• 한국도서관정보학회지
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• 제36권3호
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• pp.213-231
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• 2005

연행록은 17세기부터 19세기에 이르기까지 중국의 연경을 사행하고 돌아 온 사행사의 일원에 의해 쓰여진 기록이다. 이익모가 저술한 병진연행록은 사은겸동지사 서상관인 이익모가 1796년 11월 24일부터 익년 3월 7일까지 매일 매일의 일정을 생생하게 기록한 연행록이다. 이 연행록은 임기중의 $\ulcorner$연행록전집${\lrcorner}$ 에도 누락된 새로 발견된 연행록이며, 전라남도 장흥군 용산면 상금리(금곡)에 위치한 수원 백씨 종가에서 새로 발견되었다. 특히 병진연행록은 청의 건륭황제(고종)가 옹염(인종)에게 선위 의식을 거행한 후 첫 번째에 해당하는 정규 사절단의 공식 기록이라는 역사적 의미를 담고 있는 중요한 문헌이다. 이 연구는 이익모의 연행록에 대하여 서지적 특징과 연행록의 필사시기 및 수원 백씨 종가에 입수된 과정, 그리고 연행록에 수록된 내용을 중심으로 병진 사행의 3사신, 북경까지의 왕복 노정 및 북경에서의 체류 일정 등에 대해 살펴보았다.

• 간호행정학회지
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• 제18권2호
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• pp.213-221
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• 2012

Purpose: Communication in hospitals is one of the major factors in patient safety. So, the purpose of this study was to identify the relationship between intra-organizational communication satisfaction and the safety attitude of nurses in hospitals. Method: A descriptive survey design with convenience sampling was used. Data collection was done using a self-report questionnaire answered by 278 nurses from one university hospital located in Kyeoung-gi Province, Korea. Result: Intra-organizational communication satisfaction positively correlated with safety attitude (r=.747, p<.01). Among the 6 sub dimensions of safety attitude, perceptions of management (r=.675, p<.01), job satisfaction (r=.640, p<.01) and teamwork climate (r=.600. p<.01) were strongly related to intra-organizational communication satisfaction. Multiple regression analysis was done to identify explanation power of intra-organizational communication satisfaction against safety attitude. The model was significant (F=48.540, p<.01). Intra-organizational communication satisfaction accounted for 60.9% of variance in safety attitude (Adj $R^2$=.609). Conclusions: The results of this study indicate that higher levels of intra-organizational communication satisfaction promote positive safety attitude in hospital nurses and that communication media quality is an important factor in patient safety attitude. Therefore, developing interventions to revitalize intra-organizational communication level based on communication media quality will help in the construction of positive safety attitude in nurses.

• 간호행정학회지
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• 제4권2호
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• pp.439-455
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• 1998

This is the descriptive investigation study intended to provide basic informations to develop concrete method of nurse arbitration which can improve the quality of nursing care on family by investigating and analyzing the perception and practice on family nursing of clinical nurse. 332 nurses working in 4 university hospitals in Seoul have been the object and the collection of data have been conducted by visiting cooperated by the department of nursing in university hospital from April 4th through April 17th 1998. The measuring instrument of the perception and the practice on family nursing which was written by the researcher was used based on the family nursing arbitration by recently amending Calgary Family Arbitration of the Model of Wright & Leahey. Cronbach's a value of this instrument was .9288 in the perception and .9168 in the practice the collected data have been analyzed by frequency percentage, averaged value. t-test, F-test(ANOVA), Duncan's Multiple Range, Pearson's Correlation Coefficient, and the results are as the follows: 1. The perception on patient's family nursing of clinical nurse showed comparatively high by 3.22 in average(maximum 3.52, minimum 2.82) on the basis of 4 point but the practice showed low by average 2.47(maximum 3.02, minimum 2.11), By providing the patients and their family with "The information about the health problem of the which is the role of giving explanation and information about the disease. the nurse presents the method of their helping patient and in case that the family lack of knowledge about the health problem and crisis of the patient which is the role of education about the method of solving the crisis and change. the nurse educates about the necessity and method of taking care of the crisis and the changes. The third question that the relation of recognizing the difficuly of family and cooperating with them in supporting the patient for mutual function is to be formed showed high in the degree of perception and practice of the necessity. 2. General characteristics of perception about patient's family nursing of the object showed no significant difference except the concerns about the family usually(F=5.472. p<.001) and general characteristics which showed significant difference in the degree of practice were educational background (F=3.177, p<.05), clinical experience (F=2.462, p<.05) and position(F=7.029. p<.001), and attention about patient's family(F=10.603, p<.001), 3. The relation between perception and practice about the nursing on patient's family showed pure correlation but the degree was very low(r=.188, p<.05). The above results showed that the clinical nurses has been high understanding about the necessity of patient's family nursing but the degree of practice has been very low due to the lack of education about the family nursing, having no ways of nurse arbitration for practical duty and lack of political administrative support. Therefore concrete and systematic family situation and arbitration method to be applied clinically are required to be developed and also the education about patient's family nursing and the development of the course for clinical practice are required and political and administrative support for clinical practice about patient's family nursing is required as well.

• 대한간호학회지
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• 제30권1호
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• pp.84-97
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• 2000

The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

• Child Health Nursing Research
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• 제4권2호
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• pp.193-206
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• 1998

The purpose of this study was to examine the stressors and stress coping styles of 6th grade el ementary school children and to explore the relationship between stressful life events and health symptoms and the effects of coping style which is theoretically considered to mediate the relationship between stress and health symptoms. The study subjects consisted of 329 in 6th grade elementary school children in Cheong-Ju city. Of the 329 subjects, 171 were boys and 158 were girls. For this study, three kinds of questionnaires were adopted as follows ; 1) Feel Bad Scale (FBS) by Lewis et al., 2) lazarus-Folkman's Way of coping questionnaire 3) Hee Sun Shin's Health Symptom questionnaire (HSQ) The researcher visited the school and collected data in the class using the questionnaire method after an explanation of the purpose and procedures was given to the children. Data collection was done for 10 days (from 5th to 15th of July 1997) . The data were analyzed by descriptive statistics, correlation analysis, multiple regression analysis using the SAS statistical program. The results of this study were as follows : 1. The mean score for the FBS was 211.37(range : 77-427), The most severe stressors perceived by children were parental divorce and other's smash or steal of my things. The most frequently experienced stressful life events were conflict with siblings and being scolded for other's fault. 2. The most frequently used stress coping style was the active coping (M=17.85), followed by passive (M=13.64) and magical one (M=13.42). 3. The mean score for the HSQ was 23.30(range : 0-72) The most frequently complained health symptoms were headache and having much worry about everything. 4. There was a significant relationship between stressful life events and health symptoms (r=.60, p<.001). Also, stressful life events were positively related with passive coping(r=.27, p<.001) and magical coping (r=.38, p<.001). Health symptoms were positively correlated with passive coping(r=.33, p<.001) and magical coping (r=.41, p<.001). 5. Stepwise multiple regression analysis revealed that the most powerful predictor was the variable of stressful life events. Health concerns, magical coping style, passive coping style and active coping style accounted for 49.15% of the variance in health symptoms. This study revealed that stressful life events correlated with health symptoms in 6th grade elementary school children and passive coping and magical coping had mediating effects on this relationship. The implication for nursing is that there is a need to develop supportive interventions for high risk population to decrease health problems due to stress.

• 대한간호학회지
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• 제27권3호
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• pp.550-562
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• 1997

Since patients with strokes occupy a high priority among patients for home nursing, the development of guidelines for such nursing is required and the needs of these patients should be reflected in the guidelines. Therefore, this study was done to identify the content and levels of home nursing for patients with strokes and to utilize the data in developing the most effective home nursing guidelines for these patients. The level of A, D. L. and the ability to control upper extremities were measured, and through a questionnaire. the needs for home nursing and related variables were also evaluated. The subjects for the study were 121 patients, 58 inpatients and 63 home care patients who had had a Stroke. Data collection was done from September 1996 to January 1997. The collected data were analyzed utilizing SPSS /PC, and the results are as follows : 1. Home nursing need of inpatients The priority order of home nursing needs for inpatients was : "Training in emergency treatments and how to cope with a stroke"(2.28+1.06), next, "Explanation of diets as limited or recommended", and last, "Nursing care for sleeping Problems". 2. Home nursing need home of patients The priority order of home nursing needs for home patients was : "Care for the paralyzed side" (2, 89+.34), next, "Maintenance of right posture and how to change position" (2.87+.34), and last, "Counseling on sex". 3. Comparison of the levels of home nursing needs between in patients and home patients The results of analyses of home nursing needs according to causes were grouped into seven categories : and t-tests of the seven categories showed significant differences between the two groups in all categories, that is, the level of home nursing needs were significantly higher for home patients than for inpatients in all categories of home nursing. 4. Level of home nursing needs by characteristics The variables that have affected the level of home nursing needs for these patients were sex, profession, level of education, accompanying diseases, paralyzed position. A.D.L. levels and ability levels in coordinating upper extremities. There variables, displayed a reverse correlation with the level of home nursing needs, and the degree of correlation was high. In conclusion, the above results, show there were differences in the priority order of home nursing needs between inpatients and home patients : but the content of home nursing needs wanted by these patients was similar. Meanwhile, the levels of demand for home nursing was exceptionally higher on the part of home patients than inpatients. Although it is realized that nursing guidelines for home nursing needs in all items need to be developed, there is also a necessity to guidelines in accordance with priority orders, and with consideration of the factors that affect the level of home nursing needs. of the factors that affect the level of home nursing needs.

• 한국콘텐츠학회논문지
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• 제12권7호
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• pp.394-405
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• 2012

이 연구는 학교보안관의 직무수행 측정도구를 개발하여 타당도와 신뢰도를 검증하는데 목적이 있다. 이 연구는 2011년 서울소재 학교보안관이 근무하고 있는 초등학교 학부모들을 대상으로 유의표집법을 활용하여 250명의 연구대상을 표집 하였다. 그러나 응답이 불성실한 자료를 제외하고 최종분석에 사용된 사례수는 총 210명이었다. 학교보안관의 직무수행 측정도구는 문헌고찰, 개념적 정의 및 설문지 초안 작성, 전문가 회의, 예비검사 및 본 조사, 설문지의 타당도 및 신뢰도 검증 등의 과정을 거처 개발되었다. 통계처리는 SPSSWIN 18.0을 활용하여 탐색적 요인분석, 확인적 요인분석, 신뢰도분석, 상관분석 등을 실시하였다. 이상과 같은 연구방법 및 절차를 통하여 이 연구에서는 다음과 같은 결론을 도출하였다. 첫째, 학교보안관의 직무수행 측정도구에 대한 타당도는 매우 높다. 즉, 학교보안관의 직무수행은 전문성, 태도, 프로그램, 학교폭력예방 활동, 효과, 기본 직무, 등하교지도와 관계자연계성으로 탐색 확인되었으며, 태도의 설명력이 가장 높다. 둘째, 학교보안관의 직무수행 측정도구에 대한 신뢰도는 매우 높다. 즉, 학교보안관의 직무수행은 문항과 영역간, 문항과 총점간 상관정도가 높으며, 내적일관성 신뢰도인 Cronbach's ${\alpha}$값이 .708이상이다. 종합해 보면, 학교보안관의 직무수행 측정도구는 타당도 및 신뢰도가 높은 설문지임을 알 수 있다.

• 재활간호학회지
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• 제6권1호
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• pp.79-89
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• 2003

Purpose: This research with one group pre-post design was carried out to test the practical feasibility to administrate the Music Movement program developed for the stroke patients. Subjects: 12 stroke survivors at "J" Public Health Center in Seoul. were participated in. The average age was 68 years old, the ratio of sex was almost 5.8:4.2, the duration of was almost over 1 year. Method: Music Movement program was conducted for 2 hours ${\times}$ 1day ${\times}$ 6 weeks. The contents of Music Movement program were consisted of the preparatory activities, main activities and the wrap up activities. The preparatory activities are ice braking, greeting, explanation of the aims of music movement program, and introduction of stroke disease and ROM exercise. The main activities are the body motions with singing and playing musical instruments. The wrap up activities are stretching and joints and discussion of home activities. Data Collection: The outcome variables are muscle strength, finger pinch power, ROMs, flexibility, depression, and life satisfaction. Depression was measured by CES-D(Kim, I. J., 1999), life satisfaction by ladder scale(McDowell & Newell, 1996), and ADL state(Holbrook & Skilbeck, 1983). Data Analysis: SPSS/PC 10.0 for Window was used. Wilcoxon Signed Ranks Test was used to analyze outcome measures. The level of statistical significance was set at p<.05. Results: This program was effective to decrease the depression level of subjects(p<.05). The muscle strength, hand grip power, ROMs, life satisfaction, and rehabilitation state of the subjects were slightly increased but no significant differences were found between the pre and post test. Additionally every patient replied that they were very satisfied and expressed their appreciation for this program very much. Of course they strongly want to continue to participate in and meet the peer group again. Conclusion: Considering these results, the practical feasibility of Music Movement program can be supported. Therefore, this Music Movement program can be examined with the quasi-experimental design with control group and ongoing reviews. After that, this program would be applied in public health centers, medical institutes, and welfare centers for the rehabilitation of stroke patients.

• 디지털융복합연구
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• 제12권6호
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• pp.365-373
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• 2014

간호사의 의사소통 스타일이 입원 환아 어머니의 스트레스와 대처노력에 미치는 영향에 관하여 알아봄으로써 간호서비스의 개선 및 입원 환아 어머니의 스트레스를 감소시키고 대처노력을 향상시키기 위한 기초자료를 제공하고자 한다. 본 연구는 상관성 조사연구로서, 자료 수집은 2013년 9월부터 12월까지 시행하였으며, D시에 소재한 E병원의 소아과 병동에 입원한 아동의 어머니 196명을 대상으로 하였다. 수집된 자료는 빈도 백분율 평균과 표준편차 피어슨 상관계수, 회귀분석방법으로 분석하였다. 연구 결과로는 지각된 간호사의 의사소통 스타일이 입원 환아 어머니의 스트레스 및 대처노력에 미치는 영향에서는 간호사의 비권위적 스타일이 스트레스에 가장 큰 영향력을 나타내었으며, 이들 변인의 설명력은 30.1%로 나타났다. 결론적으로 입원 환아 어머니의 스트레스를 감소시키고 대처노력을 증진시키기 위해서는 간호사들은 권위적인 태도를 지양하고, 친화적인 태도의 의사소통 기술과 정보 제공적 태도의 의사소통 기술을 사용해야 할 것으로 생각된다. 이런 의사소통 기술들은 체계적인 의사소통 증진 프로그램을 통해 지속적으로 유지하고 강화할 필요가 있을 것이라 생각된다.

• 디지털융복합연구
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• 제17권5호
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• pp.407-416
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• 2019

본 연구는 보건계열 대학생들의 학습전략에 영향을 미치는 요인들을 분석하고자 하였다. 자료수집은 J도 소재의 2개 대학에 재학 중인 보건 의료분야 전공 대학생 373명을 대상으로 자가보고식 설문지를 통해 이루어졌으며, 수집된 자료는 SPSS/WIN 23.0 프로그램을 이용하여 분석하였다. 연구결과 학습 전략은 진학동기, 전공 만족도에 따라 유의한 차이가 있었으며, 학업적 자기 효능감과 자기주도적 학습은 학년, 진학동기, 전공만족도에 따라 유의한 차이가 있었다. 학습전략과 독립변수 간 상관계수는 학업적 자기 효능감(r=.478, p<.001), 자기주도적 학습(r=645, p<.001), 학업 스트레스(r=-.193, p<.001)로 유의하였다. 자기주도적 학습(${\beta}=0.61$), 전공만족도(만족)(${\beta}=0.31$), 전공만족도(보통)(${\beta}=0.24$)의 순으로 학습전략에 영향을 주며, 전체 설명력은 42.6%였다. 연구 결과를 토대로 전공만족도 개선방안과 자기주도적 학습능력 향상방안의 모색은 보건계열 대학생들의 학습전략을 높이는데 긍정적 영향을 줄 수 있을 것이다.