• 한국보건간호학회지
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• 제5권1호
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• pp.5-22
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• 1991

This study was conducted to provide information of affective area in developing a nursing curriculum. The sample consisted of 38 sophomores and 43 seniors in Department of Nursing, College of Medicine, Han Yang University. Data were collected by using a structured questionnaire, which consisted of social, home and self control aspects in self concept. The results are summarized as follows; 1. CD In sophomore, as father's academic career were higher, the self concept In social aspects became higher. The students whose father's job was profesion and a white-collar job and who applied for nursing by force and were satisfied with their educational expenses had more positive self concept in social aspects. In senior, as their age were higher, the self concept in social aspects became higher. The students who had religion, recognized the visions of nursing, and were satisfied with their major, had more positive self concept in social aspects. In self concept in social aspects, home environment explained the major variable in sophomore. On the other side, the variable related to major was important in senior. (2) In sophomore, the students who were satisfied with educational expenses and their major had more positive self concept in home aspects. In senior, the students who counseled of their problems with their parents and recognized the visions of nursing had more positive self concept in home aspects. Counsel of their personal problem with their parents explained the most affective variable $(9.6\%)$ for self concept in home aspects in senior. But, it explained only $1.1\%$ of the variance for self concept in home aspects in sophomore. (3) In senior, the students who were unsatisfied with their educational expenses had more negative self concept in self control aspects. 2. There was no significant difference accord ing to the academic year m social, home and self control aspects. 3. The aspects with the highest positive perception of the self concept was home aspects. Self concept in social aspects was more positive perception than in self control aspects. Self concept in self control aspects was lower than in other aspects. 4. Significant relationship a revealed between social aspects and home aspects in sophomore. In senior, the positive correlation were found between social aspects and home aspects and between social aspects and self control aspects. In conclusion, the self concept m home aspects was more positive perception than in other aspects. It resulted from the fact that the nursing uniqueness was based on the spirit of humanity and service. But, when we consider social and self control aspects, good relationship between subjects and nurse is important in nursing, so it is desirable that nursing curriculum include human relationship program. Therefore. in order to strengthen positive self concept, professors and parents must pay attention to student's problems and counsel with then is required.

• 대한간호학회지
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• 제13권3호
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• pp.1-33
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• 1983

The role and function of nursing care nowadays, tend to acquire sophisicated technology because specialization has expended due to increase of the medical population and the improvement of national health standards. To implement nursing care independently as a professional nurse, the apprehension of specific knowledge and skill should be acquired during basic nursing education. So it is important for nursing education not only to include theory and actual techniques, but also to strengthen the practical training in the actual clinical setting. This study was carried out with the following objectives; 1. To survey the detailed content and frequency of actual nursing students display during their clinical training. 2. To investigate the detailed content and frequency of actual nursing behavior which students display in each clinical a area. 3. To identify the motive for selection of nursing as their major and to determine the degree of self confidence, extent of knowledge and recognition of nursing responsibility. 4. To observe the relationship between actual nursing behavior and each of the following; 1) Motive for selecting nursing as a major 2) Self confidence 3) Knowledge of nursing care 4) Recognition of nursing responsibility The conclusions of this study were as follows; 1. Among the detailed nursing behavior which junior nursing college students carry out in clinical training; taking respiration's showed the highest frequency, and taking body temperatures, blood pressures, and pulses and making beds were next in frequency in this order. 2. In detailed nursing behaviors according to clinical area; taking vital signs showed the highest frequency in the emergency room, pediatric ward, orthopedic ward, general surgical ward and internal medicine ward. However, in the operating room, assisting with endotracheal tube insertion and sterile techniques were showen to have the highest frequencies. In nursery, umbilical cord care and the measurement of body weight were the highest in frequency In neurosurgical ward, the measurement of vital signs, changing position and tracheostomy care were the highest in frequency. In obstetric and gynecological ward and in the delivery room, checking duration, intensity and frequency of contractions was the highest in frequency. 3. In regard to the motive for majoring in nursing, the aptitude and interest of the student had the highest percentage(32.86%), and self-confidence in nursing activities (M=3.36), knowledge in nursing activities.(M=3. 09), and the recognition of the nursing activity (M= 3.76) wire in the middle range. 4. When the detailed nursing behaviors were compared with motive, self confidence, knowledge and recognition, it was found that when the nursing behavior was difficult and regarding much endeavor although the motive was high, the frequency of the nursing behavior was rather low. But in the cases in which there was much self confidence and a high level of skill was required, nursing behavior was carried more frequently. When there was muck self confidence and skill was not required, the frequency of nursing behavior was rather low. In the cases of a high level of knowledge, the frequency of nursing behavior was low and when recognition for nursing behavior was given the frequency of nursing behavior was low.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7801-7811
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• 2015

간호 대학생은 임상실습기간동안 실무현장에서 다양한 학습을 하게 되며 특히 간호 리더자의 역할에 대한 중요성과 그 효과에 대해 인식하게 된다. 본 연구에서는 간호대학생이 실습 과정에서 경험한 효과적 실무환경을 위해 간호리더자의 역할에서 중요하게 작용하고 있는 부분이 무엇인지를 분석하여 그 유형을 분류하고자 한다. 이에 본 연구방법은 간호 대학생이 심층적으로 어떻게 인식하고 있는지를 파악하기 위해 Q방법을 적용하여 분석하였다. 연구 참여자는 간호대학생으로 실습 경험이 있는 자로 30명으로 구성하였고, Q표본은 간호리더자의 역할유형과 관련된 문헌, 임상실습을 경험한 학생과의 인터뷰를 통해 최종 표본을 36개의 진술문으로 구성 하였으며, QUANL PC프로그램으로 주요인을 분석하여 관련 유형을 분류하였다. 연구결과로 간호학생들이 인식하는 간호리더자의 역할유형은 4개의 유형으로 나타났으며, 제1유형은 "정의와 냉철함 유지형", 제2유형은 "동기부여를 위한 환경조성 형", 제3유형은 "인격존중 및 능력신장형", 제4유형은 "신뢰성을 통한 인간관계 중심형"으로 분류되었다. 본 연구 과정을 통해 간호학생이 실습과정에서 경험하는 실무현장의 효과적 환경을 위해 간호 리더자의 역할을 파악하여 추후 실무 환경을 위해 리더자의 역할의 중요성을 제안하고 이를 개선하는데 근거자료를 마련하고자 한다.

• Journal of Hospice and Palliative Care
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• 제17권1호
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• pp.10-17
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• 2014

목적: 본 연구는 의료인과 간호학생의 웰다잉 의미와 주관성 유형을 확인하고, 유형별 특성을 분석하기 위해 Q 방법론을 적용한 조사연구이다. 방법: 간호학과 학생 8명, 호스피스전문병원 임상간호사 3명을 대상으로 심층면담과 선행연구고찰을 통해 102개의 Q-모집단을 구성하였으며, 이후 Q-방법론의 전문가인 간호학과 교수 1명과 간호학과 박사과정 중인 2명의 의견 교환 및 재조정을 통하여 총 33개의 Q-표본을 선정하였다. 4년제 간호학과 학생 11명과 경기도 일개 3차 종합병원의 간호사 9명과 의사 2명을 대상으로 총 22명의 P-표본을 대상으로 하였다. P-표본은 선정된 33개의 진술문을 강제 정상분포가 되도록 7점 척도 상에 분류하도록 하였고, 양극단에 분류한 진술문과 관련하여 추가 진술문을 작성하도록 하였다. 수집된 자료는 PC-QUANL Program으로 요인 분석하였다. 결과: 분류된 의료인의 웰다잉 의미 유형은 모두 3가지로 나타났으며 이들 유형에 의해 설명된 전체 변량은 57.97%였다. 제1형은 '현실중시형'으로 부담 없이 아름다운 모습으로 임종하는 것에 의미를 두었다. 제2형은 '관계중시형'으로 죽기 전 자선을 베풀고 주변인들과 화해와 용서의 시간을 갖는 것에 의미를 두고 있었다. 제3형은 '자연순응형'으로 살만큼 살다 가족의 간호를 받으며 임종하는 것에 의미를 두었다. 결론: 웰다잉에 관한 의료인과 간호학생의 주관성은 임종을 맞이하는 환자간호에 영향을 미친다. 따라서 의료인과 간호학생은 삶과 죽음에 대한 깊은 통찰을 가져야 하며, 이를 위해 웰다잉에 대한 주관성 유형별 특징에 맞는 죽음교육이 필요하다.

• 한국산학기술학회논문지
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• 제17권9호
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• pp.628-640
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• 2016

본 연구는 간호대학생의 감성지능이 진로결정 자기효능감과 진로결정수준에 미치는 영향요인을 파악하고자 실시된 서술적 조사연구이다. 대상자는 대구 경북지역 간호 대학생 3,4학년 223명이며, 구조화된 설문지를 이용하여 2015년 10월 19일부터 10월 30일까지 편의표집 하였다. 본 연구에서 수집된 자료는 SPSS 22.0 통계 프로그램을 이용하여, 인구사회학적 특성, 감성지능, 진로결정자기효능감, 진로결정수준은 기술통계(빈도, 백분율, 평균, 표준편차)를 실시하고, 측정도구의 신뢰도는 Cronbach's ${\alpha}$값을 구하였다. 일반적인 특성에 따른 감성지능, 진로결정자기효능감, 진로결정수준의 차이는 t-test와 ANOVA를 하였고, 사후검정은 Scheffe test를 실시하였다. 또한 주요변인 간의 상관관계는 Pearson's correlation coefficients를 산출하여 분석하였다. 대상자의 일반적 특성과 감성지능이 진로결정자기효능감과 진로결정수준에 미치는 영향을 살펴보기 위하여 다중회귀분석을 실시하였다. 분석결과 감성지능과 진로결정 자기효능감, 진로결정수준은 정(+)적 상관성을 보였다. 진로결정 자기효능감에 미치는 영향요인은 성별(${\beta}=-.155$), 취업률 동기(${\beta}=-.145$), 감성 활용(${\beta}=.236$), 감성조절(${\beta}=.197$), 타인 감성이해(${\beta}=.157$)가 유의미하였다. 진로결정수준에 미치는 영향요인은 학년(${\beta}=.273$), 취업률 동기(${\beta}=-.145$), 주위의 권유동기(${\beta}=-.138$), 감성조절(${\beta}=.223$)이 유의미하였다. 따라서 간호학과 선택 시 자신의 의지로 선택할 수 있도록 학교나 가정에서 간호사의 역할이나 임무 등에 대하여 충분하게 조언할 필요가 있다. 또한 학사과정에서 정서적 교육 등의 비중을 높이면 감성지능을 향상시킬 수 있을 것이다.

• 한국산학기술학회논문지
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• 제22권4호
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• pp.195-205
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• 2021

코로나19가 대유행이 되면서 국내 대부분의 간호학과에서는 기존의 실습방법이 아닌 온라인 비대면 실습을 시행하였다. 본 연구는 온라인 비대면 성인간호학실습 과정에서 경험하는 내용을 이해하고자 참여자들이 작성한 성찰일지를 분석한 질적연구이다. 연구 참여자는 일개대학 간호학과 졸업학년인 4학년 재학생 중 본 연구의 목적을 이해하고 참여에 동의한 45명이다. 온라인 비대면 성인간호학실습은 2학점 90시간으로, 1일 9시간씩 총 10일 운영되었다. 본 온라인 성인간호학실습은 컴퓨터 기반 시뮬레이션실습, 컴퓨터 기반 간호술기실습, 동영상 및 교육자료 제작, 실시간 온라인 퀴즈와 온라인 강의영상시청, 토론 등으로 구성되었다. 성찰일지를 분석한 결과, 6개의 범주, 13개의 주제모음, 33개의 주제가 도출되었다. 6개의 범주로는 '다양한 상황경험', '새로운 학습의 경험', '임상실습에 대한 성취감', '교수자와의 관계형성', '비대면 실습에 대한 양가감정', '예비간호사에 대한 두려움'으로 진술되었다. 본 연구는 포스트 코로나 시대를 준비하는 교육현장에서 성인간호학실습이 임상실습기관이 아닌 비대면 실습으로 진행하여 다양한 교육방법으로 운영하고 분석하였다는 데에 의의가 있다. 본 연구는 비대면 성인간호학 실습개발 및 운영의 중요한 기초자료가 될 것을 기대한다.

• 한국산학기술학회논문지
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• 제20권5호
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• pp.93-101
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• 2019

본 연구의 목적은 간호대학생들의 간호전문직관 관련요인에서 진로준비행동의 매개효과를 검증하기 위해 실시한 서술적 조사연구이다. 대상자는 경북지역에 소재한 대학의 간호학과 학생 1, 2, 3, 4학년 265명이며, 구조화된 설문지를 이용하여 2018년 5월 7일부터 5월 25일까지 자료를 수집하였다. 수집된 자료는 SPSS 22.0 Program을 이용하여 기술통계(빈도, 백분율, 평균, 표준편차)를 실시하고, t-test, ANOVA, Pearson's Correlation coefficient, Multiple regression analysis로 분석하였다. 연구결과 진로정체감과 진로태도성숙은 간호전문직관과의 영향관계에서 진로준비행동이 부분매개효과가 있는 것으로 나타났다. 간호전문직관에 유의한 영향을 미치는 요인은 진로태도성숙(${\beta}=.38$), 진로정체감(${\beta}=.17$), 진로준비행동(${\beta}=.14$)이었으며, 이들 변수들의 설명력은 19%로 나타났다. 따라서 간호대학생들의 간호전문직관을 높이기 위해서는 매개효과인 진로준비행동을 향상시킬 수 있는 교육방법의 개발 및 적용이 필요할 것으로 보인다. 그와 더불어 진로와 관련된 구체적이고 실천적 행동인 진로준비행동이 진로관련 다른 변인들에 대해서 어떠한 영향을 받고, 어떤 영향을 미치는가에 대한 구조적 관계에 대한 후속연구의 필요성이 제기된다.

• 교육녹색환경연구
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• 제19권4호
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• pp.26-39
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• 2020

본 연구는 중학교 교육 공간에 대한 사용자인 학생들의 이용 특성과 요구 공간에 대한 내용을 분석하였으며 다음과 같은 결과가 도출되었다. 첫째, 학습능력 향상에 도움이 되는 수업 방식으로 강의식 수업, 팀 프로젝트 및 4인 토의·토론수업 등 학생의 특성에 따라 다양한 수업 방식이 필요함을 알 수 있었다. 둘째, 쉬는 시간대 공간 사용 장소와 친구 관계형성 장소를 보면 대부분 교실과 복도에서 이루어지고 있었으며, 친구의 그룹 구성도 3~8명이 다수이나 그 이상의 경우도 다양하게 구성되어 활동하고 있음을 알 수 있었다. 셋째, 학급교실에서 가깝게 위치해야 할 공간으로 건물 중심에 체육관, 도서관, 화장실, 계단, 식당, 보건실, 교무실 등이 나타났으며 이를 통해 학교 공간이 균형 있게 배치될 필요성이 있음을 알 수 있었다. 넷째, 현재의 시설 외의 학습활동에 도움이 될 수 있는 시설로 체육(무용)실, 시청각실(공연실), 공작실(개인 창작), 매점, 휴게 공간, 실내 넓은 광장, 스터디룸이 필요한 것으로 나타났다. 이를 통해 기존의 교과 기반 교실 배치 및 공간 구성 형식은 교수·학습 방법, 쉬는 시간 공간사용, 어울리는 친구의 규모, 가깝게 위치해야 하는 공간의 선호도 등을 고려한 학교 교육 공간 재구조화가 필요함을 알 수 있다.

• 대한간호학회지
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• 제21권2호
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• pp.129-149
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• 1991

Circadian rhythm is entrained in the 24-hour time interval by periodic factors in the environment, known as zeitgeber. But most rotating work schedules are outside the range of the entrainment of the pacemaker timing the human circadian sleep - wake cycle. It has been postulated that physiological and emotional disturbances occur in most human functions when the circadian rhythm is disturbed. So application of circadian principles to the design of shift schedules can aid in maintaining the temporal integrity of the circadian system and thereby minimize for the shift worker any detrimental consequences of circadian disruption. This study was a quasi-experimental study to test the effect of shift intervals for the clinical nurse on the circadian rhythm. Twenty nurses newly employed in general units of two hospitals were selected as an experimental group and twelve college nursing students as a control group. Both groups were selected according to an established criteria using a purposive sampling technique. Ten subjects were assigned to a weekly shift group and another ten to a biweekly shift group engaged in a semi -continuous shift schedule(sunday off) with a backward direction, that is, morning -evening - night shift. The control group worked a morning shift for 42 days. Oral temperature rhythm, waking tim, sleep - wake cycle, fatigue, and mental performance were measured during the experimental period. The data collection period was from April 30, 1990 to June 10, 1990. MANOVA, paired t-test, ANOVA, and Student Newman Keuls method were used for statistical analysis. The results are summarized as follows. 1. Phase delay in the acrophase of temperature rhythm was shown according to the backward rotating shift. A complete adaptation to work on the night shift was achieved between the sixth and ninth day of the night shift. 2. There was no difference in either waking time or sleep- wake cycle according to the duration of the working day for every shift group. Significant difference was found in the waking time and the sleep -wake cycle for subjects on the morning, evening, and night shift in both of the shift groups(weekly shift group : λ＝0.121, p＜0.01, λ＝0.112, p＜0.01, biweekly shift group : λ＝0.116, p＜0.01, λ＝0.084, p＜0.01). 3. There was no difference in fatigue between the first working day and the last working day for the control group and for the biweekly shift group. In the weekly shift group, physical fatigue was significantly different for the first day and the sixth day of the night shift(t＝-2.28, p＜0.05). Physical fatigue and total fatigue on the first day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝5.79, p＜0.01, F＝4.56, p＜0.05). There was a significant difference between the shift groups and the control group(p＜0.05), Physical fatigue, neurosensory fatigue and total fatigue on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝12.65, p＜0.01, F＝7.77, p＜0.01, F＝9.68, p＜0.01). There was a significant difference between the shift groups and the control group(p＜0.05). 4. No difference in mental performance was seen between the first day and the last day of work in each case. An arithmatic test on the first day of the night shift revealed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝3.79, p＜0.05). There was a significant difference between the shift groups and the control group(p＜0.05) . The digital symbol substitution test and the arithmetic test on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝3.68, p＜0.05, F＝5.55, p＜0.01), and both showed a significant difference between the shift groups and the control group(p＜0.05). Accordingly, this study showed that during night duty, the waking time, sleep- wake cycle, and fatigue increased and mental performance decreased compared with morning and evening duty. It was also found that the weekly shift group had a higher fatigue score on the sixth day of night duty as compared to the -first day, but the waking time, sleep- wake cycle, and mental performance revealed no difference for the duration of the night duty or between shift groups, and complete adaptation of temperature rhythm was achieved between the sixth and ninth day of night duty. It is possible to conclude from these results that for intermediate circadian type in a healthy young woman, a biweekly shift system is more compatible with the circadian timing system than weekly shift system.

• 한국학교보건학회지
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• 제2권1호
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• pp.58-90
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• 1989

This study was attempted to contribute to the development of school health by providing the basic data about the distribution basis and distribution aspect of teachers holding additional school health that are in charge of school health business in parimary schools, middle schools and high schools without any nurse-teacher. This study analyzed literatures about the history, related laws, organization and professional manpower of school health. The emphasis was set on the distribution basis of theachers holding additional school health. The results of this study are as following: 1. The school health of the world dates to the late 18th century in Europe where was free supplying with food for poor children. The school health of Korea orginated from smallpox vaccination which was executed with appearance of modern schools in the late 19th century. 2. The related laws of school health began as a part of Education Law with was constituted in 1949. By the School Health Law constituted in 1967 and the enforcement ordinance of School Health made firm the legal basis of school health. 3. The administrative organs of school health are the Ministry of Education in center and each Board of Education in cities and provinces. For the first time in 1979, the department of school health was established in the organization of the Ministry of Education. And at about the same time of establishment of the department of school health, health section was established in the department of social physical-training in locality. 4. In the manpower of school health which was presented in the related statute of school health, there are the ward chief of education, the superintendent of educational affair, of cities and districts, the mayors, the governors of provinces, the school managers, the principals, the school doctors, the school pharmacists, and the nurse-teachers, including teachers holding additional school health as the practical manpower of school health. 5. In order to get some information on distribution aspect of teachers additional school health, this study made up a questionnaire from August 3 to August 11, 1988. The subjects of this study were 212 leachers who took part in the yearly training for teachers holding additional school health from Kyunggi province, Chungbuk province and Jeonbuk province. The results of the questionnaire are as following: 1. The distribution percentages of teachers holding additional school health according to each Board of Education wich schools are subject to, are as following:70.1% (Kyunggi), 76.5% (Chungbuk), and 81.4% (Jeonbuk). There was a significant difference. The distribution percentages of teachers holding additional school health according to the school levels of 3 provinces are as following: 74.1% (Primary schools), 77.8% (Middle schools), 76.7% (High schools). There were little significant differences. 2. The distribution according to the general characteristics of the subject schools: There were 64.2 percent of primary schools and 35.8 percent of middle schools among 212 schools. 91. 5 percent of schools were located in districts. Public schools formed 55.7% and then national schools were higher in percentage than private schools. 58.5 percent of schools had 1-9 classes, 64.6 percent of schools had 101-500 students, and 90 percents of schools had 1-20 teachers. In considering student sex, the coed school showed the high distribution percentage (Primary schools : 100%, Middle schools: 81.6%). 3. The distribution according to the characteristics of teachers holding additional school health: 93.3 percent of teachers were female, and more than 60 percent of teachers were 20-29 years old. As the age got higher, the percentage became lower. There were little significant differences by marital status. In considering their educational status, 86.8 percent of teachers in primary schools were from teacher's colleges, and 64.5 percent of teachers in middle schools were from education colleges. In considering teaching career, 46.7 percent of teachers had teaching career of less than 2 years. 73.6 percent of teachers had held additional school health for less than one year. More than 80 percent of teachers had participated in the training one time or twice. More than 70 percent of teachers had 1-2 additional jobs except for the school health business. The motivation to hold additional school health is most caused by mandatory order, which accounts for more than 80.0 percent. In considering interesting degree concerning school health, lukewarm answer is the highest of 62.7 percent, followed by affirmative answer of 23.6 percent. In considering their contentment degree respecting additional school health job, "discontent or very discontent"is the highest of 47.6 percent. As a descontent reason of additional school health job, overwork is the highest factor of 37.9 percent. Among addiitional school health job, the most difficult affair is nursing service to be 34.0 percent, followed by health education of 31.6 percent. It testify the need of professional. The source of knowledge about school health has been acquired from masscommunication or private health experience, which account for as much as 56.1 percent. It shows seriousness of lack of professionalism. With regard to neccessity of school health experts, 95.8 percent represents absolute need. With above consideration of study results, I propose as follows : 1. I propose that the authorities concerned unify and improve statute respecting current school health which has not been steadfastly supporting school health business by ambiguity of expression and dualization. 2. I propose that the authorities concerned give the school manager, school staffs and parents of students educational chance with which they can acknowledge the importance of school health and in which they can participate as well as set up alternative policy plan to be albe to vitalize school health committee. 3. I propose that administrative organization practicable to taking totally charge of school health business is established within the Ministry of Education. 4. I propose that the authorities concerned back up and cooperate in an attempt by make school health better and desirable toward development by way of appointing qualitied health teachers on the basis of legally regular teacher staffs.