지역사회 말기질환자 가족 부담감에 관한 연구

한성숙,노유자,양수,유양숙,김석일,황희경,Han, Sung-Suk,Ro, You-Ja,Yang, Soo,Yoo, Yang-Sook,Kim, Sek-Il,Hwang, Hee-Hyung 한국가정간호학회 2003 가정간호학회지 Vol.10 No.1

The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18, <p=.000l), patient's care period after diagnosis (F=5.18, p=<.0001), and economic status of family(F=3.58, p=0.0088). The highest caregiver's burden related to family was 'parents caregivers'(3.27), the lowest was 'patient's son & daughter caregivers'(2.88). In case of prolonged care period in a day, the caregiver's burden was significantly high. In case of prolonged care period after diagnosis, the caregiver's burden was significantly high. In case of no monthly family income. the caregiver's burden was significantly increased (3,24). The need for health care has expanded from curative therapy to health promotion and rehabilitation also. finally the need for hospice care has demanded in order to improve the quality of life of the terminally ill patients and their families. Because physical, emotional, social and spiritual approaches are required to meet their needs, the integration of various resources is very important. This study is carried out to build a community-based integrated model that is good for improving the patients and familiy's quality of life and to minimize the cost from tertiary hospitals. There were several subjects in this study such, analyses as traditional home care, utilization review of terminally ill patients, measurement of burden of family members and provided practice guidelines for the home cancer patient management. We suggest three strategies for the development of a new model. The firstly the change of the role of the healthcare center from a direct service provider to a management-oriented organization. The secondly the induction of a team-based approach by preserving the proper role of each organization. The thirdly the reenforcement of this team-based approach with the sharing of information on the patients and community-based resources. These suggests are based on the Partnership Collaboration Model and the strategies stated as in the above. In this model, the health care center could playa managerial role and all of the community's resources and the patient's information could hold in common. It is indicated that the information of the patients might be safely used by a semi-open system and an open-system for sharing of the information of the community-based resources.

말기암환자 간호에서의 윤리적인 문제

한성숙,Han, Seong-Suk 한국가톨릭의료협회 2007 Health & mission Vol.8 No.-

간호윤리 정립의 필요성

한성숙,Han, Seong-Suk 대한간호협회 1994 대한간호 Vol.33 No.2

간호윤리 교육이 간호학생의 도덕적 사고와 윤리적 딜레마 상화에서의 의사결정에 미치는 효과

한성숙(Sung Suk Han),안성희(Sung Hee Ahn) 한국간호행정학회 1995 간호행정학회지 Vol.1 No.2

간호윤리 교육현황

한성숙(Han, Sung Suk),김용순(Kim, Yong Soon),엄영란(Um, Young Rhan),안성희(Ahn, Sung Hee) 한국간호교육학회 1999 한국간호교육학회지 Vol.5 No.2

「장기등이식에관한법률」의 내용 및 시행 상의 문제점에 관한 학제간 연구

한성숙 ( Sung Suk Han ),안성희 ( Sung Hee Ahn ),엄영란 ( Young Rhan Um ),구인회 ( In Hoe Ku ),임종식 ( Jong Sik Reem ),권복규 ( Ivo Kwon ) 한국의료윤리학회 2004 한국의료윤리학회지 Vol.7 No.2

"실폐소생술포기(DNR)"에 대한 요청서 및 지시서 개발

한성숙(Han Sung Suk),김중호(Kim Joong Ho),문인성(Moon In Sung),용진선(Yong Jin Sun) 한국생명윤리학회 2005 생명윤리 Vol.6 No.1

The subjects of the study are First, to accumulate DNR related guideline and DNR request and order, questionnaires were sent to 70 randomly selected university hospitals and general hospitals, and the data were collected between July and September 2004. Second, after the draft of DNR request and order was developed, the first professional group (total 12 people) to seek advise regarding the draft was formed including four doctors, three head nurses, two ministers, two philosophers, and one legal professional. The second professional group (5 people) included four doctors and a legal professional who presented significant opinions in the first advisory meeting, and they discussed the revised draft during the second advice. In this study, Delphi technique was used to develop DNR requests and order. The instrument was the draft of DNR request and order form developed by researchers for our hospital based on DNR request and order collected from 9 institutions at home and materials from abroad for the development of DNR instructions and requests. For the final revision of DNR request and order form, we've decided to prepare some space to write down the diagnosis, the progress of treatment, and the prognosis of patients on the back of the form, and us e it for explaining and seeking the consent in compliance with the regulation of the hospital ethics committee. Also we've decided to call the form "DNR request and order form". Regarding the suggestion from the hospital ethics committee, the legal interpretation is needed advised; the second suggestion from a legal professional could be an alternative. This "DNR request form" will be evaluated after one year of trial in our hospital from March 1 2005. Furthermore, for the proper use of this form, we are planning to publicize to develop and use "DNR guides". I suggest developing the forms of living wills or advance directives, for they are of use in case that patient can't make his own decision due to any abrupt accident.

우리나라 환자들이 지각한"좋은 간호사"의 특성 및 행위

한성숙 ( Sung Suk Han ),엄영란 ( Young Rhan Um ),홍여신 ( Yeo Shin Hong ),조남옥 ( Nam Ok Cho ) 한국의료윤리학회 2006 한국의료윤리학회지 Vol.9 No.2

A study was designed to determine the characteristics, conduct, and impact of a good nurse from the point of view of patients in Korean university hospitals. The study was carried out at two university hospitals in Seoul and one university hospital outside of Seoul. A total of 600 patients (200 at each hospital) were surveyed. With respect to the characteristics of a good nurse, the study showed that patients believe that a good nurse should be kind, cheerful, sincere, trustworthy, considerate, and that nurses must treat patients like family members. In order to determine the conduct of a good nurse as viewed by patients, eight factors were considered, including compassion, professional pride, patient-centered caring, professional knowledge, trust, expertise, respect for patients, and advocacy. When attitudes towards the different factors were measured and converted to scores out of 100 percent, the factor that scored highest was professional knowledge (82.52), followed by professional pride (78.61), trust (78.11), and patient respect (76.90). As for the impact of a good nurse, patients reported that a good nurse induces trust, feelings of security, courage, and cheerfulness in patients. This research shows that a good nurse is conceived as someone who is friendly, bright, sincere, understanding, and treats the patient like family members. If a patient receives care from such a nurse, the patient will rely on the nurse, feel safe, have confidence in the struggle against his or her disease, and have a brighter disposition while undergoing care. Furthermore, although the professional knowledge and pride of nurses are important factors in a patient`s care, for nurses to have an empathetic attitude toward patients, it is suggested that they receive continued education.

엘리아디즘(Eliadism)속에 나타난 문학과 이데올로기

한성숙(Han, Seong Suk) 한국외국어대학교 동유럽발칸연구소 2013 동유럽발칸연구 Vol.35 No.-

세계적인 종교학자로 알려진 미르체아 엘리아데(1907-1986)는 현실의 절망적인 문화 속에 루마니아 '새로운 세대'의 지적 리더로서 루마니아의 부흥을 꿈꿨다. 엘리아데는 민족주의를 고취시키고자 했던 운동에 관심을 가지면서 그의 일생에 걸쳐 수많은 작품들을 창작하였다. 그의 문학은 현대인의 삶 속에서 종교적ㆍ신화적 비전을 재구성 하는 하나의 구원론적 의미를 지니게 되었으며 루마니아 문학발전에 커다란 영향을 주었다. 엘리아데를 비판하는 학자들은 그가 인종 혐오적이며 메시아적인 민족주의를 지지하고 지극히 파시스트적인 철위단의 이념에 동조했다고 공격하고 있다. 하지만 1930년대 엘리아데를 포함한 '새로운 세대'라고 불리는 루마니아의 젊은 지식인들은 새로운 루마니아의 부흥을 꿈꾸고 있었으며 이러한 흐름 안에서 단순히 수동적인 방관자들로 남으려하지 않았다. 오히려 철위단은 젊은 세대가 이끄는 루마니아의 새로운 변화를 시도했던 유일한 단체이자 문화를 반영한 루마니아 부흥 운동이었기 때문에 '새로운 세대'를 이끄는 엘리아데의 열정을 사로잡기에 충분했다. 또한 엘리아데는 폭력에 맞서 정치에 직접적으로 참여하기보다는 무엇보다 먼저 젊은 세대와 기존의 이념들을 재정비하는 것이 필요하다고 강조하였다. 그의 확신과 실천에는 삶과 사상에 지대한 영향을 미친 루마니아의 뿌리가 자리 잡고 있었다. 오랫동안 끊임없는 침략으로 가혹한 시련을 겪었던 루마니아인들은 '역사의 공포'에 대항하기 위해서 군사적이나 정치적으로 맞서는 것이 아니라 역사적 시간으로부터 탈출하여 루마니아 민족의 특수한 우주적 기독교관 안에서 자신들의 운명을 환희와 행복으로 승화시켰다. 엘리아데는 현대인에게 현대 인류의 속성과 처한 상황을 이해시키면서 과거 영적인 역사에서 무엇이 가장 중요하며 가치 있는지를 구체화하는 문화 창조의 중요성을 일깨워 주고자 하였다. 이에 그는 문학작품 속에서 역행할 수 없는 역사적 시간의 흐름으로부터 탈출하는 동시에 인간의 자유와 숨겨진 본질적 의미를 드러내는 성스러운 시간에 도달하기 위하여 인간의 한계와 평범한 것의 초월을 향해가는 과정을 그리고자 하였던 것이다. 전통과 현대의 만남과 대화를 결합시킴으로써 엘리아디즘은 시간에 존속되지 않으면서 역사의 필연이라는 공포로부터 벗어나, 실재 안에 갇히지 않고 열린 세계를 지향할 수 있는 문화적 창조를 통해 창조적 해석학으로 발전한다. Mircea Eliade(1907-1986) was a well-known historian of religion and fiction writer from Romania. The beginning of the 20th century he modified unique political and religious vision of the Rumanian nationalistic rightists in the turbulent period, and he established his own theory for a new generation, which was based upon Nae Ionescu's irrational academicism who was his mentor and a professor of logic. This indicated that his study was not away from his ideology. His idea is a ideology which has presented vision of new human through his Creative Hermeneutics, and his studies also has soteriological meaning which is reconstructing the religious and mythical vision in modern life. At early 20th century in Rumania 'Iron Guard(Garde de fier)' which was against influx of foreign capital and for nationalism, came to outstand as a political entity in 1927 as like fascism emerged in western Europe due to anxiety and uneasy fleeing about the falling of modern European system and hostility toward modern bourgeois life. The movement contrasted with most other European fascist movements of the period in its overt religiosity in the form of an embrace of the Rumanian Orthodox religion. Many critics has argued that Eliade followed messianic nationalism and extremely fascist ideology of the Iron Guard. However, in the 1930s Rumanian young intellectuals, so-called 'new generation' including Eliade was dreaming of a renaissance of the new Romania and they denied to be remain as onlookers in cultural turns. The Iron Guard was the only movement which struggled to renew the Rumanian system and young members in it initiated the movement of the revival of the Rumania. That's because it was enough to captivate the passion of Eliade, who was a representative intellectual of new generation. Members of the Iron Guard thought that they distinguished themselves from the European fascists and had no shame in emphasizing the nation before the nation before the individuals regarding the Rumanian history. However, Eliade emphasized to reorganize the existing ideology and young generation rather than directly participate in politics against brutal reality. His belief and action were deeply influenced by experience in the Rumania. Also, his Rumanian nationality was a decisive factor in his life and work. In his works he repeated the theme that Rumanian people sublimated their miserable fate to joy and happiness through the own unique 'Cosmic Christism' in order to resist the terror of history. Most characters in his literary works struggled to get answers to the meaning of human being and destiny on the journey of labyrinthine life. It means that contemporary men escape from the historic time which cannot be ignored. At the same time, it is the way towards transcendence of ordinary life and the human limits in order to reach the sacred time which reveals the true meaning of human being and freedom. Eliade defined own literature is the world that is founded by imaginary universe of ordinary life and the world which is distinguished by another experience of time and space. The literature of Eliade contributed to develop his affluent thought. It made it easier to understand attribute and situation of mankind and the importance of cultural creation which is concretized what is the most important in the spiritual history of the past. With the cultural creation the writer Eliade emphasized to the existence and value of Rumanian moral behavior that have been socially excluded in the literature. Ultimately his novels are no longer theoretical novels, but it is 'real' answer that can survive in history. His confession that he was destined to create the Rumanian culture within true Rumanian soil implied that he had tried to create new culture for new human being and this trial has made it possible for New Humanism to turn up by way of identifying alter ego who could look squarely at the other side of real world.

생명과학 연구자의 연구윤리 교육과정 개발을 위한 기초연구 -연구윤리 경험, 교육현황 및 요구-

한성숙 ( Sung Suk Han ),안성희 ( Sung Hee Ahn ),구인회 ( In Hoe Ku ),이미송 ( Mi Song Lee ) 한국의료윤리학회 2007 한국의료윤리학회지 Vol.10 No.1

This study examines the experiences, current situations, and educational needs of researchers in life sciences in order to develop an educational program for research ethics. A total of 267 subjects from medical center C participated in this study. The findings were as follows: 1) 43.8% of respondents agreed with the item, "I have included the name of a person in my research who didn`t contribute to my research", while only 3.7% agreed with the statement, "I have tried to minimize risk factors which could impact on participants during the research process"; 2) on the status of ethics education, the number of discussions or lectures regarding research ethics and ethical problems was very low; 3) the highest acknowledged educational need was for "scientists` ethical responsibility and attitudes(69.7%)", while the lowest acknowledged need was for a "peer review system(27.0%)"; 4) differences in educational needs were found among the different disciplines. In medical science, research misconduct, human and animal research ethics, conflict of interest, and peer review were highlighted, while in basic biological science, animal research ethics and the relationships among research members were emphasized. In nursing science, ethics education on authorship and referencing was widely regarded as lacking. These findings indicate that research ethics education is needed in order to support responsible research conduct.