• Journal of Hospice and Palliative Care
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• 제26권4호
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• pp.160-170
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• 2023

Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

• 여성건강간호학회지
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• 제29권4호
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• pp.317-327
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• 2023

Purpose: This study investigated the influence of cervical cancer knowledge, human papillomavirus (HPV) knowledge, self-efficacy, and uncertainty on the intention to engage in cervical cancer preventive behavior in HPV-infected women. Methods: This descriptive correlational study was conducted among 129 adult women aged 20 to 65 years who received positive HPV results at a general hospital in Changwon, Korea. The dataset was analyzed using descriptive statistics, the independent t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression. Results: The mean score for the intention to engage in cervical cancer preventive behavior was high (4.43±0.65). This intention was significantly different according to age at first sexual intercourse (F=7.38, p=.001), HPV type (F=4.79, p=.010), vaccination (t=3.19, p=.002), and condom use (t=3.03, p=.003). The intention to engage in cervical cancer preventive behavior showed significant, weak-to-moderate positive correlations with HPV knowledge (r=.22, p=.012) and self-efficacy (r=.42, p<.001). Self-efficacy (β=.46, p<.001), first sexual intercourse at <20 years (β=.45, p<.001), first sexual intercourse at 20-24 years (β=.29, p=. 018), HPV high- and low-risk group infection (β=.26, p=.019), HPV high-risk group infection (β=.26, p=.026), and vaccination (β=.21, p=.007) significantly influenced the intention to engage in cervical cancer preventive behavior. These variables explained 34.6% of variance in intention. Conclusion: Study findings support the need to develop a program that effectively conveys accurate information about cervical cancer prevention to HPV-infected women and helps them enhance self-efficacy to boost the intention to engage in cervical cancer preventive behavior.

• 문화기술의 융합
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• 제10권3호
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• pp.219-226
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• 2024

본 연구는 간호대학생의 시뮬레이션 실습교육 경험, 임상실습 만족도, 문제해결능력 및 임상수행능력과의 관계를 파악하기 위한 연구이다. 연구설계는 서술적 상관관계 연구로 연구참여자는 3학년 간호대학생으로 교육과정에 시뮬레이션 실습교육이 있는 일개 대학의 학생 95명과 교육과정에 시뮬레이션 실습교육이 없는 일개 대학의 학생 102명으로 총 197명으로 구성되었다. 수집된 자료분석은 빈도분석, 기술통계, Independent t-test, Pearson correlation을 이용하였다. 연구결과 시뮬레이션 실습교육 경험이 있는 간호대학생은 임상실습에서 임상실습 만족도와 임상수행능력에 유의한 차이를 나타냈다. 그러나 문제해결능력은 유의한 차이가 없었다. 또한 시뮬레이션 실습교육 경험, 임상실습 만족도, 임상수행능력과의 상관관계가 있음을 확인할 수 있었다. 본 연구결과에 근거하여 간호대학생의 임상실습의 효과성을 높이기 위한 다양한 상황의 시뮬레이션 교육프로그램을 개발하고 활용할 수 있을 것이다.

• 한국간호교육학회지
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• 제30권1호
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• pp.49-60
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• 2024

Purpose: The coronavirus disease 2019 (COVID-19) pandemic has had significant physical and psychological impacts on registered nurses (RNs). This study aimed to identify long COVID symptoms and their associated factors specifically among RNs. Methods: This descriptive correlational study's sample comprised 189 nurses (31.57±5.98 years, 93.7% female) in Korea. Self-reported long COVID symptoms were assessed using the COVID-19 Yorkshire Rehabilitation Scale. Data were collected from December 31, 2022, to January 13, 2023, using the online survey method and were analyzed using independent t-test, Wilcoxon signed-rank test, one-way ANOVA, Pearson's correlation, and a multiple linear regression analysis with the IBM SPSS Statistics 26.0 program. Results: A total of 179 participants (94.7%) experienced one or more long COVID symptoms. The most prevalent symptoms were weakness (77.8%), fatigue (68.3%), breathlessness (67.7%), cough/throat sensitivity/voice change (50.3%), and sleep problems (50.3%). The factors related to long COVID symptoms were marital status, type of institution, working time, acute COVID-19 symptoms, and vaccination status. The quarantine period (β=.26, p<.001) and the nursing workforce after COVID-19 (β=-.17, p=.018) were significantly associated with long COVID symptoms (Adjusted R² =.33). Conclusion: Providing comprehensive recognition is necessary for the understanding of long COVID symptoms and their associated factors among nurses and could promote a long COVID symptom management education program targeted at nurses. Moreover, it could facilitate effective nursing care and education plans for long COVID patients.

• 한국콘텐츠학회논문지
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• 제20권11호
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• pp.268-280
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• 2020

본 연구는 청년층의 직업선택과 창업과정에서 영향을 주는 요인에 관하여 실증분석하였다. 분석방법은 진로 체계가 잘 구축되어 있거나 창업이 활성화된 비교대상 6개 국가(중국, 인도네시아, 영국, 독일, 이스라엘, 미국)를 선정하여 비교 분석하였다. 통계의 표본은 글로벌 기업가 정신 트랜드 지수(GETR) 데이터를 활용하였으며, 7개국 청년층의 7,082명을 표본으로 활용하였다. 다변량 분산분석과 상관관계 분석을 통하여 요인별 국가 간의 평균비교를 하였으며, 부모 영향도의 조절효과를 분석하였다. 직업선택의 영향요인으로 직업만족도, 부모 영향도, 직업변경 의향도로 나타났다. 한국의 직업만족도는 7개국 중 가장 낮았으며 직업변경 의향도는 가장 높게 나타났다. 한편, 부모 영향도는 7개국 중 중간수준으로 나타났으며, 직업만족도가 직업변경 의향도에 영향을 주는 과정에서 유사 조절효과가 있는 것으로 검증되었다. 창업의 영향요인으로 창업교육, 창업의지, 직업만족도, 부모 영향도로 나타났다. 이원배치 분산분석을 통하여 국가 간의 평균 비교분석과 요인 상호간의 영향도를 검증하였으며, 부모 영향도의 조절효과를 분석하였다. 모든 국가에서 창업교육이 창업의지를 높이는 효과가 있는 것으로 나타났다. 또한, 직업만족도가 창업의지에 영향을 주는 과정에서 부모 영향도가 유사 조절효과가 있는 것으로 검증되었다. 이러한 연구결과는 향후 정부와 대학 등 교육기관에서 청년층의 진로 전반에 대한 정책방향을 수립 시 도움이 될 유용한 시사점이 될 것이다.

• 한국조리학회지
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• 제20권6호
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• pp.13-27
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• 2014

본 연구에서는 외식업에 종사하는 조리사를 대상으로 일자리 불일치로 인한 직무성과의 영향 정도를 고찰하고, 이러한 인과관계에서 이직의도에 어떠한 영향을 미치는 지를 검증하고자 한다. 외식업체 조리사의 경우, 동일 산업 내 업태의 세분화로 인하여 제한적인 메뉴상품을 생산함으로 교육기관을 통해 얻은 스킬을 발현하기 어렵다고 사료된다. 이에 본 연구는 일자리 불일치 실증연구를 위해 확보된 275개의 표본을 바탕으로 SPSS 17.0 프로그램을 통해 빈도분석, 요인분석, 신뢰성분석, 상관관계분석, 다중회귀분석을 실시하였다. 가설 1은 조리사의 일자리 불일치는 직무성과에 유의한 부(-)의 영향을 준다고 설정하였으며, 검증직무성과 요인은 스킬불일치(${\beta}$=-0.432), 임금불일치(${\beta}$=-0.250)가 조리사의 직무성과에 부(-)의 영향을 주는 것으로 나타났으나, 학력불일치(${\beta}$=-0.048)는 영향을 주지 않는 것으로 나타났다. 가설 2는 조리사의 직무성과는 이직의도에 유의한 영향을 준다고 설정하였으며, 검증결과, 이직의도요인은 직무성과(${\beta}$=-0.238)에 유의한 부(-)의 영향을 주는 것으로 나타나, 직무성과가 향상되면 이직의도는 감소하는 것으로 나타났다. 본 연구는 외식업에 종사하는 조리사들이 일자리 불일치를 경험하게 되어 이직의도로 연결되는 관계에서 조리사 개개인의 직무수준 부합 정도와 임금수준 정도가 중요한 영향을 미친다는 점을 시사한 것으로 볼 수 있다.

• 대한간호학회지
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• 제25권4호
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• pp.617-632
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• 1995

Nowadays, most big hospitals have a computer system to manage their administration. For maxi mum effectiveness in managing the computer system, an analysis of the variables affecting its implementation is necessary from the beginning. This study was done to analyze the variables influencing the operation of a hospital information system (HIS). The theoretical base for this study considered the combined effects of user expectations of computerization, and computer-anxiety. The relationship between variables in the theoretical base were analyzed and the individual characteristics influencing each variable were also analyzed. This study was done in two steps. First, 344 nurses were given an initial questionnaire developed to evaluate the reliability of the items. Based on the results, a second revised questionnaire was administered to 88 nurses who had been working in the areas where HIS was applied. The results of the first and second steps of the study are as follows 1. The initial study was done with nurses who were trained on the computer system briefly before HIS was implemented. The individual characteristics influencing computer anxiety and expectation regarding computer system usage in that initial study included, length of career, type of degree or certification, previous experiences with a computer, training on a computer, desire for computer training, and level of acceptance of a computerized work environment. But in the second study with nurses working in areas of the hospital where HIS was introduced, the work site was the only influencing characteristics. There-fore, in applying a computer system, overcoming work-environment barriers will be more import-ant than any individual characteristics. 2. The computer anxiety of the nurses in both groups, before and after the computer system ap-plication, was below the average level but the expectation of the effects of computerization was above average. The nurses using the computer program showed an above average level of satis-faction with the computer system itself, and with its effect on their efficiency. Therefore, the ability of nurses operating HIS will be positively. predictive. 3. For the variables included in the theoretical framework of the study, all of the correlational coefficients were statistically significant in the analysis of variation correlation. Therefore, the theoretical base of the study, "expectation in con junction with computer anxiety" can be considered an model which can be evaluated. Accord-ing to our analysis, the higher the level of nurses' motivation to use the computer system and the lower the anxiety about computer usage, the higher the possibility of computer system acceptance by nurses. The results of this study showed that in applying a computer system in the hospital, the main characteristic influencing acceptance was where the individual worked rather than personal characteristics such as length of career, type of degree or certification, and previous experiences with a computer. Therefore, it is suggested that the first step in uncovering and eliminating hindrance factors in ap-plication of a computer system should be an analysis of working conditions in relation to the functional content of the computer system. The suitability of the theoretical model based on the hypothesis ap-plied in this study should be further tested.

• 대한간호학회지
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• 제25권1호
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• pp.30-44
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• 1995

This study aimed at analyzing the trend of re-search on pain in Korea, suggesting direction future pain research, and contributing to the use of pain interventions in nursing practice. Research studies on pain were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Central Journal of Medicine, the New Medical Journal, and from theses and dissertations, which were conducted between 1970 and 1994. The total number of the studies was 93. These studies were analyzed for 1) time of publication or presentation, 2) thesis for a degree or nondegree, 3) research design, 4) characteristics of subjects used in each study, 5) measurement tool, 6) types of correlated variables, 7) Korean terms for pain 8) types of nursing interventions, and 9) results of studies. The findings of the analysis can be summerized as follows : 1) The number of studies related to pain has increased rapidly since the early 1980's. The number of experimental research studies related to pain has increased chronologically, but the number of survey research studies related to pain was highest from 1981 to 1985, after that it decreased slowly. 2) The subjects in 19 studies were healthy people and, in 73 studies, patients with various illnesses. Thirty two studies were conducted with surgical patients. 3) Sixty one pain research studies were done for a thesis for a degree and 32 were nondegree research studies. 4) As measurement tools for pain, self- report pain scales were used in 54 studies and more than two tools were used in 28 studies. In the experimental studies, the trend was to use more than two tools. And in the nonexperirnental studies, the trend was to use self-report pain scales only. 5) There were 11 correlational studies. In these studies, the trend was to study anxiety, depression and variables such as intravenous infusion as related to pain.6) In the thirty six experimental studies, the effects of 16 types of nursing interventions weretested. Teaching and information, and relaxation technique were the most popular interventions for pain. 7) In eighteen methodological studies, the majority were studies testing the validity and re-liability of Dr. Lee's Korean Pain Rating Questionnaire. The following suggestions are made based on the above findings : 1) The patterns of these studies related to pain in Korea need to be compared with trends in other countries. 2) Meta - analysis should be done to analyze and integrate the results of various studies. 3) This analysis of pain research is needed to identify the present trend of pain research and to suggest the direction of future pain research, so these patterns of studies should be done in 5 to 10 year intervals. 4) More replicated pain research is needed to prove the effect of nursing interventions and more qualitative research on pain is needed to identify indepth the meaning of pain. 5) Pain researchers should make an effort to apply research result in various clinical settings and try to carry out team research with clinical nurses or with other multidiscipinary researchers.

• 한국병원경영학회지
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• 제6권3호
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• pp.5-24
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• 2001

The purpose of this study was to serve as a basis for providing quality medical service and mapping out consumer-centered marketing strategies to successfully cope with the rapidly changing medical environment and meet consumer needs, by examining what affected the satisfaction and revisit of health Promotion center Client. The subjects in this study were 186 of visitor to health Promotion center in a university hospital in the city of Busan. A survey was conducted with structured questionnaire from March 2 to 30, 2001. The collected data were analyzed with SPSS for Windows (ver10.0). For more statistical analysis, frequency analysis, component analysis, t-test, ANOVA and correlation analysis procedures were utilized. Results of the study can be summarized as follows: 1. Regarding demographic characteristics, 51.6% of the Client investigated were male, and 48.4% were female. The greatest number of them were in their 40s(38.9%). 86.5% were married, and 34.2% were self-employed. 44% were a high-school graduate, and the monthly mean income of 59.4% was one to three million Won. And, the residential area of 46.8%, the largest percentage, was a half-an-hour distance from health Promotion center. 2. The most common motivation of their selection of the health Promotion center was a recommendation by Staff and neighborhood(59.7%), followed by excellent facilities and services(17.2%), the tradition and reputation of the hospital(7.5%), and its publicity pamphlets(7.5%). 3. 45.9%, the largest percentage, acquired health-related information from their friends or acquaintances. 43.8%, the greatest percentage, visited there because they felt there's something wrong with their body. 53.4% worried about the possibility of being attacked by cancer, and 57.5% wanted to take a precise cancer examination. For health maintenance, 50.1% got regular exercise. Regular exercise was considered most crucial for health maintenance or promotion. 4. The largest reason they used that examination center again was the kindness of employees(52.7%), followed by the tradition and reputation of the hospital(21%) and excellent examination setting and equipment(10.8%). 5. By demographic factor, there was no significant difference between the man and women in satisfaction level with examination and expenses. The women expressed more satisfaction at facilities, and the high-school graduate group were more contented with expenses. 6. As a result of investigating their satisfaction level according to the motivation of selecting that examination center, the group that chose the center due to excellent facilities and services were more satisfied with examination and expenses. 7. As for the relationship of total examination satisfaction to revisit. intention, there was a higher correlational relationship between total health examination satisfaction and expense satisfaction. Especially, the more they were satisfied with examination, the more they were willing to revisit there for another examination.

• 농촌지도와개발
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• 제20권1호
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• pp.235-264
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• 2013

본 연구는 진로에 대한 구체적 고민이 시작되는 중학생을 대상으로 진로장벽과 진로성숙도간의 관계를 분석하여 청소년 진로지도에 대한 시사점을 얻고자 하였다. 이를 위해 충청남도지역의 중학생 672명을 대상으로 진로장벽과 진로성숙도에 관한 설문조사를 실시하고 그 결과를 분석하였다. 연구 결과, 첫째, 청소년의 특성(성별, 학년, 사회경제적 수준, 학교성적)에 따른 진로장벽과 진로성숙도의 차이를 살펴본 결과, 각각의 특성에 따라 의미 있는 차이가 있는 것으로 나타났다. 둘째, 청소년이 지각한 진로장벽과 진로성숙도 간의 관계를 분석한 결과 부적관계에 있음을 확인하였다. 셋째, 청소년이 지각한 진로장벽의 하위요인 가운데 어떤 요인이 진로성숙도에 영향을 미치는지 알아보기 위하여 중다회귀분석을 실시한 결과 진로장벽의 하위요인 중 자기이해의 부족, 자신감 부족, 성역할 갈등 및 성차별, 진로 및 직업정보의 부족 등이 진로성숙도에 유의미한 영향을 미치는 것으로 나타났다. 이러한 결과를 근거로 할 때, 청소년의 진로성숙도를 높이기 위해서는 청소년들이 인식하고 있는 진로장벽을 낮추는 교육적 노력이 필요함을 시사 받을 수 있다. 아울러 본 연구는 청소년들이 지각하는 진로장벽이 청소년시기 진로지도나 상담 과정에서 중요하게 다루어져야 할 주제임을 다시 한 번 확인하였다.