• 간호행정학회지
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• 제8권1호
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• pp.85-95
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• 2002

The purpose of this study was to develope a critical pathway for the chemotherapy of non-small cell lung cancer patients and to identify its effects after implementation. Critical pathway was developed through 5 steps including content and clinical validity tests with collaborative efforts of nurses, clinicians, and other allied healthcare professionals with the aim of improving the quality of patient care, while minimizing cost to the patients. This paper was described an evaluation of the impact of a developed critical pathway on complication rate, length of stay, costs, the interval of treatment and patient satisfaction by nonequivalent control group posttest-only non-synchronized research design.Results were compared between the two groups of patients. There were no significant differences in demographic variables and the occurrence of bone marrow suppression between experimental group and control group(t=-0.01, p=0.992). There were statistically significant decreases in the average length of stay(t=-10.45, p=0.000), in the average cost(t=-2.988, p=0.004), and in the interval of treatment(t=-6.75, p=0.000) after implementation of the critical pathway compared to control group. Also, there was a statistically significant improvement of the patient satisfaction after implementation of the critical pathway compared to control group(t=4.57, p=0.000). This paper concludes that critical pathway in chemotherapy for lung cancer, implemented in the context of an general hospital, is the useful tool to shorten the hospital stay, reduce treatment costs, and improve the quality of life in cancer patients. Further study needs to be conducted to identify other clinical outcomes including job satisfaction, collaboration among health professionals and potential for use in education. Also, it is recommended that nurses should revise continuously the developed critical pathway through clinical implementation and maintain their role of patient advocacy through monitoring pathway compliance.

• 임상간호연구
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• 제14권1호
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• pp.5-14
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• 2008

Purpose: To examine the current fees for nursing care and propose the strategies for improvement. Method: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcher-developed questionnaire with 30 items was utilized. Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse's job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and "bed to nurse ratio" needed to be changed to "patients to nurse ratio" and specialized by the nursing units. Conclusion: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.

• 한국응용과학기술학회지
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• 제37권4호
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• pp.915-924
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• 2020

본 연구는 간호대학생의 비판적 사고, 셀프리더십과 학습 몰입 정도를 파악하고, 학습 몰입에 미치는 영향을 확인하고자 시도 되었다. 연구 대상자는 D 광역시, G 광역시에 소재한 2개 간호학과 2학년 학생 196명을 대상으로 하였으며, 2018년 11월 26일부터 12월 7일까지 자료수집하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 기술 통계, t-test, ANOVA, Pearson 상관계수, 다중회귀분석으로 분석하였다. 연구결과 일반적 특성에 따른 학습 몰입은 학교 성적, 전공 만족도, 대인관계에 따라 유의한 차이를 보였고, 학습 몰입은 셀프리더십(r=.738, p<.001)과 유의한 양의 상관관계가 있는 것으로 나타났다. 또한, 학습 몰입에 영향을 미치는 요인은 학교 성적(β=-.212, p=.011), 전공 만족도(β=.248, p=.001), 셀프리더십(β=.598, p<.001)으로 나타났으며, 학습 몰입에 대한 이들 변인의 설명력은 58%로 나타났다. 본 연구 결과를 토대로 간호대학생의 학습 몰입을 향상시키기 위해서는 전공 만족도와 셀프리더십을 증진시킬 수 있는 프로그램 개발이 필요할 것으로 생각한다.

• 간호행정학회지
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• 제14권2호
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• pp.159-166
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• 2008

Purpose: The purpose of this study was to identify the degree of critical thinking disposition of nursing students and the factors influencing critical thinking disposition. Method: The subjects were 406 nursing students attending at one university who have been taught by the integrated nursing curriculum. Data was collected by a self-administered questionnaire from Nov. 11, 2007 to Nov. 30, 2007. The survey tool developed by Yoon(2004) was used. Data was analyzed by t-test, one way ANOVA and Scheffe test using SPSS Win 12.0. Result: The mean score of critical thinking disposition was 3.57. The sub scales of critical thinking disposition were statistically significant in regard to grade, age and character of subjects. Overall mean score of critical thinking disposition and its sub scales were statistically significant according to the degree of satisfactory of majoring nursing, reason of choosing nursing as a major and satisfaction on integrated nursing curriculum. Conclusion: Critical thinking ability is very important in various nursing situations. Integrated nursing curriculum was developed to improve critical thinking ability of nursing students. It is recommended that evaluation on the goal attainment of the integrated nursing curriculum needs to be monitored continuously.

• International Journal of Internet, Broadcasting and Communication
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• 제8권2호
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• pp.75-80
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• 2016

Objectives : The objective of this study is to examine the experiences of Internet game experience targeting to University students in Korea. Research topics was "What is meaning of internet game to the University students?" Methods : Classical phenomenology underpinned this study. Seven qualitative studies of University students were conducted between 20 and 23 years old. Semi-structured interviews were conducted. Interviews were audio recorded and transcribed verbatim. Phenomenological thematic analysis of data was undertaken. Results : The findings pivot around three interconnected themes :[Expectations for the emotional needs], [Spend time in the cyberspace], [Relieve stress throughout the game], [Instead of satisfaction from virtual reality], [Internet gaming repeat and desires]. The basic need for getting into internet game was [satisfaction from virtual reality was identified]. While internet games was eliminated stress, [Expectations for the emotional needs] and [Spend time in the cyberspace] were the catalyst that makes them repeatedly getting into Internet the game. Based on the result, I suggest that Internet gaming should be recognized as a tool to relieve stress for college students, But it is not satisfied with the reality in virtual space. Therefore, the strategy must be to recognize reality accompanying. And Using a lot of time in cyberspace make them cause of internet game addiction. Therefore, it requires a systematic strategy for the Internet using time limits. Also the emotional needs met were motivated to repeat an Internet game. So another way to meet the emotional needs to college students should be sought.

• 부모자녀건강학회지
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• 제21권1호
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• pp.11-19
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• 2018

Purpose: This study aimed to explore the experiences and needs about sex education of university entrants in Korea, and to identify the relationship among the levels of sex-related knowledge, sexual attitude and reproductive health promoting behavior. Methods: Totally 188 freshman year of two different university were recruited to reply. The design of study was a exploratory research, using a cross-sectional survey. A self-administered questionnaire was used to measure the experiences and needs about sex education. The data were analyzed with the SPSS/WIN 21.0 program. Results: 95.2% of the experienced sex education but the level of satisfaction about sex education was 38.3%. The sex education methods that subjects wanted were comfortable and interesting using videos and practices. Sex-related knowledge significantly differed according to sex. Sexual attitude differed according to the experience of sex, the line of dating and the route of information about sex. There was positive correlations among sex-related knowledge, sexual attitude and reproductive health promoting behavior of female entrants. Conclusion: So sex education program, composed of knowledge, attitude and behavior should be interesting and helpful in order to fit current trends and fulfill university entrants' needs.

• 한국보건간호학회지
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• 제15권1호
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• pp.13-26
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• 2001

Today's health care environment is rapidly changing and nurse administrators' transformational leadership needs to practice in nursing organization to achieve organizational objectives. Transformational leadership is related to the job satisfaction, productivity, and organizational commitment. This study investigated the effect of transformational leadership and carreer characterics on nurses' organizational commitment. The sample for this study consisted of 594 nurse from 8 large Korean hospitals. The factor analysis Cronbach's alpha analysis, Pearson correlation analysis, multiple regression analysis and hierarchical multiple regression analysis were used for the statistical method. The results of this study were found that (1) charisma dimension of transformational leadership has positive influence on nurses' organizational commitment; but another two dimensions (intellectual stimulation and individualized consideration) did not showed significant effect on organizational commitment (2) nurses' career characteristic(age, marital status, education level. work duration, status) moderated the effect of transformational leadership on organizational commitment.

• 기본간호학회지
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• 제18권4호
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• pp.497-505
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• 2011

Purpose: This study was conducted to develop a comprehensive web-based nursing process program to assist nursing students and to evaluate the effects of the program. Methods: The system provides nursing students with guidelines based on NNN (NANDA, NOC, NIC) when the nursing students conduct a series of nursing procedures on diagnosis-outcome-intervention for a specific symptom. It also maintains and manages nursing processes actually conducted by students for clinical practices, and provides an environment where the patient information and nursing process can be converted into a formatted document for printing. This web-based program was used to surgical patients from April to June 2011. Results: The overall satisfaction rate was 3.64. The item with the highest score was, 'Do you think a web-based nursing process program is necessary?' (3.87), followed by 'Do you want to use this program when you become a nurse and implement the nursing process?' (3.33). Conclusion: These results indicate that implementation of web-based programs needs to be continued as an effective tool, but more research is needed on the best way to implement web-based programs in various clinical setting.

• 한국융합학회논문지
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• 제13권5호
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• pp.401-411
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• 2022

본 연구의 목적은 코로나19 상황에서 실시간 원격수업과 비실시간 원격수업을 함께 적용한 성인간호학 비대면 혼합수업이 간호대학생의 학습만족도에 미치는 융합적인 요인을 파악하기 위한 서술적 조사연구이다. 연구대상자는 A시에 소재한 간호학과 재학생 109명을 대상으로, 2021년 12월 15일부터 12월 30일까지 자료를 수집하였다. 수집된 자료는 SPSS 22.0 프로그램을 사용하여 빈도, 백분율, 평균과 표준편차, x² test, t-test, One-way ANOVA, Pearson's correlation coefficient, Hierarchical multiple regression analysis로 분석하였다. 연구결과 간호대학생의 학습몰입은 3.41±0.61점, 자기조절학습능력은 3.69±0.66점, 학습만족도는 3.98±0.61점으로 나타났다. 그리고 학습만족도는 학습몰입(r=.416, p<.001), 자기조절학습능력(r=.752, p<.001)과 유의한 양의 상관관계가 있었다. 위계적 회귀분석 결과 학습만족도에 영향을 미치는 요인은 자기조절학습능력과 전공만족도 순으로 나타났으며(F=39.20, p<.001), 모형의 설명력은 60.6%였다. 따라서 본 연구를 토대로 간호대학생의 학습만족도를 향상시키기 위해 자기조절학습능력을 높이고, 포스트 코로나 시대에서 교육 환경 변화의 요구를 고려한 교육 프로그램 개발 및 운영이 필요하다.

• 간호행정학회지
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• 제23권1호
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• pp.76-89
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• 2017

Purpose: This study was conducted to examine the experience of nurse in comprehensive nursing care. Methods: Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was "Can you describe your experience in the comprehensive nursing care unit?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system', 'Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'. Conclusion: As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.