• 대한간호학회지
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• 제25권4호
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• pp.641-652
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• 1995

Working as nurses, authors found that some patients were not content with their hospital life. Some patients wanted to move to another ward, and others complained about their ward atmosphere. In spite of patients' discomfort, nurses didn't know what made some patients complain about their ward. So, authors tried to find factors that influence atmosphere of hospital wards of the neurosurgery patients. To know the atmosphere of wards, authors selected five neurosurgery ward of a university hospital in Seoul. Observation took a month. An author observed using molar approach, in the morning, in the day time, and in evening time. Authors used concealment /no intervention technique. An author checked condition of people in the wards, and observed their verbal and nonverbal communication behavior their activities and environmental characteristics, and interpreted their meaning through ethnographic research methodology by Spradly. Authors found there was an important factors that influence the atmosphere of ward. It was a human and his attitude. At least one person who was willing to help others made ward atmosphere better. Helping others physically whenever needed, sup-porting the depressed emotionally, offering foods, or talking to others friendly brought good atmosphere. On the contrary, if everyone was indiffernt to others, the atmosphere became cold. Self-centered or selfish behaviors such as occupying too much area, using the toilet too long, covering other's suction bottle without permission and seeing others delicate or urinate were hurtful. In addition to the attitude of patients and their families, unkindness of medical teams including nurses and doctors and tasteless meal caused bad ward atmosphere. Based on this research finding, authors suggest the followings. A For the better atmosphere of ward 1. Nurses should try to make the ward atmosphere better by introducing new patient to older ones. 2. Every ward should have dividing curtains to keep patient's privacy. 3. All hospital personnel should be kind enough to make patients feel that they are repected. 4. Hospital should serve high quality meals to patients. 5. Patients had better stay with those in the similar condition. B. For the future studies 1. Repeated researches are necessary to check reliability of this results. 2. Researches for patients in different area such as ICU, or hemodialysis unit are necessary.

• 디지털콘텐츠학회 논문지
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• 제19권9호
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• pp.1751-1758
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• 2018

통합 의료 정보 시스템은 의료 서비스의 질과 고객 만족도 향상, 환자의 안전을 우선으로 하는 시스템으로 다른 환경으로 구성된 단위 시스템을 통합하는 기능이 제공되어야 한다. RBAC 기반 의료 정보 시스템은 직종과 직책, 규칙에 따라 사용자는 접근 권한을 부여 받게 된다. 본 논문에서는 CRM 상담 서비스를 중심으로 한 멀티 채널 IPCC 컨택 센터의 플랫폼을 구현 하였다. 이를 통해 SMS MO, 진료 예약 및 취소, 상황별 통계, CRM/EMR 연동 서비스가 멀티 채널을 사용하여 상담원의 도움없이 통신 서비스가 가능하며 예약 환자의 부도율을 감소 시킬 수 있으며, 시스템 내부적으로는 RBAC 기반 CRM 상담 서비스는 권한 관리가 미리 생성되어 되어 있는 정보 테이블의 column을 조사하여 해당 테이블을 호출하는 procedure 및 object를 생성하고, 환자 정보를 나타나게 하여 개인 정보 보호를 전제 조건으로 접근 권한의 rule에 따라 환자별 상담 이력정보에 접근할 수 있으며, 의료 정보 사용 현황별 통계화면을 통해 추출된 정보들을 중심으로 상황별 운영 관리에 필요한 중요 지표를 관제 할 수 있어서 통합 의료 정보시스템의 운영 개선 서비스로의 확대 뿐만 아니라 환자에게 중요한 의사 결정시 의료진과 환자 및 가족에게 도움 줄 수 있다.

• 한국인터넷방송통신학회논문지
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• 제9권6호
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• pp.201-210
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• 2009

유비쿼터스 환경이라는 새로운 개념의 네트워크 환경이 등장하면서 인간을 중심으로 한 서비스에 대한 연구는 최고점을 향하고 있다. 이러한 유비쿼터스 서비스 기술 중 헬스케어와 관련된 서비스는 현재의 사회적 환경과 매우 밀접한 관계가 있다. 본 논문에서는 사회적 고령화와 유비쿼터스 기반의 IT 환경의 변화에 따라 필수적인 응용 서비스 중 헬스케어에 대한 연구를 핵심응용 기술로 규정하고 이와 관련된 연구를 수행하였다. 또한 기존의 헬스케어를 위한 연구를 분석하고 요구사항을 도출함으로서 유비쿼터스에 핵심적으로 적용 될 수 있는 헬스케어 서비스를 제안하였다. 특히, 기존의 헬스케어 서비스에서 고려되지 않았던 특수한 중환자들만을 위한 관리 프로토콜을 제안하고자 한다. 제안된 방식은 RFID 태그 기반으로 병원 시스템의 전체적인 데이터베이스 정보를 구성하고 환자의 상태를 지속적으로 모니터링하며, 실시간으로 처리하는 시스템으로 구성된다.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.662-672
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• 2016

본 연구의 목적은 간호 대학생을 대상으로 표준화환자를 활용한 통합시뮬레이션실습프로그램을 개발 및 적용하여 그 효과를 평가하기 위함이다. 본 연구는 일 종합대학 간호학과 4학년 30명을 대상으로 한 단일군 사전사후설계로 지역사회에 거주하는 당뇨를 동반한 만성알코올중독대상자 간호를 위한 시나리오를 개발하였다. 연구결과 통합시뮬레이션실습프로그램 후 의사소통 능력은 프로그램 실시 전보다 유의하게 향상하였으나(t=4.24, p<.001) 전이동기와 학습 자기효능감은 프로그램 전과 후를 비교하였을 때 통계적으로 유의한 향상을 나타내지 못하였다. 또한 의사소통능력과 학습자기효능감, 의사소통능력과 전이동기 사이의 상관관계는 유의하지 않았으나, 학습효능감과 전이동기 사이에는 양적 상관관계가 측정되었다(r=.758, p<.01). 이는 학생들의 학년과 실습경험을 바탕으로 한 적절한 사례를 개발하여 적용함으로서 전이동기를 높이고 문제해결을 통한 학습자기효능감을 증가시키는 것을 알 수 있었다. 본 연구를 통해 표준화환자를 활용한 시뮬레이션학습은 의사소통 능력과 같은 대상자중심의 간호능력을 향상시킬 수 있는 통합실습프로그램으로서 유용함을 확인하였으며, 향후 의사소통능력 뿐 아니라 학습 자기효능감과 전이동기의 향상을 위한 다양한 통합시뮬레이션학습 시나리오개발에 관한 연구가 필요하다.

• 동서간호학연구지
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• 제26권2호
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• pp.118-129
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• 2020

Purpose: The purpose of this study was to analyze the topic trend of domestic simulation nursing education research using text network analysis(TNA). Methods: This study was conducted in four steps. TNA was performed using the NetMiner (version 4.4.1) program. Firstly, 245 articles from 4 databases (RISS, KCI, KISS, DBpia) published from 2008 to 2018, were collected. Secondly, keyword-forms were unified and representative words were selected. Thirdly, co-occurrence matrices of keywords with a frequency of 2 or higher were generated. Finally, social network-related measures-indices of degree centrality and betweenness centrality-were obtained. The topic trend over time was visualized as a sociogram and presented. Results: 178 author keywords were extracted. Keywords with high degree centrality were "Nursing student", "Clinical competency", "Knowledge", "Critical thinking", "Communication", and "Problem-solving ability." Keywords with high betweenness centrality were "CPR", "Knowledge", "Attitude", "Self-efficacy", "Performance ability", and "Nurse." Over time, the topic trends on simulation nursing education have diversified. For example, topics such as "Neonatal nursing", "Obstetric nursing", "Pediatric nursing", "Blood transfusion", "Community visit nursing", and "Core basic nursing skill" appeared. The core-topics that emerged only recently (2017-2018) were "High-fidelity", "Heart arrest", "Clinical judgment", "Reflection", "Core basic nursing skill." Conclusion: Although simulation nursing education research has been increasing, it is necessary to continue studies on integrated simulation learning designs based on various nursing settings. Additionally, in simulation nursing education, research is required not only on learner-centered educational outcomes, but also factors that influence educational outcomes from the perspective of the instructors.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.396-408
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• 2014

본 연구는 치료적 관계형성 및 의사소통, 정신간호사정 교육을 위해 개발한 모의환자를 활용한 정신간호 시뮬레이션 교육프로그램이 자기주도적 학습, 학습 자기효능감 및 교육만족도에 미치는 효과를 검증하고자 시행하였다. 본 연구는 단일군 전후설계 실험연구로 119명의 간호학과 3학년을 대상으로 8시간의 시뮬레이션 교육 중재를 시행하였다. 그 결과 시행 전보다 시행 후에 자기주도적 학습, 학습 자기효능감이 유의하게 향상된 것으로 나타났으며, 이들 변수들은 교육만족도와 중간정도의 정적인 상관관계를 보였다. 이는 정신간호 실습교육에 있어서 모의환자를 이용한 시뮬레이션 교육이 효과적임을 보여주는 결과라 할 수 있다. 본 연구는 현장중심의 정신간호 실습교육 및 정신간호 임상실무의 질을 향상시키는데 기여할 수 있을 것이다.

• 한국실내디자인학회논문집
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• 제18권4호
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• pp.124-131
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• 2009

The aesthetics of current dermatology clinics are the main space of dermatology, which is gradually becoming an area of specialty. Paths requiring spatial transition due to the expansion of treatment field in dermatology clinics are currently emerging, meaning that the duty to provide medical and aesthetic environment with high spatial connection must be accompanied. Contrary to past clinics where only functional aspects were emphasized, current clinics require a differentiated environment that considers both aspects of function and aesthetics, centered on the patient. The purpose of this research in this perspective is to study the efficient connection between dermatology and aesthetics, while also analyzing identity factors to indicate design factors differentiated from other functional spaces, to apply them as preliminary data for the planning of dermatology clinics. Based on the above, six dermatology clinics located in Seoul were designated for case studies through field studies. Overall, Aesthetics connected to dermatology clinics legally must have separate business registrations and have alternative entrance ways. Currently however, there were many cases where entrance, waiting, reception and receipt were not separated. there were efforts to partially display identities when analyzing design factors that formed the identity of dermatology clinics. However, there were insufficient cases where visual communication factors such as a clinic's spatial identity, logo, signing system, and applied products were integrated into a coherent theme. At this point when dermatology clinics are becoming brands, all fields must merge for integrated identity effects that go beyond the boundaries of contemporary H.I, to clearly display their identity with the clinics' professional image and consistent concept.

• 대한간호
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• 제37권1호
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• pp.107-115
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• 1998

There is an important concern regarding the First-line nurse manager's leadership because of the recognition that effectiveness of Leadership in this position results in benefits for the whole health care organization. So knowledge and practice of effective leadership behavior are now more essential to nursing than ever before. First-line Nurse Managers must be effective leaders to meet today's challenge because staff nurse, patient are affected by them. So the purpose of this study was to identify and to analyse the need for Leadership program of First-Line nurse managers in university hospitals. There were three major purposes of this study. First, identify First-line nurse managers general characteristic, second, identify their experience of leadership training, third, identify and analysis their demands for leadership training program. The subjects for this study was 167 First-line nurse manager randomly from 18 university hospitals in Korea. The data were collected through questionnaires from Oct. 13th to Nov. 20th, 1997, data was analysed using frequencies and percentages. Especially the steps of analysis of descriptions were as follows: Initial analysis centered on the identification of the demands of first-line nurse managers. Later analysis collapsed the demands into broad categories. From the collect data, 283 demands of first-line nurse managers were identified. These demands were then sorted into 3 broad categories that included : Self development as first-line nurse managers, relationship with others, and practice. The result of the study were as follows ; 1) Most of nurse managers(79.6%) had leadership training course and had good experience to improve self leadership. 2) Their demands of leadership training course are as follows First, for self as first-line nurse managers, they want to learn leadership theory, identify their leadership style and then develop their leadership skill. Second, for others as first-line nurse managers, they want to improve their communication skill, empowering others, relationship with others. Third, for patients as first-line nurse managers, improve their knowledge of practice. From the above finding, this study can be suggested the following; 1. Develope a leadership training course to improve first- line nurse manager's leadership skill according to their demands, so they will be better able to lead staff nurses for organization purposes. 2. When develope leadership training program, it must be contained the factors which first-line nurse managers want to learn.

• Imaging Science in Dentistry
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• 제32권4호
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• pp.201-206
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• 2002

Purpose : To evaluate the radiographic change of operation sites after orthognathic surgery using the digital image processing and fractal analysis. Materials and Methods : A series of panoramic radiographs of thirty-five randomly selected patients who had undergone mandibular orthognathic surgery (bilateral sagittal split ramus osteotomy) without clinical complication for osseous healing, were taken. The panoramic radiographs of each selected patient were taken at pre-operation (stage 0), 1 or 2 days after operation (stage 1), 1 month after operation (stage 2), 6 months after operation (stage 3), and 12 months after operation (stage 4). The radiographs were digitized at 600 dpi, 8 bit, and 256 gray levels. The region of interest, centered on the bony gap area of the operation site, was selected and the fractal dimension was calculated by using the tile-counting method. The mean values and standard deviations of fractal dimension for each stage were calculated and the differences among stage 0, 1, 2, 3, and 4 were evaluated through repeated measures of the ANOVA and paired t-test. Results : The mean values and standard deviations of the fractal dimensions obtained from stage 0, 1, 2, 3, and 4 were 1.658±0.048, 1.580±0.050, 1.607±0.046, 1.624±0.049, and 1.641 ±0.061, respectively. The fractal dimensions from stage 1 to stage 4 were shown to have a tendency to increase (p < 0.05). Conclusion: The tendency of the fractal dimesion to increase relative to healing time may be a useful means of evaluating post-operative bony healing of the osteotomy site.

• 임상간호연구
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• 제29권1호
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• pp.95-106
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• 2023

Purpose: This study is descriptive survey research on the analysis of nurses' perception of the 4th industrial revolution and the importance and performance of future core nursing competencies in a tertiary hospital located in Seoul. Methods: Data were collected from 149 nurses with more than a year of work experience and analyzed using descriptive statistics, t-test, one-way ANOVA, and Importance Performance Analysis(IPA) with the IBM SPSS/WIN 25.0 program. Results: The nurses' perception of the 4th industrial revolution was 3.23±0.71 out of 5 points. The importance of future core nursing competencies was 4.31±0.48, and the performance of it was 3.47±0.54. The analysis results of IPA showed that A (area of continuous maintenance) included critical thinking, problem-solving skills, teamwork and collaboration, evidence-based practice, communication, quality improvement and safety, professionalism, self-regulation and self-management, and personal literacy. The specific competencies were not included in B (area of priority improvement). Creativity, informatics, healthcare policy, leadership, research ability, and continuing education were included in C (area of progressive improvement). Knowledge and patient-centered care, ability to manage resources as well as professional, legal, and ethical responsibility were included in D (area of overinvestment). Conclusion: The nurses seemed not to be fully prepared for the 4th industrial revolution. However, they were well aware of the importance of the future core nursing competencies. Therefore, if nurses increase the performance of core competencies in order of priority according to the IPA results, they will be able to independently lead the changing nursing field.