• Child Health Nursing Research
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• 제8권4호
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• pp.458-468
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• 2002

The purpose of this study was to identify metacommunicative behaviors between nurses and patients in a pediatric unit. The research method included observation using videotaping. Data were collected from December, 2001 to February, 2002. Total six nurses, and eight patients and their mothers in a pediatric unit participated in this study. The interactions were videotaped under the participants' consent. The participants were observed for total 8 hours over 2-day period. Special episodes which were identified as metacommunicative behaviors in the taped interactions were transcribed. Transcription included verbal and nonverbal interactions. Selected episodes were classified using Mitchell's definition. Each classified definitions were named, and categorized by its purpose. The results were as follows: Nineteen metacommunicative behaviors which used frequently by nurses-approaching, mediating eye level, eye contact, touching, encouraging, turnabout, mimic voice, giving choices, friendly demand, expansion, tagging, repeating and confirming, identification, reflection, baby talk, symbolization, description of acts, relaxed posture, turning away- were identified and organized into four categories. They were call for attention, facilitating response, empathy, and tension release. In conclusion, nurses in this study used metacommunicative behaviors frequently and these behaviors were effective in interacting with children. It is suggested that any educational programs to teach communication skills to nurses need to include techniques on metacommunicative behaviors. This will help nurses to be more sensitive to different characteristics of their patients.

• 한국문헌정보학회지
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• 제42권4호
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• pp.355-374
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• 2008

본 연구는 Saracevic과 Kantor(1997)가 개발한 도서관 서비스 가치의 분류체계를 적용하여 국내 도서관 이용자 16명을 대상으로, 이용자가 경험하고 표현하는 서비스 가치를 평가하였다. 이용자와의 직접적인 면담을 통해 이용자가 도서관서비스를 사용하게 된 동기 사용과정에서의 상호작용, 그리고 서비스의 이용을 통해 경험한 결과를 이미 개발된 분류체계의 구체적인 요소를 적용하였다. 이를 통해 다양한 목적으로 도서관 서비스가 사용되며 이용자 본인의 말로 표현된 서비스 가치를 포착, 분류할 수 있었다. 본 연구에서 사용된 면담 기법 등을 적절히 활용하면 이용자들로부터 서비스 가치와 관련된 구체적이고, 사실적인 언급을 수집할 수 있으며, 기존에 개발된 분류체계는 높은 포괄성과 적용성을 지닌 것으로 평가되었다.

• The Journal of Korean Physical Therapy
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• 제33권5호
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• pp.245-251
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• 2021

Purpose: This study sought to identify the effect of various types of communication by physical therapists on patient satisfaction and revisit intention. Methods: A total of 212 patients who received physical therapy in Seoul and the Gyeonggi province were surveyed on patient satisfaction and revisit intentions depending on the types of communication by physical therapists. Frequency and correlation analyses were conducted to process the data using the SPSS 22.0 program, and the AMOS 18.0 statistical package was used for confirmatory factor analysis. A structural equation modeling analysis was also performed to verify the model and the hypothesis that was set up in the present paper. Results: The survey showed that patient satisfaction correlates positively and significantly with patient-centric communication, physical factors, and spatial behavior. A significant negative correlation was also found between patient satisfaction and therapist-centered communication. Patient satisfaction positively correlated with revisit intentions. Conclusion: These results showed that there was a positive correlation between the communication of the physical therapist and the satisfaction recognized by a patient. This implies that the patient satisfaction with a physical therapist increases as the communication skills of a physical therapist improve. These findings suggest that a physical therapist must adopt patient-centric communication styles, physical factors, and spatial behavior. This study was important as it generated basic data for the formation of a therapeutic relationship through efficient and promotional communication skills. It recognizes the importance of communication between a physical therapist and a patient as the indispensable factor for interaction.

• 성인간호학회지
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• 제13권1호
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• pp.108-122
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• 2001

The cause of essential hypertension is yet unknown, but in general is caused by interaction of hereditary factors, diet, obesity, lack of exercise and stress. The aging process influences various physiological mechanism related to regulation of blood pressure. So elderly hypertensives have a tendancy to consider the disease as a result of the physiological aging process. This attitude causes many complications, worsening of the disease and even early death because of inappropriate care. In order to improve self-management of elderly hypertensives in this study the researcher examined the effect of blood pressure regulation by an education program that improves self-care behavior, through increasing self-efficacy. The education program consisted of group education on hypertension and self-care strategies, and encouraging and reinforcing self-efficacy resources such as verbal persuation, performance accomplishment and vicarious experiences. A quasi-experimental pre-and post-test design was used. Thirty-two elderly hypertensives participated in the study. Eighteen in the education group and fourteen in the control group. The education program consisted of eight sessions twice a week for four weeks. There was no intervention for the control group. Data were analysed using SPSS for Windows(Version 8.0). The results were as follows. 1. There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2. There was no significant difference in the level of self-care behavior between the experimental group and control group over three different times, and interaction by groups and over time. 3. There was significant difference in selfefficacy of experimental and control group, depending on the measuring period, but there was no difference between these groups on interaction by groups and over time. 4. There was positive correlation between self efficacy and self care behavior depending on the measuring period. There was negative correlation between diastolic blood pressure and self-care behavior on the posttest of the program, and between systolic blood pressure and self-care behavior on the follow-up test of the program. Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.

• Child Health Nursing Research
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• 제7권1호
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• pp.96-107
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• 2001

Recent research indicates that the new mothers want to learn about childrearing, and have burden in care of infants. Also it indicates that the new mothers say the lack of confidence and knowledge about infant care. This study was a prospective longitudinal reseach developing parent role education program and evaluating the effectiveness of this program for mother-infant interaction, childrearing environment and infant development. Longitudinal quasi-experimental design was used. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37weeks, and their mothers. The sample consisted of 19 mother-infant dyads for intervention group and 18 dyads for control group. Data were collected from March 15th to December 14th in 1999. For the intervention group received programmed education that was consisted of discharge education, telephone counselling, and home visiting for maternal education. The data were analyzed using chi-square test and t-test to test the equivalence of two groups, and the effectiveness of intervention program. This study was focused on the results of six months time point. The results were as follows: 1. There was significant difference in the mean score of mother-infant interaction(NCAST) between two groups. Intervention group showed higher scores in the subscales of sensitivity to cues, cognitive growth fostering, and caregiver total. 2. There was no significant difference in the mean score of child rearing environment (HOME) between two groups of six-month-infants. But when each subscale of HOME was examined, intervention group showed higher scores in the dimensions of opportunities for variety in daily stimulation, maternal involvement with child, and emotional, verbal response. 3. Six-month-infants of the intervention group showed significantly higher GQ in the Griffiths mental development scale. In conclusion, the maternal education program was effective in promoting the mother-infant interaction, organizing the childrearing environment, and fostering the infant development. These results were very meaningful that we found parent role education necessary for normal infants' mothers, and nurses can make a great contribution in promoting health of infants and mothers.

• 한국과학교육학회지
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• 제26권2호
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• pp.239-245
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• 2006

본 연구에서는 중학교 1학년 과학 과목에서 교사와 학생의 언어적 상호작용을 강화한 수업 전략을 개발하고 실시하여 이 수업 전략이 학생들의 과학 개념 이해, 논리적 사고력, 과학 관련 태도에 미치는 효과를 알아보고자 하였다. 이를 위해 경기도 소재의 남녀공학 중학교 학생 200명을 선정하여 실험집단과 통제집단에 각각 100명씩을 임의로 배정하였다. 실험 집단에는 교사-학생 상호작용을 강화한 수업 전략을, 통제집단에는 교사 강의식 전통적 수업 전략을 적용하였다. 교사-학생 간 상호작용을 강화하기 위하여 의도적으로 단순 확인 질문이나 즉각적인 피드백보다는 사고 유발 질문과 지연 피드백을 사용하였다. 그 결과 상호작용을 강화한 수업 전략이 학생들의 논리적 사고력 향상에는 효과적인 것으로 나타났으나 과학 개념 이해와 과학 관련 태도의 향상에는 효과적이지 봇한 것으로 드러났다. 앞으로 이러한 수업 전략에 따른 다양한 수업지도안의 개발과 적용에 대한 심층적인 연구가 수행되어야 할 것으로 생각된다.

• 대한간호학회지
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• 제20권3호
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• pp.324-340
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• 1990

Support has always been considered an important nursing concept. However, there is no agreement among nurse researchers as to a conceptual definition of supportive nursing or meaningful supportive behaviors. Clarification of the concept, support in nursing, is necessary to promote communication among nurses on nursing behaviors that are effective in providing support and on understanding the relevant properties and charcteristics of the concept, supportive nursing care. The objectives of the study were : 1. to analyse the concept, support in nursing, in order to provide a definition of supportive nursing care, and 2. to operationalize the definition of supportive nursing care and use it as an experimental nursing intervention for patients with low back pain. The first part of the study used the concept analysis approach developed by Walker and Avant(1983) to define the concept of supportive nursing care. The properties of supportive nursing care, defined by this analysis, included perception of supportive need, reciprocal interaction(Transaction), listening, providing empathy and information related to health, and confirmation of the patient's verbal and non - verbal response. The second part, the experimental part of the study, was done using King's(1970) Interpersonal Theory for Nursing. The concept, supportive nursing care, as defined in the concept analysis was operationalized and used as the experimental intervention. The experiment tested the effectiveness of the independent variable, supportive nursing care on the dependent variables, depression, mood and patient satisfaction, in the patients with low back pain in army hospitals. The instruments used to measure the dependent variables were Zung's(1965) Self- Rating Depression Scale, Ryman and Colleagues'(1974) Mood Questionnaire and LaMonica and Colleagues'(1986) Patient Satisfaction Scale. The experimental design used for this study was a Solomon 4 group experimental design. This design has the strength of allowing for observation of the main effects of supportive nursing care and pretesting, and for observation of the interaction effects of pretesting and supportive nursing care. The design includes one experimental group and three control groups. The Subjects of this study were 150 young male patients with low back pain on Neuro - Surgical Wards in three general army hospitals. There were 35 in the experimental group, 39 in the pre - posttest control group, 36 in the treatment - posttest control group and 40 in the posttest only control group. Supportive nursing care, as operationalized by the researcher according to the concept analysis, was given to the patients in the experimental group and the treatment -posttest control group, individually for 30 minute sessions, every other day for 5 days. Data collection was done using a questionnaire. The data were collected in a pretest one week before the supportive nursing care sessions, a posttest immediately after the sessions and follow- up test one week later. Hypotheses testing was done using 2×2 factorial analysis of variance and Meta analysis(Stouffer's Z method). The results of this study are summarized as follows : 1. Hypothesis Ⅰ, “There will be a difference on depression level between the patients with low back pain who receive supportive nursing care and those who do not receive supportive nursing care”, was supported (F＝8.49, p＜.05). 2. Hypothesis Ⅱ, “There will be a difference on mood level between the patients with low back pain who receive supportive nursing care and those who to not receive supportive nursing care”, was supported (Z meta＝2.17, p＜.05). 3. Hypothesis Ⅲ, “There will be a difference on satisfaction level between the patients with low back pain who receive supportive nursing care and those who do not receive supportive nursing care”, was supported (F＝13.67, p＜.05). 4. ANOVA, done to examine the interaction effect of history and maturation, showed no significant difference on the dependent variables between the observations of the pretest scores of the experimental group, the pretest scores of the pre- posttest control group and the posttest score of the posttest only control group. 5. To test for continuing effect of supportive nursing care, paired t-test was done to compare the scores for the dependent variables at the posttest and at the one week later follow-up test. No significant difference on the scores for the dependent variables was found between the posttest scores and the follow-up test scores for the two groups that received supportive nursing care, the experimental group and the treatment-posttest control group. In conclusion, it was found that in the case of young soldiers with low back pain in army hospitals, their depression level was decreased, their mood state was changed positively and their satisfaction level was increased by receiving supportive nursing care. Further, the effectiveness of the supportive nursing care lasted for at least one week in this study. The significance of this study to nursing is in the analysis of the concept of supportive nursing care and the demonstration of the effectiveness of supportive nursing care as an intervention within the limits of the study.

• 한국콘텐츠학회논문지
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• 제20권2호
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• pp.581-593
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• 2020

이 연구의 목적은 가상현실 시뮬레이션에서 아바타에 대한 사용자의 주의집중이 어떻게 일어나는가를 분석하기 위한 것이다. 주의집중 정도를 알기 위해서 시선추적 기법을 적용했으며, 이를 통하여 사용자가 아바타의 어느 부분에 초점을 두고 있는지 검증하고자 하였다. 이 연구에서는 수업시뮬레이션에서 아바타에 대한 사용자의 시선응시 시간과 가상실재감을 분석했다. 실험참가자는 대학생 45명(여학생=21명, 남학생=24명)이었다. 이 연구에서는 가상현실 기반의 수업시뮬레이션이 사용되었으며, 교권침해에 대한 시나리오들이 적용되었다. 종속변수는 아바타에 대한 사용자의 시선응시시간이며 3개의 관심영역(AOI)에 대한 차이분석을 실시했다. 또한 실험조건에 대한 사용자의 가상실재감(공간실재감, 몰두감, 사실성)을 측정했다. 실험참가자는 두 가지 시나리오를 모두 경험했으며, 반복측정에 의한 다변량분산분석을 실시했다. 연구결과에 의하면 시나리오와 AOI에 의한 유의미한 상호작용이 있었고, 시나리오와 AOI에 따른 주효과도 유의미한 차이가 보였다. 시나리오의 유형과 상관없이 사용자는 언제나 아바타의 얼굴표정에 상당히 많은 시선응시를 하고 있는 것으로 나타났다.

• 영재교육연구
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• 제18권1호
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• pp.1-21
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• 2008

이 연구에서는 과학 영재의 과학 창의성을 신장시키기 위하여 문제 해결형 탐구 실험을 개발 적용하여 그 효과를 분석하고자 하였다. 이를 위해 먼저, 과학 개념, 과학 탐구 기능, 창의적 사고 영역에서 선정된 요소를 융합하여 문제 해결형 탐구 실험을 개발하였고, 과학 창의성을 측정하기 위해 과학 창의적 문제 해결력 검사(TSCPS)를 개발하였다. 과학 창의성을 신장시키기 위해 개발된 문제 해결형 탐구실험을 대학교 부설 영재 센터에 재학 중인 중학생 과학 영재 21명에게 적용하였다. TSCPS를 사전 사후에 실시하여 결과를 비교하였고, 실험 과정 중에 나타나는 학생 간 대화를 분석하였다. 문제 해결형 탐구 실험의 적용 후 TSCPS 사후 검사결과가 향상되었다. 실험 과정에서 나타난 학생 간 대화를 분석한 결과, 문제 해결을 위해 논리적인 설명과 사고를 많이 요구하는 실험에서는 수렴적 사고에 관한 대화 수가, 문제 해결을 위한 아이디어의 제시가 강조되는 실험에서는 발산적 사고에 관한 대화 수가 많이 나타났다. 이로써 문제 해결형 탐구 실험이 과학 창의성 신장에 긍정적인 영향을 줄 것이라 생각된다. 과학의 영역 특수성을 반영한 창의적 문제 해결형 탐구 실험은 영재 교육을 현장에서 수행하는 데 실질적인 도움이 될 것이라 기대한다.

• 한국콘텐츠학회논문지
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• 제12권2호
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• pp.483-496
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• 2012

학습자의 정보처리유형에 따른 e-Book 인터페이스의 설계 및 개발은 학습자 중심의 적성처지교수를 위해 중요한 이슈가 된다. 이에 본 연구에서는 하이퍼텍스트 정보구조가 제공된 e-Book 학습환경에서 학습자의 정보처리유형이 학습내용 이해 및 사용 편의성에 있어 어떠한 차이를 보이는지를 검증해 봄으로써 보다 처방적인 e-Book 인터페이스의 설계전략에 대한 시사점을 제공하고자 하였다. 본 연구를 위해 대학생 68명이 참여하였으며, 하이퍼텍스트 정보구조가 제공된 e-Book 콘텐츠를 통해 학습한 후 정보처리유형(시각 정보처리, 언어 정보처리)에 따른 학업성취도 (텍스트 구조 파악 및 학습내용이해)와 사용 편의성에 대한 효과성을 검증하였다. 연구결과, 학업성취도에 있어서는 정보처리 유형에 따라 텍스트 구조 파악에는 유의미한 차이가 나타났으나, 학습내용 이해에는 유의미한 차이가 나타나지 않았다. 사용 편의성에 있어서는 학습자의 정보처리유형에 따라 유의미한 차이가 나타났으며, 구체적으로는 텍스트 구조 파악의 용이성, 텍스트 분량 파악의 용이성, 네비게이션의 용이성, 그리고 내용기억의 편의성 등에 있어 유의미한 차이가 나타났다. 또한 학업성취도에 영향을 미친 사용 편의성의 주요요인은 학습위치 파악의 용이성이었으며, 정보처리유형의 집단간 분류의 정확도는 79.4%로 비교적 높은 것으로 나타났다. 이러한 결과를 바탕으로 e-Book 콘텐츠 설계 및 개발에 대한 전략적 시사점에 논의 되었다.