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고일선,이태화,이경자,조원정,김진순,송은경 대한간호행정학회 2005 간호행정학회지 Vol.11 No.4
Purpose: The purpose of the study was to analyze the present status of community health practitioner activities and efforts to improve the job performance. Method: This study employed descriptive exploratory design. The sample consisted of 1,892 community health practitioners which was 90% of population of community health practitioners. The data was analyzed by using SPSS Windows 10.0. Result: The most popular activities of community health practitioners were women's health, chronic degenerative disease management, elderly health, and outpatient care of primary health care. The activities that community health practitioners want to strengthen were outpatient care, disease prevention, rehabilitation, health promotion, and counseling. The efforts to improve the job performance were consult to other health care professionals, discussion with patient and families to choose effective treatment options, Community health practitioners knew that they were exposed to malpractice and hould try to make many efforts to improve their performance. Conclusion: The roles and activities of community health practitioners should be changed to the shift of health care environment and systems.
치매지원센터 간호사의 치매지식, 태도, 간호부담감 간의 상관관계
고일선,한은경,김두리 한국융합학회 2017 한국융합학회논문지 Vol.8 No.9
본 연구의 목적은 치매지원센터 간호사의 치매지식, 치매노인에 대한 태도, 간호부담감과의 관계를 분석하기 위함이다. 본 연구는 서술적 조사연구로 연구대상자는 서울시 25개 자치구의 치매지원센터에 근무하는 간호사 101명을 대상으로 하였으며, 구조화된 설문지로 자가설문조사를 수행하였다. 연구결과 치매지식은 20점 만점에서 평균 18.14±1.09점, 치매노인에 대한 태도는 266점 만점에 평균 153.07±.76점, 간호부담감은 64점 만점에 평균 28.01±7.09점이었다. 또한 치매지원센터 간호사의 치매지식이 높을수록 간호부담감이 낮았으며(r=-.32, p<.001), 치매노인에 대한 태도가 부정적일수록 간호부담감이 높았다(r=.25, p<.05). 추후 치매지원센터 간호사의 간호부담감을 줄이기 위해서는 치매지식을 높이고, 치매노인에 대한 태도를 긍정적으로 바꿀 수 있는 지속적인 교육과 정책적 지원이 필요하다. The purpose of this study was to identify the relationship among dementia knowledge, attitude and care burden of nurses in center for dementia. A total of 101 nurses in center for dementia filled out the structure questionnaires. The data were analyzed using the t-test, ANOVA, and Pearson correlation coefficients. The mean score of dementia knowledge was 18.14±1.09 out of 20, and the mean of dementia attitude, care burden were 153.07±.76 out of 266, 8.01±7.09 out of 64 respectively. There was a significant correlation between care burden and dementia attitude(r=.25, p<.05) and dementia knowledge(r=-.32, p<.001). The results suggest that it is necessary to provide continuos education and support to improve dementia knowledge and change dementia attitude positively of nurses in order to reduce care burden of nurses in center for dementia
일 도농복합지역 저소득층 노인의 건강문제 분석 : 보건소 방문간호사업 대상자 중심으로
고일선,,이태화,이경자,이정렬,임미혜,천의영,주윤미,이계철 노인간호학회 2005 노인간호학회지 Vol.7 No.2
Purpose: The purpose of this study was to analyze the health problems of low-income aged with chronic illness living in urban-rural composite area. Method: The sample consisted of 440 aged who were receiving home care services from a public health center. MDS-HC was applied to analyze the health problems of the aged. Data were collected through a face- to-face interview by six trained interviewers from June 28 to July 15, 2004. Result: Subjects had average number of 8 health problems in both urban and rural area. Lack of preventive health care measure, pain, and visual function were the most frequent health problem. The rural aged had more pain, bowel management problems, compared to the urban aged having more urinary incontinence and indwelling catheter. There were many health problems related to falls and pressure ulcers with middle-old aged in urban, and old-old aged in rural area. Conclusion: The results of this study showed strategies for care intervention of low-income elderly to put in practice. Therefore, tailored-service for each subject should be provided.
고일선,김진숙,최소영 한국간호과학회 2017 Journal of Korean Academy of Nursing Vol.47 No.2
Purpose: This study was done to clarify attributes, antecedents, and consequences of spirituality. Methods: Rodgers’s evolutionary concept analysiswas used to analyze fifty seven studies from the literature related to spirituality as it appears in systematic literature reviews of theology, medicine,counseling & psychology, social welfare, and nursing. Results: Spirituality was found to consist of two dimensions and eight attributes: 1)vertical dimension: ‘intimacy and connectedness with God’ and ‘holy life and belief’, 2) horizontal dimension: ‘self-transcendence’, ‘meaning andpurpose in life’, ‘self-integration’, and ‘self-creativity’ in relationship with self, ‘connectedness’ and ‘trust’ in relationship withothers·neighbors·nature. Antecedents of spirituality were socio-demographic, religious, psychological, and health related characteristics. Consequencesof spirituality were positive and negative. Being positive included ‘life centered on God’ in vertical dimension, and among horizontal dimension‘joy’, ‘hope’, ‘wellness’, ‘inner peace’, and ‘self-actualization’ in relationship with self, ‘doing in love’ and ‘extended life toward neighborsand the world’ in relationship with others·neighbors·nature. Being negative was defined as having ‘guilt’, ‘inner conflict’, ‘loneliness’, and ‘spiritualdistress’. Facilitators of spirituality were stressful life events and experiences. Conclusion: Spirituality is a multidimensional concept. Unchangeableattributes of spirituality are ‘connectedness with God’, ‘self-transcendence’, ‘meaning of life’ and ‘connectedness with others·nature’. Unchangeableconsequences of spirituality are ‘joy’ and ‘hope’. The findings suggest that the dimensional framework of spirituality can be used to assessthe current spiritual state of patients. Based on these results, the development of a Korean version of the scale measuring spirituality is recommended.