• 지역사회간호학회지
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• 제7권2호
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• pp.384-399
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• 1996

The concept of parish nursing began in the late 1960s in the United States when increasing numbers of churches employed registered nurses (RNs) to provide holistic, preventive health care to the members of their congregations. Parish nursing role was developed in 1983 by Lutheran chaplain Granger Westberg, and provides care to a variety of church congregation of various denominations. The parish nurse functions as health educator, counselor, group facilitator, client advocate, and liaison to community resources. Since these activities are complementary to the population-focused practice of community health' CNSs, parish nurses either have a strong public health background or work directly with both baccalaureate-prepared public health nurses and CNSs. In a Midwest community in U.S.A., the Healthy People 2000(1991) objectives are being addressed in health ministries through a coalition between public health nurses and parish nurses. Parish nursing is in the beginning state in Korea and up untill now, there has been no research was conducted on concrete role of korean parish nurses. The main purpose of this study was to identify, classify and analyze activities of parish nurses. The other important objective of this study was to establish an effective approach and direction for parish nursing and provide a database for korean parish nursing model through analysis and' classification of the content of the nursing record which included nursing activities. This study was a descriptive survey research. The parish nurses were working in churches where the demonstration project developed on parish nursing. The study was done on all nursing records which were working in churches where the demonstration project developed on parish nursing. The study was done on all nursing records which were documented by parish nurses in three churches from March, 1995 to February, 1996. Namsan, Taegu Jeei and Nedang presbyterian churches in Taegu and Keimyung nursing college incooperated together for the parish nursing demonstration project. The data analysis procedure was as follows: First, a record analysis tool was developed and second, the data was collected, coded and analyzed, the classification for nursing activities was developed through a literature review, from which the basic analysis tool was produced and cotent validity review was also done. The classification of the activities of parish nurses showed 7 activitity categories. 7 activity categories consisted of visitation nursing, health check-ups, health education, referring, attending staff meetings, attending inservices and seminar, volunteers coordinating. The percentage of activities were as follows: Visitation nursing(A: 51.6%, B: 55%, C: 42.6%) Health check-ups(A: 13.5%, B: 12.1%, C: 22.3%) Health education(A: 13.5%, B: 13.2%, C: 18.2%) Referring(A: 1.4%, B: 4.2%, C: 2.4%) Attending staff meeting(A: 18.8%, B: 13.0%, C: 12.2%) Attending inservices and seminar(A: 1.5%, B: 2.2%, C: 2.1%) Volunteers coordinating(A: 0.3%, B: 0.4%, C: 0.0%) To establish and develope parish nursing delivery network in Korea, parish nurses role, activities and boundaries of practice should be continuously monitored and refined every 2 years. Also, It is needed to develope effective nursing recording system based on the need assessment research data of various congregation members. role, activities and boundaries of practice and arrangement of the working structure, continuing education, cooperation with community resources and structuring and organizing parish nursing delivery network. Also, It is needed to develope effective nursing recording system based on the need assessment research data of various congregation members.

• 한국보건간호학회지
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• 제5권2호
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• pp.5-25
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• 1991

This study was conducted from July to December 1990, in order to diagnose nurses' educational need for home care. The study subjects consisted of 145 nursing educators, and the 3 groups of nurses, namely 250 senior nursing students of diploma and collegiate program, 235 health center nurses, 521 university' hospital nurses in Seoul. Four types of questionaires were formulated by Delphi method. Two questionaires for the nursing educators were designed to measure their expectations of nurses' knowledge and of their skill for home care, and another two questionaires for the nurses to measure their actual home care knowledge and skill. The results of the study were as follows : 1) The mean scores of educators' expectation for home care knowledge were 17.68 for the care of dependence on medical equipment, 17.44 for the care of mobility impairment patient, 16.56 for the care of cardiopulmonary impairment patient, 16.40 for the care of nutrition and elimination impairment patient, '1.20 for the care of psychiatric disorder patient and 9.03 for the care of cancer and terminally ill patient,. 2) The mean scores of nurses' home care knowledge tested by 20 items were 14.36 for the care of mobility impairment patient, 13.28 for the c8;re of dependence on medical equipment, 13.78 for the care of cardiopulmonary impairment patient, 12.92 for the care of nutrition and elimination impairment patient, and those of tested by 10 items were 7.08 for the care of psychologic disorder patient, 7.80 for the care of cancer and terminally ill patient. The sum of means marked 69.23. As for the nurses' home care knowledge categorized by tasks in terms of the group, significant difference were shown in the care of mobility impairment(P=0.00), cancer and terminally ill(P=0.03), nutrition and elimination impairment(P=0.00) and psychologic disorder patient(P=0.00). No significant difference were shown in the care of dependence on medical equipment and cardiopulmonary impairment patient. 3) Regard to educational need of nurses' home care knowledge categorized by task according to the group it was found that all sampled nurses had educational need in the care of mobility impairment, dependence on medical equipment, cardiopulmonary impairment, cancer and terminally ill patient. It was found that health center nurses had educational need in the care of psychologic disorder. No educational need were found in the health center nurses whose career less than 2 years, in the care of mobility impairment, cardiopulmonary impairment and psychologic disorder patient, and in those of career with 2-5 year in the care of psychologic disorder patient. No educational need were found in the hospital nurses whose career more than 15 years, in the care of cardiopulmonary impairment patient and in those of career with 11-15 year, in the care of cancer and terminally ill patient. 4) The mean scores of educators' expectation for home care skill measured by Likert 5 points scale were 4. 21 for assessing, 4.49 for planning, 4.29 for basic care, 4.42 for curative care, 4.40 for rehabilitative care, 4.36 for emergency care, 4.53 for medication, 4.31 for nutritional care, 4.32 for other means for care, and 4.38 for evaluation. 5) Regard to nurses' home care skill measured by Likert 5 points scale of self evaluation, there was a significant difference between the nurses' home care skill and group(P=0.00l). The higher scores reported by students were vital sign checking and basic care while the scores of below medium were curative care and emergency care. The higher scores reported by health center nurses were vital sign checking, other means for care and care of specimen while the scores below medium were curative, emergency and nutritional care. The higher scores reported by hospital nurses were vital sign checking, care of specimen and basic care, while the score below medium was emergency care. 6) Regard to educational need of nurses' home care skill by nursing process activity according to the group it was found that health center nurses had educational need in all nursing skills including vital sign checking, care of specimen, health assessment, socioeconomic assessment, nursing diagnosis, care plan, basic care, curative care, rehabiitative care, psychological care, emergency care, medication, nutritional care, other means for care and evaluation. And students had educational need in all nursing skills except vital sign checking, and hospital nurses had educational need in all nursing skills except vital sign checking, care of specimen and basic care. 7) In short, the result of this study suggests that the curriculum should be organized in accordence with nurses' educational background and their career for the education of nurses for home care. It should be considered to develop the short term educational program focused on curative and rehabilitative care for health center nurse or community health nurse practitioner and which was focused on family care for hospital nurse. Concerning about this field practice for home care nurse, they are required not only community practice but also . clinical practice including emergency, curative and rehabilitative care.

• 한국보건간호학회지
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• 제12권1호
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• pp.132-146
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• 1998

This Study was attempted to provide the basic data necessary in the development and introduction of Home Health Nursing System by investigating the recognition and attitude level of Home Health Nursing System. The data were collected by means of questionaires presented to 74 patients who had been admitted in C general hospital in Chon Ju, from June 30, 1997. As the tool for this study, the questionares developed by Kim Yong. Soon, et al (1990) and Han Bok Hee(1993) were modified and supplemented for the aim of this study. The computer was used for data analysis. The items about the charateristics of the subjects and the attitude to the management plan of Home Health Nursing System were represented as the frequency and percentage. The standard deviation and calculation average were produced on the items related to definition, recognition, necessity, expected effect of the attitude of Home Health Nursing System and the items related to admission. The ANOVA test was .used according to the characteristics of variables to analyze the necessity and difference of Home Health Nursing System. The results of this study were as follows 1) The general characteristics of the subjects were as follows ; for sex, man, $58.1\%$ ; for age, 50-59 years, $29.7\%$ ; for the level of education, high school, $51.4\%$ ; $79.7\%$ of them were married; for the family forms, small family, $73.0\%$ ; and $68.9\%$ of them take the monthly income over 100 million won. 2) The characteristics related to admissions of the subjects were as follows ; for clinic, surgical department, $78.4\%$ ; addmission not more then 7days, $47.3\%$ ; for the operation-performance $71.6\%$ of them were experienced; for the admission route, via outpatients clinic, $54.1\%$ ; for waiting period to the admission day, 1-2 days, $71.6\%$. 3) The difficulties comming from the hospitalization were related mostly to the factor that they felt hospital life more inconvenient than home.(3.66) The reasons for the difficulties in the admission which was due to insufficient beds in the hospital was related to the concentration to the general hospital because of 'The Whole National Medical Insurance System'(4.05). 4) On the previous informations about the Home Health Nursing System, those who have heard of only the name were 42 $(56.8\%)$, and on the recognition of it, they thought that it is periodic treatment by the licenced nurses for the recovering pateints after early discharge(3.73). On the attitude about the necessity of Home Health Nursing System, they thought that it is necessary because of the increasing trend of a psychological disease by the change of environment and complexity of the social structure(4.24). On the expected effect of Home Health Nursing System, they answered that it is convinient for the family of the patient to take care of them(4.l8). 5) On the attitude to the management plan of the Home Health Nursing System, those who had intention to participate in the system in the case of systemic support were 42(56.8). In the visiting time, 'visit periodically' and 'visit when the patient needs' were $28(37.8\%)$ respectively. For the application of medical insurance, if possoble, they will use $(91.9\%)$; for the method of payment for the treatment, 'pay by the time required' was $23(31.1\%)$, for the subject of management, 'National public institute must operate' was $33(44.6\%)$. 6) The relationship between the general characteristics of the subjects and the necessity of Home Health Nursing System showed the notable difference in the age (F=3.508, P<0.05) and marrage state (F=5.402, P<.023).

• 종양간호연구
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• 제1권2호
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• pp.191-203
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• 2001

The health of a nurse is very important because her mental and physical health can influence toward nursing patients directly, Especially, Cancer patients are growing annually. Also, terminal cancer patients' nursing and dead place are increasingly using hospital and the period of nursing for cancer patients are increasing. Nursing for cancer patients are different with acute disease. Therefore, I analysed comparing nurses' health working in cancer and general ward so that nurses working at cancer ward could be developed as a professional nurse, and I wanted to establish the foundation of nursing administration and reasonable manpower management to supply good quality of nursing to patients. In my research, I selected 117 nurses working in cancer ward and 134 nurses working in general word to analyse the stress rate and nurse's health comparing nurses working in general ward and cancer ward. The survey was conducted of nurses working in cancer ward nurses in 2 university hospitals, nurses working in a cancer hospital, and general ward nurses working in 3 public hospital. Also, the data was collected from Sep. 13, 2001 to Sep. 28, 2001. As health measuring tool, I used Cornell Medical Index(CMI) which are developed to fit Koreans by Ko Ungrin and Park Hang-bas (1980) using Cornell Medical Services which were designed by Weiser, Brosman, Mittelman, Wechler, Wolff in Cornell University(1945). As working stress measuring tool, I used Questionaries which were designed by Kim Mae-ja and Ku Mi-ok(1984) and then developed by Bae In-sook(1996). For managing the data, I used frequency, percentage, ${\chi}^2$ verification, t-test, and F-test (ANOVA). And in the case of significant data(p<.05). I did Duncan's test for post verification. The mutual relation between health condition and working stress rate have been conducted using Pearson's Correlation Coefficient. Followings are the results of my research. 1. Two groups showed significant differency at age after testing homogeneous character between two groups (${\chi}^2$ =9.919, p=.007). 2. Comparing two group's health condition, cancer ward(average 19.35${\pm}$18.34) were higher than general ward(14.42${\pm}$10.59) and showed statistical significant differency(p=.009). And, comparing two group's mental condition, cancer ward(9.00${\pm}$9.79) were higher than general ward(7.13${\pm}$6.35) and statistically no differency. 3. After comparing two group's working stress rate, the rate of cancer ward nurse's working stress(3.36${\pm}$.50) is higher than general ward nurse (3.32${\pm}$.48). There are no significant differency. However, in the detailed verification test, there were significant differency at inappropriate compensation (t=3.254, p=.001) and medication issue (t=2.170, p=.031). 4. After comparing health condition at general points, physical health condition showed significant differency at age(p=.020), the number of children (p=.015), religion (p=.015), position(p=.005), career(p=.008), working satisfaction(p=.003), activity after office hour(p=.045); and mental health condition showed significant differency at position(p=.010), career (p=.017), working satisfaction (p=.003). 5. After comparing the working stress rate according to general points, there were significant differency at working satisfaction (F=5.285, p=.006), predicted nursing(F=3.822, p=.023). 6. At the relation of health condition and working stress rate between two groups. physical and mental condition showed significant relation with working stress rate. i.e, if a nurse's health condition is not good, she are feeling much more stress than others. After considering all the factors in my research, I found that the health condition and stress rate of cancer ward nurses is much higher than general ward nurses. Considering that cancer ward nurses is necessary to care for increasing cancer patients with mental and physical nursing, the less stress for cancer ward nurses is very important to develop nursing quality and working efficiency by keeping good health condition, specializing cancer ward nurses. Therefore, we need following studies to find the factors which are effecting to cancer ward nurses' health and specialization. Also, we need to improve managing working condition to decrease working stress by improving working condition.

• Journal of Hospice and Palliative Care
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• 제15권3호
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• pp.155-161
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• 2012

목적: 많은 의료인들은 여명 예측을 어려워하는데, 교육의 부족이 이러한 어려움을 가져오는 요인들 중 하나이다. 그러나 최근 여명 예측에 도움이 되는 여러 가지 예후 지수가 발표되었다. 본 연구에서는 의료인들을 대상으로 예후 지수에 대해 교육을 실시하고 이러한 교육이 여명 예측의 정확도, 자신감, 지식을 향상시키는지 알아보고자 하였다. 방법: 2009년 7월 22일, 경기도 소재 일개 대학병원에서 '말기암환자의 여명 예측'에 대한 교육을 실시하고 간호사 및 의사 29명의 참가자를 대상으로 교육 전 후의 여명 예측에 대한 자신감, 정확도, 지식의 항목을 중심으로 변화를 측정하였다. 교육은 완화의학을 전공한 1인의 가정의학과 교수가 파워포인트를 사용하여 Palliative Prognostic score (PaP score)와 Objective Prognostic Score (OPS)에 대해 강의하고 상호문답 방식으로 40여분간 진행하였다. 결과: 교육 전 후의 자신감 평균은 교육 전의 $4.00{\pm}1.73$ (평균${\pm}$표준편차)점 (0~10 visual analog scale)에 비해서 교육 후가 $5.83{\pm}1.71$점으로 유의하게 높았으며(P<0.001) 나이가 많을수록 교육 전 여명 예측의 자신감이 유의하게 높았고(P=0.04), 진료 또는 간호 증례 수가 많을수록 여명 예측 교육 전 후의 자신감이 유의하게 높게 나왔다(각각 P=0.005, P=0.017). 교육 전 후의 여명 예측 정확도도 교육 후가 27/29명(93.1%), 교육 전이 14/29명(48.0%)으로, 교육 후가 교육 전보다 유의하게 높게 나왔다(P<0.001). 결론: 예후 지수를 활용하여 여명 예측을 교육했을 때 여명 예측에 대한 자신감, 정확도의 상승은 유의하였다. 이러한 결과의 일반화를 위해 앞으로 의료인들을 대상으로 하는 생존 기간 예측 교육이 필요할 것이다.

• Journal of Nutrition and Health
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• 제40권5호
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• pp.475-482
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• 2007

본 연구는 현재 건강검진센터에서 수행하고 있는 영양서비스 현황과 영양서비스의 요구도를 관찰하여 영양서비스 개선을 위한 방법을 모색하고 이를 영양평가 및 상담에 적용하여 영양서비스의 만족도를 높이는데 기여하고자 수행하였다. 본 연구의 결과를 요약하면 다음과 같다. 1) 영양서비스의 경험이 있는 대상자는 상담군의 경우 58.5%, 비상담군의 경우 46.3%로 나타났다. 그 중 상담군 56.1%, 비상담군 43.9%가 개별상담을 받았고, 상담내용은 건강검진결과에 따른 결과상담이 가장 높았다. 영양지식 및 건강정보는 TV, 인터넷, 책, 잡지, 신문을 통해 얻는 경우가 많았으며, 영양사나 의사, 간호사 등 교육기관으로부터 정보를 얻는 비율은 낮았다. 2) 영양서비스를 받고 싶다고 생각한 적이 있는지에 대해 상담군 80.5%, 비상담군 73.2%가 긍정적으로 대답하였으며, 두 군간의 유의적인 차이는 없었다. 영양서비스 경험과 영양서비스에 대한 생각은 양의 상관관계를 보였다(r = 0.229, p < 0.01). 3) 영양평가의 필요성은 상담군의 경우 95.1%로 비상담군 80.5%에 비해 유의적으로 높게 나타났으며 (p < 0.05), 영양상담의 필요성은 상담군의 경우 97.6%, 비상담군의 경우 100%로 영양상담의 요구도가 높았으며, 두 군간의 유의적인 차이는 없었다. 또한, 영양서비스의 수단으로 개별 상담의 선호도가 가장 높았다. 4) 영양서비스 요구항목의 우선순위를 보면, 영양평가는 식사섭취열량평가가 가장 높았으며 (p = 0.000), 영양상담은 상담군의 경우 영양평가를 통해 출력된 영양소별 1일 섭취량 결과를 바탕으로 개인별 맞춤 상담을 원했으며 (p = 0.031), 비상담군은 건진결과에 따른 식사요법에 대한 영양상담을 원하는 비율이 높았다 (p = 0.000). 영양결과지는 도표나 그래프를 이용하여 한 눈에 알아 볼 수 있도록 만들어지기 원하였으며 (p = 0.014), 리플릿이나 영양책자는 사진의 추가로 시각적인 효과를 높여달라는 요구도의 순위가 가장 높았다 (p = 0.014). 본 연구 결과를 바탕으로 건강검진센터의 영양서비스 개선을 위한 제언은 다음과 같다. 1) 영양평가시 영양문제파악을 위한 개개인의 영양상태 평가 도구로써 보다 세밀한 평가가 이루어질 수 있도록 영양평가 도구 개발이 필요하겠다. 2) 현재 일부 정밀건강검진프로그램에서만 결과에 따라 개인별 식사요법이나 영양교육이 실시되고 있다. 그러나, 영양교육 및 다양한 영양서비스를 제공하는 것은 건강증진, 질병예방 측면에서 볼 때 큰 효과를 볼 수 있는 좋은 프로그램이며, 소비자들도 원하는 부분이다. 이에 다양한 영양교육프로그램 개발을 통해 건진프로그램에 영양서비스 정착에 힘써야 할 것이며, 더불어 영양사의 자질 향상을 도모하는 것도 필요하리라 하겠다. 3) 영양평가결과지에 그래프나 도표 첨부, 영양자료나 리플릿 제작시 사진이나 그림, 건강기능식품에 대한 정보 추가 등의 수정보완이 필요하겠다. 4) 본 연구를 통해 영양서비스 요구도 설문이 실시됨으로써 차후에 다양한 건강검진프로그램 평가에 대한 기초자료를 제공할 수 있으며, 적극적인 차원에서의 건강검진프로그램 관리에 대한 기본적인 자료제공의 의의를 가질 수 있을 것으로 기대된다. 5) 본 연구는 영양서비스에 대한 평가에서 제한된 부분만을 분석하였으므로 앞으로는 여러 가지 평가도구가 개발되어야 하며 또한, 영양상담 내용을 행동에 옮기는데 필요한 구체적인 변수들의 규명과 분석이 진행되어야 하겠다.

• 대한간호
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• 제29권1호
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• pp.59-71
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• 1990

Although the usefulness and importance of clinical application of nursing diagnosis are well recognized by the academic circle, it is not yet generally practiced. In order to provide data for establishing a policy for clinical nursing diagnosis; a study was made at a seminar, sponsored by the Department of nursing, Severance Hospital, with participation of 190 nurses from 33 hospitals. The objective of the study was to find out; 1) if the nurses agree with the academic community in recognizing the benefits and problems of clinical application of nursing diagnosis; 2) how the nurses evaluate their ability to carry out nursing diagnosis; and 3) if educational programs would help enhance ability of nursing diagnosis among nurses. The summary of findings by the study is as follows; 1. While all nurses responded positively on the question of benefits improving science and quality of nursing, thus elevating credibility and position of nurses, some expressed concern on the practicality of the system in setting up nursing objectiveness, confirming the nursing problems and utilizing patient information. For the 20 questions and the scale of 1~5, the lowest average score was 3.223 and the highest 4.066. 2. The study attempted to find out the opinion of the nurses on the problems that 'would make difficult to adopt the nursing diagnosis in clinics. The result of the study indicates the nurses believe the major problems are the fact that the subject of nursing diagnosis are not well defined and that the form sheets do not match with the ones that are currently being used. However, comparing it with the result of the previous study on the same question (inadequate manpower and insufficienf time allocated for the job were two major problems pointed out then.), it can be said that the opinion of the nurses studied this time was much more positive and it suggests that they believe the system can be adopted without increasing manpower and only by giving additional training and by adjusting the format of nursing record sheets. It suggests that the future for adopting a clinical nursing diagnosis is very bright. 3. As the most urgent problem to be solved for adopting clinical nursing diagnosis, 38. 5% responded that it was "education of nurses, "and 34.2% responded that it was "staffing adequate number of nurses". 4. For the 10 questions asked for self-evaluation of ability to adopt the system, with the scale of 1~5, average score was lower than 3. This indicate that they evaluate their ability to adopt the system is low. 5. The results of study taken before and after the educational programs for clinical nursing diagnosis were compared with overall score in order to determine if such program would cause changes in the response to the effect of clinical application of nursing diagnosis, and it was found that there was statistically significant changes suggesting that the education contributed to positive change in the response. 6. The results of study taken before and after the educational programs for clinical nursing diagnosis were compared with overall score in order to determine how the proble~ ms for adopting nursing system would be effected by such educational programs, and it was found that those problems be not soived with a short course of training. 7. The results of study taken before and after the educational programs for clinical nursing diagnosis were compared with overall score in order to determine if such programs would bring changes in the self-evaluation of nurses on the ability of nursing diagno sis, and it was found that program improve score of self-evaluation their ability of the nursing diagnosis. As seen in the above reports, it was found that the nu'rses are very positive about the clinical nursing diagnosis, that educational program for the clinical nursing diagnosis helps nurses for positively changing their attitude for ,the nursing diagnosis, for their self-confidence on their ability to perform nursing diagnosis. With improved know-how and self"confictence of nurses gained through educational and .training programs, the future of clinical application of nursing diagnosis is very bright.diagnosis is very bright.

• 산학경영연구
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• 제19권1호
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• pp.53-80
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• 2006

지역 중소건설업체의 주요 문제점은 업체수의 급격한 증가 추세와 이로 인한 심각한 수주경쟁 및 수익성 악화에 기인한다. 공공 공사의 대부분을 차지하는 대규모 토목공사와 지방자치단체 발주 공사 수주에 있어 대형 업체가 지방으로 진출함에 따라서 중소업체는 경쟁력 취약, 공사관리 시스템 부재 및 품질관리능력 미흡 등으로 어렵다. 또한 기술능력의 전문성 부족, 우수한 기술인력의 확보능력 및 기술 인력의 개발/관리능력 미흡, 자금조달의 어려움으로 인한 자체사업 및 개발사업 등의 사업확대 불가능, 발전 및 성장을 위한 기업의 특화된 전략과 목표가 취약하다. 지역 중소건설업체의 주요 개선방안은 첫째, 최고 경영자의 의식 변화를 통한 경영혁신이 필요(중소업체의 경우 대형업체보다 최고 경영자가 경영 성과에 미치는 영향이 매우 크게 나타나고 있다)하다. 둘째, 전문적인 기술력과 특화된 전문분야를 확보하여 차별적인 경쟁력을 구축해야 한다. 셋째, 전문 기술인력의 확보 및 확보된 내부인력을 관리 육성하기 위한 시스템의 개발이 필요하다. 넷째, 재무관리 능력의 개선 및 자금조달 능력 향상을 통한 경영 차원의 개선과 개발사업, 자체사업 등으로의 사업영역 확대 등이 요구된다. 도출된 문제점과 개선방안을 토대로 살펴보면 강원지방 중소건설업의 성장전략은 다음과 같은 것이 중요하다. 공공부문과 민간부문 그리고 자체사업 분야의 성공적 확대를 위해서 가장 필요한 성장전략은 품질 확보와 가격경쟁력이다. 현재 공공 및 민간부문의 수준확대를 위해서 확대해야 할 기반분야는 발주기관과의 유대관계 확립과 기술경쟁력 확보 그리고 정보시스템의 도입 등이다. 향후 수행하여야 할 사업에서 주력해야 될 사업경쟁요소는 품질, 기술, 가격 등이다. 향후 중소건설업체의 성장을 위한 사업경쟁 요소는 최우선적으로 기술과 품질로 이의 개선을 위한 정보화 기반의 구축과 확대가 필요하다.및 24시간 전에 조사하였던 UVB의 영향인 것으로 생각된다. 24시간 간격으로 10분간씩 3회 조사했을 때 중족골의 Ca 함량은 점차 증가되어 96시간에 최고치 24.18%를 보였고 P함량은 역시 96시간에 최고치 7.29%를 나타내었으며, 회분 함량은 240시간까지 계속 증가되어 45.73%에 이르렀다. UVB조사 후 경과시간에 따라 살펴보면 중족골의 Ca와 P 함량은 UVB 조사후 96~144시간에 최고치에 도달했으나 회분함량은 240시간까지 계속 증가하는 모습을 보였다. 다음 UVB의 조사방법에 따라 종족골의 Ca함량을 봤을 때 무간격으로 조사시 240시간까지 계속 증가하였고, 12시간 간격으로 조사시 144시간에 최고치를, 24시간 간격으로 조사시에는 96시간에 최고치를 나타내었으며 회분 함량을 봤을 때 12시간 또는 24시간 간격으로 조사하였을 경우가 무간격으로 조사하였을 때보다 더 높은 수준을 보였으므로 24시간 간격으로 10분간씩 조사하는 것이 바람직한 것으로 생각되었다.를 미루어 볼 때 과산화된 지질의 섭취는 생체내 대사 이상을 유발할 가능성이 인식되었고 카테킨의 투여는 신선한 어유를 섭취한 경우 뿐만 아니고 이미 과산화된 어유를 섭취한 경우 뿐만 아니고 이미 과산화된 어유를 섭취한 경우에도 생체내에서 과산화 억제작용을 어느 정도 효과적으로 수행하는 것으로 나타나 앞으로 이의 효과적인 활용이 기대된다.다.nsidered to be due to the different food habits and environmental condition of the invertebrates.재강조될 필요가 있다. 이 두 역할개념 들을 교육을 통하여 효과적으로 가르칠 필요가 있다고 본다. 이 두 개념들이 간호사의 바람직한 간호행 위에 영향을 미치는 가장 중요한 요소로 나타났기 때문이다. 또한, 본 연구결과에 따르면, 경험이 많을수록

• 간호행정학회지
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• 제3권1호
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• pp.119-133
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• 1997

Continuing shift service of clinical nurses can be not only the cause of occupational dissatisfaction by being connected with the change of circadian rhythm and the burden of duties to be applicable to such changes. But also of inviting the lowering of nursing quality by being affected to the resignation of the nurses as the threat to the health of the nurses. This study has selected 500 nurses at random under non-probability sampling who have been serving by shift in 7 general hospitals which have over 400 sickbeds for the purpose of cross-sectional survey design from Sep. 7 through 20, 1996. Standardized modification of the CMI has been used which was designed for Koreans with Cornell Medical Index developed by Broadman and his fellow workers as the study device. The structure of the device was composed of 35 questions on physical appeal(Chronbach's ${\alpha}=8507$) and 22 questions of mental appeal(Cronbach's ${\alpha}=.8166$ totalling 57 questions. The collected data has been computerrized by using SPSS. General character, present symptom, perceived symptom and others are sought by practical number and percentage, and the health condition comparison followed by general characters was conducted by t-test and ANOVA. The post test was by Duncan's test by the level of p<.05. 1) The items of the answer that they have the physical symptom presently by 50% or over of the nurses were as "Do you often have spells of severe dizziness", "Are your eyes often red or inflamed", "Does press or pain in the head often make like miserable", "Are your ankles often badly swollen", "Do pains in the back make it hard for you to keep up with your work". 2) The items of the answer by over 50% of the nurses as the mental symptom at present were "do you fell bad when criticized?", "Do you get angry when everything is against your will?", "do you get angry when ordered to do this and that?", "do you feel uneasy by such a trifle thing?", "do you tremble or are you freightened by sudden sound?". The mental and physical symptoms which have appeared presently in connection with the shift service have been agreed with each other. But the physical condition has been worse than the mental one. 3) In the physical health conditions followed by demosociological character, there were the significant differences by sex, religion and place of residence(p<.05), and in the mental health conditions, there were the significant differences by age, marital status, residence place and the required time for attending hospital(p<.05). 4) There was significant difference by the degree of satisfaction about the duty in both the physical and mental health conditions. In short, the higher the degree of duty satisfaction, the better the health conditions. 5) There were the significant difference according to the times of night duty and whether they take the drug or not or the kinds of the drugs in the physical health conditions related with the characters of night shift. Mental health conditions in the night shift case showed significant differences according to their taking drug or not or the kinds of the drugs(p<.05). I can confirm that the nurses have been affected continuously by the shift service mentally and physically. The maintenance of the physical and mental health of the nurses and its promotion are very important problem to guarantee the quality nursing in the performance of the nursing service continuously and effectively, so the hospital should make every effort to improve the duty conditions by finding out the causes affecting to their health. In the nursing management viewpoint, I think that elevating the satisfaction degree about the duty would be a great help to the promotion of physical and mental health conditions. But what is most important is that the nurses themselves should take care of themselves in maintaining the good conditions in their service in the hospital.

• 농촌의학ㆍ지역보건
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• 제34권3호
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• pp.334-345
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• 2009

본 조사는 전라남도 지역의 20개 보건소와 이들 보건소에 소속된 보건지소, 보건진료소 실무자 총 450명을 대상으로 만성질환에 대한 업무수행 실태와 이와 관련된 교육 훈련 등의 수행실태와 환자 관리실태 등을 파악하여 만성질환 관리를 위한 지역보건사업의 기초자료를 제공하는데 있으며 그 결과는 다음과 같다. 만성질환 실무담당자는 농촌 67.8%, 어촌 87.7%, 도농복합지역 60.9%로 간호사가 가장 많았고, 만성질환자로 등록하여 관리하고 있는 평균 환자수는 고혈압이 농촌 84.4명, 어촌 52.8명, 도농복합지역이 613.6명 이었고, 당뇨병이 농촌 26.4명, 어촌 14.7명, 도농복합지역 124.9명이었으며, 고지혈증이 농촌 5.6명, 어촌 2.9명, 도농복합지역 41.0명이었다. 만성질환 관리를 위한 전문적문인 지원과 공식적인 연계체계를 갖춘 경우는 농촌 17.9%, 어촌 14.7%에 불과하고 도농복합지역은 전무한 상태였다. 만성질환자를 위해 집단 보건교육을 실시하고 있는 경우는 농촌 83.7%, 어촌 70.8%, 도농복합지역이 77.3%였고, 고혈압, 당뇨병에 대한 교육내용은 운동, 식이, 일반적 지식, 금연, 절주, 비만, 약물요법, 합병증, 스트레스에 대한 내용으로 담당자가 직접 시행하고 있었다. 지난 1년간 보건교육을 실시한 평균 횟수는 농촌 9.9회, 어촌 8.3회, 도농복합지역이 11.6회이었고, 만성질환 실무담당자가 교육받기를 원하는 영역으로는 고혈압, 당뇨, 고지혈증의 증상, 진단, 치료 및 합병증이 농촌 43.0%, 어촌 41.1%, 도농복합지역이 47.6%로 도농복합지역이 가장 많았고, 병태생리, 약물요법, 예방 또한 도농복합지역이 많았다. 반면 운동과 식이는 농촌 33.7%로 농촌이 가장 많았고, 스트레스, 비만, 금연, 절주는 도농복합지역이 가장 많았다. 질병 관리를 위한 기초자료는 확보되어 있으나 자료가 미비하다고 응답한 경우가 농촌56.3%, 어촌 52.2%, 도농복합지역이 66.7%이었으며, 만성질환 관리사업 중 가장 중요하다고 생각되는 영역은 환자 조기발견사업이 농촌 52.6%, 어촌 50.7%, 도농복합지역이 36.4%이었고, 지원이 필요한 영역에서 업무표준화가 시급하다고 응답한 경우는 농촌 30.7%, 어촌 35.2%, 도농복합지역 40.9%로 가장 많았다. 전반적으로 타 의료기관과의 협조체계는 잘 이루어지지 않고 있다고 응답하였다. 이상의 결과를 종합하면 전라남도 만성질환 관리 담당자들은 적극적으로 만성병 관리업무를 수행하고 있으나, 고지혈증과 관련한 업무의 전문성부족과 관리를 위한 기초자료의 부족 등을 업무수행의 장애 요인으로 생각하고 있었으며, 업무능력 향상을 위한 연계체계의 구축과 교육의 필요성을 요구하고 있어 이에 대한 적극적인 지원과 대책이 필요할 것으로 사료된다.