• 대한간호학회지
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• 제35권7호
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• pp.1314-1324
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• 2005

Purpose: The purpose of the study was to identify the effects of problem solving nursing counseling and intensified walking exercise on diabetic self-care, coping strategies, and glycemic control among older adults with DM type II. Method: Ninety nine DM patients who were older than 50 were recruited from DM clinics or public health centers and conveniently assigned into three groups: the Polar(n=41), counseling(n=30) and control groups (n=28). Participants in both Polar and counseling groups attended weekly problem solving nursing counseling for 12 weeks. Polar heart rate monitors were used in the Polar group to intensify walking exercise. Data was collected from November 2003 to August 2004 and analyzed by ANOVA or ANCOVA using the SPSS WIN program. Result: After a 12 week intervention, participants in both the Polar and counseling groups reported increased diabetic self care behaviors and decreased blood glucose levels, which is significantly different from those in the control group. There were no distinctively different program effects between the Polar and counseling groups. Conclusion: Based on the findings, we concluded that problem solving counseling alone could have positive effects on diabetic self care and glycemic controls for older adults with DM. Future research is needed to identify long-term effects of the program.

• 대한공업교육학회지
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• 제39권2호
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• pp.144-164
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• 2014

본 연구에서는 진로교육과 진로상담 분야에서 중요한 상담기법의 하나로 제시되고 있는 정보제공기법의 정의와 방법에 대해 살펴봄으로써 정보제공기법을 보다 명확하게 이해하고, 향후 해결해야할 문제점에 대해 제시하여 진로분야 전문가 교육을 위한 기초자료를 제공하기 위한 목적으로 수행되었다. 이를 위하여 첫째, 정보제공기법이 어떻게 정의되고 있는가? 둘째, 정보제공기법에 대한 구체적인 방법은 어떻게 설명되어 있는가? 하는 연구문제를 설정하였다. 연구문제 해결을 위해서는 문헌연구방법을 활용하였는데, 상담개론서와 상담기법 교재, 총 17권을 분석대상으로 선정하였다. 주요 결과는 다음과 같다. 첫째, 상담개론서와 상담기법 교재에 나타난 정보제공기법의 정의는 크게 두 가지 기준에서 분석해볼 수 있었는데, '정보'라는 의미를 어떻게 보고 있는가 하는 측면과 정보제공기법을 기술하는 방식의 측면이었다. 그 결과, 상담교재에 나타난 정보제공기법의 정의는 일관되지 않았고, 어떤 교재에서는 광의의 의미로, 어떤 교재에서는 협의의 의미로 정의되고 있음을 알 수 있었다. 또한 정보제공기법을 기술할 때도 상담자의 행동에 초점을 두는 경우와 상담자의 의도에 초점을 두는 경우가 있음을 확인할 수 있었다. 이러한 분석을 통해 정보제공기법이 일관되게 정의되지 못하고 다른 상담기법(예: 조언주기, 해석하기, 직접적 지시하기 등)들과 명확히 구분되기 어려운 이유를 알 수 있었다. 둘째, 상담개론서와 상담기법교재에 나타난 정보제공기법의 구체적 방법을 살펴본 결과, (1) 정보제공의 시점 (2) 제공할 정보의 선택 기준 (3) 정보제공의 절차 (4) 기타 유의사항을 기준으로 분석해볼 수 있었다. 이 네 가지 가운데 '정보제공의 시점'과 '기타 유의사항'에 대한 내용은 분석대상 여러 문헌에서 찾을 수 있었으나 '제공할 정보의 선택 기준', '정보제공의 절차'에 대한 내용은 일부 문헌에서 매우 간략한 내용만 확인할 수 있었다. 이는 정보제공을 하는데 있어서 어떤 정보를 제공해주어야 하는지, 어떤 절차에 따라 정보를 제공해주어야 하는지가 매우 핵심적인 내용임에도 불구하고 이에 대한 체계적 지식이 부족하다는 것을 보여주는 것으로, 정보제공기법에 대한 경험적 연구의 필요성을 확인할 수 있었다. 특히, 논의부분에서는 간호학 분야에서 수행된 정보제공에 대한 경험적 연구들을 제시함으로써 상담분야 정보제공기법에 대한 경험적 연구에 주는 시사점에 대해 제언하였다.

• 한국간호교육학회지
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• 제12권1호
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• pp.104-114
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• 2006

Genetic knowledge for oncology nurses is important in Korea because oncologists are incorporating genetic counseling and genetic testing into their practice. The purpose of this paper is to describe our method of developing the first academic cancer genetic risk assessment and counseling course for Korean nurses. A one-week (non-credit) cancer genetics counseling program was constructed for master's level Korean oncology nurses. The course emphasized basic genetic concepts and principles the genetics of cancer; hereditary cancer syndromes; family history assessments; pedigree construction; risk calculation; surveillance recommendations and treatment options ethical, legal, social, and psychological issues inherent in genetic testing. The goals of this program are to: 1) provide a comprehensive knowledge base for nurses who are currently expanding their scope of practice into the genetic counseling role 2) introduce this knowledge to nurses who want to use it in their practice; and 3) provide cancer genetic knowledge and resources to Korean nursing faculty who plan to incorporate this knowledge into existing master's courses. This academically-based course is recognized as valuable by nurses, nursing faculty, and physicians. With this new knowledge nurses can begin toexpand their role in delivering comprehensive cancer care services.

• 한국임상약학회지
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• 제25권1호
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• pp.34-41
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• 2015

Objective: This study is to evaluate the awareness, needs, and barriers in patient counseling for hospitalized foreign patients. As the number of foreign population increases in Korea, demands on quality of Korean health services are rapidly increasing. Previously most of the studies have focused on the availability and utilization of healthcare service, and prevalence of disease for foreigners, however, no study has been conducted on quality of direct-patient care such as patient counseling. Method: In the present study, a survey was conducted on a total of 161 participants between March 7 and May 7 in 2014. The study subjects were consisted with 103 foreign patients who had experienced inpatient care within 1 year and 58 hospital pharmacists who work in the hospital with foreign inpatients. Results: Firstly, the hospital pharmacists were highly aware of the necessity of counseling for foreign inpatients. Secondly, the largest portion of barrier to patient counseling service was accounted a lack of foreign language skills. Lastly, the monitoring of efficacy, potential adverse reactions and discharge follow-up were emphasized. Conclusion: Effective communication skills would be essential to improve pharmaceutical care services to foreign inpatients.

• 재활간호학회지
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• 제8권1호
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• pp.50-58
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• 2005

Purpose: The purpose of this study was to increase our understanding of the terminal cancer patients and their families concerns. I analyzed the counseling contents of terminal cancer patients and their relatives who referred to hospice office. Method: Data was collected from January 2004 to November 2004. During the counseling, I took notes the key points and contents. 109 patients and/or their families's counseling records were analyzed with the descriptive statistics and content analysis. Result: 73.4% of patients knew their current terminally ill status. The mobility of 86.2% of the patients was worse than ECOG 3 level. Patients have uncontrolled pain(28.4%), emotional distress(55.0%), and physical distress(49.5%). Caregivers of the patients were spouse(46.8%), sons and daughters(24.8%). Family members had problems to tell the bad news to their family cancer patient. 95.4% of the patient and family members was informed about the hospice and palliative care services, and 35.8% of them was referred to the hospice and palliative organizations. Frequently asked questions were 'what is hospice?', 'how much is the cost of hospice services?' etc. Conclusion: Care planning for terminal cancer patients must include patient. Also, professionals should consider and offer accessible, effective and empathetic counseling services to patients and families.

• 중환자간호학회지
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• 제11권3호
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• pp.95-107
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• 2018

Purpose : This study aimed to investigate the public's perception of reimbursement for the education and counseling services provided to advanced practice nurses in intensive care units. Method : This was a secondary data analysis study. The original data were collected utilizing an online panel. The sample comprised 615 individuals aged between 19 and 49 years nationwide. The study variables included the public's perception of reimbursement for education and counseling services, age, gender, education level, income, and health status. Variables such as past experience of being admitted to an intensive care unit by self, family, or relatives and the recognition of advanced practice nurses were also examined. Results : The mean of the perception score was 3.15 on a 4-point scale ranging from 1 (strongly disagree) to 4 (strongly agree). Among the participants, 89.2% answered "somewhat agreed" or "strongly agreed" to the question about the education and counseling services being covered by the National Health Insurance. Moreover, education level, past experience of being admitted to an intensive care unit by self, family, or relatives, and recognition of advanced practice nurses were significantly associated with the perception score. Conclusion : Efforts should be made to publicize the need for the education and counseling services that are provided to advanced practice nurses in intensive care units.

• 웰빙융합연구
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• 제4권2호
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• pp.26-34
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• 2021

Purpose: The ultimate purpose of this study is to analyze this survey to understand the overall contents of college career guidance and psychological counseling, and to utilize it to improve the quality of learning and provide career guidance. Research design, data and methodology: The research period and survey subject are approximately one month from 2020.12.01(Tue) to 2021.01.03(Sun). Convenience sampling was conducted using a structured questionnaire composed of a 5-point Likert scale and 5 open-ended questions. As the analysis method, descriptive statistics such as reliability analysis and frequency analysis of Cronbach's α coefficient of internal consistency were mainly used. Data Analysis Statistical program was analyzed using SPSS 25 version. Results: The item with the highest score is that the counseling and counseling-related non-specialized programs offered by the Student Counseling Center are helpful for school life (3.56 points). Conversely, the lowest question is that seminars accompanied by priests are helpful for study (3.38 points). Conclusions: The average score of 5 questions in the career guidance and psychological counseling areas is 3.38 out of 5.

• 문화기술의 융합
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• 제8권6호
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• pp.49-58
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• 2022

본 연구에서는 전화, 화상, 디지털가면을 활용한 화상상담 등 3가지 온라인상담 방식과 대면상담이 회기별 깊이 및 순조로움, 작업동맹, 그리고 사후만족도에서 어떤 차이가 있는지를 비교하였고 사후 면접을 통해 내담 경험에 대한 질적 자료를 수집하여 비교 분석하였다. 실험에 참여한 40명의 대학생들은 4집단으로 나뉘어져 각 3회기씩의 상담을 받았고 매회기 직후, 혹은 상담 종료 후 설문 혹은 면접조사가 진행되었다. 분석 결과, 회기의 '깊이'에 대한 평가는 4집단에서 유사하게 나타났으나, 전화와 가면화상상담에서는 대면상담에 비해 1, 2회기에 '순조로움'을 더 높게 평가하는 것으로 나타나, 온라인상담에서 익명성이 보장될 때 내담자의 사회적 불안을 감소시키는 것을 알 수 있었다. 매회기 작업동맹 수준과 상담만족도는 4가지 상담방식 간에 유의미한 차이가 없는 것으로 나타났다. 사후면접자료를 통해 각 집단 참여자들의 미묘한 경험 차이들이 파악되었다. 본 연구는 향후 다양한 온라인상담 방식을 개발하고 실행해 나가는데 기본 정보를 제공할 것으로 기대한다.

• 간호행정학회지
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• 제11권4호
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• pp.415-423
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• 2005

Purpose: The purpose of this research is to discover the effects of REBT group counseling on the self-efficacy and organizational effectiveness of nurses with high scores on dysfunctional attitude scale. Method: There wewe 21 subjects in the experimental group and 25 subjects in the control group. This treatment lasted for eight weeks. Each week, a two and half hour long session was cinducted. Results: The experimental groups showed that significant statistical differences compared with the control groups in the score of self-efficacy, job-satisfaction, organizational commitment, and nursing performance. Conclusion: These results imply that REBT group counseling could be utilized as good nursing intervention to enhance self-efficacy, organizational effectiveness at the general hospital.

• 재활복지
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• 제22권2호
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• pp.127-159
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• 2018

본 연구의 목적은 장애인상담현장의 장애인부모동료상담서비스 활성화를 위한 제도개선 방안 및 시스템구축을 위한 기초자료를 제시하기 위하여 장애인부모 동료상담사들의 현장상담경험을 Yin (2009)의 질적 사례연구방법을 활용하여 수행하였다. 이를 위하여 장애인부모 동료상담사 10명을 대상으로 FGI와 개별심층면담을 실시하여 자료를 수집하고 분석했다. 연구결과, 총 87개의 압축개념, 17개의 핵심범주를 도출하였는데 장애인부모동료상담 참여 동기 및 상담효과는 "동병상련의 마음으로 두드림", "조명 받지 못하던 존재에서 희망을 주는 존재로의 전환", "장애인부모들이 만드는 또 다른 사회보험이자 사회안전망" 등으로 나타났다. 장애인부모동료상담활성화 장애요인은 "상담현장의 입지확보 및 위상정립의 문제", "홍보부족으로 인지도가 낮아 내담자 발굴이 어려움" 등으로 나타났으며, 장애인부모동료상담 활성화를 위한 전략은 "현장의 입지확보와 전문가로써의 위상 재정립", "정부의 정책적인 보완과 지원이 필요함", "정규직 전환으로 일자리 창출을 기대함"이 제시되었다.