• 한국가족복지학
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• 제23호
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• pp.103-152
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• 2008

본 연구에서는 Walsh가 구성한 가족레질리언스(Family Resilience) 개념틀을 바탕으로 결혼초기부부가 가족레질리언스를 강화해나갈 수 있도록 지원하는 프로그램을 개발하고자 하였다. 이를 위해 결혼초기부부, 부부관계향상, 가족레질리언스에 관한 문헌고찰을 토대로 가족의 신념체계, 조직유형, 의사소통과정을 기본틀로 하는 주 1회, 3시간씩, 총 4회에 걸친 프로그램을 구성하였으며, 구성한 프로그램을 결혼초기부부 7쌍을 대상으로 실행하고, 프로그램의 효과를 평가해보기 위해 Wilcoxon Signed Ranks Test를 활용해 동일집단사전사후비교분석을 하였으며, 프로그램참여자로 구성되는 포커스집단운영을 통해 참여자가 인식하는 프로그램 효과와 구조에 대한 견해를 분석하였다. 사전사후비교분석결과 신념체계(가족통제감, 가족강점), 조직유형(부부적응성, 가족자원) 의사소통과정(정서반응), 결혼적응에서 유의미한 향상이 있었으며, 프로그램 효과와 구조에 대한 참여자의 견해 분석에서도 프로그램 효과에 관한 내용이 보고되었고 프로그램 시간구조면에서 회당 3시간 4회가 적절한 것으로 평가되었다. 본 연구는 결혼초기부부의 가족레질리언스를 강화하는 사회복지실천도구를 개발하고자 시도함으로써 가족레질리언스 개념을 구체화시키고 지역사회실천가들에게 구체적인 실천도구를 제공한다는 데 의의가 있다.

• Journal of Genetic Medicine
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• 제8권2호
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• pp.105-112
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• 2011

목적: 유전성 유방암 가계에서 BRCA 유전자 돌연변이 결과 공유의 중요성은 가족검사를 통해 돌연변이 보인자를 확인하고 적극적인 암 발생 감시와 예방적 치료를 제공하는데 있다. 본 연구를 통하여 유전성 유방암 가계에서 돌연변이 사실에 대한 공유 정도, 등친 별 의사소통 차이와 이에 영향을 미치는 요인을 확인하고자 한다. 대상 및 방법: 한국인 유전성유방암 연구에 등록되어 BRCA1 또는 BRCA2 돌연변이가 확인된 발단자 106명을 대상으로 검사 후 유전상담, 유전성 유방암 지식도 평가, 돌연변이 사실에 대한 가족간의 의사소통 과정, 가족 검사 현황에 대해 설문조사를 시행하였다. 결과: 최종 응답자 106명 중 99명은 적어도 한 명 이상의 친족에게 자신의 유전자 검사결과를 알렸으며, 일등친 가족에게만 알린 경우는 68.7%, 일등친과 이등친 이상의 가족에게 돌연변이 사실을 알린 경우는 31.3%였다. 단변량 분석결과 일등친 가족에게만 검사결과를 알린 군이 이등친 또는 삼등친 가족에게 돌연변이 사실을 알린 군에 비해 기혼자의 비율이 더 높았으며, 검사 후 유전상담일로부터 설문조사 시점까지 기간이 유의하게 짧은 것으로 나타났다. 가족에게 돌연변이 사실을 알린 이유에 대해서는 가족들에게 BRCA 유전자 돌연변이 가능성과 유방암 발병위험성을 알리기 위함에 가장 큰 비중을 차지하였다. 결론: 유전성 유방암 가계에서 BRCA 돌연변이 사실에 대한 정보를 보다 많은 가족과 공유하기 위해서는 유전상담 시 환자 개개인의 가계 구조를 파악하여 차별화된 의사소통 방법을 제시해 주어야 할 것이다.

• 한국간호교육학회지
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• 제4권2호
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• pp.236-248
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• 1998

This survey study was attempted for two purposes : 1) to grasp Korea National Open University(KNOU) students' changing aspects for their education need through comparison analyses with 1996 data ; 2) to establish foundation of the systematic network formation by investgating students' opinion about network framework. Among randomly assigned 4,500 students, 1,505 KNOU nursing students who allowed to participate in the study completed the questionnaires. The data were collected by mail. For the comparison 1996 data were also used. The data were analyzed using descriptive statistics, chi-square test, and t-test. Results of this study were as follows 1. The admission purposes of the KNOU nursing students were 'in order to get a bachelor's degree (70.7%)', 'to do studying and working simultaneously(43.0%)', or 'to be admitted for the graduate school (41%)' etc. Comparing the admission purposes by age, the investigator found 4 items which are 'small amount of tuition', 'graduate school admission', 'aspiration for the university', 'promotion or commencement of work' showed statistically significant differences. These 4 items were also found to show significant differences by marital status. 2. In relation to the learning media, the study showed most students(74%) got effective informations from the school newspaper(36.5%) or peer group(37.7%). The result showed that few students (0.7%) used the computer for communication. The research indicated that KNOU nursing students have tendency to rely on printed materials more than on broadcasting media. This is almost the same result as that of 1996. 3. The results revealed that 12.4% of the respondents had ever experienced unregistration or temporary withdrawal. The most common reason for the unregistration was 'due to family affairs or their job (71.3%)'. There were no change for this aspects with 1996. 4. As for the professors-students network formation. The result revealed that 38.5% students among respondents had heard of the network formation. 78.7% of respondents, however, positively responed that they would willingly participate in the networking if it is made. Especially the students showed much interest in 'the improvement for the understanding of study' and 'strengthening of the relations between professors and students'.

• 대한간호학회지
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• 제23권2호
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• pp.299-315
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• 1993

Koreans are one of the fastest growing immigrant groups in America. Stress responses and stressors among this large cultural minority has been rarely been studied by nursing researchers. Adjusting to life in foreign country produces a great deal of stress. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstandings are not well accounted for in health assessment. This study investigated the relationship between life events or / and daily activities as a stressor and the symptoms of stress among a sample of Korean immigrants in America. The symptoms of stress scale (SOS) was used to identify stress responses and open-ended questions were used to identify life events and daily activities considered by the respondents to be stressful. A simple random sample of 283 subjects was selected from the Directory of the Korean Society of Chicago, New York, Los Angeles, Philadelphia and Seattle. Demographically, the subjects ranged in age from 20 to 69 years, and the percentage of women and men was approximately 50% each. Almost ninety percent of the subjects were highly educated, 17% owners of business, 19% white collar professionals, 14% employed in sales or as skilled /unskilled labor, 27% as housewives and students and 3％ had no occupation. The total group SOS mean was 0.8042 ; the SOS men for man was 0.7371, and for women was 0.8713. The stress response of this subject group was high, -the stress response of women higher than that for men. In an earlier study(June, 1992) with another sample, the total mean SOS score was similar to this one. The main stressful life events or / and daily activities were, in order, economic problems (N=97), interpersonal problems (N=68), children care problems (N=258), health problems (N=49), communication problems (N=42), family problems (N=38), worry about future career (N=36), and religious problems (N=25). There was a significant difference in the SOS means between the group that expressed life events or / and daily activities to be stressful and the group that did not. Interpersonal relationships and economic and family problems were stressors for those who complained about peripheral manifestations. cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle ten-sion, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. In summary, interpersonal relationships and economic and family problems influenced stress response manifestations. Income, the number of people in the family, the year of immigration. the level of education, and marital status were related to physiological and psychosocial stress responses.

• 지역사회간호학회지
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• 제10권2호
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• pp.275-290
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• 1999

The Objectives of this study were to identify family nursing phenomena at the community in Korea and to contribute to build up family domain of International Classification for Nursing Practice. The method of this study was used retrospective one among three methods to develop ICNP during the period from April 1997 to June 1999. The procedure was to choose nursing phenomena using preliminary terms(stepl) from the reports on family nursing care of the nursing students of 5 junior colleges of nursing and 5 colleges of nursing. The study group members identified 3 common family nursing phenomena with 5 characteristics related to each phenomenon. In order to consensus the appropriate characteristics of a phenomenon(step2), 17 study group members had regrouped nursing phenomena and scored its characteristics 5 times. The essential characteristics of each family phenomenon were selected above 3.5 mean score from related characteristics(step 3). Finally, 17 phenomena were named preferred terms such as following, that was selected after investigated preliminary terms(step4). Family nursing phenomena in Korea are named as Lack of family interaction in community. Social isolation. Lack of social support system in community. Disturbance in parent role, Disturbance in marital role, Dissatisfaction of sexual life, Disturbance in family communication, Inappropriate family coping, Lack of family intimacy, Inappropriate family power structure, Family violence. Unhealthy life style. Deficit of financial management skill and support. Inadequate care a sick member. Insecure safety and hygiene in neighborhood, Inadequate home-sanitation. Inadequate home-making. Family nursing phenomena in Korea were partially confirmed family architecture of ICNP, Beta version. by this study. Further study on Family nursing phenomena in Korea will be required to support evidence through literature review of nursing classifications or field studies.

• 대한간호학회지
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• 제26권1호
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• pp.94-106
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• 1996

Nursing literature suggests that the self-concept of nurses gives an important implications to educators and administrators as well as clinicians for their professional development. With a view to exploring how nurses view themselves, the Professional Self-Concept of Nurses Instrument (PSCNI) using 27 Likert items was developed by Arthur in Australia in 1990. This study is an extension of the PSCNI using Korean samples with some modifications. A convenience sample was drawn from 800 nurses working in three university hospitals in Seoul ; three university hospitals in Kyonggi-do and a university hospital and a psychiatric hospital in Kangwon-do. Seven hundred questionnaires were analyzed using the statistical analysis system(SAS). The reliability of the scale was tested by test-retest and Cronbach's alpha. Differences in the PSCNI, which are closely related to demographic variables, were examined by t-test, ANOVA and the Duncan's multiple range test. Factor analysis was employed so as to examine component factors. The results are summarized as follows : 1. The test-retest reliability of the PSCNI was .79 and Cronbach's alpha was .85. Item correlations with total revealed consistent correlations and subscale reliability varied from .49 to .85. 2. The average score of PSCNI was 75.21 and average item score was 2.79. 3. Twenty four items were derived from the PSCNI 27 items and these items clustered in three component factors. The cumulative percent of variance was 38.12％ and for factor 1 was 22.81％, for factor 2, 9.79％ and for factor 3, 5.51％ respectively 4. A comparison of the scores for the dimensions of the PSCNI shows a relative difference in terms of mean item scores and in descending order, professional practice（m=2.83）, communication （m=2.82） and satisfaction（m=2.70）. 5. Professional self-concept of nurses was found to vary significantly according to age（P=.0001）, religion（P=.0001）, academic background（P= .0109）, marital status（P=.0001）, career（P= .0001） and position（P=.0001）. In conclusion, there was a correlation between professional self-concept of nurses, and life and work variables. This study provides an important message for administrators and nurse educators by highlighting factors which can be addressed by education programs, staff development and appraisal. While the test results largely confirm the Australian and Canadian tests, further research is necessary to improve the cumulative percent of variance instead of applying Arthur's PSCNI directly to Korean nurses.

• 사회복지연구
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• 제49권4호
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• pp.101-129
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• 2018

본 연구는 폭력감소에 대한 부부폭력 가해자프로그램의 전체효과를 확인하였다. 국내에서 2000년부터 2017년까지 발표된 11편 논문을 대상으로 18개 연구결과와 115개의 효과크기를 산출하였다. 가해자프로그램은 폭력행동 변화에 실질적이고 치료적인 차원에서 유의미하게 효과적인 것으로 나타났다. 효과크기는 통제행동, 정서적 폭력, 신체적 폭력 순으로 높았다. 폭력성 이외의 다른 종속변인들의 효과를 조사해 보았다. 가해자프로그램은 내담자들의 성역할과 폭력에 대한 태도를 긍정적으로 변화시키고 있었다. 또한 분노와 우울 수준을 낮추고, 자존감과 의사소통기술을 향상시키며 부부관계만족도를 높이는 것으로 확인되었다. 이 가운데 성역할 태도와 자존감이 상대적으로 큰 효과크기를 보였다. 나아가 이 연구는 폭력행동을 감소시키는 가해자프로그램의 효과에 영향을 주는 요인이 있는지 살펴보았다. 분석결과 접근모델과 상담형태의 조절효과가 확인되었다. 구체적으로, 여성주의 인지행동 모델이 절충모델이나 단일모델보다 효과가 더 있는 것으로 밝혀졌다. 상담형태에서는 가해남성으로만 구성된 집단상담이 부부집단상담에 비해 효과크기가 더 크게 나타났다. 이러한 결과를 바탕으로 부부폭력 가해자프로그램의 효과를 높이기 위한 정책적, 실천적 방안을 논의하였다.

• 재활복지
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• 제22권1호
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• pp.87-114
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• 2018

본 연구는 취업한 뇌성마비인의 직업유지기간에 영향을 미치는 요인들을 실증적인 분석을 통하여 구명하고 이를 바탕으로 뇌성마비근로자가 직업을 지속적으로 유지하기 위한 방안을 모색하는 것이다. 이를 위해 뇌성마비근로자의 일반적인 특성을 파악하고, 인구학적 요인, 장애관련 요인, 취업관련 요인, 사회환경 요인들이 뇌성마비근로자의 직업유지기간에 미치는 영향을 검증하고자 한다. 분석을 위하여 뇌성마비근로자 233명을 대상으로 빈도분석과 기술통계 그리고 t-test와 일원배치 분산분석을 실시하였다. 뇌성마비근로자의 직업유지기간에 영향을 미치는 요인분석 결과를 살펴보면, 직업유지기간에 영향을 미치는 4요인 17개 변수 가운데 15개 변수가 통계적으로 정적으로 유의미한 결과를 나타내었다, 인구학적 요인에서 직업유지기간에 유의미한 영향을 미치는 변수는 연령, 가구소득, 결혼상태, 교육수준으로 나타났다. 장애관련 요인에서는 장애등급, 장애원인, 의사소통능력이었으며, 취업관련 요인에서는 임금, 고용형태, 장애관련기관 및 기업, 직무형태, 직업훈련, 자격증이었고, 사회환경요인에서는 보조공학기기, 근로지원인서비스가 영향요인이었다.

• 대한치위생과학회지
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• 제4권2호
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• pp.9-18
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• 2021

Background: Based on the individualistic approach of experienced dental hygienists, this study attempted to provide basic data to find effective measures of human resource management by analyzing the correlation between organizational socialization and professional self-concept. Methods: Dental hygienists currently working in the Daegu area were evaluated. Nine questions related to duties, twenty-seven questions related to professional self-concept, and thirty-eight questions related to organizational socialization were included in the study. The reliability was professional self-concept (Cronbach's α = 0.859) and organizational socialization (Cronbach's α = 0.840). Results: Of the total 135 points for professional self-concept, the mean score of the participants was 62.67±8.45 points. In the sub-area, flexibility was the highest at 19.28±2.46 points, and communication was the lowest at 9.69±1.44 points. Of 190 points, organizational socialization averaged at 123.40±12.82 points. In the subarea, personal characteristics were the highest at 30.37±3.71 points, and occupational identity was the lowest at 10.34±1.94. Higher age (F=30.89, p<0.000), marital status (F=10.22, p<0.002), graduate or higher educational qualification (F=9.16, p<0.000), were associated with a higher position (F=20.62, p<0.000) and work experience (F=22.66, p<0.0000), when there was no intention to turnover (F=8.05, p<0.000). Organizational socialization was higher in participants with higher age (F=7.89, p<0.000), educational qualification (F=8.02, p<0.000), and position (F=5.12, p<0.007); higher work experience in general hospital (F=4.50, p<0.012); no intention to turnover (F=7.450, p<0.000); and no intention to turnover (F=24.46, p<0.000). Organizational socialization showed a significant positive correlation with professional self-concept (r=0.721, p<0.000); job performance and skills (r=0.615, p<0.000) and organizational commitment and satisfaction (r=0.610, p<0.000) showed a high positive correlation. Turnover intention (β=0.213, p<0.000) was found to have a significant effect on organizational socialization. Leadership (β=0.168, p<0.05) and satisfaction (β=0.483, p<0.000) were found to have a significant effect. The total explanatory power of this variable was 62.7%. Conclusion: To ensure successful organizational socialization, human resource management should be performed through regular verification, which can result in improved quality of dental care services.

• 보건교육건강증진학회지
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• 제2권1호
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• pp.3-50
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• 1984

The levels of health knowledge, attitude and practice of housewives considerably effect to the health of households, communities and the nation. This study was designed to grasp the levels of health knowledge, attitude and practice of houswives and analyse the various factors effecting to health in order to provide health education services as well as materials for effective formulation and implementation of health policy to improve the health of the nation. This study has been conducted through interviews by trained surveyers for 4,281 housewives selected from 4,500 households throughout the country for 40 days during July 11-August 20, 1983. The results of survey were analysed by stepwise multiple regression and path analysis are summarized as follows; 1. Based on the measurement instrument applied to this study, the levels of health knowledge, attitude and practice of housewives were extremely low with 54.5 points out of 100 points in full. Higher level with 72 points and above was approximately 21 percent and lower level with 39 points and below was approx. 24 percent. The middle level was approx. 55 percent. In order to implement health programs successively, health education should be more strengthened and to improve the level of health knowledge, attitude and practice (KAP) of the nation, political consideration as a part of spiritual reformation must be concentrated on health. 2. The level of health knowledge indicated the highest points with 57.3 the level of attitude was the second with 55.0 points and the practice level was the lowest with 50.0 point. Therefore, planning and implementation of health education program must be based on the persuasion and motivation that health knowledge turn into practice. 3. Housewives who had higher level of health knowledge, showed their practice level was relatively lower and those who had middle or low level of it practice level was the reverse. 4. Correlations among health knowledge, attitude and practice (KAP) were generally higher and statistically significant at 0.1 percent level. Correlation between total health KAP level and health knowledge was the highest with r=.8092. 5. Health KAP levels showed significant differences according to the age, number of children, marital status, self-assessed health status and concern on health of the housewives interviewed (p<0.001) 6. Health KAP levels also showed significant differences according to the education level, economic status, employment before marriage and grown-up area of the housewives interviewed. (p<0.001) 7. Heath KAP levels showed significant differences according to health insurance benificiary and the existence of patients in the family. (p<0.001). 8. Health KAP levels showed significant differences according to distance to government organizations, schools, distance to health facilities, telephone possession rate, television possession rate, newspaper reading rate and activities of Ban meeting and Women's club. (p<0.001) 9. Health KAP levels showed significant differences according to electric mass communication media such as television, radio and village broadcasting etc. and printed media such as newspaper, magazine and booklets etc., IEC variables such as individual consultation and husband-wife communication, however, there was no significance with group training. 10. Health KAP of the housewives showed close correlation with personal characteristics variables, i.e., education level (r=.5302), age (r=-.3694) grown-up area (r=.3357) and employment before marriage. In general, correlation of health knowledge level was higher than the levels of attitude or practice. In case of health concern and health insurance, correlation of practice level was higher than health knowledge level. 11. Health KAP levels showed higher correlation with community environmental characteristics, Ban meeting and activity of Women's club, however, no correlation with New-village movement. 12. Among IEC variables, husband-wife communication showed the highest correlation with health KAP levels and printed media, electric mas communication media and health consultation in order. Therefore, encouragement of husband-wife communication and development of training program for men should be included in health education program. 13. Mass media such as electric mass com. and printed media were effective for knowledge transmission and husband-wife communication and individual consultation were effective for health practice. Group training was significant for knowledge transmission, however, but not significant for attitude formation or turning to health practice. To improve health KAP levels, health knowledge should be transmitted via mass media and health consultation with health professionals and field health workers should be strengthened. 14. Correlation of health KAP levels showed that knowledge level was generally higher than that of practice and recognized that knowledge was not linked with attitude or practice. 15. The twenty-five variables effecting health KAP levels of housewives had 41 per cent explanation variances among which education level had great contribution (β=.2309) and electric mass com. media (β=.1778), husband-wife communication (β=.1482), printed media, grown-up area, and distance to government organizations in order. Variances explained (R²) of health KAP were 31%, 15%, and 30% respectively. 16. Principal variables contributed to health KAP were education level (β=.12320, β=.1465), electric mass comm. media (β=.1762, β=.1839), printed media, (β=.1383, β=.1420) husband-wife communication (β=.1004, β=.1067), grown-up area and distance to government organizations, in order. Since education level contributes greatly to health KAP of the housewives, health education including curriculum development in primary, middle and high schools must be emphasized and health science must be selected as one of the basic liberal arts subject in universities. 17. Variences explained of IEC variables to health KAP were 19% in total, 14% in knowledge, 9% in attitude, and 10% in health practice. Contributions of IEC variables to health KAP levels were printed media (β=.3882), electric mass comm media (β=.3165), husb-band wife com. (β=.2095,) and consultation on health (β=.0841) in order, however, group training showed negative effect (β=-.0402). National fund must be invested for the development of Health Program through mass media such as TV and radio etc. and for printed materials such as newspaper, magazines, phamplet etc. needed for transmission of health knowledge. 18. Variables contributed to health KAP levels through IEC variables with indirect effects were education level (Ind E=0.0410), health concern (Ind E=.0161), newspaper reading rate (Ind E=.0137), TV possession rate and activity of Ban meeting in order, however, health facility showed negative effect (Ind E=-.0232) and other variables showed direct effect but not indirect effect. 19. Among the variables effecting health KAP level, education level showed the highest in total effect (TE=.2693) then IEC (TE=.1972), grown-up city (TE=.1237), newspaper reading rate (TE=.1020), distance to government organization (TE=.095) in order. 20. Variables indicating indirect effects to health KAP levels were; at knowledge level with R²=30%, education level (Ind E=.0344), newspaper reading rate (Ind E=.0112), TV possession rate (Ind E=.0689), activity of Ban meeting (Ind E=.0079) in order and at attitude level with R²=13%, education level (Ind E=. 0338), activity of Ban meeting (Ind E=.0079), and at practice level with R²=29%. education level (Ind E=.0268), health facility (Ind E=.0830) and concern on health (Ind E=.0105). 21. Total effect to health KAP levels and IEC by variable characteristics, personal characteristics variables indicated larger than community characteristics variables. 22. Multiple Correlation Coefficient (MCC) expressed by the Personal Characteristic Variable was .5049 and explained approximately 25% of variances. MCC expressed by total Community environment variable was .4283 and explained approx. 18% of variances. MCC expressed by IEC Variables was .4380 and explained approx. 19% of variances. The most important variable effected to health KAP levels was personal characteristic and then IEC variable, Community Environment variable in order. When the IEC effected with personal characteristic or community characteristic, the MCC or the variances were relatively higher than effecting alone. Therefore it was identified that the IEC was one of the important intermediate variable.