• 문화기술의 융합
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• 제9권6호
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• pp.1127-1134
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• 2023

본 연구는 Parse의 연구방법을 적용하여 간호대학생의 온라인 정신건강간호학실습 경험의 의미와 구조를 밝히기 위한 질적 연구이다. 연구대상은 K대학 간호학과 4학년 재학생으로 COVID-19상황에서 정신건강간호학실습을 온라인으로 진행한 학생 9명을 대상으로 하였다. 자료수집은 2022년 3월 7일부터 2022년 5월 27일까지 이루어졌다. 연구결과 COVID-19상황에서 간호대학생의 정신건강간호학 온라인 실습 경험의 핵심 개념은 '자기와 타인 이해의 중요성 인식', '치료적 인간관계 형성을 위한 의사소통 준비', '간호의 의미 탐구를 통한 미래에 대한 조망'으로 나타났다. 핵심 개념을 생생한 경험의 구조로 전환시키면 '자기와 타인 공감', '상호적 인간관계를 위한 마음가짐', '간호의 본질탐구와 자기실현'으로 나타났다. 핵심 개념을 개념적으로 통합시키면 '가치화', '노출-은폐', '강화성'으로 재해석할 수 있다. 결론적으로 COVID-19 상황에서 간호대학생의 정신건강간호학 온라인 실습 경험은 정신건강간호의 목적이 되는 치료적 관계를 위한 인간의 이해, 의사소통의 중요성을 인식하며 미래 간호사로 성장하고, 초월해 나가는 경험이었다. 본 연구는 향후 팬데믹 등 예측할 수 없는 다양한 상황에 효율적인 임상실습 운영을 위한 기초자료가 될 것이다.

• 한국보건간호학회지
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• 제11권2호
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• pp.180-193
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• 1997

This study was designed to set up more developed curriculum in Nursing department of a junior college. The sample for the study were fifteen curriculums of fifteen selected junior colleges in Seoul and Kyunggi area. The credits and hours of each curriculum were analyzed into means and compared with the one of the example college. The data were categorized into seven sections; cultural subject, basic medical science, major subjects such as Nursing, Fundamental Nursing, electives, teaching and non-teaching subjects, and clinical practice. The data were analyzed by means of descriptive statistics. The results of the study were as follows; 1. Credit hours of Cultural subjects of each college ranges from $5.8\%\;to\;25.7\%$ of the total graduate credit hours; most commonaly lectured subjects are English 05 colleges), Korean (11 colleges), psychology (10 colleges), and computer (10 colleges). 2. In the case of the example college, Anatomy and Psychology were jointed as one subject, Basic Nursing Science, and some more study in depth should be made to develop more of this type of conjunction among related subjects on basic medical science. 3. As for the mendatory subjects of the example college, subjects on Adult Nursing was fourteen credits (14 hours), which was higher than the average 12.9 hours of other colleges compared. 4. Credit hours of Basic Nursing Laboratory were eight to ten credits (12-18 hours), which was higher than actual class hours. As more and more hospitals test clinical aptitude when recruiting nurses, more emphasis should be paid to the clinical practice. 5. Among fifteen sample curriculums six to twelve electives were offered with twelve to twenty-three credits. Most commonly opened subjects were Physical Examination (5), Nursing English (14). and Geriatrics Nursing (13). Nursing English are considered to be more important in the view of clinical practice. and Oriental Nursing, Nursing Information and Health Insurance Management should be considered as specialized subjects. 6. Teaching and Non-teaching subjects In case of the example school. Clinical Emergency Medicine, Introduction to Emergency Medicine were offered for these non-teaching class students so they could prepare for the qualification examination. 7. Clinical Practice The average credit hours for clinical practice of the sample college were 20.9 credit hours $(66.5\%)$ and the example school offered twenty credit hours which was slightly lower than the other forteen.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.91-105
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• 2005

Purpose: The purpose of this study was to describe the current status of managing educational programs for tobacco use prevention at middle and high schools located in Busan. Methods: Using a survey method with a 29-item self-administration questionnaire, the data were collected from January 10 through February 18, 2005, from school nurses as well as teachers major in healthcare of 227 participant schools. Results: A strategic plan for school-based educational programs of tobacco use prevention was mainly developed by a school nurse at middle school and a teacher in charge of school discipline at high school. The educational programs for tobacco use prevention were implemented for approximately 40% of schools in Busan with the budget ranged from 110,000 won to 200,000 won a year. Eighty five percepts of the schools had anti-tobacco regulations and guidelines in place. Twenty two percents of the middle and high schools collected the data regarding adolescents' smoking status periodically. Over 70% of schools provided tobacco use prevention education programs as a part of regular semester curriculum. Conclusions: For making the management of educational programs for tobacco use prevention effective and consistent with government's anti-smoking policy, schools need (a) development of tobacco management guideline and regulations with participation of teachers, students, and parents, (b) clear job and role descriptions for personnel to plan and implement anti-tobacco programs, (c) compilation of the budget enough to implement the programs, (d) periodically assessment of adolescents' smoking status, and evaluation of the programs to monitor whether those are effective for adolescents' health promotion; and (e) to make an effort to less range of quality in educational programs for tobacco use.

• 한국융합학회논문지
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• 제8권3호
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• pp.151-161
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• 2017

본 연구는 Professional Moral Courage Scale(PMCS)의 한국어 번역에 대한 신뢰도와 타당도를 검증하는 방법론적 연구이다. 자료수집은 2017년 1월 13일부터 2월 20일까지 196명의 간호대학생을 대상으로 실시되었고, 내적 일관성 신뢰도와 탐색적 확인적 요인분석을 통한 구성타당도를 검증하였다. 4개의 요인(도덕적 목표와 실천, 단순한 지시수행을 넘어서, 위협을 감수함, 다양한 가치기준 고려하기), 12문항이 도출되었고, 4개의 요인은 전체 변량의 62.20%를 설명하였다. 모델 적합성은 ${\chi}2/df=1.89$, p<.001, RMR=.055, GFI=.93, AGFI=.89, CFI=.92, RMSEA=.067로 나타났다. 전체 문항의 내적 신뢰도 Cronbach's ${\alpha}$는 .79이고, 요인별 Cronbach's ${\alpha}$는 .44-.80의 범위를 나타내었다. 본 도구를 실무 간호사를 대상으로 반복 연구함으로써 도구가 간호학생과 임상간호사의 전문직업적 용기를 측정하기에 과학적이고 실증적임을 입증할 필요가 있으며, 수준 높은 간호를 제공하기 위해서 필요한 도덕적 용기를 측정하고자 한 국내 최초의 시도라는 점에서 의의가 있다고 여겨진다.

• 한국학교보건학회지
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• 제22권1호
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• pp.1-16
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• 2009

연구목적: 이 연구의 목적은 일부 초등학교에서 호주의 천식친화학교 프로그램에 기반한 시범사업의 실시를 통해 우리나라 초등학교에서 소아천식관리프로그램의 적용 가능성을 검토하고 향후 발전방향을 위한 기초자료를 제시하는 데 있다. 연구방법 : 호주의 천식친화학교사업을 모델로 하여 초등학교에서 천식아동들을 위한 시범사업내용을 개발하였다. 시범사업의 내용은 천식아동발견사업, 학교 모든 교직원 및 천식아동 학부모 대상 교육사업, 교내 관리활동으로 구성된다. 시범사업은 도심에 위치한 한 초등학교와 농촌지역의 두 개 초등학교를 대상으로 6개월 간 시범 적용하였다. 시범사업 추진팀과 학교관계자들 간 그룹토의를 통해 사업과정에 대한 평가를 실시하였고 이 사업에 참여한 천식아동을 가진 144 가구를 대상으로 사업과정과 만족도에 대한 우편 설문조사를 실시하였다. 연구결과 : 천식아동발견사업은 일차스크리닝과 확진검사로 구성하였으며 시행결과 신규환자의 조기발견 효과는 있었으나 확진검사를 포함할 경우 환자발견사업의 경제성 평가의 필요성이 대두되었다. 학교보건교사를 대상으로 한 4시간 교육은 보건교사 업무에 도움이 된다고 평가하였으나 일반교사 교육은 참석률이 45.0%로 학교장과 보건교사의 의지에 따라 학교별로 다소 편차가 있었다. 천식아동을 가진 학부모의 교육 참석률은 총 122 대상가구 중 24.1%이었으며 참석하지 못한 이유로 증상이 경미하여 교육의 필요성을 못 느끼거나 바쁜 일정으로 참석하지 못한 경우가 가장 많았다. 반면 참석한 34명의 부모 중 도움이 되었다고 응답한 경우는 33명(97.1%)이었다. 설문조사에 응답한 122명의 학부모 중 92%가 학교에서 천식아동을 위한 관리프로그램이 필요하다고 응답하였다. 교내 관리활동으로 천식아동 명부를 작성하여 보건교사와 담임교사가 공유하였는데 천식아동의 건강상태를 더 자세히 기록한 건강관리카드의 필요성이 제기되었다. 천식 발작 시 대응요령을 위한 인쇄물과 천식조절제인 흡입제와 보조기구가 들어 있는 응급키트를 보건실에 비치하였으며 천식아동들의 안전을 위해 매우 필요하다는 의견이 많았다. 결론: 호주의 천식친화학교를 모델로 하여 초등학교에서 시범사업을 수행한 결과 이 사업에 참여한 각 학교의 학교장, 보건교사, 일반교사들, 그리고 천식아동의 학부모들은 천식아동들을 위한 학교 차원에서 관리활동에 긍정적이었다. 또한 프로그램의 수정과 보완이 필요성이 제기되었으며, 향후 효과평가를 통하여 우리나라 실정에 맞는 천식친화학교 모형을 정립해 나가야 할 것이다.

• Child Health Nursing Research
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• 제8권2호
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• pp.183-194
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• 2002

This study was conducted to obtain a basic information related to a more systematic safety education and measures against children's accidents by a descriptive survey with regard to accidents actually experienced by elementary schoolers, their perceived safety education activities and school facilities to their safety lives. The data was collected among 1,654 pupils, belonging to the 5th and 6th grades in Pusan from Nov. 20 to Dec. 1, 2000. The data was analyzed using SPSSWIN(7.5). The results were as follows ; 1. According to the perception by elementary schoolers, they received safety life instruction at school in most cases from teachers in charge of their own class (41.0％). Such safety education was provided often during formal classes(24.4％). Traffic guidance was given by parents, highest in frequency(67.3％). 2. Matters as most often treated during safety life instruction were safety knowledge or dangerous things(37.5％). A majority of notices of school safety instruction were presented sometimes(48.4％). Source of knowledge about safety lives included teacher (35.3％), parents(32.9％), TV and newspaper (29.9％). As a source of knowledge of emergency treatment, school nurses were accounted for 41.3％ that was highest. 3.Among the 1,654 students, 91.8％ experienced at least more than one case of safety accident. The most frequent type and cause of safety accident were wound(33.7％). and self-carelessness(38.4％) respectively. In most cases, the subject experienced such accident during a break time(32.2％) and at a playgrounds. Part of body as most often damaged by accidents were arms and legs, 25.4％ higher than any other sides problem solving measures against the accident were taken by school nurse in most cases, 44.8％ in percentage point. 4. Those students' perceived safety management of school facilities showed that they considered classroom facilities as most safe (61.6％), while playground facilities as least safe(42.8％). They also responded that the treatment of glass fragments or stones at playground is the most important item of safety management.

• 지역사회간호학회지
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• 제9권1호
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• pp.5-20
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• 1998

The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest -posttest design. The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students. The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week. There was a pretest before the program and a posttest after the 6 week program. The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC. The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities. 2. The first hypothesis, 'The level of self efficacy of the experimental group will be higher than that of the control group.' was supported(F=10.154, p=.002). The second hypothesis, 'The degree of health promotive behaviors in the experimental group will be higher than that of the control group.' was supported(F=17.349, p=.000). 3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000). 4. The significant variables for health promotion behaviors were religion(t= -1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t= -3.06, p=.00) in socio-demographic characteristics. In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women. The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.

• Clinical Endoscopy
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• 제55권2호
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• pp.167-182
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• 2022

Sedation can resolve anxiety and fear in patients undergoing endoscopy. The use of sedatives has increased in Korea. Appropriate sedation is a state in which the patient feels subjectively comfortable while maintaining the airway reflex for stable spontaneous breathing. The patient should maintain a state of consciousness to the extent that he or she can cooperate with the needs of the medical staff. Despite its benefits, endoscopic sedation has been associated with cardiopulmonary complications. Cardiopulmonary complications are usually temporary. Most patients recover without sequelae. However, they may progress to serious complications, such as cardiovascular collapse. Therefore, it is essential to screen high-risk patients before sedation and reduce complications by meticulous monitoring. Additionally, physicians should be familiar with the management of emergencies. The first Korean clinical practice guideline for endoscopic sedation was developed based on previous worldwide guidelines for endoscopic sedation using an adaptation process. The guideline consists of nine recommendations based on a critical review of currently available data and expert consensus when the guideline was drafted. These guidelines should provide clinicians, nurses, medical school students, and policy makers with information on how to perform endoscopic sedation with minimal risk.

• 가정∙방문간호학회지
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• 제3권
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• pp.75-85
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• 1996

Nursing Intervention Classification(NIC) includes the 433 intervention lists to standardize the nursing language. Efforts to standardize and classify nursing care are important because they make explicit what has previously been implicit, assumed and unknown. NIC is a standardized language of both nurse-initiated and physician-initiated nursing treatments. Each of the 433 interventions has a label, definition and set of activities that a nurse does to carry it out. It defines the interventions performed by all nurses no matter what their setting or specialty. Principles of label, definition and activity construction were established so there is consistency across the classification. NIC was developed for following reasons; 1. Standandization of the nomen clature of nursing treatments. 2. Expansion of nursing knowledge about the links between diagnoses, treatments and outcomes. 3. Devlopment of nursing and health care information systems. 4. Teaching decision making to nursing students. 5. Determination of the costs of service provided by nurses. 6. Planning for resources needed in nursing practice settings. 7. Language to communicate the unigue function of nursing. 8. Articulation with the classification systems of other health care providers. The process of NIC development ; 1. Develop implement and evaluate an expert review process to evaluate feedback on specific interventions in NIC and to refine the interventions and classification as feedback indicates. 2. Define and validate indirect care interventions. 3. Refine, validate and publish the taxonomic grouping for the interventions. 4. Translate the classification into a coding system that can be used for computerization for articulation with other classifications and for reimbursement. 5. Construct an electronic version of NIC to help agencies in corporate the classifiaction into nursing information systems. 6. Implement and evaluate the use of the classification in a nursing information system in five different agencies. 7. Establish mechanisms to build nursing knowledge through the analysis of electronically retrievable clinical data. 8. Publish a second edition of the nursing interventions classification with taxonomic groupings and results of field testing. It is suggested that the following researches are needed to develp NIC in Korea. 1. To idenilfy the intervention lists in Korea. 2. Nursing resources to perform the nursing interventions. 3. Comparative study between Korea and U.S.A. on NIC. 4. Linkage among nursing diagnosis, nursing interventions and nursing outcomes. 5. Linkage between NIC and other health care information systems. 6. determine nursing costs on NIC.

• 한국보건간호학회지
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• 제19권1호
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• pp.117-128
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• 2005

Purpose: The study examines the condition of medication counseling to determine the patient customers' demands, with the purpose of providing a basic data to improve the condition of medication counseling for phamacists and clinical nurses. Method: Questionnaire was completed by 150 nursing students. For data analysis, the SPSS win 10.0 program was used. Result: The contents of medication counseling given by the pharmacists in order of frequency were($100\%$ means 'always'): way of use$(78.7\%)$, period of taking medicine $(63.3\%)$, dosage$(46.7\%)$, effect$(27.3\%)$, drug name$(18.7\%)$, diet$(12.7\%)$, question of taking other drug$(12.7\%)$, giving a notice$(12.0\%)$, way of storage$(7.3\%)$, side effects$(6.0\%)$, drug interaction$(3.3\%)$' The needs and demands desired by the patients in order of frequency were('the most important' is given 10 points, followed by the others in numerically decreasing order until 0): effect(8.68), way of use(7.60), side effect(7.20), giving a notice(6.38), dosage (5.95), drug name(5.67), a period of taking medicine(5.60), drug interaction(4.37), diet(3.63), the way of storage(3.03). Most of the respondents were satisfied with the pharmacists' kindness$(62.7\%)$. Some recognized the medication counseling was quite good$(16.7\%)$, but the majority felt it was modest$(50.8\%)$' Nearly half of them felt the medication counseling time was quiet short$(47.3\%)$' The communication was mostly oral$(83.3\%)$, while others used sticker$(6.0\%)$ or leaflet$(6.0\%)$ additionally. There was a significant correlation between pharmacists' kindness and medication counseling content(p<,01), and also recognition(p<.001). The correlation between the number of medication counseling which gave to the patient customer and the recognition was also significant (p<.001). As the number of medication counseling increased, the patient felt the medication counseling time was adequate(p<.05). The correlation between the medication counseling recognition and the adequate time was also very significant(p<.001). Conclusion: These results revealed the situation of medication counseling to be poor and to be differ from the patient customers' demands. Therefore optimal medication counseling, especially regarding possible side effects and drug interaction should be emphasized. Pharmacists and clinical nurses should give qualitative medication counseling which reflects the patients' demands.