임상실습 평가도구 개발에 관한 연구

정안순,장은정 경복대학 1999 京福論叢 Vol.3 No.-

이 연구의 목적은 임상실습 평가에 대한 현황조사를 통하여 평가의 특성과 내용을 분석하고 표준화된 임상실습 평가도구를 개발하기 위함이다. 서울, 경기지역의 간호교육기관에 의뢰하여 1999년 4월 30일부터 5월 31일까지 회수된 총14개의 평가 도구를 이용하였다. 이 연구의 결과는 1) 임상실습 평가도구의 유형은 공통도구사용이 92.9%를 차지하였다. 2) 평가척도는 4점척도를 7개교로, 50.5%에서 사용하고 있었다. 3) 평가도구에 반영된 이론적 근거로는 Bloom모형을 8개교(57.1%)에서 사용하고 있었다. 4) 평가영역은 지식, 기술, 태도가 중요시 되었다. 평가항목은 14개의 평가 도구 중 간호수행능력이 빈도 9, 순위 1을 나타내고 있다. 5)임상 실습 평가를 위한 평가도구는 Bloom 모형과 간호과정을 근간으로 개발되었다. The purpose of this study was to analyze the characteristics and content of evaluation tool, and develop evaluation tool for standard clinical performance through the situational investigation about clinical performance. Total 14 evaluation tools, collected by the nursing education institutions located in Seoul and Kyungki-Do area April from Area 30 to May 31, were used for this study. The results of this study are as follows; First, the use of common evaluation tool in the type of clinical perfromance evaluation tools occupied 92.9%. Second, 4-measure system as the evaluation measure is used in the 7 nursing education institutions(50.5%). Third, Bloom's Model as a theoretical basis in the evaluation tool is used in the 8 nursing education institutions (57.1%). Fourth, knowledge, skill and attitude are major factors in the evaluation domain. In case of evaluation items, nursing competence among 14 evaluation tools stands first in the evaluation with the frequency number 1. Fifth, the evaluation tools for the clinical performance evaluation were developed on the basis of Bloom's Model and Nursing Process.

보드게임요법이 만성 정신분열병 환자의 실행능력에 미치는 효과

정안순,Jeong, An-Soon 한국가정간호학회 2011 가정간호학회지 Vol.18 No.1

Purpose: This study investigated changes in neurocognitive function over a 2-month period of board game therapy in patients with schizophrenia. Method: Twenty-one schizophrenic patients treated with board game therapy and nineteen control schizophrenic patients were evaluated with neuropsychological and clinical tests, such as the Wisconsin Card Shorting Test (WCST). The same tests were re-administered after 2 months of board game therapy. Results: At the first series of neuropsychological tests, no difference was seen in performance, demographical aspects, or clinical severity among both patient groups. After 2 months, the group receiving board game therapy showed significant improvement of WCST performances compared to the controls. However, no difference was observed in clinical symptoms between the groups. Conclusion: The results of cognitive enhancement in patients playing board games indicates that board game play, easily used in an inpatient setting, is a promising tool for executive function improvement in chronic schizophrenic patients.

격리실을 사용한 정신과 입원환자의 특성

정안순 가톨릭대학 (가톨릭신학대학) 대학원 1996 가톨릭大學醫學部 論文集 Vol.49 No.1

대학병원에 근무하는 전문대학졸업 간호사의 경험에 관한 현상학적 연구

김정애,정안순 경복대학 1999 京福論叢 Vol.3 No.-

본 연구의 목적은 대학 병원에 근무하는 전문대학 졸업간호사의 경험이 어떤 의미를 가지는지 파악하여 경험의 구조를 확인하고 보다 명확히 이해하기 위함이다. 이 연구는 서울에 위치한 각기 다른 대학병원에서 근무하는 전문대학 졸업 간호사 2명을 대상으로 하였다. 자료수집은 심층 면담을 통해 이루어졌으며 자료수집 기간은 1998년 10월 28일부터 12월 1일까지 였다. 연구결과 대학 병원에 근무하는 전문대학 졸업 간호사의 경험세계에서 나타나는 core category로는 부정적인 전문직관, 스트레스, 타교로서의 소외감, 미래의 불확실성, 적응, 업무에서의 자신감 부족이 나타났다. The main purpose of this paper is to study the meaning of college-graduated nurses working at the university hospital, to grasp the real structure of their experiences and to understand it in detail. For the subject of study, we have selected two college graduates working at the different university hospitals in Seoul. All data are collected by the field study from Oct.28 to Dec.1, 1998. As the result of this paper, the core categories shown in the experiences of nurses are as follows; negative consciousness on a profession, stress, alienation, uncertainty of the future life, maladaptation and diffidence of the job performance.

정신분열병의 인지 기능 재활에 대한 보드게임요법의 효과 분석

윤탁,정안순 대한생물정신의학회 2006 생물정신의학 Vol.13 No.2

Objectives: In order to explore the effect of board-game therapy for cognitive rehabilitation in patients with schizophrenia, we investigated the change of executive cognitive functions over a 2-month period of board-game therapy in patients with schizophrenia. Methods: Two groups of chronic schizophrenic inpatients were participated in this study. One group (n=21) were treated with board-game therapy for 2 months and the other control group (n=19) were not treated. For the evaluation of the executive cognitive function, a Wisconsin Card Sorting Test (WCST) was administered before and after the introduction of the board-game therapy. PANSS score change was also evaluated. Result: At the beginning of this study, there was no significant difference in performance of cognitive function tests, demographical data or clinical severity between both patient groups. After 2 months of treatment with the board-game therapy, the board-game therapy group showed significant improvements of executive cognitive function without any significant change of their schizophrenic symptoms. On the contrary, there was no change in control group. Conclusion: This study showed that a board-game therapy is effective for the enhancement of executive cognitive function in patients with chronic schizophrenia. A board-game therapy could be introduced with ease into psychiatric fields, such as inpatients or outpatients clinic wards and day hospital. Our result indicates that the board-game therapy is a promising tool for the enhancement of cognitive function, especially executive cognitive function and helpful for cognitive rehabilitation for schizophrenic patients. . Key wards: Board-game therapy. Schizophrenia, Executive cognitive function, Wisconsin card shorting test (WCST), Cognitive rehabilitation

정신보건센터 재활프로그램 참여.비참여 만성정신장애인의 자가관리 및 가족부담감 비교 연구

백영숙,정안순,Baek, Young-Suk,Jeong, An-Soon 한국가정간호학회 2011 가정간호학회지 Vol.18 No.1

Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.

정신분열병 환자의 인지 기능 재활에 대한 보드게임 요법의 효과 분석

윤탁,정안순,Youn, Tak,Jeong, An-Soon 대한생물정신의학회 2006 생물정신의학 Vol.13 No.2

Objectives : In order to explore effects of board-game therapy for cognitive rehabilitation in patients with schizophrenia, we investigated the change of executive cognitive function over a 2-month period of board-game therapy in patients with schizophrenia. Methods : Two groups of chronic schizophrenic inpatients were participated in this study. One group(n=21) were treated with board-game therapy for 2 months and the other control group(n=19) were not treated. For the evaluation of the executive cognitive function, a Wisconsin Card Sorting Test(WCST) was administered before and after the introduction of the board-game therapy. PANSS score change was also evaluated. Result : At the beginning of this study, there was no significant difference in performance of cognitive function tests, demographical data or clinical severity between both patient groups. After 2 months of treatment with the board-game therapy, the board-game therapy group showed significant improvements of executive cognitive function without any significant change of their schizophrenic symptoms. On the contrary, there was no change in control group. Conclusion : This study showed that a board-game therapy is effective for the enhancement of executive cognitive function in patients with chronic schizophrenia. A board-game therapy could be introduced with ease into psychiatric fields, such as inpatients' or outpatients' clinic wards and day hospital. Our result indicates that the board-game therapy is a promising tool for the enhancement of cognitive function, especially executive cognitive function and helpful for cognitive rehabilitation for schizophrenic patients.

임상실습 교육개선을 위한 간호학생의 간호활동시간 분석

이애경,김정애,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2001 京福論叢 Vol.5 No.-

신규간호사의 능력은 간호학생 때의 다양한 임상경험에 기초를 둔다. 따라서, 간호대학의 교수, 병원 지도자, 임상지도자는 간호학생들이 다양한 지식을 획득하고 간호기술을 경험할 수 있도록 도와주는 중요한 역할을 한다. 이 연구의 목적은 이러한 간호학생들의 임상실습에서 수행하는 간호활동과 간호활동 시간을 분석하고자 하는데 있다. 연구결과 간호학생 1인당 직접간호활동 시간은 185.5분(직접간호비율은 56.7%)으로 141.65분(간접간호 비율은 43.3%)인 간접간호활동 시간보다 많았다. 직접간호활동 시간 중 활력징후 측정이 51.9분으로 가장 많은 시간을 차지하였고, 간접간호활동 시간 중에는 차트보기가 22.98분으로 가장 많은 시간을 차지하였다. 전반적으로 기본적인 임상간호 수행기술에 소요되는 시간이 고도의 숙련된 간호기술을 수행하는데 드는 시간보다 많은 것으로 나타났다. 따라서, 본 연구결과를 토대로 간호대학의 지도자와 병원의 지도자 및 임상지도자가 함께 임상실습 교육과정의 지침서와 평가서를 평가할 필요가 있다고 제언하는 바이다. The competence of newly graduated nurses is based on various clinical experiences gained when they were students. Therefore, professors in nursing schools, directors in hospitals or preceptors must play a critical role in assisting them to obtain various knowledge and experienced nursing skills. The purpose of this study is to investigate nursing care activities and nursing care hours practiced by nursing students in clinical experience. The results of this study showed that the direct nursing care hours per each nursing student are 185.5 mins(direct nursing care rate 56.7%) and it is higher than indirect nursing care hours, 141.65 mins(indirect nursing care rate 43.3%). The hours of checking vital signs are the longest(51.9mins) among the direct nursing care activities, and the hours of reviewing chart are the longest(22.98mins) among the indirect nursing care activities. In general, the time of performing basic clinical nursing technique was higher than that of performing high skilled nursing technique. And nursing observation was higher than that of directly performing task. So, we suggest based on the results of this study as follows. It is needed for nursing instructors in nursing schools and hospitals together to evaluate the guidelines and check-list of clinical practice courses.

간호 학생의 임상실습 효율을 위한 기초 조사 연구

이애경,김정애,주미경,정안순,배경진,김정수,이정애,장은정 경복대학 2000 京福論叢 Vol.4 No.-

임상실습 교육은 간호이론을 실무에 적용하는 기회를 제공하는 과정으로서 임상실습이 간호교육의 중요한비중을 차지하고 있다는 것은 주지의 사실이다. 이러한 중요성에도 불구하고, 임상실습 교육에 즉각적인 해결이 어려운 많은 문제점이 있음도 이미 알고 있는 사실이다 이에 임상실습 교육의 기초 자료로 활용되고 있는 실습목록표에 대한 간호 학생들의 실습목표의 명확한 이해와 더불어 이론과 실습의 연계성을 강화시키고자 하였다. 성인간호, 모성간호, 이동간호 3개 영역 모두에서 공통적으로 기본임상간호 항목이나 기본간호술과 관련된 항목에서 직접수행의 빈도가 높았고 숙련된 기술적인 처치나 전문성을 필요로 하는 항목에서는 관찰과 수행경험이 부족한 것으로 나타났다. Clinical performance is not only the process of providing the opportunity for applying nursing theory into practice but also it is a well-known fact that clinical performance is an important part in nursing education. lnspite of this importance, it is also true that many problem with no immediate solution exist in clinical performance of nursing students. thus, through measuring and analyzing the degree of clinical experience of the nursing students, on the nursing checklist that is being used as the basic guide in clinical education, we tried to clearly understand the objectives of clinical performance and to emphasize the connection between theory and clinical performance. The results of the study showed that the frequency of directly performing tasks was high in all areas of adult health nursing, maternity nursing, and child nursing for the items of basics clinical nursing and items related with basic nursing techniques, and that the experiences of observation and execution were lacking in the items needing skilled treatment or speciality.

일 전문대학 간호과 학생들이 인지하는 강의평가 기준에 대한 조사연구

김정애,이애경,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2004 京福論叢 Vol.8 No.-

일개 전문대학 간호과 학생들을 대상으로 강의평가 기준을 파악하고자 하였다. 개방형 질문지를 이용하였으며 7개의 교수관련 강의평가 문항 각각에 대해 좋은 점수 및 나쁜 점수를 부여하는 기준을 조사하였다. 각 문항별로 다양한 기준이 확인되었으며, 간호과 학생들의 강의 만족도를 높일 수 있는 교수설계를 위한 기초 자료로 활용할 수 있을 것이다. We aimed to set standards for the student evaluation of instruction for college students of Nursing. We used an open questionaire and surveyed the standards for how students judge the instruction good of bad by using seven questions related to the instructor. Various standards set from each question could be used as basic materials to meet the students' needs in the classroom when the instructors try to find out new instructional design.