• 대한간호학회지
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• 제11권1호
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• pp.65-87
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• 1981

The study is aimed at exploring concept held by clinical nurses of nursing. The data were collected from 225 nurses conviniently selected from the population of nurses working in Kang Won province. Findings include. 1) Nurse's Qualification. The respondents view that specialized knowledge is more important qualification of the nurse. Than warm personality. Specifically, 92.9% of the respondents indicated specialized knowledge as the most important qualification while only 43.1％ indicated warm personality. 2) On Nursing Profession. The respondents view that nursing profession as health service oriented rather than independent profession specifically. This suggests that nursing profession is not consistentic present health care delivery system nor support nurses working independently. 3) On Clients of Nursing Care The respondents include patients, family and the community residents in the category of nursing care. Specifically, 92.0％ of the respondents view that patient is the client, while only 67.1％ of nursing student and 74.7％ of herself. This indicates the lack of the nurse's recognition toward their clients. 4) On the Priority of Nursing care. Most of the respondents view the clients physical psychological respects as important component of nursing care but not the spiritual ones. Specially, 96.0% of the respondents indicated the physical respects, 93% psychological ones, while 64.1% indicated the spiritual ones. This means the lack of comprehensive conception on nursing aimension. 5) On Nursing Care. 91.6% of the respondents indicated that nursing care is the activity decreasing pain or helping to recover illness, while only 66.2% indicated earring out the physicians medical orders. 6) On Purpose of Nursing Care. 89.8% of the respondents indicated preventing illness and than 76.6% of them decreasing 1;ai of clients. On the other hand, maintaining health has the lowest selection at the degree of 13.8%. This means the lack of nurses' recognition for maintaining health as the most important point. 7) On Knowledge Needed in Nursing Care. Most of the respondents view that the knowledge faced with the spot of nursing care is needed. Specially, 81.3% of the respondents indicated simple curing method and 75.1%, 73.3%, 71.6% each indicated child nursing, maternal nursing and controlling for the communicable disease. On the other hand, knowledge w hick has been neglected in the specialized courses of nursing education, that is, thinking line among com-w unity members, overcoming style against between stress and personal relation in each home, and administration, management have a low selection at the depree of 48.9%,41.875 and 41.3%. 8) On Nursing Idea. The highest degree of selection is that they know themselves rightly, (The mean score measuring distribution was 4.205/5) In the lowest degree,3.016/5 is that devotion is the essential element of nursing, 2.860/5 the religious problems that human beings can not settle, such as a fatal ones, 2,810/5 the nursing profession is worth trying in one's life. This means that the peculiarly essential ideas on the professional sense of value. 9) On Nursing Services. The mean score measuring distribution for the nursing services showed that the inserting of machine air way is 2.132/5, the technique and knowledge for surviving heart-lung resuscitating is 2.892/s, and the preventing air pollution 3.021/5. Specially, 41.1% of the respondents indicated the lack of the replied ratio. 10) On Nurses' Qualifications. The respondents were selected five items as the most important qualifications. Specially, 17.4% of the respondents indicated specialized knowledge, 15.3% the nurses' health, 10.6％ satisfaction for nursing profession, 9.8% the experience need, 9.2% comprehension and cooperation, while warm personality as nursing qualifications have a tendency of being lighted. 11) On the Priority of Nursing Care The respondents were selected three items as the most important component. Most of the respondents view the client's physical, spiritual: economic points as important components of nursing care. They showed each 36.8%, 27.6%, 13.8% while educational ones showed 1.8%. 12) On Purpose of Nursing Care. The respondents were selected four items as the most important purpose. Specially,29.3% of the respondents indicated curing illness for clients, 21.3% preventing illness for client 17.4% decreasing pain, 15.3% surviving. 13) On the Analysis of Important Nursing Care Ranging from 5 point to 25 point, the nurses' qualification are concentrated at the degree of 95.1%. Ranging from 3 point to 25, the priorities of nursing care are concentrated at the degree of 96.4%. Ranging from 4 point to 16, the purpose of nursing care is concentrated at the degree of 84.0%. 14) The Analysis, of General Characteristics and Facts of Nursing Concept. The correlation between the educational high level and nursing care showed significance. (P < 0.0262). The correction between the educational low level and purpose of nursing care showed significance. (P < 0.002) The correlation between nurses' working yeras and the degree of importance for the purpose of nursing care showed significance (P < 0.0155) Specially, the most affirmative answers were showed from two years to four ones. 15) On Nunes' qualification and its Degree of Importance The correlation between nurses' qualification and its degree of importance showed significance. (r = 0.2172, p< 0.001) 0.005) B. General characteristics of the subjects The mean age of the subject was 39 ; with 38.6% with in the age range of 20-29 ; 52.6% were male; 57.9％ were Schizophrenia; 35.1% were graduated from high school or high school dropouts; 56.l％ were not have any religion; 52.6% were unmarried； 47.4% were first admission; 91.2% were involuntary admission patients. C. Measurement of anxiety variables. 1. Measurement tools of affective anxiety in this study demonstrated high reliability (.854). 2. Measurement tools of somatic anxiety in this study demonstrated high reliability (.920). D. Relationship between the anxiety variables and the general characteristics. 1. Relationship between affective anxiety and general characteristics. 1) The level of female patients were higher than that of the male patient (t = 5.41, p < 0.05). 2) Frequencies of admission were related to affective anxiety, so in the first admission the anxiety level was the highest. (F = 5.50, p < 0.005). 2, Relationship between somatic anxiety and general characteristics. 1) The age range of 30-39 was found to have the highest level of the somatic anxiety. (F = 3.95, p < 0.005). 2) Frequencies of admission were related to the somatic anxiety, so .in first admission the anxiety level was the highest. (F = 9.12, p ＜ 0.005) 0. Analysis of significant anxiety symptoms for nursing intervention. 1. Seven items such as dizziness, mental integration, sweating, restlessness, anxiousness, urinary frequency and insomnia, init. accounted for 96％ of the variation within the first 24 hours after admission. 2. Seven items such as fear, paresthesias, restlessness, sweating insomnia, init., tremors and body aches and pains accounted for 84% of the variation on the 10th day after admission.

• 대한간호학회지
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• 제23권1호
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• pp.118-129
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• 1993

In order to approach the nursing care of clients who are using oriental medicine and to understand the perception of the client who uses oriental medicine practices and the need to develop a model of nursing related to oriental medicine it is important to examine the major nursing concepts as they are found in oriental medicine and as they are differently defined according to the basic thought, theory and philosophical perspectives between East and West. Oriental medicine developed based on Sung Confucianism the teachings of Chut-zu, especially Tai-Chi-Tu Shuo and energy thought which are similar to traditional Korean Sasang Constitutional medicine. The basic theory on which oriental medicine is build is the theory of the five elements of Yin / Eum-Yang Theory(cosmic dual forces) and Meridian Theory. The most important attribute of Yin Yang is the concept of duality, confrontation and dependence, within Yin Yang but which do not exist separately. That is, the universe is a vast, indivisible entity within which all things exist in harmonious interdependence and balance. Harmony is achieved only when the two primorial forces, Yin and Yang, are brought into perfect balance. Each is contained within the other and there is a continuing interchange between the two. This also applies to the human body including human health which is defined as balanced harmony. The most universal connection of Yin and Yang is found in the universe where the five elements of life, fire, water, earth, wood and metal can be explained as having either Yin or Yang and therefore being in a state of connectedness but systematically circulating between the two, that is essentalilly one (the control of the unified ) or as coexistant poles of individual wholes (the pluralism of Yin Yang Theory) so that it is all unified(balanced) in the Great Absoulte. Human beings also maintain a balance of Yin and Yang in the five elements and this relationship is very important in approaching ·oriental medicine, The meridians are the channels in the body through which the life force flow throughout the body. In oriental medicine the meridians are seen as the railroad, the acupuncture points on the meridians as the stations and energy as the train. In the normal healthy organism, all are maintained in balance and in a contiuous circulation of energy. illness is the result of the energy flow becoming disarranged. Although practitioners of oriental medicine approach the client differently than do practitioners of Western medicine and their method of examining the patient is different, the basic objectives of the examination are the same for practitioners of both types of medicine. Therefore if each could be used to supplement the defiencies in the other and achieve a harmonious cooperation between the two, a higher level of care which is culturally appropriate to korean culture could be achieved. The traditional korean concept of health is a naturalistic view which emphasizes being in harmony with nature. Any manifestation of disease is considered a sign that the body is in a state of disequilibrium and is thus no longer in harmony with the universe. The wholistic view of the world held by practitioners of oriental medicine can be used by nursing in the development of a world view of nursing in which the human being is seen within the macrocosm as part of the natural phenomenon of the universe and but also as a microcosm of the universe, a universe which is a vast and indivisible entity within which all things exist in harmonious interdependence and balance. Interaction between human beings and their environment and the relationship of this interaction to health are concepts that are also found in nursing. Nursing views human brings, not as an accumulation of separate cells and organs but, as unified wholes interacted in very close relationship nth their environment. Nursing also maintains a view of human beings in which emphasis is placed on the role of the mind in explaining the concepts of harmony and balance in health. Although there are differences between oriental medicine and nursing in approaches to clients, the basic point of view and philosophy have many fundamental similarites. An understanding of the basic thought and philosophy of oriental medicine if applied to nursing, would allow for the development, not only of nursing related to oriental medicine, but of a nursing theory appropriate to the korean context.

• 보건행정학회지
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• 제19권4호
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• pp.78-97
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• 2009

This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

• 한국건설관리학회논문집
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• 제20권6호
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• pp.98-106
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• 2019

최근 국내 건설공사에서 공기관련 클레임과 분쟁의 발생건수가 급격한 증가세를 보이고 있다. 이러한 현상은 전통적으로 발주자 우위의 국내 건설 계약관행이 계약당사자간 상호적이며 균형적인 관계로 변화되고 있음을 시사하는 것이다. 공기지연 분석은 건설공사 착공시 승인된 공정표의 종류, 공사진행 과정에서 공정표 실적관리를 어떻게 했는지에 따라 적용 방법을 선정하게 된다. 그리고 공기지연 분석에서 가장 중요한 전제조건은 공사초기에 합의된 완전한 CPM공정표가 준비되어 있고, 그러한 공정표의 실적관리가 제대로 기록되어 있는 것이다. 본 연구는 국내 민간 발주자의 대형신축건물을 공사하는 과정에서 시공자가 손해를 보았다며 발주자를 상대로 손해배상을 청구한 사건의 공기지연 분석 방법론을 적용에 관한 것이다. 본 연구에서는 불완전한 CPM공정표에 계획공정 분석법 적용이 적절한 지 판단하고, 이에 대한 대안으로 새로운 기준의 계획공정 대비 완료공정법을 제안한다. 그리고 사례 프로젝트에 계획공정 대비 완료공정법을 적용한 다음, 계획공정 분석법 결과와 비교분석한다. 본 연구의 목적은 국내 건설공사의 공정관리 현실에 적합한 공기지연 분석방법을 제시함으로써, 향후 국내 건설공사의 공기지연관련 분쟁과 소송에서 의미 있는 참고자료로 활용될 수 있도록 하는 것이다.

• 여성학논집
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• 제26권1호
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• pp.3-39
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• 2009

최근 철학의 새로운 분야로 부상하고 있는 철학상담은 1981년 아헨바흐(Achenbach)에 의해 '철학실천'이라는 용어로 창안되었다. 철학상담은 상담가인 철학자로 하여금 학계라는 울타리를 벗어나 애초에 실제 삶의 맥락으로부터 시작되었던 '철학함'을 회복시키고자 노력한다. 또한 철학상담은 삶의 위기에 처한 내담자들로 하여금 자신의 삶을 근본적으로 재검토하고 새롭게 직면할 수 있는 기회를 제공함으로써, 그 스스로의 모습을 되찾고, 자신이 원하는 삶을 실현시키기 위해 다시 용기를 내어 걸어갈 수 있도록 독려한다. 이 논문의 목적은 철학상담과 여성주의상담을 비교검토함으로써 한국 여성들을 위한 철학상담의 새로운 모델을 창출하는 데에 필요한 첫 윤곽을 잡아보려는 데에 있다. 우선적으로 2장에서 철학상담의 역사와 특성을 소개한 뒤에, 3장에서 '여성의전화'의 상담활동을 중심으로 한국에서의 여성주의상담이 지나온 역사와 그 특성을 고찰한다. 나아가 4장에서 양자의 내용적인 공통점들을 찾아내어 비교검토하면서 양자를 더욱 심도있게 이해하고 그 관계성을 더욱 촉진시키고자 시도한다. 그리하여 비록 철학상담과 한국 여성주의상담이 서로 다른 역사적, 사회적, 문화적 맥락과 배경에서 시작되었고, 각기 다른 활동영역에서 전개되어왔지만, 다음의 네 가지 공통적인 신념, 즉 '실천이라는 토대에서의 상담', '상담가와 내담자의 평등한 관계의 확립', '상담가의 경청과 자기개방의 중요성', '깊은 존중과 이해에 기반한 내담자의 자기됨과 자기양육'에 근거하고 있음을 밝혀본다. 이와 같이 볼 때, 두 상담 모두가 진정으로 '인간다운 삶'의 실현을 목표로 하고 있음을 알 수 있으며, 특히 철학상담이 앞으로 한국 여성들의 '잘 삶'을 증진시킬 수 있는 구체적인 대화의 기회를 제공할 수 있으리라 기대한다.

• 한국임상수의학회지
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• 제29권4호
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• pp.277-282
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• 2012

본 연구는 건강한 개에서 혈장 homocysteine농도가 비만이나 비만 관련인자(예, 지방, 인슐린, 혈당, 글루카곤, fructosamine)들과 어떤 상관관계가 있는지를 확인하기 위해 실시되었다. 이를 위해, 절식시 혈당, 지방지수(예, total triglycerides [TG], total cholesterol [TC], high-density lipoprotein cholesterol [HDL-C]과 low-density lipoprotein cholesterol [LDL-C]), fructosamine, insulin 및 glucagon 농도를 각각 측정하였다. 실험에 사용된 개들은 body condition score (BCS)에 따라 분류하였다. 평균 혈장 homocysteine 농도는 비만한 개 집단이 정상이나 마른 개 집단에 비해 상당히 높았다. 또한 혈장 homocysteine농도는 HDL-C농도 뿐아니라 TG, TC, 혈장 glucagon 및 fructosamine 농도와도 밀접한 상관관계를 가지고 있었다. 반대로 LDL-C 농도, 절식시 혈당농도 및 insulin농도는 아무런 상관관계가 확인되지 않았다. 본 연구 결과, homocysteine의 농도 상승이 비만견에서 생물학적으로 중요한 역할을 하는 것으로 추정된다.

• 한국임상수의학회지
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• 제29권4호
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• pp.271-276
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• 2012

사람에 연구에 따르면 심부전 진단에 널리 사용되는 NT-proBNP농도는 비만, 비만 관련인자들과 밀접한 상관 관계가 있는 것으로 알려져 있다. 그러나 이러한 상관관계는 아직까지 수의분야에서는 입증된 바가 없다. 따라서 본 연구에서는 다양한 정도의 이첨판 패쇄부전증(CMVI)에 이환된 73마리 개 집단에서 NT-proBNP와 비만 및 비만 관련인자들간의 상호관계를 조사하였다. 절식시 혈당 농도, 지방관련 인자(i.e., total triglycerides [TG], total cholesterol [TC], high-density lipoprotein cholesterol [HDL-C], low-density lipoprotein cholesterol [LDL-C]), fructosamine, insulin 및 NT-proBNP 농도를 측정하였다. Insulin/glucose ratio 역시 계산하였다. NT-proBNP 농도는 CMVI에 의한 심부전의 정도에 따라 농도변화가 관찰되었으며, body condition scores (BCS), insulin 및 fructosamine 농도와도 관련이 있었다. 또한 본 연구를 통해 비만과 혈중 NT-proBNP농도 간에 상관관계 역시 확인되었다. 또한 NT-proBNP농도는 비만과 관련 있는 인자인 fructosamine과 insulin농도와도 관련이 있었다. 본 연구는 개에서 NT-proBNP농도와 비만 정도와 상관관계를 입증한 첫 보고이다.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.246-260
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• 2013

본 연구는 노인요양시설 종사자의 감성지능과 그들이 경험하는 갈등관계가 직무만족에 미치는 영향을 분석하고, 감성지능과 갈등관계가 직무만족에 미치는 영향에 있어서 소통의 조절효과를 알아보았다. 연구 대상은 경기도 지역의 장기요양기관의 종사자 379명을 대상으로 하였다. 자료 분석은 SPSS 18.0 프로그램을 이용하여 빈도분석, 요인분석, 신뢰도 분석, t-test, ANOVA, 위계적 회귀분석, 조절회귀분석을 하였다. 연구결과는 첫째, 감성지능의 자기감정이해, 타인감정이해, 감정활용, 감정관리 요인은 직무만족과 정(+)의 관계가 있는 것으로 분석되었다. 둘째, 갈등관계 요인 중 클라이언트의 보호자와 상사와의 갈등이 직무만족의 요인인 관계성에 부(-)의 영향을 미친다. 셋째, 소통은 갈등관계와 직무만족의 요인 중 관계성과 보상 사이에서 부분적 조절효과가 있는 것으로 확인되었다.

• 한국콘텐츠학회논문지
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• 제16권6호
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• pp.537-549
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• 2016

사회복지사들의 소진 가능성을 극복하기 위한 대안으로 직장 내 영성에 대한 관심이 높아지고 있다. 이 연구는 노인복지관에서 일하는 사회복지사들에게 영성교육 프로그램을 제공하고 이후 어떤 변화가 있었는지 알아보았다. 노인복지관 3곳의 사회복지사 25명에게 12주에서 14주간 임상사목교육(Clinical Pastoral Education: CPE)이 실시되었다. 교육 종료 후 교육 참여자 24명과 4회의 FGI(focus group interview)를 실시하였다. CPE 교육에 참여한 사회복지사들에게는 개인적 차원에서(자기성찰의 일상화, 개인의 영성과 사회복지사의 영성의 통합, 자기비움과 이타성 추구), 실천 행위에 있어서(클라이언트의 개별성 인정, 해결책 제공의 강박관념에서 탈피, 공감적 경청 실천), 조직 내적 차원에서(끈끈한 동료의식의 생성, 수평적인 조직관계) 많은 변화가 있었다. 사회복지사 개인과 조직이 동시에 성장할 수 있도록 사회복지조직이 소속 사회복지사들의 개인적 영성의 발달을 돕고, 개인적 영성과 조직의 영성이 통합될 수 있는 방향으로 조직의 변화를 추구하는 것이 필요하다.

• 한국간호교육학회지
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• 제18권2호
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• pp.353-361
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• 2012

Purpose: The purpose of this study was to assess the degree of satisfaction of the clinical training program and teaching efficacy and their relationships among nursing faculty who joined clinical training program. Methods: In this cross-sectional descriptive study, seventy three nursing faculty participated in the clinical training program sponsored by Korean Academy Society of Nursing Education from July 2010 to February 2012. Collected data were analyzed by t-test, $x^2$, and Pearson's correlation coefficient through the SPSS WIN12.0 program. Results: The mean score of satisfaction of the clinical training program was $3.88{\pm}0.56$, and $4.24{\pm}0.49$ for teaching efficacy. Teaching efficacy showed associations with Major area (F=2.78, p=.014) and Goal of participation (F=3.39, p=.039). The results presented that satisfaction of the clinical training program positively correlated with teaching efficacy (r=.56, p<.001). Conclusion: This study reports high satisfaction of a clinical training program and teaching efficacy for nursing faculty. In order to increase the satisfaction of the program, there is a need to develop a client-focused program that meets the goals of participation and major areas for nursing faculty.