간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

게르마늄 내성효모에 의한 게르마늄의 세포내 축적

김경신,함희숙,김종현,박원봉 서울여자대학교 자연과학연구소 1995 자연과학연구논문집 Vol.6 No.-

게르마늄 내성 효모를 개발하여, 유기게르마늄을 생합성할 수 있는 최적의 조건을 알아보고, 게르마늄의 효모균체내에서의 생합성을 확인하였다. 1. 게르마늄 내성효모의 성장정도가 일반효모보다 약간 높은 것으로 나타났으며, 내성효모 배양액의 pH는 시간이 경과함에 따라 일반효모의 배양액보다 pH의 상승정도가 큰 것으로 나타났다. 2. 내성효모의 성장정도는 GeO2 의 농도가 90ppm까지는 점차 상승하다가 그 이상에서는 성장정도가 점차 감소하는 추세를 보였으나 일반효모보다는 감소하는 정도가 적은 것으로 나타났다. 3. 배지의 GeO2 농도를 80ppm으로 하고 pH를 8.0으로 조절한 후 30℃ 24시간동안 배양한 효모 중의 게르마늄의 농도가 0.818g/mg으로 가장 높게 나타났다. 4. 효모세포내의 게르마늄의 분포상태를 측정한 결과, 대부분의 게르마늄이 효모세포벽을 구성하는 고분자 다당체나 단백질에 결합된 것으로 추측된다. 또한 게르마늄의 일부는 수용성 단백질과 결합되어 있는 것을 확인할 수 있었다. A mutant of Saccharomyces cerevisiae ACTC 4105 was derived by a series of subcultures in the media containing increasing GeO_2 concentrations. The growth of tolerant yeast cells and the yield of organic germanium was studied as a function of GeO_2 concentrations, temperature and pH of media. The distribution of organic germanium in the tolerant yeast cells incubated in the media containing GeO_2 was also studied.

장애인생활체육의 실시현황 및 문제점에 관한 조사분석

김경숙,최원현 한국체육대학교 2000 韓國體育大學校 敎養敎育論文集 Vol.- No.5

The purpose of the study to investigate and analyze the realities for social physical education with those of handicapped(903 persons, 1993)and after 5years handicapped(307 persons, 1998) who are in social physical education grop. 1) investigation Charateristic First and Second answer's The answer's sex all male each 75% and 85%. It was more than female 25% and 15%, and the age distribution was 20∼30 years(60∼70%). The difficulty forms were poliomyelitis(27%), spinal disorder(24%), disease and extra(20%). Cause of disorder that acquired was increased but congenital was decreased. 2) Social physical education activity Attended motivation of social physical education was like(+l7%), improved physical strength(-12%) and health maintenance(-7%). frequency of exercise was twice a week(+2%) and three times a week(+3%) but four times a week(-21%) was extremely decreased. Daily exercise time was more 90 minutes(+53%), less than 30 minutes(-47%). And 60∼90minutes and 30∼60minutes were decreased each 6.1%. Dissatisfaction reason with attended social physical education was lack of sports facilities(-24%), sports leades(+l4%) and lack of programs(+9%). 3) Social physical education leader The difficulty forms of leader were specialist(38%), leader(27%), parents(19%), volunteer(16%) in the first investigation and specialist(58%), leader(22%), volunteer in the second investigation. 4) The palce to practice sports Satisfactory of sports facilities use was improved 40%. The palce to practice sports was each first and special facilities for handicapped(58%, 61%), public facilities(42%, 32%). The use of difficulty in special facilities for handicapped was time(23%, 16%), financial difficulty(22%, 33%). 5) Traffic means When the person use social physical education facilities, traffic means was wheelchair(17%), bus, taxi(24%), car(7%). in the second investigation, car(57%), bus, taxi(17%), subway(12%). The use of car was improved extremely(34%→57%). 6)Requirement items Requirement items with attened social physical education was the expension in sports facilities and place(47%), the development extention of program(23%), the supper of sports facilities(16%), and the extention of leader(13.5%) in the first investigation, the expension in sports facilities and place(45%), the extention of leader(21%), the development and extention of program(19%), and the support of sports facilities(15%) in the second investigation.

상징놀이와 인지발달의 관계에 대한 Piaget와 Vygotsky의 관점 비교 : A Piagetian Framework Vs A Vygotskyian Framework

김현경,이정숙 기전여자대학 2000 論文集 Vol.20 No.-

This article suggests new directions for application of symbolic play and cognitive development based on Piaget's paradigm and Vygotsky's paradigm. Children's symbolic play has focused on the way early childhood curriculum formation process differently as historical and philosophical background. This study emphasize the meaning of relationships between symbolic play and cognitive development. Piaget's framework and Vygotsky's framework are multual negotiation and collaboration. Central to the role of teachers is conceiving of Piagetian framework and Vygotskyian framework about cognitive development. And then they have to do various intervention as a scaffolder.

소규모사업장 보건관리기술지원사업 지원여부에 따른 사업장내 의사소통 비교

정최경희,박혜숙,김정연,이경용,현성민,오지영,김수근,김현주,하은희 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

목적: 소규모사업장 보건관리기술지원사업 지원여부에 따라 사업장내 위험의사소통채널이 마련되었는지와 이 채널이 기능을 하는지, 그리고 의사소통채널마련과 사업장내 위험의사소통 활성화의 기본적이고 중요한 배경이 되는 사업주의 산업보건에 대한 관심이 차이가 있는지에 대해 살펴보고자 하였다. 방법: 서울, 안산, 대전, 광주, 포항 지역에서 보건관리기술지원사업을 받은 사업장과 받지 않은 사업장을 대상으로 비례층화무작위표본추출법을 사용하여 추출한 후 1991년 12월 6일부터 10일간 우편설문조사를 실시하였다. 설문대상은 각 사업장의 남녀 각 1명, 보건업무담당자, 사업주였으며, 설문내용은 사업장 및 응답자의 일반적 특성 및 사업장내 위험의사소통이었다. 설문에 응답이 온 463개 사업장의 자료를 자료처리하여 총 228개 사업장(단해년도지원 사업장 189개, 연속2년지원 사업장 13개, 비지원사업장 26개)을 대상으로 분석하였다. 결과: 사업장내 의사소통에 대한 단변량분석에서는 보건업무 담당자의 선정여부만이 통계적으로 유의한 차이가 있었다. 소규모사업장 보건관리기술지원사업을 지원받지 않은 사업장과 지원받은 사업장의 사업장내 위험의사소통을 비교하기 위한 로지스틱회귀분석 결과, 모든 항목에서 통계적으로는 유의한 차이를 보여주지 않았다. 그러나 사업주의 관심(OR ; 1.63, 95% CI ; 0.38~7.01)과 보건업무담당자의 선정(OR ; 3.67, 95% CI ; 1.00~13.44) 및 결정권한(OR ; 1.48, 95% CI ; 0.25~8.91), 사업주의 산업보건문제 소통(OR ; 3.07, 95% CI ; 0.81~11.71), 보건업무담당자의 정보요청경험(OR; 4.48, 95% CI ; 0.97~20.57)에서는 지원받지 않은 사업장에 비해 지원받은 사업장에서 교차비가 증가하는 양상을 보여주었다. 반면 노동자의 산업보건문제 소통가능성여부는 오히려 교차비가 0.53(95% CI ; 0.11~2.44)로 감소하는 경향을 보여주었다. 결론: 소규모사업장 보건관리기술지원사업을 의사소통의 측면에서 평가해보면, 사업주나 보건업무담당자에게는 다소 효과가 있었지만 노동자가 지속적으로 참여할 수 있도록 의사소통문화를 바꾸어내는 데에는 한계가 있었다. 개선을 위해서는 노동자 중심의 접근 프로그램의 개발 및 시행이 시급하다 할 수 있다. Objectives :This study was to evaluate the effectiveness of the government-funded subsidized occupational health program for small-scale enterprises(GSOHP_SSE) by occupational health com-munication in workplace. Methods : We sampled the 1,835 enterprises of study by proportional stratified random sampling among industries of supported and not supported by GSOHP_SSE in Seoul, Ansan, Daejeon, Kwang-joo and Pohang. Information on the general characteristics of enterprises and respondants and occupational health communication in the workplace was collected on self-reported questionnaires by post-survey between December 6 and 15 in 2001. We received answers from 463 enterprises and analyzed 228 enterprises through data-cleaning by logistic regression to evaluate effectiveness of GSOHP-SSE about occupational health communication in the workplace. Results : By multiple logistic regression analysis, GSOHP_SSE turned out not to be statistically significant factor in all dependent variables about occupational health communication in the work-place. The concern of owner(odds ratio (below OR) ; 1.63, 95% confidence interval(below 95% CI) ; 0.38-7.01), formation(OR ; 3.67, 95% CI ; 1.00-13.44) and empowerment(OR ; 1.48, 95% CI ; 0.25-8.91) of health manager, request about occupational health problem of health manager(OR ;4.48, 95% CI ; 0.97-20.57) and occupational health communication of owner (OR ; 3.07, 95% CI ; 0.81-11.71) had the trend increasing OR in the industries supported GS-OHP_SSE relative to the industries not supported. But in recognition of possibility on occupational health communication of laborers, OR of GSOHP_SSE was decreased in 0.53(95% CI ; 0.11-2.44). Conclusions: This study found that the GSOHP_SSE was some effective to the side of employer and health manager, but had a limitation about change of communication culture useful to the laborers. We suggested the laborer-centered health training programs or the empowerment-based health training programs for effective occupational health management in the workplace.

생활양식과 소비자역할 인식 및 기능과의 관계에 대한 연구

황경애,안현숙 진주산업대학교 1993 論文集 Vol.32 No.-

The purpose of this study is to investigate lifestyle pattern and to analyze the influence of demographic and psycho-social valuables on consumer role concept and ability. For the purpose of this study, questionnaires were administrated to 319 housewives in Chinju. The data were analyzed by factor analysis, One-Way ANOVA, Pearson's correlation, Multiple Regression Analysis. The major results of this study were summarized as follows: 1) By utilizying factor analysis the life style patterns of housewives were classified 8 types. 2) The variables which were influenced directly on consumer role concept ; rational activity type, sound and thrifty type, income. (These variables explain consumer role concept 18%) 3) The variables which were influenced on consumer role concept ; rational activity type, social activity type, modernistic self type, number of child, occupation of husband. (These variables explain 37.2%) 4) Relations between consumer role concept and consumer role ability are positive correlation. (r=.24, P<.001)

전북지방 대학생의 식행동에 관한 조사 연구

김현신,서은숙,신미경 동아시아식생활학회 1996 동아시아식생활학회지 Vol.6 No.2

This study was carried out to investigate food behaviors of 349 college students(male 233, female 116) in Jeon Buk area by questionnaires. 89.1 percent of the students were living in city and 48.8% of those were residing in their own home or relatives. The average height and weight was 172.9㎝, 64.2㎏ for male and 161.0㎝, 50.1㎏ for female. Drinking and smoking rate of males were 88.0% and 61.8%, respectively. Both of male and female were most preferring the kind of rice and the skipping rate of breakfast was highest. Mean score of interest in eating attitudes was 11.7 in male and 13.2 in female(p<0.001), and score for regular eating time was highest and that for reducing pungent food intake was lowest. The score of interest in eating attitudes was higher in subjects who exercise regularly(p<0.001), no drinking (p<0.05), had a good health status (p<0.01) and attended a lecture related to food and nutrition (p<0.001) than others. In the sense of value on eating, male had a meal for the physiological needs and female had a meal for enjoy(p<0.05). The score of interest in eating attitudes had a negative correlation with drinking(p<0.001) and smoking (p<0.05), and had a positive correlation with health status(p<0.01), effort for a balance of life(p<0.001), the sense of value on eating and attending a lecture related to food and nutrition(p<0.001).

전통음식에 대한 경북지역 주부들의 의식 및 실태조사

한재숙,한경필,성선향,조연숙,박경숙,김현옥,정종기 동아시아식생활학회 2000 동아시아식생활학회지 Vol.10 No.6

The purpose of this study was to survey the awareness and use for traditional foods of housewives in Kyong-buk area. The results were as follows : Residental areas were city(43.9%) and the county(56.1%). Region were divided as the north resources circle(28.3%), the east coast circle (21.0%), the middle west circle (21.7%), and the south city circle (29.0%). The performance degree of times and seasons of the year customs was Seolnal, Chuseuk, Daeboreum and Dongji in order. Preparation foods of Seolnal were deukguk, vegetablejeon, fishjeon, namul and gangjeung in order. Preparation foods of Chaseuk were songpeon, vegetablejeon, namul, fishjeon and fruits in order. The country foods were sikhae, muk, pumpkin, golbangiguk, yakga and potato in order.

선호스타일과 착용스타일별 신체인지도와 만족도 차이 비교 (제1보) : 재킷을 중심으로

이경림,박숙현 服飾文化學會 2004 服飾文化硏究 Vol.12 No.1

The purpose of this study was to find out comparison of preference style and wearing style of jacket by body perception and satisfaction. This research was done by a survey method. Descriptive Statistics, t-test, Pearson's Correlation, Coefficients MANOVA, Two-Way ANOVA and Duncan's test were used for data analysis. The results of this study are as follows. 1) The subjects were less satisfied with larger or thicker girth of upper body. The subjects were less satisfied with thicker upper arm, lower arm, waist and lower abdomen. The subjects were less satisfied with larger or thicker girth of lower body. The subjects were less satisfied with thicker hips, thighs, calves, ankles, and longer crotch length. 2) The subjects with the highest dissatisfaction about neck thickness and length prefer jacket with collar but wear jacket without collar. The subjects with the smallest bust wear jacket with short lapel. The subjects with wider shoulder wear jacket with narrower shoulder width. The subjects with more dissatisfaction about shoulder incline wear raglan sleeve jacket. The subjects with wider hips wear hip line length jacket.