• Journal of the Korea Convergence Society
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• v.9 no.10
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• pp.183-190
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• 2018

This study was conducted to investigate experiences, convergent responses and expected negative impacts of verbal abuse of 253 paramedic students when they were doing clinical training practice. The results were as follows. First, 34%(86 people) experienced verbal abuse, the most frequently verbal abuse was done by Patients and Patient's family. Second, the most frequently contents of verbal abuse by Patient and Patient's family, Paramedic, Doctor and Nurse was 'Talking down or rude talk to me'. Third, the most frequently emotional responses of the students was 'Angry' and coping was 'Tolerate'. Fourth, the most frequently expected negative impacts was 'Practice productivity will be compromised'. Fifth, when experiencing verbal abuse by Paramedic was correlated with emotional responses(r=.458 p=.000), emotional responses was correlated with stress and expected negative impacts(r=.553 p=.000, r=.540 p=.000). In conclusion, it will be necessary to provide preventive education on verbal abuse before clinical training practice and to take active measures that have been protocolized.

• Journal of Korean Academy of Nursing
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• v.34 no.6
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• pp.945-953
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• 2004

Purpose: This study was to explore the experiences of perioperative patients with cancer. The purpose of this inquiry was to describe the essence of such experiences, and to understand them from the patients' point of view. Method: Participants in this study were 9 cancer patients with ages ranging from 31 to 70 years old, living in B city, who experienced cancer operations. Data collection consisted of in-depth interviews and an observation method done from October to December in 2003. In analysing data, Colaizzi's(1978) phenomenological research method was adopted. Results: Five categories emerged from ten theme clusters. The five categories were: 'shock', 'expectations & wishes', 'despair', 'feelings of burden', 'continual pain'. Conclusion: The results of this study showthat oncology nurses need to pay more attention to the psychosocial aspect of nursing to empathize and support the cancer patients who suffer and its treatment, and operations.

• Korean Medical Education Review
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• v.8 no.1
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• pp.55-59
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• 2006

현대 의학의 발달과 더불어 최근 의학교육에는 많은 변화가 일어나고 있다. 그 중에서 최근 주목 받기 시작한 분야가 의학 시뮬레이션(medical simulation)이다. 시뮬레이션은 과거 강의 위주의 교육에서 한걸음 더 나아가 학생으로 하여금 임상에 가까운 상황에 접하게 함으로써 임상 진료 및 위기 상황을 경험하게 하여 지식과 수행을 통합하는 교육 방법이라고 할 수 있다. 또한 다양한 임상 경험을 할 수 있으며 환자에게 위해가 가해질 가능성이 없고, 학생에게도 안전한 교육 방법으로써 세계 여러 국가들이 도입한 교육 방법이다. 물론 시뮬레이션 교육은 비용과 시설 및 인력 요건의 구비가 상당히 많이 필요한 것이 사실이다. 그럼에도 불구하고 세계의 많은 대학들이 시뮬레이션에 투자하는 것은 의학교육의 흐름에 중요한 영향을 주고 있기 때문일 것이다. 최근 한국의 의학교육에서도 새로운 교육과정의 도입과 의사국가고시 실기시험이 도입되는 등 급격한 변화의 바람이 불면서 의학시뮬레이션 센터를 구축하는 곳이 늘어나고 있다. 의학 시뮬레이션의 세계적 동향을 주목할 필요가 있으며 시뮬레이션은 의료인의 자질 함양은 물론 환자들의 신뢰를 얻는 데에도 커다란 영향을 미칠 것이다.

• Asian Oncology Nursing
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• v.8 no.2
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• pp.128-137
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• 2008

Purpose: To explore and describe the essence of oncology nurses' experiences of counseling with cancer patients. Methods: Qualitative research with a phenomenological study. Participants were 6 oncology nurses who had worked as a clinical nurse specialist or an education-counseling nurse. Data were collected through individual semi-constructed interviews and analyzed with a thematic approach according to Colaizzi's method. Results: Seven themes emerged from the data: harmony of education and counseling, burdening, useless self-blaming, getting more matured, experiencing rewards and meanings, internalized strategies for counseling, and needs for self growth. Conclusion: The study highlights the significant impact of counseling with cancer patients by oncology nurses. Oncology nurses experienced both positive and negative aspects of being involved in cancer care. They stated that they were personally growing and getting maturated with the counseling experience. Sometimes they felt sad when the patient's status was progressed. They learned and internalized counseling skill during the communication with cancer patients. They wanted to learn about the practical course of counseling and communication method and the psychology of cancer patients.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1991.06a
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• pp.36-36
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• 1991

기도흡인은 후두의 고유기능중 방어기능을 소실함으로써 지속되는 경우 하기도에 치명적인 손상을 초래하게된다. 기도흡인에 대한 치료는 고식적 치료법과 수술적 치료법으로 대별되는데 일반적으로 고식적으로 치료법이 우선적으로 선택되어지고 있으나 흡인의 정도가 심하여 하기도에 폐렴, 무기폐 등의 위급한 합병증을 유발하거나 그 원인이 비가역적이어서 탈진 또는 악액질을 초래하는 경우 부득이 수술적 요법율 선택하게 된다. 수술적 요법의 선택시기에 대하여는 논란이 많으나 현재까지는 고통을 받고있는 환자의 상태에 따라 결정되고 있는 실정에 있다. 저자들은 최근 5년간 경험한 만성 기도흡인 환자 6례에 대하여 수술적 요법 즉, cricopharyngeal myotomy 1례, cricopharyngeal with medialization laryngoplasty 1례, laryngeal suspension with cricopharyngeal myotomy 2례, laryngeal diversion 1례, total laryngectomy 1례를 각각 시행함으로써 얻은 치료경험을 분석 검토하여 만성 기도흡인에 대한 치료상의 문제점과 보다 효율적인 치료법의 선택에 도움을 얻고자 문헌고찰과 함께 보고하는 바이다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.1
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• pp.304-314
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• 2016

This study was conducted to understand the meaning and nature of the compassion fatigue experiences among nurses working in oncology wards. The participants in this study were 11 nurses who worked for at least 6 months in oncology wards. The data were collected using in-depth interviews and analyzed using the phenomenological method by Giorgi. Six categories of the meaning of compassion fatigue were derived as follows; physically difficulty, emotion is control of patient's condition, collapsing in front of cancer patients, reminding of patient-related memory, finding a changed attitude, and searching for how to recover.

• Journal of Hospice and Palliative Care
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• v.15 no.1
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• pp.1-9
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• 2012

Purpose: The aim of this study was to discuss challenges for hope seeking intervention based on individual experience (HSIBIE) in palliative care, assuming that hope is an individualized unique, subjective, and dynamic experience. Methods: Literature, including analysis and discussion, was reviewed to identify limitations and ways to develop HSIBIE. Results: This study identified following challenges: 1. Hope was often described and utilized as a standardized unified structure with varying attributes or mono-structure emphasizing a realistic hope, or both of them (relativism vs. monism) in one literature. This challenge is represented as a problem in conceptualization. 2. Few studies discussed various patterns of hope or individuals' unique experiences in palliative care. 3. The HSIBIE and the method for the HSIBIE have been rarely discussed. Conclusion: A problem in conceptualization is often related to fixed ideas formed over a long period and used in a closed circle of scholars and professionals. Therefore, such fixed ideas should be openly challenged with fresh perspectives. The second issue requires a cross-cultural studies of various hope experiences in palliative care, which can be used for effective and appropriate HSIBIE.

• Korea Journal of Hospital Management
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• v.19 no.4
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• pp.69-78
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• 2014

• RED RIBBON
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• s.57
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• pp.10-13
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• 2004

에이즈를 흔히 사회적 질환이라고 한다. 전염이 가능하다는 이유로 사회생활에서 많은 차별을 당하고 있다. 그중 가장 그들을 힘들게 하는 차별은 아픈 몸을 치료해야 하는 병원에서 겪는 차별들이다.

• RED RIBBON
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• s.62
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• pp.28-29
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• 2005

레드리본은 HIV감염인$\cdot$AIDS환자들을 직접 대면하는 보건요원, 의료진들이 그들을 이해하고 원활한 업무진행을 위해 꼭 필요한 여섯 가지를 시리즈로 게재할 예정이다. 이 코너는 상담 혹은 진료의 대상자인 감염인들의 목소리를 통해 어떤 식으로 그들의 문제를 접근해주었으면 효과적인지를 그들이 겪은 경험을 토대로 연중시리즈로 기획하였다.