• 한국융합학회논문지
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• 제10권9호
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• pp.351-361
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• 2019

3개 대학 간호학과 4학년 간호관리 임상실습을 경험한 학생 289명을 대상으로 간호관리학 실습교육내용에 대한 중요도 인식 및 실제 실습경험에 대하여 비교 조사하였다. 연구결과 평가 항목에서 책임감, 대인관계, 신뢰, 의사소통, 도덕성 순으로 중요하게 인식하였다. 간호관리 실습교육내용의 중요도에서는 간호단위관리를 4.37(최대 5점)로 가장 중요하게 인식하였다. 실제로 임상에서 직접 경험할 수 있었던 항목은 간호단위관리(22.0%), 간호관리의 이해(20.7%), 인적자원관리(19.8%)가 빈도순으로 가장 높았으며 실제 경험을 전혀 못 한 항목으로는 마케팅(52.4%), 재무관리(44.0%)였다. 학생들이 인식한 실습내용의 중요도와 실제 실습경험을 한 항목 간에는 여전히 불일치가 나타나 표준화된 간호관리학 임상실습 프로토콜의 완성과 관리실습 전담 프리셉터 제도의 시행을 제언하고자 한다.

• 임상간호연구
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• 제27권2호
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• pp.149-164
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• 2021

Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses' transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses' education, preceptor supporting strategies, evaluation standards for new nurse's education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses' transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed.

• 한국임상약학회지
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• 제32권2호
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• pp.106-115
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• 2022

Background: The World Health Organization (WHO) has focused on the need for interprofessional education (IPE) to improve interprofessional collaboration competency and patient health outcomes. Accordingly, most European and North American medical colleges have established IPE for students. However, IPE learning activity in medical wards for the clinical experience of pharmacy students has not been fully reviewed in Korea. Therefore, this study aims to examine the current status of IPE learning activities in wards at tertiary and secondary hospitals in order to identify ways to improve the program. Methods: The official document of cooperation consists of six self-administered questions regarding IPE learning activities in wards. The preceptor's response in each hospital was evaluated. Results: Of the 22 hospitals, 9 tertiary hospitals and 12 secondary general hospitals responded. For the introductory pharmacy practice experience (IPPE), participating in intensive care (IC) was provided at one secondary general hospital (8.3%) and no tertiary hospital. Ward rounds with medical staff members were provided at two tertiary hospitals (22.2%) and one (8.3%) secondary general hospital. A major barrier to executing IPE was lack of rewards and incentives for the faculty and preceptors who participated in the program. Conclusion: In both tertiary hospitals and secondary general hospitals, pharmacy students have limited exposure to IPE learning activities in wards at hospital, and IPPE at most hospitals was carried out in pharmacy settings only. This study suggests that it is necessary for the hospitals to improve and support IPE learning activities in wards in order to improve learners' competency.

• 건축역사연구
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• 제31권4호
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• pp.17-28
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• 2022

This study aims to investigate and reveal the spatial structure of Boryeonghyeon by examining the geographical status of its Eupchi (Local administrative center:邑治) through an analysis of the location, tracing locations of governemnt offices including Dongheon(東軒) and Kaeksa(客舍) in the walled town, and checking the lot numbers of Sajikdan(社稷壇), Yeodan(厲壇), and Cheongyeonyeok(靑淵驛) outside it. Buildings of Boryeonghyeon in the walled town in the Joseon Dynasty were almost lost and now, part of the city wall and Haesanru(海山樓) just remains as relic. The walled town consisted of several buildings of government offices as well as Dongheon and Kaeksa which are government organs. Altar and shrine(壇廟) facilities including Shrine of Confucius(文廟), Altar of Land and Grain, and Preceptor's Shrine were placed outside the walled town and Cheongyeonyeok were operated as the facilities for transmission of royal orders. Therefore, the government office facilities in the walled town, altar and shrine facilities outside the fortress, and the location of the post station were required to trace and check each of them. For the checking method, the lot numbers could be checked by checking the original cadastral maps and the then land categories and owners, analyzing the records and circumstances of the relevant township annals(邑誌), and examining analyses on the locations by using a numerical map of one to 5 thousands. The study estimated the locations of government facilities including Dongheon and Kaesa placed in the walled town and was grasped to be the east and west gates with the south gate which remains now in the fortress. And the lot numbers of Sajikdan, Yeodan, Cheongyeonyeok.

• 박물관보존과학
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• 제19권
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• pp.1-18
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• 2018

충주 정토사지 홍법국사탑비(본관1960)는 고려시대의 양식적 특징을 보여주는 중요한 석조문화재이다. 홍법국사탑비는 일제강점기에 수차례 반복된 부재의 해체 및 이동과 동시에 장기간 야외에 노출되어 풍화가 진행된 상태였기 때문에 국립중앙박물관 수장고에 보관되어 왔다. 이 연구에서는 2015년 국립중앙박물관에서 주관하는 석조물복원사업의 일부 대상인 홍법국사탑비의 야외 전시를 위해 재질특성을 규명하고 풍화훼손지도 및 초음파 물성진단을 활용한 손상도 진단을 실시하였으며, 이를 바탕으로 보존처리를 진행하였다. 재질분석 결과, 탑비의 귀부는 중립질 입자크기를 가지는 석영, 사장석, 알칼리장석, 흑운모, 백운모를 구성광물로 가지는 복운모 화강암이다. 탑비의 비신은 담홍색을 띠며 암회색이 혼재되어 나타나고 중립질의 방해석을 조암광물로 가지는 결정질 대리암이다. 이수는 회백색으로 중립질의 방해석을 주요 구성광물로 가지는 결정질 대리암이다. 탑비에서 나타나는 각각의 훼손유형별 점유율 산출 결과 비신에서는 마모로 인한 훼손이 28.29%로 남측면이 가장 높으며, 이수에서는 입상분해로 인한 훼손이 11.08%로 북측면이 심한 것으로 나타났다. 초음파 물성진단을 통해 탑비의 전체적인 풍화도를 파악한 결과 귀부에서는 결구부를 중심으로, 비신에서는 상단부에서 낮은 값을 보였으며, 이는 표면 가공도의 차이와 부분적인 박리 및 균열로 인해 변위가 발생한 것으로 판단된다. 홍법국사탑비의 야외 전시에 앞서 과학적 조사를 바탕으로 외부환경에 의한 풍화를 억제하고자 표면 오염물제거와 표면 강화처리를 진행하였다.

• 동서간호학연구지
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• 제10권1호
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• pp.11-26
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• 2004

The purpose of this study is to investigate the present conditions of nursing investment contents, its conversion process, and output in Oriental University Medical Center, Korea to get good qualified Oriental nursing result which is the ultimate purpose of the Oriental nursing management, and to develope a matrix of Oriental nursing management system on the basis of that project. The subjects for nursing investment and output contents were eighteen nursing directors in eleven Oriental University Medical Center and two hundred thirty-nine nurses with three years and over experience in Oriental medical center. The subjects for Oriental nursing organization, human affair management, and control function were nineteen Oriental medical center in Oriental University Medical Center, Korea. Data were collected from November, 2002 to February, 2003 with questionnaire. Data analysis was done by SPSS PC+ 12 program. Frequency, percentage, and minimum/maximum values were used for investment contents, and frequency and percentage were used for conversion process and output contents. 1. The input factors of oriental nursing management system The objective's western hospital career was over five years of one hundred and seventy-five(73.2%) persons. Nursing in-service education was performed in fourteen hospitals(77.8%). Two hundreds(83.7%) were pro to oriental nurse system. Only four hospitals(22.2%) had independent budget in nursing division. Nursing staff allocation to the bed was from 2.8:1 to 9.06:1 respectively, with a big gap of the rate following the hospitals. 2. The conversion factors of oriental nursing system 1) Oriental nursing system Oriental hospital nursing system was organized independently in ten hospitals among eighteen hospitals. The recruitment of nurses which was a vital role of the nursing division of the hospital was mostly(79%) opened. The education to develope nursing personnels was through in-service one in 97.4%. Education for oriental nursing and management was performed in 42.1%(eight hospitals) and that for reserves was done in 36.8%(seven hospitals). Administration for nursing education by nursing division was 68.5%(thirteen hospitals). The post education evaluation was performed by report submission in 36.8%(seven hospitals), by written examination in 26.3%, by questionnaires in 21.1%, and by lecture presentation in 15.8% subsequently. The directorial meeting for the nursing directors was attended by 84.2%(sixteen hospitals), and the meeting type was the medical executive and support division executive meeting in 55.6%(ten hospitals) and the personnel management in 39.6%(seven hospitals). 2) The actual conditions of oriental nursing personnel management The reason of working in oriental hospital was by voluntary in 67.1%(a hundred and sixty persons), by nursing department order in 28.0%(sixty-seven persons), and by others in 5.0%(twelve persons) respectively. The shift form was a three-shifts one in 94.7%(eighteen hospitals), a two-shift one in only one hospital. Duty assignment was functional in 52.6%(ten hospitals), team and functional in 26.3%(five hospitals) and no team alone. Promotion manual was present at 68.4%(thirteen hospitals) and the competency essentials comprised of performance evaluation in 79%, interview, written examination, training result, study result subsequently. No labor union existed in 79%(fifteen hospitals) 3) Oriental nursing preceptor system There were five oriental hospitals(27.7%) administering the preceptor utilization model, which showed lower rate than the twenty-two medical university hospitals in Seoul in which fifteen hospitals (72.7%) were having the system. To the question of necessity of oriental nurse system asked to the objectives of two hundred and thirty-nine with more than three year-experience in oriental hospital, two hundred persons(83.7%) answered positively. 4) The control of oriental nursing The evaluation results from the target hospitals were mostly not opened in 89.4% of oriental hospitals. Thirteen hospitals(68.3%) had evaluation system of direct managers and the next were three hospitals(15.8%) of direct managers and selves. There was one hospital(5.3% each) where fellows and superiors, fellows, and inferiors' evaluation was performed and no hospital where superiors, fellows, inferiors and selves, and superiors, fellows and selves' evaluation was performed. The QI activity of nursing was 42.1%(eight hospitals) for nursing service evaluation, 36.8% for survey of ECSI, 26.3% for survey of ICSI, 15.8% for medical visit rate, 10% for hospital standardization inspection in sequence. 3. The output factors of oriental nursing management system The job satisfaction appeared good in general, indicating very good in thirty-seven persons (15.7%), good in one hundred and fourteen persons (48.3%) and fair in eighty-five persons(36.0%).

• 헤리티지:역사와 과학
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• 제48권1호
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• pp.62-79
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• 2015

〈영암 도갑사 도선 수미비〉는 1651년 봄 비문이 완성되고, 여산(礪山)(현재 익산시 여산면)에서 석재를 채취하여 1653년 4월에 완성한 작품이다. 이 비는 당시 왕실의 지우(知遇)를 받던 벽암(碧巖) 각성(覺性), 취미(翠微) 수초(守初) 등 고승대덕이 건립을 주도하고, 인평대군 등 정치인들의 도움으로 건립되었다. 이러한 이유로 이 작품은 범종(梵鐘)의 용뉴(龍?)를 모방한 '용뉴형(龍?形) 이수(?首)'라는 새로운 이수형식(?首形式)의 첫 작품이다. 더불어 이 비석의 영향을 받은 용뉴형 이수의 비석들은 이후 왕실과 사대부 비석으로 전래되어 18세기까지 제작된다. 또한 이 비석은 음기(陰記)의 내용을 통해 조말룡(曺唜龍)이라는 왕릉 석물을 제작하던 석공의 작품으로 밝혀졌다. 조말룡은 석공 중에서 유일하게 정3품 통정대부(通政大夫)의 품계(品階)를 받은 인물로 비석에는 동일한 품계인 절충장군(折衝將軍)으로 기록되어 있다. 이 작품을 통해 분석한 조말룡의 이수 조각 양식은 17세기 최고 수준의 작품들에 공통적으로 나타나며, 이를 바탕으로 17세기 능묘 비석의 장인들을 추정할 수 있다. 이처럼 <도선 수미비>는 비석의 건립 과정 및 후원세력, 제작 장인 등이 분명해 사료적 가치가 클 뿐만 아니라 최고의 장인들이 동원되어 제작되어 이 시기 비석들 중에서 가장 뛰어난 작품이라고 할 수 있다. 또한 왕실 및 사대부의 후원으로 제작된 불교 석조물이 다시 왕실과 사대부의 능묘 석물로 전파되는 과정을 엿볼 수 있는 작품이다.

• 미술자료
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• 제100권
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• pp.22-49
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• 2021

보원사(普願寺)는 충청남도 서산시 운산면 가야산 북쪽에 위치한 사찰로, 경내에는 나말여초에 조성된 문화재가 남아있다. 일제강점기 조선총독부박물관은 충청남도의 고적 조사를 계획했고, 1916년(대정 5) 보원사지에 가서 현지 조사를 진행했다. 현지 조사 과정에서 소옥(小屋)에 안치된 철조여래좌상(무릎너비 7척, 두께 5척 5촌)을 확인했고, 이듬해에 경복궁으로 해당 철조여래좌상을 이운했다. 이는 일제강점기 보원사지에 2m가 넘는 대형 철조여래좌상 1구만이 존재했음을 의미한다. 철조여래좌상은 법인국사(法印國師) 탄문(坦文)(900~975)이 955년에 조성하였을 것이다. 탄문은 광주 고봉의 유력가문 출신으로 태조의 보살핌 속에 화엄종의 중심인물로 성장했고, 연이어 혜종(惠宗)(재위기간 943~945)과 정종(定宗)(재위 945~949)대에도 왕실의 불교행사를 주관했다. 이후 탄문은 대목왕후(大穆王后) 황보씨(皇甫氏)(?~?)의 후원을 받은 균여(均如)(923~973)의 등장으로 개경에서 떨어진 보원사로 이주하게 되었지만, 그곳에서 충주 유씨의 후원을 받아 지지 세력의 결속을 다지고 한편으로는 광종(光宗)(재위 949~975)의 만수무강을 기원하기 위해 대형의 철조여래좌상을 조성한 것으로 보인다. 탄문의 비문에 나오는 '주금상지삼존(鑄金像之三尊)'도 보원사에서 철조여래좌상이 주조되었음을 추정할 수 있는 근거이다. 철조여래좌상의 원(原) 봉안처는 보원사지 내 '건물지3'으로 추정된다. 발굴조사 결과 현재의 금당지는 조선시대에 세워진 건물지로 드러났기 때문에, 철조여래좌상은 조성 당시 다른 장소에 봉안되었을 가능성이 있다. 건물지3은 다른 건물지에 비해 고려시대 기와와 자기의 출토 빈도가 높고, 무엇보다도 정방형에 가까운 불단 유구가 남아있다는 점에서 이러한 추정이 가능하다. 철조여래좌상은 조성 당시 고려시대 전각인 건물지3에 봉안되었다가 조선시대 중창불사를 통해 지금의 금당지로 이운되었을 것이다.

• 대한간호학회지
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• 제26권1호
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• pp.15-32
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• 1996

The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed include confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient /family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who have had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.

• 한국임상약학회지
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• 제9권2호
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• pp.109-118
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• 1999

The need for and components of a contemporary community pharmacy externship for pharmacy students have not been clearly identified in Korea. Mail survey was performed among 20 college of pharmacy deans and 800 community pharmacists to analyze the current status and develop a consensus regarding major focus area and criteria of community pharmacy externship to be implemented under the separation of dispensary from medical practice in year 2000. Mail survey yielded $80\%\;and\;23.5\%$ response rate for pharmacy school deans and community pharmacists, respectively. Of the 16 pharmacy schools that responded 14 said they have externship program in hospital pharmacy, and only 8 pharmacy schools responded of having externship program for community pharmacy. However, these community pharmacy programs lacked criteria and standard guideline for the externship. The results of survey revealed that community pharmacy externship program for students should be organized and directed toward developing expert knowledge and skills in pharmacy practice activities, clinical services, communications, pharmacy management, and professionalism. Pharmacy practice components should include competencies and skills in computer application, prescription processing, dispensing, pharmaceutical compounding, Narcotics Control Law application, maintenance and provision of drug information, and laws and regulations. Clinical service components should include the ability to identify patient's drug-related problems, provide long-term patient care and appreciate drug therapy services. Communication skills should be taught to effectively express his/her professional opinion, deduce the needs of others, utilize appropriate techniques and media to communicate ideas and conduct a patient interview and to obtain patient drug history. Pharmacy management skills should be taught to be efficient in medical insurance and drug control process. It was found that professionalism, morality, pharmacy practice experience, ability to provide clinical services, collect and provide drug information and regality are important criteria of preceptors. Externship sites should possess the ability to stock various drugs, access and provide diverse pharmacy services and should have private patient counseling area. Most pharmacists agreed that top 200 drugs' generic and brand name, indications, dosage, side effects, and contraindication should be instructed during the externship. It was also found that student and preceptor should be evaluated for their performances during the externship. This information will be incorporated into teaming objectives for students and to develop Academic Extemship Program Guidelines.