• 간호행정학회지
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• 제1권1호
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• pp.147-211
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• 1995

Medication is a kind of medical service and a therapeutic nursing function which takes large portion of nursing service and requires complicated procedures. So many different medical personnel should be involved and cooporate each other in order to accomplish medication. Medication is also a vital nursing service, So nurse feels heavy responsibi lity in that she gives medication to the patient finally, so she has much responsibility if medication error is happened. Therefore it seems very important to clarify the problem of medication system and method, and find the subculture of medication situation because it may promote nursing productivity. The study was conducted to 1. Describe and interpret medication situation. 2. Find out the problem of medication system and method and on alternatives. 3. Compare the medication system and method of hospitals which are located in Seoul with object hospital Ethnographic methodology was used to study medication situation by doing participant observation and interview of health care personnel. Ten nurses and three nurse aids were interviewed. Two residents and internists, two phamacists and two accountants were also interviewed. Data was obtained and analized according to Developmental Research Sequence introduced by Spradly. On the basis of this data the results were as follows. 1. The overall flow of medication system was devided into six stage : first, checking doctor's order : second writing doctor's order, : third, transfering slip into the related departments such as account department, pharmacy : fourth, distribution of medication from pharmacy to unit : fifth, identifing medication by nurses : and finally, medicating to the patient. Behaviorors have been under a lot of stress in that they have to do much works, especially paperworks, So too much time were needed. They also have been suffered interpersonal conflicts among health care personnel and role conflicts in the process of doing medication service. 2. In the process of checking order, the problem was that too much time was required for checking order and paperwork. The more the order changes the more the paperwork is. Nurses have been suffering difficulties in calling internist in order to get bill. Even if writing down slip for medication order is doctor's job, Sometimes nurse has been expected to write slip by doctors or nurse would write slip beacuse of two much complexities and efforts for calling doctors. If the slip were incorrect, much time complicated procedures were more required for correcting it. So delay of administering drug would be resulted consequently. Drugs were delivered from pharmacy to units by delivery agent and phamacist. But because drugs were delivered without arranging room number of patient. Nurse should rearrange drugs in order of the room number So it had made waste time and effort, and Even when emergency drugs were needed, Prompt delivery of drug was not easy because of many reasons. For nurses, it took too long in the identification of the right drug. Actually nurses have heavy burden when medication error happens because nurse is the final actor who gives medication to the patient, So every three shift nurse ought to check drugs as soon as every shift begins. That's why it took too much time due to repeated confirming procedure. When nurses had to go patient room in order to give medications, there were difficulties in watching patient until the patient take medicine correctly. So it was impossible to check every patient wheather he took medicine or not especially in hectic situation. 3. There were many hospitals in Seoul which have similar medication system and method as object hospital according to the results of questionaire. This means that many hospitals have been suffering srimilar problems which were identified in object hospital. 4. Recommendations for promoting simplification of medication system and method were the following : Redesigning of slip from two pieces of paper into one : early discharge announcement system, and slip confirming through computer and controlling of period of prescreption from one day to two or three days : designing personal drug storage box for each patient and using it. If nurses follow the recommendations, they will make medication short & simple, and also have enough time of direct nursing care 5. Even though there were many difficulties in medicating patients. Medication itself has been considered as a caring among nurses because it makes rapport between nurse and patient. So nurses had better accept medication as a portion of nusing service not a original portion of phamacist. There are some limits in this research in terms of confining to only one unit of one hospital, and treating it especially in view of nurses' aspects, So further researchs should be continnued from various kmds of viewpoints of doctors, phamacists and so on. ${\cdot\cdot\cdot}$. Especially esthnographic study of computerized medication system and method seems to be followed.

• 고전문학과교육
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• 제37호
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• pp.253-281
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• 2018

이 논문은 19세기 말 가린-미하일로프스키에 의해 채록된 "조선설화" 속 수달 전설의 특징과 그 의미를 밝히는 것을 목표로 한다. "조선설화"에 수록된 64편의 설화들은 1898년 두만강과 압록강 유역에서 채록된 것으로 이른 시기 한반도 북부 지역에서 전승되던 설화의 일면을 보여주지만 1980년대 후반에 이르러서야 우리에게 소개되었다. 이후 선행 연구를 통해 "조선설화"의 대체적인 성격과 연행 과정에 대한 정리가 이루어졌다. 그러나 개별 작품에 대한 본격적인 논의는 아직 미흡하다. 이에 본고에서 조선과 만주의 기원을 다루는 설화 <수달에 관한 전설>을 중심으로 그 이야기의 형식적 특징을 살폈고, 나아가 이야기 속에 형상화된 누루하치 가문과 이성계 가문의 대결 양상에 개입하고 있는 서술시각의 의미에 대해 논의해 보았다. 그 결과는 다음과 같다. <수달에 관한 전설>의 형식적인 특징은 '야래자 유형'과 <물 속 미륵 귀에 건 아버지 유골>, 눈 빛 강한 이인, 정충신 일화처럼 개별적으로 존재하는 설화 유형이나 화소를 재구성하여 새로운 혼합형 설화로 만들어냈음을 밝혔다. 각각의 서사 논리를 지닌 기존의 설화들을 재배치하면서 <수달에 관한 전설>에는 여러 변형들이 생겨났다. 그러나 다양한 종류의 변형을 가로지르는 일관된 논리는 누루하치 가문과 이성계 가문 간의 비교와 대결을 뚜렷하게 만들기 위해 개별 설화를 활용하려 했다는 점이다. 그 결과 청나라의 기원이 되는 누루하치 가문의 신성성은 확대되고 구성원들의 인품도 높여졌다. 반면 조선의 기원이 되는 이성계 가문은 누루하치 가문에 비교해서 비범성이 떨어지고 능력도 떨어졌다. 그런데 이것은 청나라에 대한 선망에서 비롯한 것은 아니었다. 오히려 청나라와 조선의 혈통은 관련이 있다는 생각에 기반하고 있었다. 19세기 말 한반도 북부에서 채록된 설화에 담긴 인식은 청나라에 대한 재조명인 바, 청은 조선의 또 다른 혈통이기 때문에 청나라가 천하를 통일했던 경험을 조선 또한 공유해야 한다는 것임을 확인했다. 그것은 후일 금나라의 역사를 민족사의 관점에서 포섭하고 만주와 조선을 단군대황조의 후예이며 한 겨레로 보는 대동(大東)사관과 닮아 있는 것이기도 했다.