• Title/Summary/Keyword: 간호문제

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Korean Nurses' Judgments of Child Sexual Abuse Situations: The Use of Vignettes (아동 성폭력 상황에 대한 한국 간호사의 판단)

  • Ko, Chung-Mee
    • Child Health Nursing Research
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    • v.12 no.1
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    • pp.122-133
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    • 2006
  • 본 연구의 목적은 아동 성폭력 상황 자체와 성폭력 가해자에 대한 간호사의 태도가 상황 판단에 미치는 영향을 규명하는데 초점을 둔다. 503명의 병원 간호사와 526명의 보건교사를 대상으로 vignette 디자인 설문조사를 실시하였다. 아동성폭력 상황 vignettes은 7가지의 특성 (성폭력 행위, 성폭력 빈도, 피해자의 연령, 피해자의 저항, 가해자의 연령, 가해자와 피해자의 교차성별, 가해자와 피해자와의 관계)을 조합하여 구성하였다. 1/4 factorial design의 결과로서 64개의 vignettes 이 도출되었으며 이 중 16개 vignettes을 무작위로 추출하여 그 vignettes에 나타난 각 성폭력 상황들의 심각정도를 표시하도록 하였다. 성폭력 가해자에 대한 문항들은 1) 가해자가 아동 성폭력을 하는 이유 2) 전형적인 성폭력 가해자3) 아동성폭력 가해자의 처벌방법에 관한 간호사의 태도를 묻는 것이었다. 자료분석은 Logistic Regression을 실시하였다. 연구결과에서 간호사들은 아동 성폭력 상황의 심각도를 판단할 때 주로 성폭력 상황에 의해 영향을 받고 아동 성폭력 가해자에 대한 개인적 태도는 거의 영향을 미치지 않는 것으로 나타났으며, 아동 성폭력 상황 특성 중 피해자의 저항, 성폭력 행위, 성폭력 빈도, 가해자의 연령, 가해자와 피해자의 교차성별 순으로 아동 성폭력상황의 심각도에 영향을 미치는 것으로 나타났다. 결론적으로, 간호사들은 아동 성폭력 상황에 직면하여 사례를 판단할 때 아동 성폭력 문제에 대한 개인의 태도에 영향을 받기보다는 사례 그 자체에 근거를 두고 판단하는 경향을 나타낸다. 본 연구 결과는 법적, 전문가적 의미에서 아동성폭력 신고자로서의 의무와 사례중재에 개입된 의료인으로서의 역할 수행에 긍정적인 면을 시사한다.

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School Adaptation Program for School-Age Children with Emotional and Behavioral Problems (정서행동문제를 가진 학령기 아동을 위한 학교적응 프로그램 개발 및 평가)

  • Cho, Haeryun;Kim, Shin-Jeong;Kwon, Myung Soon;Oh, Jina;Han, Woojae
    • Child Health Nursing Research
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    • v.21 no.2
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    • pp.141-150
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    • 2015
  • Purpose: The purpose of this study was to develop and evaluate a school adaptation program (SAP) for school-age children with emotional and behavioral problems who attended public elementary schools. Methods: SAP, developed by the authors, addresses school adaptation and academic efficacy and consists of 10 sessions based on five categories (i.e., school life, classroom activity, relationship with friends, relationship with teacher, and school environment). Sixteen children with emotional and behavior problems answered questionnaires before and after participation in the program. Results: The results showed that there was a significant difference between pre and post-test on school adaptation (t=-2.78, p=.015) and academic efficacy (t=-4.62, p<.001) after the 10 sessions of SAP. Conclusion: The results indicate that SAP can could serve as a practical program for school nurses and teachers. Further studies based on SAP in various school settings are recommended.

Factors Influencing Parenting Stress in Mothers of Preschoolers Born Prematurely (미숙아로 출생한 학령전기 아동 어머니의 양육 스트레스의 영향요인)

  • Lee, Sangmi
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.470-478
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    • 2017
  • Purpose: This study was conducted to describe parenting stress in mothers of preschoolers who were born prematurely and to determine factors affecting parenting stress in child's problem behavior, mother-child interaction and parenting alliance. Methods: An exploratory survey study was conducted with 66 mothers of preschool children (5~6 years) with preterm births (PTB). Data were collected using Parenting Stress Index (PSI), Child Behavior Checklist (CBCL), Mother-Preschool Child Interaction Scale (MPIS), and Parenting Alliance Inventory (PAI). Results: Of the 66 mothers, 8(12.1%) showed high scores that were more than borderline for the PSI total score. In the multiple linear regression analysis, lower scores on the PAI (${\beta}=-.41$, p<.001), higher scores on the externalizing problem behavior of the CBCL (${\beta}=.40$, p=.001), and lower scores on the MPIS (${\beta}=-.21$, p=.043) were statistically significant contributors to maternal parenting stress. Conclusion: Findings indicate that mothers of PTB preschool children are at risk for parenting stress. Child's externalizing problem behavior, poor maternal-child interaction and parenting alliance were independent factors raising maternal parenting stress. More attention is needed on paternal parenting support, child's behavioral development, interaction with children for effective prevention and management of maternal parenting stress of PTB young children.

Effect of Supervising Infectious Medical Waste and Eco-Friendly Health Care Service Orientation as Perception of the Environment Problem of Hospital Nurse (병원간호사의 환경문제인식이 감염성폐기물 관리 실천 및 친환경의료서비스 지향성에 미치는 영향)

  • Yoo, Meong-Sook;Seo, Young-Sook;Son, Yu-Lim
    • Journal of Korean Clinical Health Science
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    • v.1 no.2
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    • pp.39-47
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    • 2013
  • Purpose. To examine the orientation of the eco-friendly Health care service on korean Hospital nurses Methods. Between October 2012 and November 2012, two hundred eighty five nurses (mean age, $25{\pm}17$ years; age range, 22~42yrears) were enrolled in this study. They performed a questionnaire which related to environmental problem, hospital infectious wastes manage and eco-friendly care service orientation. Results. Within the results, There were statistically significant correlation between "Hospital infectious wastes management" and "environmental problem awareness"(r=0.45, p<.001), "eco-friendly care service orientation"and "environmental problem awareness" (r=0.48, p<.001), and "eco-friendly Health care service orientaton" and "Hospital infectious wastes management"(r=0.50, p<.001). Conclusions. In current study, these results express that it is necessary to promote environmental problem awareness and hospital infectious wastes management practice for the "orientation of the eco-friendly Health care service on korean hospital nuurses.

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A Study of Predictors of Breastfeeding (모유수유실천 예측요인)

  • Lee Sun-Ok;Chung Eun-Soon;Ahn Suk-Hee;Moon Gil-Nam;Park Nam-Hee
    • Child Health Nursing Research
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    • v.9 no.4
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    • pp.368-375
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    • 2003
  • Purpose: The purpose of this study was to determine rate of breastfeeding practice at 3 months and to examine predictors for breastfeeding practice. Method: Study subjects were 114 mothers who gave birth at one hospital in Busan area. Data regarding breastfeeding practice and potentially related factors to breastfeeding were collected through a self-administered questionaire at 1 weeks and a telephone survey at 3 months. Logistic regression was used to identifiy significant the predictors on breastfeeding practice. Result: Rate of breastfeeding practice was 46.5% at three months of postpartum. The significant predictors for performing breastfeeding were lower the experience of breastfeeding trouble problem(OR=.88 compared with breastfeeding women, 95% CI; 78-.99), higher first breastfeeding satisfaction (OR=1.81 compared with non-breastfeeding women, 95% CI; 1.08-3.32), higher breastfeeding confidence(OR=1.84 compared with non-breastfeeding women, 95% CI; 1.08-3.32). Conclusion: The findings suggest the necessity of support program for mothers during the positive postpartum period to provide correct information about breastfeeding knowledge and attitude and to teach problem-solving skills for any breastfeeding problems for highere rate of breastfeeding practice

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The comparison of flipped-learning-applied classes of nursing college students on learning motivation, learning attitude and problem solving ability (일개 간호대학생의 플립드 러닝을 적용한 수업이 학습동기, 학습태도, 문제해결능력에 미치는 차이)

  • Kim, Pil-Hwan;Kim, Kyoung-Nam
    • Journal of Korean Clinical Health Science
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    • v.8 no.1
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    • pp.1369-1376
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    • 2020
  • Purpose: This research was conducted to the comparison of flipped learning on nursing students' learning motivation, learning attitude and problem solving ability. Method: Flipped learning was a learner-centered learning method. This study was conducted on 93 nursing students and 4th grade students taking community nursing. This study was a comparative experimental study of single group. The collected data were analyzed using SPSS Win 20.0 program. Results: The results of this study showed that the instruction of the flip learning application was statistically different from that before the test in the learning motivation (t=-2.149, p=.034) and problem solving ability (t=2.210, p=.030). However, there was no statistically significant difference in learning attitude. It is thought that the flipped-learning classes was progressed with the learner-centered, and the learner was given a lot of tasks and the preparation time was required. The classes with the flip learning was effective for the motivation and problem solving ability improvement. Conclusion: Therefore, in the next study, it is necessary to design a classes that complements this part in order to positively increase the students' attitude of learning. I would like to apply flipped-learning classes in various subjects.

Health Issues and Management for Children with Disabilities attending Daycare Centers (보육시설을 이용하는 장애아동의 건강문제와 건강관리 현황)

  • Kim, Ji-Soo
    • Child Health Nursing Research
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    • v.18 no.3
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    • pp.127-134
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    • 2012
  • Purpose: This study was conducted to investigate health issues of children with disabilities attending daycare centers, and to identify the way of teachers' management on child health. Methods: A cross-sectional descriptive study design was performed with a convenience sampling of 127 teachers from 19 daycare centers for children with disabilities and 175 teachers from 17 general daycare centers. A survey questionnaire was used to collect data, and the data were analyzed using the SPSS 17.0 program. Results: For the last one month, about 90% of the teachers working in daycare centers for children with disabilities had to care for sick children. When a child is sick, 50% of the teachers tended to contact with the parents of the child. The majority of the teachers caring for sick children experienced difficulties with no one available to give expert health care advice. Conclusion: The results of the study indicate that there are many health issues in daycare centers for children with disabilities and therefore health professionals need to be available to the centers. Specifically, health management services and programs need to be developed and provided for children with disabilities.

The Effects of Job Stress, Fatigue, and Health and Safety Services on Health Issues of Male Manufacturing Workers (남자 제조업 근로자의 직무스트레스, 피로도, 안전보건서비스의 경험이 건강문제에 미치는 영향)

  • Choi, Eun-Hi;Jung, Hye-Sun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.2
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    • pp.226-235
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    • 2019
  • Objectives: The purpose of this study was to investigate whether there were differences in manufacturing industry worker's health issues depending on job stress, fatigue, and health and safety services. Methods: The purpose of the questionnaire survey and its contents were explained to manufacturing industry health personnel, and the questionnaires were collected from 666 workers from 17 manufacturing workplaces. Questionnaires with missing data were excluded from the analysis so a total of 632 questionnaires were included. Results: Overall, 74.1% of the respondents had experienced health issues during the preceding month. The factors affecting worker health were number of workers(OR=1.000034, p=.013), job demand(OR=1.82, p=.009), MFS(OR=1.85, p=.003), provision of safety & health information(OR=1.85, p=.048), wearing protector(OR=2.58, p=.021). Conclusion: It is necessary to strengthen the safety and health education to mitigate hazardous and risk factors. Employers should provide health managers in charge of safety and health education to control workplace risk factors. In case of small businesses, it may be necessary to strengthen safety and health education in existing worker health centers and government support projects.

The Development and Application of a Problem-based Learning Module for Physical Therapy Classes (물리치료학 수업에서의 문제중심학습(PBL)의 모듈 개발과 적용)

  • Kim, Hyun-Woo;Song, Chang-Ho
    • PNF and Movement
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    • v.17 no.2
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    • pp.223-236
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    • 2019
  • Purpose: This research was to develop a module for problem-based learning(PBL) and to enhance the problem-solving abilities of physical therapy students in a neurological physical therapy course and to evaluate the effects of the module using quantitative and qualitative data. Methods: The PBL module was applied to 55 third-year physical therapy students who participated in a neurological physical therapy course at S university in Seoul. Anonymous self-report questionnaires and reflection journals were collected, and the data were analyzed. Results: The results of the analysis showed that the academic achievements of the students who participated in the first PBL class improved compared to the academic achievements of the students who had participated in the same class in the previous semester. Second, the students who participated in the PBL class evaluated the PBL as a very effective learning method for developing clinical practical ability. Third, the students of the PBL class showed increased cooperation and communication abilities between team members. Conclusion: The results of this study indicated that, if PBL class case studies and various types of teaching and learning methods appropriate for theoretical and practical fields are continuously studied, then it is expected that teaching models will be developed that can develop flexibility and creativity among preliminary physical therapists in a rapidly changing medical environment.

Current Issues and Challenges Related to Water Quality of Nepal in Comparison with Korean Situation (한국의 상황과 비교한 네팔의 수질 관련 현재의 문제 및 향후 과제)

  • Bhandari, Pratibha;Kim, Dong S.
    • Journal of Korean Society on Water Environment
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    • v.27 no.1
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    • pp.1-8
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    • 2011
  • Although Nepal is naturally bestowed with ample water resources, not all of the population has access to safe and clean drinking water. Waste water treatment is almost nonexistent. In the recent days the flow of population in the urban areas has increased the existing challenges of providing safe water and promoting sanitation. The prevalence of water borne diseases is high. This paper presents overview of issues like water pollution, arsenic contamination of drinking water, waste water treatment and effects of water contamination on public health. Comparison between waste water treatment regulations in South Korea and Nepal has also been made. Implementation strategies to tackle the existing water related problem for promoting public health is also recommended.