• 인간식물환경학회지
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• 제23권2호
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• pp.245-254
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• 2020

Patients diagnosed with cancer face mental problems such as alienation, isolation, anxiety about death and fear, recovering from psychological difficulties. In this study, a forest healing program was provided for cancer patients to recover from psychological stress, depression, social isolation and self-esteem caused by cancer and changes in salivary cortisol through psychological and emotional recovery were measured. From September 19 to November 28, 2017, a forest healing program composed of a total of 10 sessions, two hours per session was provided for 12 cancer patients in the Forest of Taegyo located in Yongin. Psychological tests were performed with Social Adaptation Self-evaluation Scale (SASS), Korean-version Perceived Stress Scale (PSS) and Beck Depression Inventory (BDI) and the collected data were analyzed with the SPSS 18.0. The salivary cortisol level was measured along with the psychological tests and were analyzed by a specialized testing agency. The results of the analysis showed that the pre- and post-assessment score of SASS was 29.17 and 25.92, respectively, and that the pre- and post-assessment score of PSS was 30.50 and 23.92, respectively. The pre- and post-assessment score of BDI was 41.00 and 34.83, respectively, which showed significant differences. In addition, the pre- and post-assessment level of saliva cortisol was 3.13 and 1.68, respectively, showing a significant decrease. In short, the forest healing program was found to be effective in reducing physiological changes caused by social isolation and stress due to the emotional and psychological difficulties that the subjects who were diagnosed with cancer and were recovering from it have. In the future, it will be necessary to develop and implement a forest healing program by conducting a forest healing requirement survey on cancer patients.

• 간호행정학회지
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• 제6권1호
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• pp.135-146
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• 2000

The purpose of this study was to develope, based on the Nursing Intervention Classification (NIC) system. a set of standardized nursing interventions which had been validated. and their associated activities. for use with nursing diagnoses related to home health care for women who have had a caesarian delivery and for their newborn babies. This descriptive study for instrument development had three phases: first. selection of nursing diagnoses. second, validation of the preliminary home health care interventions. and third, application of the home care interventions. In the first phases, diagnoses from 30 nursing records of clients of the home health care agency at P. medical center who were seen between April 21 and July 30. 1998. and from 5 textbooks were examined. Ten nursing diagnoses were selected through a comparison with the NANDA (North American Nursing Diagnosis Association) classification In the second phase. using the selected diagnoses. the nursing interventions were defined from the diagnoses-intervention linkage lists along with associated activities for each intervention list in NIC. To develope the preliminary interventions five-rounds of expertise tests were done. During the first four rounds. 5 experts in clinical nursing participated. and for the final content validity test of the preliminary interventions. 13 experts participated using the Fehring's Delphi technique. The expert group evaluated and defined the set of preliminary nursing interventions. In the third phases, clinical tests were held at in a home health care setting with two home health care nurses using the preliminary intervention list as a questionnaire. Thirty clients referred to the home health care agency at P. medical center between October 1998 and March 1999 were the subjects for this phase. Each of the activities were tested using dichotomous question method. The results of the study are as follows: 1. For the ten nursing diagnoses. 63 appropriate interventions were selected from 369 diagnoses interventions links in NlC., and from 1.465 associated nursing activities. From the 63 interventions. the nurses expert group developed 18 interventions and 258 activities as the preliminary intervention list through a five-round validity test 2. For the fifth content validity test using Fehring's model for determining lCV (Intervention Content Validity), a five point Likert scale was used with values converted to weights as follows: 1=0.0. 2=0.25. 3=0.50. 4=0.75. 5=1.0. Activities of less than O.50 were to be deleted. The range of ICV scores for the nursing diagnoses was 0.95-0.66. for the nursing interventions. 0.98-0.77 and for the nursing activities, 0.95-0.85. By Fehring's method. all of these were included in the preliminary intervention list. 3. Using a questionnaire format for the preliminary intervention list. clinical application tests were done. To define nursing diagnoses. home health care nurses applied each nursing diagnoses to every client. and it was found that 13 were most frequently used of 400 times diagnoses were used. Therefore. 13 nursing diagnoses were defined as validated nursing diagnoses. Ten were the same as from the nursing records and textbooks and three were new from the clinical application. The final list included 'Anxiety', 'Aspiration. risk for'. 'Infant behavior, potential for enhanced, organized'. 'Infant feeding pattern. ineffective'. 'Infection'. 'Knowledge deficit'. 'Nutrition, less than body requirements. altered', 'Pain'. 'Parenting'. 'Skin integrity. risk for. impared' and 'Risk for activity intolerance'. 'Self-esteem disturbance', 'Sleep pattern disturbance' 4. In all. there were 19 interventions. 18 preliminary nursing interventions and one more intervention added from the clinical setting. 'Body image enhancement'. For 265 associated nursing activities. clinical application tests were also done. The intervention rate of 19 interventions was from 81.6% to 100%, so all 19 interventions were in c1uded in the validated intervention set. From the 265 nursing activities. 261(98.5%) were accepted and four activities were deleted. those with an implimentation rate of less than 50%. 5. In conclusion. 13 diagnoses. 19 interventions and 261 activities were validated for the final validated nursing intervention set.

• 문화기술의 융합
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• 제8권1호
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• pp.59-66
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• 2022

본 연구는 청소년 축구선수를 대상으로 하여 성취목표성향(과제, 자아지향성)과 자기관리(몸, 대인, 훈련, 정신관리) 검사로 우수선수(연령대별 대표선수)와 비우수선수(일반선수)를 판별할 수 있는가를 알아보기 위하여 수행되었다. 대한축구협회에 등록된 중,고등학교 선수를 모집단으로 하여 연령대별 대표선수 131명, 일반선수 168명 등 총 299명(중학생 144명, 고등학생 155명)을 연구대상으로 하였다. 자료수집을 위한 검사지로는 Duda와 Nicholls(1989)가 개발한 스포츠 성취목표지향성에 관한 검사지(TEOSQ: Task & Ego Orientation in Sport Questionnaire)와 허정훈(2003)이 개발한 운동선수 자기관리 검사지(ASMQ; Athletes' Self-Management Questionnaire)를 사용하였다. 자료분석은 SPSS 23버전을 이용해서 빈도분석, 요인분석, 신뢰도분석, 판별분석을 실시하였다. 자료를 분석한 결과, 성취목표성향의 하위 요인인 과제지향성과 자아지향성은 둘 다 우수 선수와 비우수 선수를 판별하지 못하는 검사로 확인되었다. 반면에 자기관리 검사는 하위 요인중 대인관리를 제외한 몸관리, 훈련관리, 정신관리가 우수선수와 비우수선수를 판별할 수 있는 검사로 확인되었다. 특히, 자기관리 중 정신관리가 우수선수와 비우수선수를 판별하는데 있어서 가장 중요한 요인으로 확인되었다.

• 문화기술의 융합
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• 제6권3호
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• pp.67-74
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• 2020

중년여성들은 여성성의 상실과 함께 신체적, 정신적 변화를 겪게 되며, 자녀의 성장과 독립으로 돌봄과 양육의 역할이 감소되면서 심리적으로 공허함을 느끼기도 한다. 이 여성들은 자신의 역할감소에 따른 상실감과 공허함을 자신의 여가생활을 위해 자신의 가치관과 신념을 유지하는 계기로 이해하고 있다. 이에 중년여성들은 공예활동체험을 통하여 인간과 인간의 소통을 통한 사회적 관계에서 이루어지는 관계형성과 자아실현의 기회로 인식하여 우울감이나 공허한 마음과 같은 중년의 위기에 나타나는 부정적 감정을 극복하고 자아존중감과 사회적 지지를 확립하고 있다. 우리는 이 연구에서 공예활동의 체험요소가 중년여성의 자아존중감과 사회적 지지에 미치는 영향을 분석하기 위하여 공예활동의 체험요소를 독립변수로, 자아존중감과 사회적 지지를 종속변수로 하는 연구모형을 설정하였다. 연구결과 교육적 체험, 오락적 체험, 일탈적 체험은 자아존중감에 유의한 영향을 미치고 있으나 심미적 체험은 유의한 영향을 미치지 못하고 있다. 그리고 오락적 체험, 심미적 체험은 사회적 지지에 유의한 영향을 주지만 교육적 체험, 일탈적 체험에는 유의한 영향을 주지 못하였다. 따라서 중년여성의 감각과 감성의 변화에 영향을 줄 수 있는 체험공간의 환경적 특성인 미학적 요소와 시각적 요소를 살릴 수 있는 콘텐츠와 교류할 수 할 수 있는 출발에서 접근할 수 있도록 공예체험에 대하여 제도적으로 지원하는 방안이 제공되어야 한다. 그리고 공예활동으로 궁극적인 삶에 변화를 주는 요인을 고려하지 않은 한계가 있어 웰빙과 관련된 변수 등을 도출하여 새로운 모형을 제시할 것을 제안하고자 한다.

• 보건행정학회지
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• 제14권4호
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• pp.88-113
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• 2004

Starting from April, 2003, new pre-review system has been introduced and implemented to reduce unnecessary conflict with medical care organizations caused by current retrospective claim review system and to enhance efficiency of review system. The main purpose of pre-review system is to educate doctors to contrive adequacy of medical services. This research mainly focuses on effectiveness of pre-review system's influence on physicians' behavior changes. The analysis-participants were drawn from 1,449 clinics which implemented pre-review system, since April of 2003. The research results are as followings. First, the amount per claim has reduced by $\\3,154$, days of visit per claim by 0.1 day, and amount per visit by $\\412$, which were statistically significant. Second, anesthesiologists have decreased in three indicators the most, and the internists had least of changes. Third, the amount per claim and days of visit per claims has dropped significantly on physicians with less periods of practice and physicians with more ages. Fourth, the clinics without the expensive medical equipments, the city clinics showed significant decrease on days of visit per claim. Fifth, in intervention methods, the one-to-one education showed more significant decrease on amount per visit rather than information feedback by paper. In conclusion, the pre-review system have an impact on self-imposed physician behavioral change. The outcome of this research may be utilized for future extension implementation of pre-review system. Furthermore, it is showed that ability of transitions in medical services review system according to the future transition of payment system and context of health service policy.

• 재활간호학회지
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• 제19권1호
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• pp.43-54
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• 2016

Purpose: This study attempted to understand patients' and nurses' perspectives on the priority of rehabilitation nursing services using Importance-Performance Analysis (IPA). Methods: This study used descriptive research design. Data were collected from 121 patients and 144 nurses using self-reported questionnaires. Statistical analysis included an independent t-test, analysis of variance (ANOVA), and IPA conducted using SPSS/WIN 21.0 version. Results: There were no statistical differences between the patients' and nurses' mean scores on perceptions of the importance (t=-0.83, p=.409) and performance (t=-0.32, p=.751) of rehabilitation nursing services. The IPA matrix showed a difference between patients and nurses in terms of their perceived priority of nursing services. Regarding the perception of patients, "helping a patient to continue to practice bedside physiotherapy and occupational therapy", "providing information on the proper care agency and community resources", and "providing education for the prevention of complications" fell in the "concetrate here" area (2nd quadrant). Conclusion: The results showed that the priorities of patients and nurses did not match in terms of some of the rehabilitation nursing services. Thus, rehabilitation nursing services need to be provided based on the patients' needs. Allocation of resources for the service items that fell in the "concentrate here" area of the IPA need be reconsidered for the quality in nursing care.

• 한국의료질향상학회지
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• 제22권2호
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• pp.75-90
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• 2016

Objectives: This study measures the level of cognition of employee's patient safety culture and evaluates the current level through comparing the results to external levels. Ultimately it is performed to construct a strategic improvement plan through the basic database for patient's safety culture. Methods: A questionnaire survey of self reporting type was carried out using structured questionnaire of the patient's safety culture for employees currently employed in a hospital. Total responders was 1,129 and a response rate was 54.6%. The survey results were calculated with a percent positive response, and the current level was evaluated by comparing with the survey results of a hospital (2009 and 2014) and the survey result of The Agency for Healthcare Research and Quality(2014). Results: Sub-dimension of high percent positive response for each area were 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%) and 'supervisor/manager expectations & actions promoting safety' (67%). Meanwhile, 'teamwork across hospital units' (31%), 'hospital management support for patient safety' (29%), 'staffing' (27%) and 'non-punitive response to error' (17%) were relatively low percent positive response. Compared to the survey results of AHRQ (2014) for each area, 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%), 'frequency of event reporting' (66%) were at the top 50% percentile level and the remaining sub-dimensions showed a very low level in the lower 10% percentile area. Conclusion: In order to establish a system for patient safety culture within the hospital and evaluate the effect on this, it is necessary to periodically evaluate the patient's safety culture and establish regulations on hospital safety culture to comply with this.

• 문화기술의 융합
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• 제5권4호
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• pp.99-104
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• 2019

이 연구의 필요성은 노인요양시설 종사자의 근무환경의 질, 복지개선이 시설이용 어르신들의 양질의 서비스 제공을 위해 노인요양시설 종사자들을 대상으로 감정노동행동이 직무소진과 서비스품질에 미치는 영향과 감성리더십을 중심으로 효과를 규명하는데 있다. 연구결과를 요약하면 다음과 같다. 첫째, 감정노동행동 중 내면행동이 직무소진의 부의 영향을 미치는 것으로 나타났으며, 표면행동에는 정의 영향을 미치는 것으로 나타났다. 또한, 감정노동행동이 서비스품질에도 정의 영향을 미치는 것으로 나타났다. 둘째, 감성리더십은 감정노동행동 중 내면행동에서 정서적 고갈과 개인적 성취감저하에서만 조절효과를 보였으며, 표면행동에는 비인격화에서 조절효과가 나타났다. 셋째, 감성리더십은 감정노동행동 중 표면행동과 서비스 품질에서는 유형성, 신뢰성, 확신성 요인에서 감성리더십의 조절효과가 나타났다. 따라서 노인요양시설 종사자의 근무여건 개선과 노인요양시설 이용 노인들의 서비스 품질 향상을 위한 앞으로도 많은 연구들이 이루어져야 하겠다.

• 문화기술의 융합
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• 제5권1호
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• pp.443-449
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• 2019

이 연구는 일개 대학의 간호학생을 대상으로 비판적 사고성향과 임상수행능력 및 임상실습만족도의 관계를 확인하는 연구이다. 자료는 2017년 6월에 55명의 간호학생을 대상으로 자가보고식 임상수행능력, 비판적 사고성향, 임상 실습만족도에 관한 질문지를 통해 수집되었다. 연구결과, 대상자의 임상수행능력의 평균 점수는 3.70점이었고, 비판적 사고성향은 3.57점, 임상실습만족도는 3.93점 이었다. 임상수행능력의 하부요인의 평균은 사회심리적 간호능력이 가장 높았으며 기본간호능력, 환자교육능력, 간호과정능력, 관찰 및 모니터링 능력, 간호중재능력 순으로 나타났다. 비판적 사고성향은 임상수행능력과 유의한 상관관계가 있었고, 임상실습만족도와는 상관관계가 없었다. 임상수행능력에 영향을 미치는 요인은 비판적 사고성향의 하부요인 중 지적 열정/호기심과 객관성으로 나타났다. 따라서 본 연구는 간호 학생의 임상수행능력에 영향을 미치는 비판적 사고성향을 향상시킬 수 있도록 다양한 교수법의 시도가 필요함을 시사했다.

• Safety and Health at Work
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• 제12권1호
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• pp.66-73
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• 2021

Background: The objective was to assess the knowledge level, attitude, and practice of health care workers towards standard precautions, and to identify the related factors. Furthermore, it was attempted to identify the proportion of having the experience of needle stick injuries (NSIs) and associated factors among participants. Methods: A cross-sectional study was conducted in a teaching hospital among 233 health workers using a self-administrated questionnaire. The questionnaire included eight knowledge items, seven practice items, and five attitude items. Based on the mean score of each category, responses were grouped into "satisfactory" and "unsatisfactory". Univariate, bivariate, and multivariable logistic regression analyses were done. Results: The mean age of the participants 32.95 (SD ± 9.70) and 62.2% of them were women. 57.5% of the staff had a satisfactory level of correct knowledge (>5 correct answers), 37.3% had a satisfactory positive attitude (>3 correct answers), and 30.9% had a satisfactory practice (>3 correct answers) towards standard precautions. The occupation was one of the predictors as doctors were less likely to have satisfactory knowledge and practice compared to nurses (OR = 0.269, 95% CI: 0.10-0.70 and OR = 0.248, 95% CI: 0.08-0.77, respectively). Out of 174 participants, 31.6% of them reported experiencing NSIs and support staff were 71% less likely to experience NSIs compared to nurses & paramedics. Conclusion: The findings revealed a substandard adherence of standard precautions among participants, which highlighted the necessity of the provision of a periodic, tailored training program based on the occupation and risk exposure.