• 제목/요약/키워드: Unfamiliar Sense

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코로나바이러스 감염증-19 환자를 간호한 간호사의 경험: 현상학적 연구 (A Phenomenological Study of the Lived Experience of Nurses Caring for Patients with COVID-19 in Korea)

  • 오희;이나경
    • 대한간호학회지
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    • 제51권5호
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    • pp.561-572
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    • 2021
  • Purpose: This study aimed to understand nurses' lived experiences of caring for patients with COVID-19. Methods: The phenomenological research method was used. The study participants were 16 Korean nurses who had experiences in caring for patients with COVID-19 in clinical settings. Data was collected using one-on-one in-depth interviews, from June 30 to September 30, 2020. During the interview, the quarantine rules were observed. Results: The study derived four themes clusters and thirty-eight sub themes. Four theme clusters were identified, i.e., 'a repetitive sense of crisis', 'enduring a drastic change,' 'sacrifice of personal life,' and 'pride in nursing'. The nurses' experiences of caring for patients with COVID-19 were an uneasy, unfamiliar, and threatening experiences for an individual, but it is an opportunity for a nursing organization to renew. Accordingly, it was found that nurses faithfully fulfill their individual roles with a vocation and responsibility. Conclusion: The study provides an in-depth understanding of the situational, psychological, and environmental aspects of challenges facing nurses in the pandemic situation. Based on the findings, institutional follow-up measures should be provided to establish support systems for better nursing care. In addition, studies are needed to track nurses' experiences in the prolonged COVID-19 situation.

중환자실 환자의 섬망 경험 (Delirium Experience of the Intensive Care Unit Patients)

  • 정재연;장수진;조선미;이선희
    • 대한간호학회지
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    • 제52권2호
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    • pp.134-143
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    • 2022
  • Purpose: The study aimed to understand the delirium experience of intensive care unit (ICU) patients. Methods: We performed a qualitative study using Colaizzi's phenomenological method. Eleven patients, who experienced delirium according to the Confusion Assessment Method for ICU, participated after transferring to general wards from the ICU. Individual in-depth semi-structured interviews ranging from 30 minutes to 2 hours in length were conducted between November 2018 and August 2019. Results: Nine themes and four theme clusters emerged. The four theme clusters were: 1) "Overwhelmed by fear," which describes the experience of a patient close to death and the feeling of difficulty in understanding disorganized thinking; 2) "Anxious about not understanding the situation," which means that patients' sense of time and space were disordered in the ICU; 3) "Being deserted," which indicates the feeling of being separated from others and yourself; and 4) "Resistance to protect my dignity," which indicates that the dignity and autonomy of an individual in the patient's position at the ICU, are ignored. Conclusion: Nursing interventions are needed that would enable patients to maintain orientation and self-esteem in the ICU. In addition, healthcare providers need to provide information about the unfamiliar environment in the ICU in advance.

한의학의 음양론적 인체관과 음양개념의 은유적 이해 (Understanding the Yin-Yang Doctrine of Korean Medicine As a Metaphor)

  • 이충열
    • 동의생리병리학회지
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    • 제28권5호
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    • pp.465-477
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    • 2014
  • In Korean Medicine (KM), the Yin-Yang doctrine is still used as a theoretical tool for understanding and explaining the clinical experiences. However, as the traditional culture declined in East Asia and the scientific culture took over, there was an increased negative view on the Yin-Yang doctrine, and thus a heightened distrust over KM. For KM to survive in an unfamiliar culture of science, a novel outlook on the Yin-Yang doctrine is needed. In this sense, I consider a thoroughly medical take on the Yin-Yang doctrine to be most important. The focus needs to be on the goals of medicine: this includes riddance of any discourses on Yin-Yang that cannot contribute to the goals, and an enhancement of the Yin-Yang concept as a rational and scientific terminology. One way to achieve this is by understanding Yin-Yang as a type of metaphor. The Yin-Yang doctrine that is utilized in KM corresponds well to the conceptual metaphor suggested by Lakoff and Johnson. As a metaphor, the Yin-Yang concept plays a role in structuring the target domain, that is life phenomena, metaphorically. Through the Yin-Yang metaphors, the life phenomena are understood as the Yin-Yang phenomena, and are systematically organized by the subcategories contained in the Yin-Yang doctrine. Understanding Yin-Yang as a metaphor is a good way to enhance the Yin-Yang concept and doctrine as a rational terminology and method.

현대패션에 나타난 이질적 융합 디자인과 지각(知覺)작용 - Henri Bergson의 시각을 중심으로 - (Heterogeneous Fusion Design and Perceptive Action in Contemporary Fashion - Focusing on the perspective of Henri Bergson -)

  • 김영선;금기숙
    • 복식
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    • 제58권10호
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    • pp.78-94
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    • 2008
  • Contemporary fashion is experiencing a rise in design that combines heterogeneous things, or goes beyond the roles, boundaries, and meanings of existing things. This can be described as a 'heterogeneous fusion' that is different in character from the mixed use of heterogeneous materials, borrowed designs, and exaggeration of the silhouette that have been practices in fashion design, or the non-structure, deconstruction, and recombination that have existed since the age when post-structuralism was a central philosophy. This 'fusion' causes a 'confusion' of the generally accepted mental principle of 'one sense reacting to one stimulus', and breaks the boundary between the various senses, causing confusion in the senses of the individual, and leading him or her to experience unfamiliar feelings. In this process, all information received from external sources is not perceived as it is seen, but rather is perceived through a fusion of the individual's motivations, the environment in which it is perceived, the resulting change in emotion, and the individual's past memories. The combination of these heterogeneous elements visually accepted, or such a non-territorial combination acts as a 'fusion of senses' in the individual's perception, which causes confusion in the homeostasis of perception, and a change in emotion, and serves as a factor that causes the information to be stored in the memory for a long time. In parallel with deconstruction or non-structure, the 'heterogeneous fusion' found in modern fashion is taking root as a representative creative trend, and is represented in various forms such as the mixed use of subjects and materials, non-territorial borrowing, fusion with animal forms, fusion with non-physical geometry, and fusion with heterogeneous hair decoration.

북한이탈주민들의 병증발생시기 인식에 대한 질적 연구 (A Qualitative Research on the Cognition of the Initiation of Diseases of North Korean Refugees in South Korea)

  • 조아람;유춘길;박소임;성우용;서주희
    • 동의신경정신과학회지
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    • 제24권4호
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    • pp.373-384
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    • 2013
  • Objectives: The purpose of this study is to understand the cognition of the initiation of diseases of North Korean refugees in South Korea. Methods: 9 North Korean refugees hospitalized in Oriental Neuropsychiatry of National Medical Center participated in the interview. The statements were analyzed by using the phenomenological research methodology and Giorgi's analytical method, in particular, was applied. Results: A total of 4 categories and 15 sub categories were derived from the participants' descriptions. North Korean refugees who thought their diseases have begun while living in North Korea coming to South Korea, have fire disease because of the strict social system, limitations imposed on their actions, and the violence of their husbands. And who thought during escaping from North Korea, have anxiety about being killed, found and transferred to North Korea. They also suffered from a sense of guilt towards their family who were left behind as well as from depression. Consequently, they thought their skeletal diseases have begun during this period. Who thought during their period in Korea, their diseases like fire disease and depression have been worsen because of unfamiliar circumstances and doctors who said their problems had been caused by psychiatric disorder. Nevertheless, they did their jobs, felt happy and had a will to be cured thingking possibilities of overcoming diseases. Conclusions: These results suggest that various factors during different periods in the life of North Korean refugees could have an effect on their present diseases.

초등학교 6학년 학생의 비례 추론 능력 분석 : 2명의 사례 연구 (Analysis on Elementary Students' Proportional Thinking : A Case Study with Two 6-graders)

  • 고은성;이경화
    • 대한수학교육학회지:수학교육학연구
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    • 제17권4호
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    • pp.359-380
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    • 2007
  • 본 연구는 초등학교 6학년 학생들을 대상으로 이들의 비례 추론 능력은 어떠한지, 다양한 상황에서 비례적 사고의 발현은 어떠한지, 이들의 비례적 사고에 영향을 미치는 요소는 무엇인지에 대해 알아보았다. 연구결과 선행연구에서 지적했듯이 도구적 이해에 의해 습득된 비례식은 형식적 알고리즘으로써 문제의 답을 구하는데 유용할 수 있지만 학생들의 비와 비례 개념 형성과 비례 추론 능력 향상을 위한 풍부한 학습 기회를 제공하지는 못했다. 학생들은 기존에 학습한 수학적 지식들, 특히 약수와 배수, 분수, 분수의 연산 등과 비례 상황을 통합할 때 비례 문제에 대한 해결 능력이 뛰어났으며, 부족한 수감각이나 연산감각 등은 비례적 사고를 어렵게 하였다. 그리고 수학이나 다른 교과목에서 경험한 문제 상황에서 비례적 사고를 어렵지 않게 할 수 있었으나, 친숙하지 않은 상황에서는 전혀 비례 상황을 인식하지 못하였다.

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인지과학의 관점에서 본 서사극 이론 (Epic Theatre Reexamined from the Viewpoint of Cognitive Science)

  • 김용수
    • 한국연극학
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    • 제49호
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    • pp.133-169
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    • 2013
  • Reexamining Brecht's theoretical hypotheses in terms of cognitive science, this essay arrived at several temporary interpretations. Cognitive science implies that empathy can precede the rational understanding in Verfremdungseffekt. The spectator tends to simulate the unfamiliar incident and character and feels the consequential embodied emotion that leads to the cognitive understanding. The similar situation can be found in social gestus. According to cognitive science, gesture(social gestus) is simulated in the mirror-neuron of spectator, arousing consequently the embodied emotion that triggers the succeeding understanding. The spectator apts to experience and feel physically the moving gesture before decoding it as a social signification. Brecht's intention that attempts to reveal the duality of actor and character by eliminating the fourth wall is negated by cognitive science. According to the theory of conceptual blending, the spectator under the eliminated fourth wall mixes actor and character, and simulates this blending image so that he experiences it imaginatively. As such, another kind of illusion can be formed when a fourth wall is collapsed. Meanwhile, the critical thinking of spectator Brecht wanted can be hard to occur during the performance. It is necessary for the spectator to recollect the bygone dialogue and action in terms of social context as if he presses the pause, stopping the playback while watching a play in video. In this respect the social meaning Brecht intended can be achieved more effectively by the stop motion like tableau. It would not only give the time for the spectator to consider the implied social signification, but also make him possible to decode a semiotic meaning as if interpreting a still picture. Or it can be delivered by the dialogue that expresses the playwright's critical judgement. In this case, the subject of critical thinking is not the spectator but the author. The alternative explanation that the cognitive science suggests illuminates theoretically the reasons why Brecht's theory fails to be realized in practice. In a sense, Brecht's theory is nothing but a theoretical hypothesis. It takes the premise that the emotion hinders the rational thinking, understanding emotion and reason oppositively like Plato. This assumption is negated easily by the recent cognitive science that sees the reason as a by-product of physical experience including emotion. The rational understanding, in this sense, begins from the embodied emotion. As such the cognitive science denies the dichotomy of emotion and reason that Brecht adopted. The theoretical hypothesis of cognitive science makes us recognize again the importance of bodily experience in theatre. In theatre the spectator tends to experience physically before decoding the intellectual meaning. The spectator Brecht wanted, therefore, is far from the reality. The spectator usually experiences and reacts physically before decoding the meaning critically. Thus Brecht's intention can be realized by the embodied emotion resulted from simulation. This tentative interpretation suggests that we need to pay more attention to the empirical study of spectatorship, not remaining in a speculative study.

도상과 형상: 중국현대미술에서 문혁의 도상이미지 연구 (Icon and Form: A Study on Iconic Images of Cultural Revolution in Contemporary Chinese Fine Art)

  • 이영일
    • 미술이론과 현장
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    • 제16호
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    • pp.225-256
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    • 2013
  • As the great catastrophe in the modern and contemporary history of China, the Cultural Revolution(CR) is an object, which must have sutured the past of darkness. At the same time it is a continuous event and also a scar of memory. In other words, for history is "a dialog between the past and the reality"(E.H.Kar), CR intervenes in the reality and, on the contrary, the reality recomposes CR. From this point of view, CR is a historical event, which so far is not ended, and it is an object of memory, which is still being composed at the moment. As the saying: "Poetry is greater than history"(Aristoteles), artistic works more intensively reflect the past. The works related to CR can not be an exception. And CR is endlessly exposed in the contemporary Chinese fine arts and the works of the contemporary Chinese artists-Wang Guangyi, Yue Minjun, Zhang Xiaogang and others are proved to be those who suffer from the trauma of CR and who feel no liberty from CR. For example, CR probably is a symbol showing the "identity" of the Chinese artists. And the diversity of the symbol is the experience and pattern of the dialog between artistic works and CR (i.e., intervention in reality). For example, with withering of grand-narrative and appearance of micro-narrative, the CR critical works of Guan Zhoudao were the root of the Chinese fine arts in the late 70s and early 80s. In the contemporary cultural situation, the literary works about CR actively analyzed the history (CR) from the personal point of views and explained in the way of monolog and micro-method led the 1990s' works. In this way they tried to recompose the history "randomly", like looking at reality with their own eyes. In this process, CR is continuously exposing new features and the real facts are appearing before us as unfamiliar phenomena. This is a way of combination and "reappearance" of contemporary arts and reality. In conclusion, the purpose of this article is to make it possible to see a section of the contemporary Chinese fine arts through the study of the icon image of CR and to analyze the way of fine arts recomposing the history and the intervening in the reality. In this sense, the author has entitled the article "Icon and Form". It means how to reshape (the present) the typically formed icon of the CR (the past).

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산업장 교대근무 근로자의 건강증진행위 예측요인 (Predictive Factors of Health promotion behaviors of Industrial Shift Workers)

  • 김영미
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.13-30
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    • 2002
  • Industrial shift workers feels suffer mental stresses which are caused by unfamiliar day sleep, noisy environment, sleeping disorder by bright light, unusual contacts with family, difficulty in meeting with friends or having formal social meetings and other social limitations such as the use of transportation. Such stresses influence health of the workers negatively. Thus the health promotion policy for shift workers should be made considering the workers' ways of living and shift work specially. This study attempted to provide basic information for development of the health promotion program for industrial shift workers by examining predictive factors influencing health promotion behaviors of those workers. In designing the study, three power generation plants located in Pusan and south Kyungsang province were randomly selected and therefrom 280 workers at central control, boiler and turbine rooms and environmental chemistry parts whose processes require shift works were sampled as subjects of the study. Data were collected two times from September 17 to October 8, 1999 using questionnaires with helps of safety and health managers of the plants. The questionnaires were distributed through mails or direct visits. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of internal locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of social support measurement by Paek(1995). The collected data were analyzed using SPSS program. Controlling factors of the subjects were evaluated in terms of frequency and percentage ratio Perceived factors and health promotion behaviors of the subjects were done so in terms of mean and standard deviation, and average mark and standard deviation, respectively. Relations between controlling and perceived factors were analyzed using t-test and ANOVA and those between perceived factors and the performance of health promotion behaviors, using Pearson's Correlation Coefficient. The performance of health promotion behaviors was tested using t-test, ANOVA and post multi-comparison (Scheffe test). Predictive factors of health promotion behavior were examined through the Stepwise Multiple Regression Analysis. Results of the study are summarized as follows. 1. The performance of health promotion behaviors by the subjects was evaluated as having the value of mean, $161.27{\pm}26.73$ points(min.:60, max.:240) and average mark, $2.68{\pm}0.44$ points(min.:1, max.:4). When the performance was analyzed according to related aspects, it showed the highest level in harmonious relation with average mark, $3.15{\pm}.56$ points, followed by hygienic life($3.03{\pm}.55$), self-realization ($2.84{\pm}.55$), emotional support($2.73{\pm}.61$), regular meals($2.71{\pm}.76$), self-control($2.62{\pm}.63$), health diet($2.62{\pm}.56$), rest and sleep($2.60{\pm}.59$), exercise and activity($2.53{\pm}.57$), diet control($2.52{\pm}.56$) and special health management($2.06{\pm}.65$). 2. In relations between perceived factors of the subjects(self-efficacy, internal locus of control, perceived health state) and the performance of health promotion behaviors, the performance was found having significantly pure relations with self-efficacy (r=.524, P=.000), internal locus of control (r=.225, P=.000) and perceived health state(r=.244, P=.000). The higher each evaluated point of the three factors was, the higher the performance was in level. 3. When relations between the controlling factors(demography-based social, health-related, job-related and human relations characteristics) and the performance of health promotion behaviors were analyzed, the performance showed significant differences according to marital status (t=2.09, P= .03), religion(F=3.93, P= .00) and participation in religious activities (F=8.10, P= .00) out of demography-based characteristics, medical examination results (F=7.20, P= .00) and methods of the collection of health knowledge and information(F=3.41, P= .01) and methods of desired health education(F=3.41, P= .01) out of health-related characteristics, detrimental factors perception(F=4.49, P= .01) and job satisfaction(F=8.41, P= .00) out of job-related characteristics and social support(F=14.69, P= .00) out of human relations characteristics. 4. The factor which is a variable predicting best the performance of health promotion behaviors by the subjects was the self-efficacy accounting for 27.4% of the prediction, followed by participation in religious activities, social support, job satisfaction, received health state and internal locus of control in order all of which totally account for 41.0%. In conclusion, the predictive factor which most influence the performance of health promotion behaviors by shift workers was self-efficacy. To promote the sense, therefore, it is necessary to develop the nursing intervention program considering predictive factors as variables identified in this study. Further industrial nurses should play their roles actively to help shift workers increase their capability of self-management of health.

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사회적 실천지향 SSI 수업을 시행하면서 직면하는 초등 교사의 어려움 탐색 -구조와 행위주체성 관점에서- (Exploring Elementary Teacher's Challenges with the Perspective of Structure and Agency When Implementing Social Action-Oriented SSI Education Classes)

  • 임성은;김종욱;김찬종
    • 한국과학교육학회지
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    • 제41권2호
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    • pp.115-131
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    • 2021
  • 전 지구적으로 기후변화 위기 상황이 고조되고 있는 오늘날 사회적 행동을 통해 사회를 변화시킬 수 있는 '기후변화를 주제로 한 사회적 실천지향 SSI 교육'의 필요성이 증가하고 있다. 본 연구는 사회문화적 관점을 바탕으로, 기후변화를 주제로 한 사회적 실천지향 SSI 수업을 실행하는 과정에서 직면하는 교사의 어려움이 무엇인지 탐색하고자 하였다. 이를 위해 46차시 동안 진행된 수업에 대한 질적 단일 사례연구를 진행하였으며, 연구 참여자와의 심층 면담, 교사 성찰일지, 수업 동영상, 학생 면담, 학습 결과물, 참여 관찰일지 등과 같은 질적 자료를 수집하였다. 수집된 자료는 실천적-평가적 차원의 구조를 micro(교실), meso (학교), macro (한국 사회) 장으로 나누어 분석하였다. 연구 결과 micro 장에서 새로운 시도의 수업으로 인해 기후변화에 대한 학생들의 이해나 인식을 파악하기 힘들었으며 특히 학생들이 기후변화를 나의 문제라고 인식하는 주인의식을 가지는 데 어려움이 있어 교사가 원하는 방향으로 수업이 이루어지지 않았다. 또한, 학생들은 스스로를 어린이로 위치 지으며 계획한 사회적 행동의 실현 가능성에 대해 회의적이거나, 사회적 행동을 이해하지 못하고 그 가치에 대해 공감하는 데 어려움을 겪어 학습 목표를 성취시키는 데 어려움이 있었다. meso 장에서는 동학년 교사와 교육과정을 비슷하게 운영해야 하는 학교 문화 속에서 교사만의 교육과정을 운영하는 데 어려움을 겪었다. 또한, 기후변화 수업이라는 낯선 과학 수업 주제에 대한 부담을 드러내는 동료 교사들과 소통이 단절된 채 교육과정을 홀로 운영하는 과정에서 전문성을 키워나가는 데 어려움을 겪었다. 관리자 역시 사회적 행동에 대한 소극적인 지원을 하여 학교 밖으로 사회적 행동을 실행하는 과정에서 갈등 상황에 직면하였다. 마지막으로 macro 장에서는 본 수업의 교수학습을 지원하는 물적 자원이 미흡하였으며, 학생들의 사회적 행동에 대한 사회구성원들의 제한된 시각이 교수학습상황의 거시적 제약조건으로 작용하고 있었다. 분석을 위해 유목화된 각 장의 제약조건들은 실제로는 독립적이고 분절적인 요소가 아닌 상호 간에 영향을 미치며 복합적인 그물망을 형성하며 구조적 제약조건을 형성하고 있었다. 이에 본 연구 결과를 통해 기후변화를 주제로 한 사회적 실천지향 SSI 수업을 실행하는데 교육 공동체 여러 주체의 다층적인 지원과 노력이 필요함을 시사한다.