• 대한간호학회지
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• 제49권3호
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• pp.349-360
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• 2019

Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. Results: The core category was "the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity." The core phenomenon was "shattered by suffering from cancer," and the causal conditions were "physical change" and "limitations in daily life." The contextual conditions were "decreased self-esteem," "feelings of guilt toward the family," and the sense of "economic burden." The participants' action and interaction strategies were "maintaining or avoiding social relations," "seeking meaning of the illness," "falling into despair," and "strengthening the willingness to battle the cancer." The intervening conditions were "support from health care providers and family," "dissatisfaction with health care providers," "spiritual help from religion," and "the improvement or worsening of health conditions." The consequences were "having a new insight for life," "living positively along with cancer illness," and "the loss of willingness to live." A summary of the series of processes includes the "crisis stage," "reorganizing stage," and the "ego integration stage." Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

• 한국콘텐츠학회논문지
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• 제21권10호
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• pp.656-667
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• 2021

본 연구의 목적은 신규간호사의 극복력에 대한 경험을 확인하고 그 의미를 심층적으로 이해하기 위함이다. 연구대상자는 상급종합병원에 근무하는 12개월 미만의 신규간호사 9명이었으며, 반구조화된 심층 인터뷰 자료를 이용한 현상학적 연구방법을 적용한 질적연구이다. 자료분석은 Colaizzi의 방법에 근거하여 이루어졌다. 신규간호사의 극복력 경험을 분석한 결과 의미 있는 진술은 총 86개이었으며, 이로부터 13개의 주제가 도출되었으며, 4개의 주제모음으로 통합되었다. 도출된 4개의 주제모음은 '부족함을 인정하고 자기개발하기', '참고견뎌보기', '주변인들의 지지', '환기하고 승화하기' 이었다. 이에 신규간호사의 극복력을 이해하고 강화하여 간호전문성을 향상시키고 업무스트레스를 감소시켜 신규간호사의 이직률을 줄이는데 기초자료로 활용될 것이다.

• 한국환경보건학회지
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• 제46권6호
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• pp.726-734
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• 2020

Objectives: The aim of this study was to analyze and classify the characteristics of potential damage from hazardous chemical accidents in 229 administrative units in South Korea by reflecting the social and environmental characteristics of areas where chemical accidents can occur. Methods: A number of indicators were selected through preceding studies. Factor analysis was performed on selected indicators to derive factors, and cluster analysis was performed based on the factor scores. Results: As a result of the cluster analysis, 229 administrative units were divided into three clusters, and it was confirmed that each cluster had its own characteristics. Conclusions: The first cluster, "areas at risk of accident occurrence and spread of damage" was a type with a high potential for accident damage and a high density of hazardous facilities. The second cluster, "Urban infrastructure damage hazard areas" appeared to be a cluster with high urban development characteristics. Finally, the third cluster 'Urban and environmental damage hazard areas' appeared to be a cluster with an excellent natural environment. This study went further from the qualitative discussion related to existing chemical accidents to identify and respond to accident damage by reflecting the social and environmental characteristics of the region. Distinct from the previous studies related to the causes of accidents and the response system, it is meaningful to conduct empirical research focusing on the affected areas by analyzing the possibility of accident damage in reflection of the social and environmental characteristics of the community.

• 한국콘텐츠학회논문지
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• 제21권1호
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• pp.710-721
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• 2021

본 연구의 목적은 요양병원 간호사가 경험하는 임종간호 대처 경험의 구조를 규명하여 경험의 의미를 파악, 기술하고 이해하는 것이다. 현상학적인 연구 방법을 이용하여 요양병원에 근무하는 간호사 16명의 임종간호 대처 경험을 심층적으로 면담하였고, Colaizzi가 제시한 방법으로 분석하였다. 요양병원 간호사의 임종간호 대처 경험은 3개의 범주와 15개의 주제모음으로 구조화하여 규명할 수 있었다. 참여자들의 임종간호 경험의 세 범주는 '임종환자를 돌보는 요양병원 간호사의 태도', '임종간호 스트레스', '임종간호 대처'이었다. 요양병원 간호사의 임종간호 태도를 긍정적으로 변화시키고, 임종간호 스트레스를 줄이기 위한 실제적이고 체계적인 교육이 필요하다. 더불어 대처 능력을 향상할 수 있는 프로그램이나 전문가 상담과 같은 프로그램의 운영을 제언한다.

• International Journal of Computer Science & Network Security
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• 제21권2호
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• pp.54-65
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• 2021

The movement control order and shutting down educational institution in Saudi Arabia has jeopardized the teaching and learning process. Education was shifted to distance learning in order to avoid any academic loss. In the middle of the Covid-19 crisis, there is a need to assess the full image of e-learning in Saudi Arabia. To investigate student and teachers' perception and acceptance, parents' attitudes and believes about distance education are the main goals of the study. The mix-method research design was employed to collect data. Three surveys were distributed to 100 students and 50 teachers and 50 parents from different educational institutions in Saudi Arabia, while semi-structured interviews were conducted with 10 parents. Random stratified and convenient sampling methods were adopted. Both descriptive and content analysis was conducted using SPSS25.0 and NVIVO software for quantitative and qualitative data accordingly. The findings showed that students are comfortable with remote education and are receiving enough support from schools and instructors but they think online education can't replace conventional face-to-face learning. Moreover, the results showed that teachers are having challenges in preparing online classes because of the development of conducting online classes and the lack of training. However, parents showed negative attitudes regarding the benefits and values of remote education and preferred conventional learning styles in elementary schools. Parents tended to reject and resist distance learning for several reasons: professional knowledge and lack of time to support their young kids in online classes, the shortcomings of e-learning, young children's inadequate self-regulation. Saudi parents are neither trained nor ready to use e-learning. The study provided suggestion and implications for teacher education and policymakers.

• 한국의료질향상학회지
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• 제26권2호
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• pp.66-76
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• 2020

Purpose:Hospitals provide top medical service using exceptional manpower, medical technology, and state-of-the-art equipment, thus raising the standard of customer satisfaction. In addition, their medical service is becoming higher than before. One-stop service is a good way to improve the quality of customer-centered service as a qualitative marketing strategy. This study thus aims to facilitate subsequent research and compare customer satisfaction before and after one-stop service. Methods: The study included 72 patients who received the reserved examination and one-stop service for 20 days from April 23 to May 12, 2014. The surveyed questionnaire data were analyzed using SPSS 18.00. Results: The comparison results of customer satisfaction showed that the satisfaction score was generally high in the areas of kindness of examination staff, the speedy/accuracy of work processing of examination staff, and the kindness of reservation staff. The group before one-stop service showed their dissatisfaction with repeated visits and difficulty of booking a desired day. The group after one-stop service showed dissatisfaction with the long waiting time for examination or same-day treatment. Conclusion: The one-stop service showed good results, but new uncomfortable issues for the customer were revealed as well, which may result in more work of employees. Considering the characteristics of various clinical departments, the author hopes to find an efficient operation plan through the development and improvement of an appropriate one-stop service method.

• 한국융합학회논문지
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• 제12권8호
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• pp.47-53
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• 2021

4차 산업에 대한 관심이 증폭되면서 데이터를 활용한 과학적 방법론이 발전하고 있지만 부동산 분야에 대한 연구는 데이터 수집의 한계점을 내포하고 있다. 더불어 일반 시장 참여자들의 지식이 확장되면서 정성적인 심리가 부동산 시장에 미치는 영향이 커지고 있다. 때문에 본 연구에서는 기존의 원천 데이터가 아닌 심리적 부분을 반영한 정량 데이터를 텍스트마이닝과 k-meas 알고리즘을 통해 수집하는 방안을 제안하고 수집된 데이터를 바탕으로 인공신경망 학습을 통해 주택 지수의 방향성을 예측하고자 한다. 2012년부터 2019년까지의 데이터를 학습 기간으로 하고 2020년도를 예측 기간으로 설정하여 실험을 진행한 결과, 두 가지 CASE에서 예측 능력이 약 80% 이상으로 우수하였고 주택지수의 상승 구간에서의 예측 강도 또한 우수한 결과를 보였다. 본 연구를 통해서 의사결정에 있어서 부동산 시장 참여자들에게 인공신경망과 같은 과학적 방식의 활용도 증가 및 고전적 방식에서 벗어난 원천 데이터의 대체 데이터 확보 등에 대한 노력이 증진되기를 기대한다.

• 지역사회간호학회지
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• 제32권4호
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• pp.485-496
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• 2021

Purpose: This study attempted to obtain basic data for developing a global nursing practice education program. Methods: The data collection period was from July 2 to 11, 2020. The study participants were professors with experience in design, operation and management of global nursing practice education or experts with experience in international cooperation projects, and 8 people who agreed to participate in focus group interview (FGI). FGI was conducted twice in total and the directed content analysis method was applied. Results: The categories of 'practice design' are 'growing as a global nursing leader' and 'working together towards one goal'. The categories of 'practice operation' are 'watching, listening, and performing', 'self-directed organizing from preparation to finishing', and 'learning the value of participation rather than grades'. The category of 'practice management' is 'one's own weight to carry'. Conclusion: Global nursing practice education aims one goal - growing as a global nursing leader - and is self-directed course from preparation to an end with watching, listening and performing together. It is about learning the value of participation rather than grades. This can be used as basic data for the design, operation and management of global nursing practice education in the future.

• 한국의료질향상학회지
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• 제27권2호
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• pp.30-44
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• 2021

Purpose: The aim of this study was to investigate the changes in perception of the New Diagnosis-Related Group (DRG)-based payment system, make overall evaluation after participation, and examine opinions on further policy improvement among employees of a public hospital participating in the pilot project in Korea. Methods: We investigated changes in perception of the New DRG-based payment system before and after participation in the pilot project using a qualitative research method. We conducted individual in-depth interviews with the management and healthcare professionals and Focus Group Interviews (FGIs) with the staff in the nursing and administrative departments. Results: Before implementing the pilot project of the New DRG-based payment system, the management was in favor of participating in the pilot project, whereas the healthcare professionals were strongly opposed to participation in the pilot project, and the staff in the nursing and administrative departments were slightly opposed to participation. After implementing the pilot project, there were remarkable changes in the perception of the New DRG-based payment system among healthcare professionals and the administrative staff. Healthcare professionals' perception was altered in a positive way, while the administrative staff's perception of the system became negative. Conclusion: There were no restrictions on clinical practice or deterioration of quality of care observed in association with the participation in the New DRG-based payment system. However, certain unintended consequences of the New DRG-based payment system may arise as well. Therefore, the government needs to examine the problems identified in this study to reflect on and improve the New DRG-based payment system for stable expansion.

• 농촌의학ㆍ지역보건
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• 제47권1호
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• pp.1-13
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• 2022

Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.