• 한국의료질향상학회지
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• 제30권1호
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• pp.88-104
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• 2024

Purpose: This study explored the suitability of interventions for medication interruption and intervention preferences. Methods: Two rounds of Delphi surveys were conducted with 18 expert panels comprising staff (or charge) nurses, nursing managers, and Quality Improvement (QI) team nurses working in a tertiary general hospital. For 47 situations involving the location of interruption, medication step, and source of interruption, the suitability of three interventions (no-interruption zone, medication safety vest, and education) was evaluated using a 5-point scale. Results: A total of 51 interventions for each situation were found appropriate by satisfying the degree of convergence and consensus. Patients or caregivers, peer nurses, doctors, telephones, and call bells were sources of interruption and were identified as appropriate for the application of interventions. 'Responding to requests and inquiries' by patients or caregivers showed high overall suitability. The nurses' preferred color for the intervention design (no-interruption zone, medication safety vest) is blue text on a yellow background. The priority groups for education related to medication interruptions were patients or caregivers, nurses, and non-nursing staff, in that order. Conclusion: Effective implementation of tailored intervention strategies that consider the specific characteristics of medication interruptions is crucial for mitigating interruptions and enhancing patient safety. Comprehensive educational programs aimed at reducing medication interruptions by improving awareness are necessary. Moreover, future research should evaluate these strategies in clinical settings to ensure their effectiveness in enhancing patient safety.

• 대한가정학회지
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• 제44권6호
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• pp.71-78
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• 2006

The purposes of this study were firstly to assess the differences of conflict resolution strategies between friends according to children's peer status, and secondly to investigate the relationship of conflict resolution strategies measured by self-report, hypothetical interview, and observation methods. Thirty-four dayds in elementary 5th graders were selected according to peer status and friendship. Collected data were analyzed tv t-test and Spearman's correlation. The results of this study showed that children's conflict resolution strategies differed according to their peer status. Specially, popular children reported using and experiencing compromising/integrating strategies more than rejected children did. Rejected children reported using and experiencing dominating strategies more than popular children did. Secondly, there were meaningful correlations between compromising/integrating and dominating strategies, as measured by self-report, hypothetical interview, and observation methods. However, no relations emerged among avoiding, obliging, and intervention requesting strategies, as measured by self-report, hypothetical interview, and observation methods.

• 한국과학교육학회지
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• 제14권3호
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• pp.272-284
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• 1994

The aim of this research was to compare and analyze the children's ideas on evaporation and condensation between pre- and post-intervention. Forty-eight children from six elementary schools in Seoul and Kyung Ki provinces were sampled by stratified random sampling. A set of structured activities was then provided which allow children to explore evaporation and condensation phenomena. All of these activities had a preliminary phase which required the child to predict or speculate on evaporation and condensation using their existing knowledge. These structured activities on evaporation and condensation were reviewed by three professors and eigth primary school teachers. Their comments were used to revise the original contents of the structured activities. The data analysed were gathered by the questionaire and the interview. Pre- and post-intervention data related to evaporation and condensation were collected by the same teacher, and analysed into the same category scheme. Data coding was carried out several times by the researcher to ensure reliablity. Data collected were then classified and analyzed according to the types of children's ideas. The findings of this study were as follows: Results of this study showed that the the vocabulary used to describe the evaporation phenomena varied according to the context, and the scientific term "evaporated" was more frequently used by the older children after post-intervention. But everyday terms such as"dried up","disappered", "gone up" were also used by children as much as the level of pre-intervention. Scientific conception on the location of evaporated water, the factor of evaporation, the ideas about getting the water back and assumption about the physical state of the missing water has been increased for the most of the children after intervention. It was found that the intervention using was effective SPACE strategies regardless of the grade level of the children.

• 대한간호학회지
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• 제47권6호
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• pp.713-730
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• 2017

Purpose: This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software. Results: A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40). Conclusion: Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

• 공학교육연구
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• 제27권1호
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• pp.50-62
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• 2024

This study examined how emotion regulation strategies specifically function in the interpersonal conflict coping strategies of engineering students. For this purpose, a interpersonal conflict coping strategies and emotion regulation strategies scale was used for 548 engineering students. Multiple regression analysis was conducted. Among the emotion regulation strategies, the "return to body" strategy was related to understanding, validation, focusing, and the "stop action" strategy. In particular, the "stop action" strategy was closely related only to the "return to body" strategy. Among interpersonal conflict coping strategies, the dominating strategy used both positive emotion regulation strategies, such as high refocus on planning, and negative emotion regulation strategies, such as other-blame. Additionally, among negative conflict coping strategies, it was confirmed that both aggression and negative emotional expression, which seem to have similar attributes, share a common feature of having high difficulty in emotional clarity. However, in the case of negative emotional expression, it is characterized by a lack of putting into perspective and high other-blame. On the other hand, the agression strategy seemed to have different characteristics, such as high self-blame and low return to body. By investigating the relationship between interpersonal conflict coping strategies and specific emotion regulation strategies, this study provides implications for education and intervention on which specific emotion regulation strategies need to be cultivated for engineering students to improve their interpersonal conflict resolution capabilities.

• 정신간호학회지
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• 제27권4호
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• pp.355-369
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• 2018

Purpose: This study was intended to integrate the evidence of intervention for child and adolescent perpetrators of school violence through an integrative literature review. Methods: Using combinations of the terms 'bullying', 'school violence', and 'intervention' as key words, the researchers searched eight electronic databases for relevant studies. Fifteen studies were selected through full-text screening of related research published in academic journals before June 2018. The framework was used to identify the selected studies' intervention patterns and classify the various intervention components. The extracted intervention components were grouped into potential themes to determine whether the researchers clearly showed the interventions in the studies. Results: The intervention components of 15 selected studies were categorized into five themes: 1) Utilizing intervention techniques for voluntary participation, 2) Enhancing self-awareness, 3) Strategies to improve emotional intelligence, 4) Promoting interpersonal skills, and 5) Emphasis on responsibility through future vision experience. Conclusion: As a result of analyzing interventions for children and adolescent perpetrators of school violence, five components were derived. It is suggested that these components should be considered in the field, and intervention programs development and research using them are needed.

• 대한감각통합치료학회지
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• 제21권3호
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• pp.65-78
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• 2023

목적 : 본 연구에서는 체계적 문헌 고찰을 통하여 국내 자폐스펙트럼장애 아동의 보호자를 대상으로 실시한 가족 중심 중재의 효과를 알아보고자 하였다. 연구방법 : 문헌검색은 2011년부터 2021년 사이의 문헌을 RISS, KISS, DBpia를 통하여 검색하였다. 검색어는 '자폐스펙트럼' OR '전반적발달장애' OR '고기능 자폐' OR '아스퍼거' AND '부모 교육' OR '가족중심중재' OR '부모코칭' OR '부모훈련' OR '가족참여' 등을 적용하였다. 선정 기준에 따라 최종적으로 11편의 실험연구를 선정하였다. 결과 : 연구 참가자의 일반적 특성, 중재 전략 및 효과, 중재 프로토콜을 확인한 결과, 연구대상은 영유아기 자폐스펙트럼장애 아동이 가장 많았고, 가족 중심 중재에 어머니들이 주로 참여하였다. 가족 중심 중재의 효과는 아동과 부모에게서 모두 나타났으며, 아동에게서는 상호작용 및 의사소통에 대한 효과가 가장 높은 비중을 차지하였고, 부모에게서는 양육 스트레스 감소 및 양육효능감 향상을 보였다. 중재 전략은 감각통합 중재, 반응적 의사소통 및 상호작용 중심 중재가 가장 많았고, 발달 중심 중재, 긍정적 행동 지원 중재(Positive Behavioral Supports; PBS), 중심축 반응 훈련(Pivotal Response Training; PRT)순으로 나타났다. 결론 : 본 연구의 결과를 통해 가족 중심 중재는 자폐스펙트럼장애 아동의 기능뿐만 아니라 부모의 양육 스트레스 및 양육효능감에 효과가 있음이 확인되었으며 임상 활용의 근거를 제시하였다는 점에서 의의가 있다.

• 한국가족복지학
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• 제55호
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• pp.91-128
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• 2017

본 연구는 결혼이주여성에 대한 가족치료에서의 효과적인 개입전략을 마련하는 것을 목적으로하였다. 이를 위해 성공적으로 상담을 종결한 전문성 있는 상담자의 상담사례를 수집하여 치료 개입 전략과 효과에 대한 질적 분석을 시도하였다. 총 6회기가 진행된 상담 과정에서 행한이주여성의 진술에서 의미 단위를 구분하여 연구결과를 도출하였다. 상담자는 다음과 같은 개입 전략을 시도한 것으로 분석되었다. 첫째, 미해결 정서문제 탐색을 통한 정서적 분화 돕기, 둘째 가족투사과정과 삼각관계로 인한 미분화 다루기, 셋째 원가족 관계 패턴 및 대처기제의다세대전수과정 다루기를 시도하였고, 넷째 MRI의 의사소통모델을 적용한 정서적 억압에 따른비일치적 의사소통방식의 비효과성 조명, 다섯째 재구성을 통한 내담자의 인식 전환하기, 여섯째 진짜 자기로 이끄는 의사소통방식 제안을 시도하였다. 상담자의 이와 같은 시도로 긍정적인 변화가 일어났는데, 치료 효과로는 첫째, 인지적 통찰 및 변화 동기의 촉발, 둘째 의사소통능력의 향상, 셋째 불안감소와 자기분화로 나타났다. 결혼이주여성의 경우 남편의 상담 참여거부로 보통 혼자서 상담에 참여하게 되는 경우가 많아 가족치료의 효과가 낮을 것으로 우려하는 경향이 있으나 상담자의 적절한 개입이 이루어지면 부인의 갈등해결능력을 향상시켜 가정폭력과 같은 문제 해결에 커다란 도움이 될 수 있다는 점을 확인하였고, 본 연구는 그에 필요한 적절한 치료 개입 전략을 제공하였다는데 의미가 있다.

• 아동학회지
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• 제35권1호
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• pp.77-93
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• 2014

The purpose of this research is to develop and evaluate an emotional intervention program for maladaptive preschoolers. The emotional intervention program focused on nurturing the ability to express emotions in healthy ways and how to empathize with others while the preschoolers perceives negative emotions. The participants in this study were nineteen preschoolers, residing in S city. Nineteen subjects were assigned to an experimental group practicing an emotional intervention program. The preschoolers participated in 8-session programs once a week over the course of eight weeks. Descriptive statistics, paired t-test and hierarchical cluster analysis were performed. The results of this study were as follows. First, there were significant differences between posttests and pretests results. The results showed a decrease in maladaptive preschooler's problematic behaviors and aggressive strategies. The maladaptive preschoolers showed more representations of anxiety, avoidance/withdrawal, and deregulated/aggression. In addition the results also showed a decrease in preschooler's representations of anxiety, avoidance/withdrawal, and deregulated/aggression.

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.53-62
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• 2016

Objective: The aim of this systematic review was to investigate for effective strategies to improve home exercise program (HEP) adherence in vestibular rehabilitation (VR). Design: Systematic review. Methods: A systematic review was conducted to identify effective strategies used to improve HEP adherence of patients in VR. Six databases, Academic Search Premier, Cochrane Library, CINAHL, PUBMED, PsycINFO, and Web of Science were searched from their inception to December 31, 2015. The keywords used for search were 'home program', 'home intervention', 'compliance', 'adherence', 'vestibular rehabilitation', 'motion sickness', and 'motion sensitivity'. Results: A total of eight studies were selected to be included in the review. There was 95.2% agreement between the two reviewers who reviewed the studies using a quality assessment tool. The overall inter-rater agreement (${\kappa}$=0.73) showed good agreement between the reviewers. Strong evidence was identified for 3 major categories of effective HEP adherence strategies, 1) providing patient with written summary of HEP; 2) asking patient to maintain a record of HEP and symptoms; and 3) providing tele-rehabilitation in form of email and/or telephone support along with in person treatment sessions. Also, based on strong evidence, computerized technology was not found to be superior to other strategies for improving patients' HEP adherence in VR. Conclusions: The effective strategies for improving HEP in VR include written summary of exercise, maintenance of log of HEP and symptoms and tele-rehabilitation along with in person treatment sessions.