내과계 장기입원환자의 재원적절성 체계적관리를 통한 재원일수 단축 방안

최원자,강현숙,유혜현,김영남,김옥수,이지애,곽은영,강혜영,심원희 한국의료QA학회 2000 가을학술대회 Vol.1998 No.-

간호정보시스템이 간호업무에 미치는 영향 - 직?간접 간호시간 중심으로 -

최원자,박승현,박인숙,신현주 대한의료정보학회 2003 Healthcare Informatics Research Vol.9 No.2

죽음을 맞이하는 환자를 돌보는 간호사의 경험세계

최원자,최희강,박승혜,정헤선,문미혜,곽은영,김옥수,강혜숙,최미리 병원간호사회 1999 임상간호연구 Vol.4 No.2

The pattern of causes of death and diseases has been changed with the environmental pollution due to industrialization and increase of population. As medical technology has developed and expected life year is longer, the chronically ill patients have increased. The nurses have had more opportunities to care for these dying people and increased the interest in nursing care for them. Dying people have the physical, mental, social, spiritual problems including pain, anxiety, fear and frustration, restlessness, helplessness, loneliness and need the help to cope with the situations. The care should include encouragement and support of the family as well as the dying individuals to cope with reality effectively. Most nurses who have cared for the dying people have experienced emotional stress such as sorrow, embarrassment, anger, depression, powerlessness, uncontrollability, hopelessness, loss, and had no educational preparation and support to deal with that. As a result, the stress made the nurses who have cared for the dying people impaired mentally or physically, and caused the burnout. This study tries to identify the experience of nurses who cared for the dying people and explore the interventions to manage the situation more effectively using the qualitative-phenomenological approach which describe inductively the cognitive experience of nurses in caring for the dying people and formulate theoretical themes systematically. We consulted the research methodology to a nursing professor who majored in qualitative research. The study subject is ten convenient-sampled staff nurses who agreed to participate in this study, selected by recommendations of head nurses that conduct this research. The data were collected from June 19 to August 7, 1998 by eight head nurses using the interview with open, semiconstructed questionnaires. All data were recorded by cassette tapes and then the interviewer transcripted the recorded data after interview. The data were analyzed by Colaizzi's method. At first 524 significant statements reflecting the nurses' experiences of caring for dying people were drawn from raw data. From these significant statements, 107 formulated meanings were concluded. Finally we identified six themes from these formulated meanings. Throughout the research process, the relevance between constructed statements and raw data was reviewed. The identified themes are as follows : Nurses who have cared for the dying people experienced the burden of ethical, legal responsibilities that they should professionally maintain the life of patient and support their family by implementing physical, psychological, spiritual nursing care. They have heartbrokening, experiencing the empathy and pity to patients and their families. The nurses that have experienced more opportunities of caring for dying people tend to have work-oriented characteristics and cope more objectively. However, all nurses experienced a great deal of burden and expressed freedom and easiness with loss and grief when the patients died. They narrated the process of caring for dying person has made them mature in life, realizing the meaning of life, thinking their own death, respecting the life and losing the avarice. The most important of six themes in nursing is burden. Further study need to conduct as an effort to relieve the nurses' burden. At last, we validated our result by ten interviewees' reviewing the correspondence between the descriptive statements and their experiences.

일개 어린이 병원 간호직원의 직무만족도 증진방안에 대한 연구

최원자,김선구,신연희,오필주,손정숙,윤소영,정은자,김숙자,김정림,강금옥,안덕희,홍희정 병원간호사회 2003 임상간호연구 Vol.8 No.2

The purposes of this study were to explore the job satisfaction of the children's hospital nursing staffs and the relating factors, and to develop the administrative strategies to improve their job satisfaction. The data were collected using a nursing job satisfaction tool (31 items ; 8 subscales - characters of nursing subject, nursing job, interpersonal relation, facilities/environment, professional role, working condition, others ; 5 point Likert scale, subjective score of job satisfaction) and a descriptive questionnaire about the method of improving job satisfaction of the children's hospital nursing staffs. A total of 237 nursing staffs out of 250 completed the questionnaire with 95 percent response rate. The collected data were analyzed by SPSS/WIN program and frequency, percent, mean, One-way ANOVA, t-test. The results were as follows : 1. The mean age of the subjects was 29.4 years. 45.6% of the respondents were married. 66.1% had no child-rearing experiences. 40.5% had the bachelor degree. 59.6% had more than 5 year experience. 46% wanted to work in the children's hospital. 2. The mean score of job satisfaction was 2.84. The most contributing factor to job satisfaction was 'others' (attachment, pride, ownership, etc) and the mean score was 3.33. The 2nd contributing factor was 'characters of nursing subject' and the mean score was 3.31. The mean score about the 'interpersonal relation' was 3.10 and the mean score about the 'working condition' was 2.88. The mean score about professional role and nursing job was respectively 2.79 and 2.55. The most hindering factor to job satisfaction was the 'facilities/environment' and the mean score was 1.8. The mean score of subjective job satisfaction was 73.19. 3. Working unit and position influenced job satisfaction significantly(p=.001/.004). Also the preference of the children's hospital to the hospital caring adult influenced job satisfaction and subjective job satisfaction significantly(p=.005/.000). There were significant differences in different age groups. Nursing staffs over thirties were satisfied their job the most. Marital status and experience of rearing child/children influenced job satisfaction and subjective job satisfaction significantly(p=.016/.000, p=.020/.000). 4. There were no significant differences in education level, career and career between only experienced group in the children's hospital and experienced group in the hospital caring adult(p=.229/.611/.802). 5. The strategies to improve job satisfaction of the children's hospital were staffs supplement, development of specialized programs for pediatric nurses, and organizing staff meeting. With these results, we suggest further research about the effect of these strategies to improve job satisfaction of the children's hospital. This study will be useful as basic data for further related study and for the children's hospital administration.

간호정보시스템의 효율성에 관한 연구 : 직·간접 간호시간을 중심으로

최원자,박승현,박인숙,신현주 병원간호사회 2001 임상간호연구 Vol.7 No.2

The purposes of this study were to identify the efficienency of the Nursing Information System (NIS) on time of the direct and indirect nursing activities, the frequencies of verbal and telephone orders, before and after NIS. 10 nursing units in the S. University Hospital were selected ; the units included 3 medical & 5 surgical units, 1 pediatric surgical unit, surgical intensive care unit. The data were collected from nursing personnels ; included head nurses, charge nurses, staff nurses, and nurse aids. The data were collected 6 month prior to NIS, from April to May, 1999 and 6 month past to NIS, from April to May, 2000. 137 nursing personnels were participated for this study before NIS. 138 were done after NIS for same purposes. Direct and indirect nursing activities were measured by minutes and seconds using stop watch. The charge and staff nurses were obseved man-to-man by trained observers who were nurses working for the S. University Hospital. Head nurses and nurse aids measured nursing activity time by themselves using stop watch. The tools for time study of direct and indirect nursing activities were used 'the check list of direct and indirect nursing activities' that was modified by Commitee of Nursing Information System using Prof. Jung-ho Park' s tool. The frequencies of verbal and telephone orders before and after NIS were taken from self reports by staff nurses for 3 days in 11 nursing units. The results of this study were as follows: 1. The question about 'Is there any changes of direct nursing activities' 66.9% of participants said 'yes' and 32.4% said 'no'. The nurses responsed that any changed nursing performances of increasing amount of time in direct nursing activities after NIS were patients education(26.3%), nursing rounds(23.8%), care of patient' s hygiene(14.0%), care for patient' s movements(12.6%), oral and tracheal suctioning(12.2%), position change(7.3%), and feeding(3.3%). Also, they answered about direct nursing activities that should be increased amount of time from now were patient education, oral and tracheal suctioning, care of patient' s hygiene, position change, and feeding. 2. The difference of amount of time of direct and indirect nursing activities before and after NIS. 1) There was 13.7 minutes increase in direct nursing activities and 4.2 minutes decrease in indirect. The amount of time in direct nursing activities according to nursing position was included in cases of head nurses(1.2 min. increase), charge nurses(23.8 min. increase) and staff nurses(17.7 min increase). The amount of time in indirect nursing activities was included in cases of head nurses(22.0 min. increase), charge nurses(2.6 min. decrease) and staff nurses(13.7 min decrease). 2) The differences of amount of time of direct nursing activities by 3 shifts of staff nurses were increased by 26 minutes for evening shift, 37 minutes for night, but decreased by 6.6 minutes for day. In case of indirect nursing activities, the difference of amount of time decreased by 45.9 minutes for day shift, 14.1 minutes for evening, 19.6 minutes for night. 3) The differences of amount of time of nursing activities by nurse aids were increased by 29.6 minute in direct and decreased by 16.0 minute in indirect. 3. The differences of frequencies of verbal and telephone orders before and after NIS were decreased 16.3 per day(38%) in verbal and 46.3 per day(49%).

사이버스페이스의 실재적 표현에 관한 연구

최원자,김기철,이영수 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(계획계)

The purpose of this study is to consider how the characteristics of cyberspace is applied to the contemporary architecture. Cyberspace is a parallel World Generated by computer technology and evolves continuously whit its own logic. It shares its philosophical and scientific background with our world since it was created artificially with human knowledged. Expansion of imagination tend to immaterial in Architecture. The expansion of physical environmental make together virtual environment and coexist. Then the physical environment indicates that new experience to man and development possibilities.

입퇴원 시 환자간호 서비스 증진 : "병원생활안내"비디오 제작을 중심으로

최원자 한국의료QA학회 1998 가을학술대회 Vol.1998 No.-

응급의료센타 수익증대화 및 경영 합리화 활동

최원자,최희강,윤소영,곽영호,신상도,정제현,최현진,정현선,김부자,이호순,한송이,박선화,양은영,윤오복,장지혜,김향선,백미라,이효연 한국의료QA학회 2005 가을학술대회 Vol.2005 No.1

국내 댄스 뮤지컬의 등장 배경과 전개 양상

최원자(Choi, Won-Ja),조남규(Cho, Nam-Gyu),최현주(Choi, Hyun-Ju) 한국체육과학회 2015 한국체육과학회지 Vol.24 No.3

This study aims to present a sustainable development plan by looking at the evolution of the dance musical to musical background and emergence of the current domestic dance. Appeared in the background of the national dance musical saw at the center of the literature in order to realize these research objectives, the deployment process is performed when a total of 38 works, Venue, Performance deploying looked at how divided into three categories. Taken together, the specific results are as follow. First, the emergence of a national dance musical background has emerged as an attempt to create a musical you want to see in the form of a ‘dance’ in the center of the dance musical musicals of the ‘music’ center. Specifically, the timing of the dance musical in earnest in the country, “If you love, dance” premiered the work can be nyeonra 2004. Second, by the time the national dance of musical developments, the results seen by handing venues stars, major expansion scherne, in the form of long-term performances are limited in some works produced in the early days, after the dance musical material status is somewhat stagnant it can be determined that the level remains. You can also try the expectation that continue to develop as a new genre of performing arts, by even its size is similarly narrow musical and dance if the current deployment status of a musical dance musical performances seen over the place appeared in the form of Theater. Evolution seen in the center of a major expansion of the domestic musical way of dancing is greater share of the popular dance dance elements, more detailed attention despite using the name of a dance musical performances on nonverbal form by mixing with the concept of performance need can be seen.

삶의 만족에서 무용 프로그램의 효과성에 관한 연구 : 사회적 지지의 조절효과

최원자(Shin, Hwa-Young),정승혜(Jung, Seung Hye),최현주(Choi, Hyun-Ju) 한국상품학회 2020 商品學硏究 Vol.38 No.2

본 연구는 삶의 만족에서 무용 프로그램의 효과를 사회적 지지가 갖는 조절효과로 분석하는데 연구의 목적이 있다. 이러한 연구 목적을 달성하기 위하여 국내 노인복지관에서 노인 무용 프로그램에 참여하는 노인 327명을 대상으로 설문조사를 실시하였으며, 수집된 자료를 토대로 통계 분석하였다. 그 결과, 사회 서비스로서 제공되는 노인복지관의 무용 프로그램은 삶의 만족에 긍정적 영향을 미치는 것으로 확인할 수 있다. 그러나 노인을 위한 무용 프로그램에서 사회적 지지는 삶의 질에 영향을 미치지 않는 것으로 분석되었다. 사회적 지지가 그 효과를 더욱 극대화시키기 위해서는 단순히 무용 프로그램 내에서 강사에만 제한된 사회적 지지활동이 아닌 복지관 전체 측면에서 사회적 지지활동이 이루어져야 할 것으로 종합할 수 있다. The purpose of this study is to analyze the moderating effect of social support in the effect of dance programs on life satisfaction. A survey was conducted on 327 senior citizens to achieve the purpose of the study. The detailed findings of the study were as follows: As a result, it can be confirmed that the dance program of the senior welfare center provided as a social service has a positive effect on life satisfaction. However, in the dance program for the elderly, social support did not affect the quality of life. In order to maximize the effectiveness of social support, it can be summarized that social support activities should be conducted in the whole aspect of the welfare center, not just social support activities limited to instructors within the dance program.