• 간호행정학회지
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• 제19권2호
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• pp.292-303
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• 2013

Purpose: The purpose of this study was to explore nurses' experience of evidence-based nursing practice in general hospitals. Methods: Data were collected from 13 nurses through in-depth interviews about their experiences with evidence-based practice. The research questions were "What kind of evidence are you using in your practice?" and "What are the barriers to and enablers of evidence-based practice that you have experienced?" Qualitative data from field and transcribed notes were analyzed using qualitative content analysis methodology. Results: Major themes of using evidence were identified as 'research as primary valid evidence', 'information from local context and internet as realistic evidence', and 'clinical experience as pragmatic evidence'. Patient experience was not used as evidence in solving nursing problems. Barriers to and enablers of evidence-based practice were linked. They included both external, organizational factors and individual factors. Main issues were 'lack of evidence and poor work environment', and major facilitating factors were 'improving knowledge and skills related to evidence-based practice' and 'communicating and sharing evidence'. Conclusion: The study findings provide useful information for understanding nurses' experience of using external and internal evidence along with their meaning. A multidimensional approach is needed to overcome barriers to and implement evidence-based practice.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1996년도 제48차 추계 학술대회 연제집
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• pp.3-26
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• 1996

Epidemiology and preventive medicine are changing together with Population and health and with ever expanding medical and non medical technologies. New technologies make epidemiology methodologically more sophisticated, but such advances risk overshadowing epidemiology's most important role: raising questions, providing answers, and helping the medical decision-making at ail levels of prevention. Epidemiology also plays a major role in the evaluation of new and other technologies whose effectiveness is poorly known. Epidemiological approaches, methods, techniques, and interpretations are widely used in new and rapidly expanding fields of medicine: research evaluation and synthesis (meta-analysis), establishment of guidelines for clinical preventive practices, new medical technology assessment, guidelines for national and international health policies, evidence-based medicine, outcomes research and disease management ('population-based' medicine and quality of care improvement). In the nearest future, infectious and noninfectious diseases may cease to be almost the sole subjects of epidemiology and they may share their place with other mass phenomena of the next millennium, such as medical practices and care, or political, social and economic actions and their consequences. Not only will primary, secondary, and tertiary Prevention will remain in the epidemiological mainstream, but health protection and health promotion will require perhaps a redefinition of epidemiology in these domains. Epidemiology and preventive medicine are both subjects of medical ethics and dilemma for right choices.

• 대한핵의학회지
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• 제37권3호
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• pp.137-146
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• 2003

Rheumatic diseases can be categorized by pathology into several specific types of musculoskeletal problems, including synovitis (e.g. rheumatoid arthritis), enthesopathy (e.g. ankylosing spondylitis) and cartilage degeneration (e.g. osteoarthritis). Skeletal radiographs have contributed to the diagnosis of these articular diseases, and some disease entities need typical radiographic changes as a factor of the diagnostic criteria. However, they sometimes show normal radiographic findings in the early stage of disease, when there is demineralization of less than 30-50 %. Bone scans have also been used in arthritis, but not widely because the findings are nonspecific and it is thought that bone scans do not add significant information to routine radiography. Bone scans do however play a different role than simple radiography, and it is a complementary imaging method in the course of management of arthritis. The Image quality of bone scans can be improved by obtaining regional views and images under a pin-hole collimator, and through a variety of scintigraphic techniques including the three phase bone scan and bone SPECT. Therefore, bone scans could improve the diagnostic value, and answer multiple clinical questions, based on the pathophysiology of various forms of arthritis.

• Safety and Health at Work
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• 제5권3호
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• pp.165-167
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• 2014

The Dutch construction industry has introduced a compulsory preemployment medical examination (PE-ME). Best-evidence contents related to specific job demands are, however, lacking and need to be gathered. After the identification of job demands and health problems in the construction industry (systematic literature search and expert meeting), specific job demands and related requirements were defined and instruments proposed. Finally, a work ability assessment was linked to the instruments' outcomes, resulting in the modular character of the developed PE-ME. Twenty-two specific job demands for all Dutch construction jobs were identified, including kneeling/squatting, working under time pressure, and exposure to hazardous substances. The next step was proposing self-report questions, screening questionnaires, clinical tests, and/or performance-based tests, leading to a work ability judgment. "Lifting/carrying" is described as an example. The new modular PE-ME enables a job-specific assessment of work ability to be made for more than 100 jobs in the Dutch construction industry.

• Molecules and Cells
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• 제24권2호
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• pp.167-176
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• 2007

Peroxisome proliferator-activated receptor-gamma ($PPAR{\gamma}$) is expressed at very high levels in the gastrointestinal epithelium. Many of the functions of $PPAR{\gamma}$ in gastrointestinal epithelial cells have been elucidated in recent years, and a pattern is emerging which suggests that this receptor plays an important role in gastrointestinal physiology. There is also strong evidence that $PPAR{\gamma}$ is a colon cancer suppressor in pre-clinical rodent models of sporadic colon cancer, and there is considerable interest in exploitation of $PPAR{\gamma}$ agonists as prophylactic or chemopreventive agents in colon cancer. Studies in mice and in human colon cancer cell lines suggest several mechanisms that might account for the tumor suppressive effects of $PPAR{\gamma}$ agonists, although it is not in all cases clear whether these effects are altogether mediated by $PPAR{\gamma}$. Conversely, several reports suggest that $PPAR{\gamma}$ agonists may promote colon cancer under certain circumstances. This possibility warrants considerable attention since several million individuals with type II diabetes are currently taking $PPAR{\gamma}$ agonists. This review will focus on recent data related to four critical questions: what is the physiological function of $PPAR{\gamma}$ in gastrointestinal epithelial cells; how does $PPAR{\gamma}$ suppress colon carcinogenesis; is $PPAR{\gamma}$ a tumor promoter; and what is the future of $PPAR{\gamma}$ in colon cancer prevention?

• 임상간호연구
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• 제21권1호
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• pp.1-10
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• 2015

Purpose: This study was done to identify the impact of emotional labor, social support, pay satisfaction and professional concept on burnout and intention to stay for infection control nurses and to identify the relationship between burnout and intention to stay. Methods: Participants were 146 nurses who consented and faithfully responded to the research questions. Data were analyzed using SPSS 18.0 and AMOS 20.0. Results: The variables affecting burnout and intention to stay in infection control nurses were identified. Emotional labor (B=.424) had a positive impact on burnout, social support (B=-.528), professional self-concept (B=-1.056) and pay satisfaction (B=-.072) had negative impacts on burnout, social support (B=.392)and pay satisfaction (B=.136) had positive impacts on intention to stay, and burnout had a negative impact on intention to stay. Conclusion: As a result, in order to reduce burnout in infection control nurses and increase their intention to stay, the infection control nurses themselves must invest in education and self-improvement to become specialists while hospitals and the government should make efforts to develop specialists by holding workshops and seminars. In addition, institutional procedures should be put in place so as to oblige hospitals to hire nurse specialists for infection control work in infection control units.

• 대한간호학회지
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• 제23권3호
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• pp.356-368
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• 1993

The purpose of this study was to understand how patients experience their nurses, healing relation-ships. The 33 participants were patients who had been admitted to a general nursing unit of a university hospital in Seoul for more than one week, understood the study purpose and agreed take part, were fully conscious, able to communicate and over 20 years of age , their health was improving and they were ready for discharge. The data for this descriptive study using ground theory approach were collected by direct interviews with patients using five main questions derived from the literature and clinical experiences about their experiences of their nurses, healing relationships during hospitalization. Van Kaam’s method was used to analyse the data audio-recorded. Interpretation was enhanced consultations with two supervisors and one head nurse with a master’s degrees in nursing science, one nursing professor and one nursing docotoral candidate. Twenty - four patients said that they had formed a healing relationship with a nurse and nine said their relationship was not healing relationship. Six categories emerging from the characterizations of the healing relationships were valuable gratifying comforting trusting close and sympathetic. Descriptions of non - healing relationships were classified as none and poor. For this group of hospitalized patients nurses’ healing relationships were defined as valuable gratifying comforting trusting close as sym-Pathetic. Since the data suggest a change in the experiences during hospitalization, a gronded theory approach is recommended for further study.

• 대한인간공학회지
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• 제28권3호
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• pp.115-123
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• 2009

The purpose of this research is to develop a protocol which can quantitatively evaluate cognitive ability that is needed when elderly people use mobile phone. Since previous methods for measuring the cognitive ability of elderly people was mainly for clinical evaluation, they would not be adequate to measure cognitive ability for mobile phone development. Therefore, this study suggests cognitive areas which are necessary to use the mobile phone based on the existing evaluation tools. The cognitive areas consist of language, visuospatial ability, memory, executive function and perception. New questionnaire was developed to evaluate the individual cognitive ability for the elderly. They include 9 questions for button comprehension test, 8 for icon button comprehension test, 10 for vocabulary comprehension test, 8 for menu comprehension test, 3 for icon size test, and 2 for font size test. The protocol can be used in the field although further modification may be necessary for betterment.

• 대한간호학회지
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• 제33권4호
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• pp.495-502
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• 2003

Purpose. This ethnography is aimed at describing the care-giving practices of the nuclear family and relatives of the elderly within a clan village in relation to their socio-cultural context. Four basic notions of the study came from Leininger's culture care theory and the nurse-client negotiation model of Anderson. In order to understand the cultural system of caring, the following questions were explored: What caring behaviors are performed for the elderly person in a clan and how do these behavior relate to the various components of that particular culture\ulcorner Method. Data for this study was gathered through twenty-one fieldwork expeditions between September 1994 and December 2002 using interviews and participant observation of 7 families drown from two extended families. Data was analyzed using the techniques of taxonomy, value, and proxemics analysis. Findings. The socio-cultural context of caring for elderly people, their caring values, and four categories of caring were explored. Values of caring and every day life in the clan were hierarchical, reciprocal, and collective. The four categories of caring were: being with, empowering, keeping territory, and enhancing spirituality. Conclusions. The results of this study can be used to understand culture-specific care and to provide culturally congruent care for the elderly in a clinical setting.

• 한국산학기술학회논문지
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• 제16권6호
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• pp.3999-4010
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• 2015

본 연구의 목적은 결혼이주민 산모에 대한 간호경험을, 실제 간호현장에서 이들을 간호하고 있는 산부인과 간호사들로부터의 진술을 통해 기술하고 설명함으로써, 결혼이주민 산모의 간호서비스 향상 방안 마련을 위해 필요한 기초자료를 제공하는 것이다. 초점집단의 면담을 통해 질적 내용분석을 적용하여 연구의 주요 질문을 중심으로 분석한 결과, 산보인과 간호사의 결혼이주민 산모 간호경험은 5개의 주요 면담 질문으로 부터 14개 범주 및 35개 하위범주로 설명할 수 있었다. 결혼이주민 산모 간호의 질적 향상을 위해 산부인과 간호사의 의사소통 능력과 문화적 역량을 증진시킬 수 있는 프로그램의 개발 및 적용 연구를 제언한다.