학교 보건 실습 경험에 관한 현상학적 연구

우선혜,박영숙,Woo, Seon-Hye,Park, Young-Suk 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.2

This study was conducted to have better understanding of the students' experience in field practice by school health practice experience. The study subjects were 40 nursing students working in department of nursing K Univ. in C city. This study was approached by phenomenological method. Collected data were analyzed by Colaizzi's method. The results were from the protocol 980 significant statements and organized into 240 formulated meanings. From formulated meaning 89 themes were identified, organized into 18 them clusters, and then into 16 categories. The nursing students took part in the practice with (expectation and readiness) different from those of the clinical practice, expressed wonder at the school which had progressed much more than their primary schools used to be. They said that they began to feel (Fatigue and stress), and that experienced tension for the lack of nursing knowledge and skill during the health education and clinical treatment activity. In addition, they experienced 'ambivalence of satisfaction and something wanted', that is to say, they could have done better by means of video education and health education. The 10-day-school health practice brought about the change in( the image of teacher) and (cognition about the nursing teacher's role), made the students have(love to the client) and (desire to be nursing teacher), and then turned out experience benefical enough to be expressed 'satisfaction' However, they pointed out many problems in (School Eniviroment), (Clinic), (Physical assessment), (Recording and reporting), so they had a chance to apply the school nursing process to the school. The professor should play the role of promoting the learning through the field practice and providing the stimulant of learning to help the learner get as much from the field situation as they could. Therefore, I suggest that the students always have a chance to exchange actual affairs and educational study, and that the concrete discussion and continuous cooperation be done. The professors should keep doing their best to find the way to professors should keep doing their best to find the way to promote the ability of thinking through the process the learners experienced themselves.

간호사와 의사 간의 협력에 관한 이론적 고찰

우선혜,Woo, Seon-Hye 한국가정간호학회 2000 가정간호학회지 Vol.7 No.1

Twenty-first century coming of health care in our country is in a situation of much conflict because the relationship between nurses and doctors is seen in terms of a traditional and vertical structure. Accordingly. it is very difficult to find collaboration amongst individuals of these two professions. Now nursing is trying to find independence and autonomy by carrying out independent professional skills. This study on collaboration and the obstacles hindering its pursuit. The strategies of collaboration to give better health care quality are as follows; First, a program for professionals should be developed to enhance professional knowledge and technology and train nursing professionals so that nursing can be acknowledged as a profession with a power to carry out on independent job. Second, collaboration reduces expenses and results in satisfactory performances of duty, high productivity, low incidence of medical accident, and higher satisfaction of the patient. Therefore the leader in the higher position should take positive stance for collaboration and help create a cooperative situation through the development of practical orders for collaboration. opening cooperative wards, and meeting for collaboration. Third, a collaboration model should be introduced into the courses of the nursing and medical school curriculum, which would influence job atmosphere after graduation. Fourth, nurses should have pride in their jobs as professionals and have confidence in their professional skill, knowledge and ability. Nurses should make an effort to share responsibility and have independence and autonomy. Fifth, common people as well as doctors know little about professional practice and the role of nurses, so a publicity campaign is also required.

가정간호실무에 적용가능한 이론적틀

우선혜,Woo, Seon-Hye 한국가정간호학회 2004 가정간호학회지 Vol.11 No.1

The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety o

중년기 남성의 개인내적 변인, 가족 변인 및 직무만족이 심리적 안녕감에 미치는 영향

우선혜(Seon Hye Woo),김정민(Jung Min Kim),조한솔(Han Sol Jo) 가정과삶의질학회 2016 가정과삶의질연구 Vol.34 No.6

전화추후관리가 항암요법을 받는 암환자의 자가간호수행 및 가족원 역할스트레스에 미치는 효과

장옥점(Jang Ok Jeom),우선혜(Woo Seon Hye),박영숙(Park Yeong Sook) 기본간호학회 2006 기본간호학회지 Vol.13 No.1

Purpose: This study was conducted from January to March, 2004 to examine the effect of telephone follow-up on the performance of self-care in cancer patients undergoing chemotherapy and on role stress of family caregivers. Method: Research design was a nonequivalent control group non-synchronized design. Seventy-two participants were assigned to either the experimental group (18 cancer patients, 18 family caregivers) or the control group (18 cancer patients, 18 family caregivers). Data were collected before and after the intervention and were analyzed with paired t-test, t-test, Mann-Whitney U Test & Wilcoxon Signed Ranks Test. Results: Performance of self-care in the experimental group undergoing telephone follow-up was significantly higher than that of the control group (t=8.016, p=0.000). Role stress of family members in the experimental group was also significantly higher than that of the control group (t=2.133, p=0.042). Conclusion: This results suggest that the telephone follow-up is effective for cancer patients undergoing chemotherapy and their family caregivers. Telephone follow-up can be recommended as an effective nursing intervention for self-care performance in cancer patients undergoing chemotherapy and to reduce role stress of family caregivers.

간질환자의 자가간호증진을 위한 건강교육프로그램

박영숙(Park Young Sook),우선혜(Woo Seon Hye) 계명대학교 간호과학연구소 1997 계명간호과학 Vol.1 No.1

This literature review was written to develop health education program enhancing self care of epilepsy patients. As with other chronic disorders, people with epilepsy should receive systematic health education about how to manage seizures most effectively. A health education program can offer patients an opportunity to increase their confidence In their own ability either to manage or to avoid seizures while engaging m routine activities. Increasing individuals' level of confidence may, in turn, encourage them to perform self care activities more frequently. Enhancing patients' levels of confidence can be equated to encreasing their perceived self-efficacy. Research has provided evidence that educational interventions designed to improve people's perceptions of their self-efficacy significantly affect their self care. Developing programs to increase patients' self-efficacy may have implications for nurses who help patients with epilepsy manage their seizure events. This paper describes the self-care, health education of epilepsy patients; the relevance of self-efficacy as the principal theoretical basis for the program's design: and intervention strategy from the literature on behavioral psychology.

청소년이 지각한 가족기능과 희망과의 관계

우선혜,노지영,박영숙 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: This Study a descriptive correlation survey with the purpose of identifying the relationship between family function and hope in adolescents. It was done to provide basic data for developing family centered nursing strategies to promote adolescents' hope. Methods: The subjects of this study were 1030 high school students in J city. Data were analyzed with SPSS 10.0 program. Frequencies and percentages were used to compare the subjects' general characteristics. Minimum values, maximum values, mean scores and mean grades were used to identify the level of family function and hope. Pearson's correlation coefficient was used to analyze the relationship between family function and hope in adolescents, and t test, ANOVA, and Scheffe test were used to examine the level of family function and hope by general characteristics. Results: 1. The level of adolescents' family function ranged from 26 to 97, the mean score was 66.85±13.16, and the mean grade was 2.76±0.52. 2. The level of adolescents' hope ranged from 55 to 153, the mean score was 111.48±17.64 and the mean grade was 2.78±0.44. 3. It showed that there is a significantly positive correlation (r=0.546, p=.000) between adolescents' family function and hope. That is, the better family function adolescents have, the higher level of hope they have. 4. Adolescents' family function showed significant differences according to school record (F=6.363, p=.002), school life satisfaction (F=4.922, p=.007), father's education (F=2.640, p=.048), mother's education (F=3.586, p=.013) and domestic economy status(F=3.022, p=.049). 5. Adolescents' hope showed significant differences according to religion (t=2.018, p=.044), school type (t=2.567, p=.010), school record (F=9.712, p=.000), school life satisfaction (F=11.367,p=.000), father's education (F=4.632, p=.003), mother's education (F=4.709, p=.003), domestic economy status (F=4.235, p=.015), relationship with friends (F=8.187, p=.000), and subjective health condition (F=5.490, p=.001). Conclusion: First, in order to improve adolescents' family function, which encourages hope in adolescents, it is necessary to develop nursing interventions and to make further studies. Second, it is necessary to develop instruments for improving Korean adolescents' family function and hope. Third, further studies are required to improve adolescents' family function and hope in special situations such as disease, drug abuse and juvenile delinquent.

유산소 리듬 운동프로그램이 노인의 혈압, 심박수 및 생활만족도에 미치는 효과

우선혜,김효정,박영숙 대한보건협회 2001 대한보건연구 Vol.27 No.3

The purpose of this study was to test the effects of aerobic rhythmical exercise program on blood pressure, pulse and the life satisfaction of the elderly. This quai-experimental study was designed as a non-equivalent control group pretest-posttest study. The subjects were 36 subjects(experimental group: 19 subjects, control group: 17 subjects), aged between 65 and 73 years who have normal cognition, sensory function and cerebellum function. Aerobic rhythmical exercise program was developed on the basis of aerobic exercise, Korean tradititional dance and music by the author. The blood pressure, pulse rate and life satisfaction were measured prior to and following the experimental treatment. Data were analyzed with x^2-test, t-test, mean, standard deviation, percentage of change and ANCOVA test using SAS program. The results were as follows. 1. There was no significant difference of systolic blood pressure between experimental and control group following the aerobic rhythmical exercise program(F=1.39, P=0.247). 2. The diastolic blood pressure of the experimental group was significantly lower than that of control group following the aerobic rhythmical exercise program(F=2.96, p<0.1). 3. There was no significant difference of resting heart rate between experimental and control group following the aerobic rhythmical exercise program(F=0.07, P=0.793). 4. The life satisfaction of the experimental group was significantly higher than that of control group following the aerobic rhythmical exercise program(F=9.94, p<0.01). On the basis of the above findings, aerobic rhythmical exercise program is effective in reducing diastolic blood pressure and promoting life satisfaction of the elderly. Thus, this program can be recommended as an effective nursing intervention for the elderly.

간호대학원 교과과정의 개념틀 개발을 위한 전국 간호대학원 교과과정 현황 조사 연구

우선혜 慶尙大學校 1998 論文集 Vol.37 No.-

The purpose of this study was to investigate the current curriculum operation of the doctoral education at the nursing. The results of the study are as follows : 1) The common key concepts of objectives and philosophy of education are nursing scientist, researcher, theorist, leader, nurse-specialist, development of nursing policy, the ability of confrontation of new responsibility. 2) The common organization of course outline are composed of core course of nursing theory, nursing research, dissertation and selective advanced pediatric, nursing and practice women's health, advanced psychiatric nursing and practice, the management of nursing staffs, advanced community nursing and practice. As a result of investigation of the future perspective of nursing science, get the scholastic independence of nursing is to develop the scientific framework and the integrated curriculum of nursing. I recommend the further study of the analysis of the adequacy of philosophy and curriculum of nursing education.

협력(Collaboration)의 개념분석

우선혜,박영숙 啓明大學校 醫科大學 1996 계명의대학술지 Vol.15 No.4

Collaboration is a complex phenomenon, yet one that is of significance to nursing. This concept analysis presents definitions and defining characteristics of collaboration so that the concept may be used in the creation of operational definitions, or to develop and evaluate tools for measuring collaboration. Antecedents, consqences and empirical referents of collaboration are explored. Model, contrary and related cases are presented to clarify this concept further. A significant attribute of collaboration is that two or more individuals must be involved in a joint venture, typically one of an intellectual nature. this cooperative endeavour is one in which the participants willingly participate in planning and decision-making. Collaboration requires that individuals view themselves as members of a team, and contribute to a common product or goal. All Participants offer their expertise, share in the responsibility for outcomes, and are acknowledged by other members of the group for their contribution to the process. The relationship between individual in collaboration is nonhierarchical. Power is shared; it is based on knowledge and expertise versus role or title.