conferencing and workshop. Major results are as follows; 1. Curriculum framework for inservice training of health school nurses was constitute of major variables of health care model and direct services role of school health teacher such as health service, health instruction and healthful environment area. 2. The curriculum for health instruction were different from elementary school and middle school. 3. Time distribution for curriculum was composed of that health service is 12hours, health instruction is 96 hours and healthful environment is 12 hours. 4. The learning methods for inservice training were suggested to intensify positive attitude through the discussion and practical exercise. 5. The curriculum objectives were classified by total, area and a course of study and time summary table was suggested. In conclusion, the developed curriculum would be contribute to improve of practical ability for school health teachers. And to increase of inservice training effect, there should be operate in order to participate trainees activately and to be educate concurrently. Also, there are necessary for execute in series of the program such as standized text developing by course, evaluation index developing and instructor education etc.

• 디지털융복합연구
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• 제17권6호
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• pp.267-277
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• 2019

본 연구는 통합적 문헌고찰 방법을 통해 국내 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감을 파악하기 위한 연구이다. 문헌은 1990년 1월부터 2018년 12월까지 게제된 문헌으로 검색 데이터베이스를 이용하여 총 23편의 연구를 선정하여 분석하였다. 주 돌봄 제공자의 개인의 생리사회적 요소에 따른 부담감으로는 돌봄 제공자가 효의식과 죄책감이 높을수록, 노인이 2가지 이상의 질환을 앓고 있을 경우 돌봄 부담감이 높은 것으로 나타났다. 신체적 부담감은 노인의 연령이 많을수록, 돌봄 기간이 1-3년인 경우가 높았다. 경제적 부담감은 주 돌봄 제공자의 나이가 많을수록, 노인의 병력기간이 길수록 높게 나타났고 심리적 부담감은 돌봄 제공자가 아들인 경우와 노인이 고령일수록, 요양시설 입소 초기에 높은 것으로 나타났다. 환경적 특성에 따른 부담감은 노인의 기능상태가 나쁠 때 높은 것으로 나타났다. 그러므로 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감에 관심을 갖는 것이 필요하다. 앞으로 본 연구의 결과들은 돌봄 부담감을 낮추기 위한 중재 프로그램 개발에 기여할 것이다.

• 한국학교보건학회지
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• 제9권1호
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• pp.55-67
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• 1996

This research has incorporated a postal survey from the principals, nurse-charging teachers and nurse-teachers of the fiftyfive elementary, middle and high school in Yang-pyeong county area where its supplementary rate of nurse-teachers is less than adequate. It is to analyse the current status of the school health service in the area and to come out with a plan to improve the school health program through the participations of the health related experts of the local community. The survey was done in the two months of period of April to May of 1994. The result of the survey follows. The student population in the Yang-pyeong county area is 13,998 and the school employee population is 904 which counts for about 19.2% of the whole population of the area. However, the supplementary rate of nurse-teachers is only 10.8% (4 in 55 schools) which is very low in terms of relativity. School health committee only exist in 17% of the whole number of schools in the area and 50 of school health committee answered that their activity do not meet the adequate level. Only 54. 3% of the whole school numbers has included the school health finance in their financial plans and the amount set for the school health finance is about 500,000 wons (100,000-1,600,000 wons). 64.9% of the schools in the Yang-pyeong county area have the permanent nursing room established in the school. But, often than the equipment for a simple physical examinations, their supply of the health related equipments are less than adequate. Particitations of school doctor in the school health service is at only 67.6% which pretty much include only the physical examinations. Nurse-charging teachers consider their utmost important role is to teach health education but, they answered that they spent most of their times and efforts on physical examinations & immunizations. The average number of students visition to the nursing room is 2.5 persons and complains for basic discomfort as headache, concussion, stomachache and indigestion problems and usual pills used are the analgesics and digestives. Physical examination is done in the most schools every year but, 51.4% of nurse-charging teachers answered the physical examination does not really help. About the emergency treatment ability, 75.7% reports that both manpower & equipment are short. The school food services are present in only 8 schools (21.6%) but, 89.2% of nurse-charging teachers answer that there is a definite need of the food service. The survey says that the utmost important environmental health and safety factors are the traffic accidents followed by improper heat system, lighting, the stools and desks that do not consider the student physical status The overall evaluation of school health program reports that there are adequate physical examination, immunization, environmental hygiene, and management of safety but, on the other hand, health education, health councelling & management of nursing room are not managed properly. The principals of the survey pool report shortage of public agency support, lack of understanding of school health, shortage of nursing equipments and school health finance as the barrier factors of school health. The nurse-charging teachers report on the same questions as their less than qualitifying expertise, extraload of work upon the nursing affairs, shortage of nursing equipments & school health finance. The head masters & nurse-charging teachers answered that they are desperate for the meetings of nurse-charging teachers, construction of school health councelling system & training education in order to improve school health and if these are available, they will actively participate in them. After the careful analysis of the survey result, it is apparent that through the relations of the manpowers, establishment of community-oriented school health is definitely in need in rural area where there is low supplementary rate of nurse-teachers and poor school health environment.

• 직업교육연구
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• 제35권4호
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• pp.19-46
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• 2016

이 연구의 목적은 사회적 수요가 증가하는 특성화고등학교 간호과 교육의 운영 현황과 교육과정 편성 운영, 교육환경 등에 대한 현황을 분석하고 간호과 교육의 개선 방향을 탐색하는데 목적이 있다. 이 연구의 방법은 관련 선행연구를 분석하고 학교알리미, 교육통계연보 등 간호관련 학과 개설 및 운영 현황 자료, 학교 교육과정, 각 기관 및 협회의 홈페이지에 소개된 공시 자료 등을 수집 분석하였다. 이 연구의 주요 결과는 다음과 같다. 첫째, 2016년 1학기 현재 특성화고등학교 중에 간호과를 개설 운영하는 학교는 총 38개교로 전체 특성화고 마이스터고의 약 6.4% 정도이다. 이들 학교는 주로 보건간호과, 치의보건간호과, 간호과, 의료간호관광과. 간호회계 및 간호경영과 등의 명칭으로 개설하였다. 간호과 졸업생은 2012년 이후 취업률과 진학률간의 격차가 좁혀지고 있으며 2015년에는 특성화고등학교 전체 평균 취업률인 46% 수준이었다. 둘째, 특성화고등학교 간호과는 인력양성 목표를 간호조무사 양성에 두고 관련 취득 자격으로 간호조무사, 요양보호사 등을 주로 제시하고 있었다. 간호과 교육과정은 자격 취득 요건, 현장 직무 수행에서 필요한 역량과 관련한 과목들을 편성하고 있었으나 간호과 교육과정의 충분성, 자격과 교육과정 편성과의 정합성 등을 검토해야 한다. 법적 요건인 780시간의 현장실습은 주로 1학년부터 2학년까지 3번의 방학을 통해 병의원 현장에서 별도의 교육과정으로 운영되고 있었다. 셋째, 간호과 교육의 물적 환경은 전공별로 2개 정도의 실습실과 학생 규모를 고려한 시도교육청의 시설설비 기준을 적용하여 비교적 기본 환경을 구축 활용하고 있었다. 인적 환경인 교사 확보는 간호 표시과목이 없음에 따라 표시과목의 개설, 지역별 배치 기준의 검토, 전문성 함양을 위한 연수 및 연구, 장학의 지원을 위한 개선이 시급한 것으로 나타났다.

• 한국노년학
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• 제37권3호
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• pp.747-762
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• 2017

본 연구는 서비스의 질에 중요한 영향을 미치는 치매관련(장기요양시설) 종사자들의 직무만족 및 인권옹호행동과 직무스트레스, 사회적 지지의 구조적 관계를 파악하고자 진행되었다. 이를 위해 경기도 내 노인요양시설, 주야간보호시설, 방문요양센터 등에 근무하는 치매관련 종사자 300명을 대상으로 설문지를 배부 후 210부를 회수하였고 부실응답 설문지 13개를 제외한 후 197명의 응답자료를 AMOS와 SPSS 21.0을 활용하여 분석하였다. 분석결과, 직무스트레스는 사회적 지지에 직접적인 영향(-.276)을 유의하게 미치는 것으로 나타났다. 대부분 사회적 지지도 역시 직무만족에 직접적인 영향(.315)을 유의하게 미치는 것으로 나타났다. 인권옹호에서도 직무만족에 직접적인 영향(.175)을 미치고 간접적인 영향(.102)을 미치므로 .277의 총 효과가 있는 것으로 나타났다. 이로써 사회적 지지가 인권옹호와 직무만족을 부분매개 하는 것을 알 수 있었다. 직무스트레스는 직무만족에 -.217의 직접적인 영향을 미치고 .095의 간접적인 영향을 미치므로 -.122의 총 효과가 있는 것으로 나타났으며 사회적 지지가 직무스트레스와 직무만족을 부분매개 하는 것을 알 수 있었다. 이러한 연구 결과를 놓고 볼 때 치매관련종사자들의 직무만족을 높이기 위해서는 사회적 지지를 인식할 수 있는 환경에서 인권옹호행동을 증대하고 직무스트레스를 줄여줄 수 있는 방안이 필요하다는 것을 시사한다.

• Asian-Australasian Journal of Animal Sciences
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• 제22권11호
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• pp.1574-1580
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• 2009

To evaluate the effect of different housing systems on sow behavior, 80 gilts were randomly allocated at puberty to four treatments: i) sow stall in gestation followed by farrowing crate (SC), ii) group housing with individual feeding in gestation followed by farrowing crate (GC), iii) ESF (Electronic Sow Feeding) system in gestation followed by farrowing crate (EC), and iv) ESF system followed by group farrowing pen (EG). Behavioral observations were carried out on a total of 16 animals per treatment at the following stages: first day of allocation to housing treatment, day of service, 80 days after service, 109 days after service on entry to farrowing accommodation, 24 h before farrowing, day of farrowing, 14, 27 and 28 days after farrowing, at weaning. On each occasion, individual animals were observed for a 24 period with one minute time sampling. There were significant differences (p<0.001) between stages of the reproductive cycle for all the behavior patterns in all treatments. On the first day in experimental housing treatments, sows spent more time rooting and dog-sitting. Activity and investigatory behavior decreased as pregnancy progressed. An activity peak was apparent just before farrowing, followed by a high level of inactivity on the day of farrowing. Time spent active, eating and drinking increased as lactation progressed, and greatest activity and locomotion was seen immediately following weaning. There were significant differences between housing treatments (p<0.01) for standing, moving, eating, drinking, dog-sitting and lying. During pregnancy SC sows spent more time standing, rooting, drinking and dog sitting, while EC sows spent less time rooting and drinking and more time lying. During lactation, GC sows spent more time standing, moving and eating, less time dog sitting and lateral lying. Nursing frequency was reduced in GC sows (p<0.001). The maternal and piglet behaviors were influenced strongly by environment during lactation. However, it was also shown that previous housing history can influence the maternal behavior in the pre-farrowing stage and during early lactation.