• 한국산학기술학회논문지
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• 제19권4호
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• pp.293-300
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• 2018

본 연구는 간호대학생의 직무 유형을 통해서 경력개발을 위한 교육요구는 무엇인지 알아보기 위한 목적으로 실행하였다. 연구목적의 달성을 위하여 먼저 부산 경남 지역에 있는 K 대학과 P 대학의 간호대학생 146명을 대상으로 커리어앵커 질문지를 이용하여 직무 유형을 분석하였다. 그리고 직무 유형 중에서 상위 유형의 경향성을 보이는 간호대학생 28명을 선별하여 4개의 팀으로 나누어 맵을 작성하였고, 작성된 맵의 내용을 기반으로 초점집단인터뷰를 했다. 이는 간호대학생의 실제적 목소리를 통해 경력개발을 위한 교육요구에 대해서 알아보기 위해서이다. 그 결과 첫째, 간호대학생의 커리어앵커 유형은 라이프스타일과 안전 보장이 가장 높게 나타났고, 가장 낮은 커리어앵커 유형은 순수한 도전과 관리적 역량이었다. 둘째, 경력개발을 위한 교육요구는 크게 4개의 영역, 전공역량, 실무역량, 인성역량, 자원관리역량으로 범주화하였다. 전공역량은 간호 전문지식 및 기술, 실무역량은 병동 업무처리, 의사소통, 위기대처능력, 인성역량은 협력, 책임인식, 자원관리역량은 시간 관리 능력, 스트레스 관리능력이다. 본 연구의 결과는 향후 간호대학생의 경력개발을 위한 교육적 기초자료로 활용할 수 있다는 점에서 의의가 있다. 아울러 간호실무 개선을 위한 교육과정개발에 적용할 수 있을 것으로 기대한다.

• 해양환경안전학회지
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• 제26권4호
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• pp.327-335
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• 2020

본 연구의 목적은 해양경찰공무원과 경찰공무원의 외상 관련 국내 연구 동향을 분석하여 향후 연구에 대한 시사점을 제공하는 것이다. KCI 등재학술지에 실린 해양경찰, 경찰의 외상 관련 논문 57편을 수집하여 논문의 기초사항, 연구대상, 연구방법, 측정도구, 관련 변인 등을 분석하였다. 해양경찰공무원과 경찰공무원의 외상 관련 연구는 2010년부터 시작되어 산발적으로 이루어지고 있었으며 57편 중 해양경찰공무원의 외상 관련 연구는 6편에 불과하였다. 연구자의 전공영역은 경찰행정분야(59.6 %)가 가장 많았고, 심리학(19.3 %), 의학 및 간호학(10.5 %), 사회복지학(8.8 %), 교육학(1.8 %) 영역에서 연구가 이루어졌다. 해양경찰공무원 대상 연구는 6편 중 1편 외에는 모두 경찰행정분야에서 수행되었다. 연구방법은 양적 연구방법(78.9 %)이 대부분이었다. 질적 연구는 3편이었는데 모두 경찰공무원을 대상으로 하였다. PTSD 척도는 IES-R-K가 가장 많이 사용되었고, PDS, PCL-5가 뒤를 이었다. 외상 관련 변인으로는 외상성 사건 경험, 회복력, 스트레스 대처 방법, 사회적 지지 순으로 연구가 많이 이루어졌다. 이러한 결과를 바탕으로 학문적 시사점과 후속 연구에 대한 제언을 하였다.

• 대한간호학회지
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• 제22권4호
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• pp.569-588
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• 1992

This study examined the relationship between the experience of stressful life events and somatic symptoms of urban women. Data were collected by interviewing 200 women from June to July 1, 1991. Vsable data work obtained from 162 of the women. Modified version of a stressful life events measurement tool developed p.5. Lee (1984) and the Somatic Discomfort Inventory by Wittenborn were used to measure the variables. Data were processed by an 5.p.5.5. program and analyzed. statistically for percentage, T-test, ANOYA and Pearson Correlation coefficient. Result of the Study are as follows : 1) The group total mean score of stressful life events was 92.66 $\pm$ 10.41. The higher scores in the $\boxDr$Test and school$\boxUl$ of the Extrapersonal factor, in the $\boxDr$Health problems$\boxUl$ of the Intrapersonal factor and $\boxDr$Conflict and differences within the family$\boxUl$ of the Interpersonal factor, factors. which a suggested by Neuman's model. 2) The group total mean score for somatic symptoms was 100.41$\pm$9.74. The higher scores were for the factors of $\boxDr$Fatigue (1.94)$\boxUl$, $\boxDr$Menopause (1.74)$\boxUl$, $\boxDr$Muscular system(1.67)$\boxUl$ and $\boxDr$Sleeping (1.67)$\boxUl$ 3) The mean scores of stressful life events were higher in the 40~60 age group, for middle school graduates(P＜.05), career women and those in nuclear families (P＞.05). 4) The mean scores of somatic symptoms were higher in the 45~60 age group, for middle school graduates, non career women and women with 5 or more children(P＜.05). 5) There was a positive correlation between the scores of stressful life events and somatic symptoms (r＝.585 P＜.05). The higher the level of stressful life events the higher the score of somatic symptoms, the results were consistent with the Extrapersonal, Intrapersonal and Interpersonal stress factors of Neuman's Health Care Systems. This research assessed the stressful life events of women, who play the most important role in the family for illness prevention and health promotion and suggested the importance of programs in the Primary Health Services to build basic coping resources.

• 가정과삶의질연구
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• 제27권1호
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• pp.73-88
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• 2009

The purpose of this study was to investigate the influence of the factors such as self-esteem, social supports, socio-economic status of parents, degree of disability in child, stress coping, religion, and sports.exercise on the qualities of lives in mothers with disabled children. Data were collect from 45 institutions(schools from kindergarten to senior-high, special education institutes, and social welfare institutions) by self-report questionnaire, and the subjects of the study were 386 mothers in Seoul whose children were attending the schools or institutions. Findings according to socio-demographic variables are as follows: 1. Mothers with disabled children in this study thought their quality of life as average degree. 2. The younger the mothers and children, the higher the quality of life was. 3. The higher the educational level and monthly income, the higher the quality of life was. 4. There was no statistically significant difference between the existence and nonexistence of spouse, and between the existence and nonexistence of religion as well. Findings analyzed by multiple regression are as follows: 1. Among 7 independent variables 'self-esteem'(${\beta}$=.49, p<.001), 'social supports'(${\beta}$=.15, p<.01), and 'socio-economic status'(${\beta}$=.11, p<.05) were found to be statistically significant in quality of life in mothers, while the rests were found not significant. 2. 'Self-esteem' was found to be the most influencing variable, meaning that the psychological factor such as self-esteem is more important than environmental factors in qualities of lives in mothers. 3. The total amount of explanation of the model was Adjusted R square=.301, so that it can be said about 30% can be explained among total variance of the qualities of lives in mothers with disabled children. Conclusions and recommendations based on the results above are: First, it is strongly recommended to conduct programs promoting self-esteem in mothers with disabled children, and to include 'self-esteem' hereafter in the studies related to qualities of lives in mothers with disabled children. Second, comprehensive and practical countermeasures should to be formulated to back up expenses for education and medical care, purchasing relative tools and equipments, plus helping to find jobs.

• 인간행동과 음악연구
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• 제17권1호
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• pp.25-50
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• 2020

본 연구는 노래기반 지지적 음악심리치료를 경험한 북한이탈청소년의 적응유연성 변화 및 그 내용을 탐구하기 위한 사례연구이다. 3명의 북한이탈청소년을 대상으로 주 2회, 회기 당 60분씩 총 7회기의 프로그램이 그룹세션으로 시행되었다. 노래기반 지지적 음악심리치료는 북한이탈청소년의 적응유연성의 내적 하위요인인 '강인성'과 '목표 의식' 강화를 목적으로 진행되었다. 참여자 변화 확인을 위해 사전·사후검사에 북한이탈청소년 적응유연성 척도를 사용하여 평가했다. 또한 적응유연성에 있어 경험된 내용을 분석하기 위해 중재 동안 나타난 참여자들의 음악적·비음악적 반응을 기록하고 탐색하였다. 연구 결과 참여자들의 적응유연성 점수는 모두 증가하였고, 중재 내에서 적응유연성과 관련한 참여자들의 긍정적인 음악적·비음악적 변화를 관찰할 수 있었다. 이러한 결과는 노래기반 지지적 접근의 음악심리치료가 북한이탈청소년이 지각하지 못했던 지지자원의 인식을 도움으로써 심리적 역량을 강화시키는 데에 긍정적으로 작용하였음을 의미하며, 궁극적으로 남한적응을 위한 적응유연성 향상에 도움이 되었다고 사료된다.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6451-6457
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• 2013

Background and Purpose: Indigenous people who leave their hometowns and move to the city to earn a living became urban aboriginals. During the process of adapting to urban living situations, they may use various coping strategies such as smoking to overcome their stress. Therefore, it is crucial to provide health education including smoking prevention, increasing knowledge regarding of tobacco hazard, self-efficacy of anti-smoking, and adjusting smoking behavior so as to empower their anti-smoking motivation to prevent lung cancer. The purpose of this study was to explore the effectiveness of an anti-smoking program on urban aboriginals in Taiwan. Methods: A quasi-experimental study design with purposeful sampling was employed. A total of 125 aboriginal subjects were recruited from two local churches at Shu Lin area in northern Taiwan. Subjects were divided into an experimental group (n =64 ) and a control group (n = 61). Both took pre-tests in order to set baseline values, and only the experimental group participated for 3-weeks in the anti-smoking program classes. Both groups took post-tests immediately after the intervention in order to evaluate the immediate effects of the teaching program, and a follow-up test was conducted four weeks after the intervention. Data were analyzed using descriptive statistics, one-way ANCOVA, and repeat measure ANCOVA. Results: After controlling for confounding variables, the results showed that there were statistically significant differences in the self-efficacy of anti-smoking and smoking behavior between experimental and control groups in the immediately post-test and the follow-up test (p < 0.05). However, there was no significant differences in the recognition of hazards of smoking at eiter time point. Conclusions and Implications for Practice: The findings of this study revealed that the anti-smoking program effectively improved self-efficacy of anti-smoking, and decreased the smoking behavior in urban aboriginals. They provide useful information as a reference regarding of aboriginal health promotion to health providers. It is imperative that anti-smoking be reinforced for those regular smokers to prevent induction of lung cancer.

• 한국콘텐츠학회논문지
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• 제13권1호
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• pp.342-353
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• 2013

본 연구는 마음수련명상의 지속기간에 따른 정신건강의 차이를 비교분석하기 위한 것이다. 단기집중 마음수련명상의 효과를 파악하기 위한 단일군 전후 원시실험연구와 지속적 마음수련명상의 효과를 파악하기 위한 서술적 조사연구로 구성된다. 자료 수집 및 대상은 단기집중 마음수련명상군의 경우 2011년 7월 23일부터 7월 30일, 2012년 1월 7일부터 1월 14일에 마음수련명상 프로그램에 참여한 교사들 75명을 대상으로 프로그램 실시 전후에 구조화된 설문지를 이용하여 자료 수집을 하였고, 지속적 마음수련명상군의 경우 2012년 2월 현재 마음수련명상을 1년 이상 지속한 교사들 101명을 대상으로 2012년 2월 15일에서 2월 28일까지 자료 수집을 하였다. 자료 분석은 SPSS WIN 14.0를 이용하였으며 연구결과는 다음과 같다. 단기집중 마음수련명상군의 경우 마음수련명상 전후에 정신건강의 모든 하위영역(신체화, 강박증, 대인예민성, 우울, 불안, 적대감, 공포불안, 편집증, 정신증)에서 유의한 차이가 있었다. 지속적 마음수련명상군의 지속기간에 따른 정신건강 정도는 편집증을 제외한 8개 영역(신체화, 강박증, 대인예민성, 우울, 불안, 적대감, 공포불안, 정신증)에서 모두 유의한 차이를 보였다. 결론적으로 마음수련명상이 단기적, 지속적 중재 모두에 효과가 있는 것으로 보아 임상에서의 단기적용과 스트레스 대처능력을 기르기 위한 지속적인 프로그램으로서 개발과 적용이 필요하다.

• 대한간호학회지
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• 제31권2호
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• pp.221-231
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• 2001

This study was conducted by analyzing all 33 articles based on the LISREL, published from January 1991 to March 1999 in Korea. The analyses consisted of the publication date of articles, principal dependent variables, subjects of the research, adequacy of sampling, adequacy of research purposes and results, accordance between theoretical model and hypothetical model, fit measures, theoretical base of model modification, and adequacy of conclusion. The results were as follows : . The thesis of 33 articles in total were outnumbered as 25 (75.8%) to 8 (24.2%) research articles. As for a sex classification of the subjects, 45.5% of the research were conducted around a female group of subjects, while 54.5% were done for both sex, The range of the sample size was 105 to 803, and the average was 259 subjects. . A single theoretical variable was measured for each measurement variable, any difference between variables was hardly found in 8 articles (24.2%), and 19 articles (57.6%) did not consider any measurement error. To analyze if the representative has been articles (21.2%) were seen with a sign of a representative. Questionnaires were used in a majority (31 articles) of the data collecting process. Only 2 articles (6.1%) were measured with a physiologic index simultaneously. . 14 articles (42.2%) were centered on theory development, 10 articles on theory synthesis, and 9 articles on theory test. The research purposes and results were consistent in 25 articles (75.5%) and 8 articles (24.2%) were inconsistent. The quality of life and health promotion behavior were the concepts most frequently studied as a dependent variable, and 7 articles centered on them. In applied theories a health promotion model was used on 4 articles (12.1%), while role theory and stress-coping models were in 3 articles respectively. . The articles were analyzed to see if the hypothetical model was elaborated and tested by the theoretical model. Twenty-five articles proved to be rationale for the inconsistencies. Also, 56.5% proposed hypotheses were supported among the subject articles, and 30 articles (90.0%) suggested a revised model. Path coefficient (17 articles) and theoretical adequacy (17 articles) were the standards mostly used. In conclusion, the principal factors were obtained from the research are to be considered as the principes of LISREL application. First, a model has to be established on a theoretical base rather than empirical results dependent on the data. The results are also required to be globally interpreted. Secondly, at least 200 samples are necessary to satisfy the need. Third, more than 3 measurement variables are to be adjusted to a single theoretical variable; the measurement errors must be suggested as well. Finally, normal distribution characteristics of the data and the estimation method need to be reported. Based on the research result, the follows are suggested; . Systematic criteria on the LISREL application and procedure need to be developed . Agreement form is required to report the results of research using the LISREL

• Child Health Nursing Research
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• 제8권4호
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• pp.449-457
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• 2002

The main purpose of this study is to examine the concepts appeared on researches and provide the future research directions in field of child health nursing. A descriptive study was conducted. 205 studies were included in an analysis the concepts in terms of the domain of client for a total 321 researches. All were originally published between 1990 and 2000 in Korea. An analysis of concepts for this study was used the metaparadigm framework for nursing proposed by H.S. Kim(2000). The concepts for this study were categorized by essentialistic concepts, problematic concepts, health-care experiential concepts with the following results. 1. Based on the four domains suggested Kim (2000), 205 studies(63.9％) belong to the domain of client ; 109 studies(34％) belong to the practice domain of nursing; 3 studies(0.9％) belong to the client-nurse domain; and 4 studies belong to the domain of environment, respectively. 2. In the domain of client, 117(57.1％) studies used concept of parent. Among them, mother was the prevailing research population(103 studies). 64 studies(31.2％) used child population and the developmental stage of children varied from preterm to puberty but school aged children was the most target population(28 studies). Family as a concept of client was used in 20 studies(9.8％) but most primary care provider was the mother. 3. In terms of research design, non-experimental design(83.5％) is the most and among them survey was 159 studies(77.6％). Qualitative research(23 studies) and experimental research(10 studies) methods were used relatively few. 4. In terms of the categories of concepts, 196 (61.4％) studies included the essentialistic concepts like stress and coping(20.4％), mothering role and child care(7.8％), health (5.6％), breast feeding(4.7％). 31 studies included problematic concepts like power-lessness, safety, obesity, pain, anxiety. And 65 studies included health-care experiential concepts like compliance, growth, hope, environment but relatively few. The findings of this study provide the evidence that research related problematic concept and health-care experiential concept should be conducted actively to improve the practice of child health nursing. Also to deeply understand the phenomena of client in field of child health nursing, interpretive research methods should be conducted actively, too.