• 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.

• 항공우주정책ㆍ법학회지
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• 제21권1호
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• pp.135-167
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• 2006

유럽연합의 통합과정에서 대두되는 EU와 제3국과의 항공교섭 상에서 기존의 EU회원국가들이 체결하고 있는 제3국과의 양국간 항공협정의 처리에 관한 문제가 대두하고 있다. 2004년 4월 29일의 유럽재판소의 판결기준에 대한 국제항공 공법적 차원에서 기존의 국제항공질서의 변화를 모색할 필요성이 강력하게 등장하게 된다. 이러한 점에서 특히 미국과의 기존의 양자관계를 다자관계로 변경하여야 하는 문제가 중요하다. 한국과도 향후 협상에 중요한 참고사항이 될 것이다. 이러한 점에서 특히 유럽연합과 미국의 기존의 양자관계에서 다자간 관계로 변형시켜 나가는 문제가 향후 국제항공질서에 커다란 영향을 미칠 것으로 보인다. 이러한 관점에서 새로운 방향전환을 위한 국제항공질서를 재정립할 대안모색을 해 본다. 결론적으로 대안모색으로서는 첫째, 기존의 시카고 협약에서 설정된 하늘에 대한 자유에 추가적인 질서형성을 위해 양국간 협정의 표본인 Bermuda I, II에 대체할 수 있는 어떤 다자간 제3의 Bermuda III와 같은 국제항공질서를 설정해야 한다. 둘째, 새로운 다자간 협정에 적용되어야 할 하늘의 자유는 양측의 자유만을 최대한 보장하는 형태가 아닌 양측의 주장을 조절하는 구체적인 것이 되어야 한다. 셋째, 또한 새로운 다자간 국제항공질서는 단순한 지역적 경계를 넘어서 전 지구적 문제로 접근한다는 점에서 최근 사회과학 연구에서 등장하는 복잡계이론을 도입할 필요가 있다. 이와 같은 대안모색에서 필요한 사항들을 점검하고 입장차를 줄여 나가는 방향으로 정리되어야 할 것으로 본다.