인간생명에 대한 간호사의 윤리의식

문영임(Young Im Moon),박호란(Ho Ron Park),탁영란(Young Ran Tak),김명애(Myoung Ae Kim),김선애(Seon Ae Kim),박경숙(Kyung Sook Park),임동식(Dong Sik Im) 한국간호행정학회 2003 간호행정학회지 Vol.9 No.4

사회취약계층 주거복지지원의 쟁점과 법적 과제: 주택개량사업을 중심으로

문영임(Moon Young-Im),김수정(Kim Soo-Jung) 사회복지법제학회 2018 사회복지법제연구 Vol.9 No.2

주거복지가 국민의 삶의 질에 직접적인 영향을 미친다는 인식 하에 사회취약계층을 위한 다양한 주거정책이 지속적으로 도입․추진되었으나, 우리나라의 경우 오랜 기간 동안 주택보급률 향상에 초점을 맞추어 주로 저소득층을 위한 공공임대주택 공급정책을 중심으로 이루어져 왔다. 공공주택의 건설을 통해 최저주거기준 크게 감소한 측면이 있으나, 여전히 사회취약계층은 노후하고 열악한 주거환경에 거주하는 등 매우 낮은 수준의 주거환경과 질적 수준에 노출되어 있는 경우가 빈번히 발생되고 있다. 주택공급만으로 사회취약계층의 주거의 질을 개선하는 것은 어려운 실정이며, 이에 주거빈곤의 문제를 해결하기 위해 주택 공급, 주거비 지원뿐만 아니라 부적절한 주거환경개선을 위한 지원의 필요성이 지속적으로 제기되게 된다. 특히 2000년대 들어 주택 보급률이 100%를 초과하면서 대규모 택지 개발의 어려움과 도시 재생등의 이유로 신축과 전면적 재개발 방식에서 주거의 질, 재고주택의 관리, 주거환경의 질 개선에 대한 관심 제고 등 주거복지의 패러다임이 전환되면서 전면철거방식이 아닌 노후 및 불량의 정도를 개선하는 주택개량사업의 필요성 및 효과에 주목하게 되었다. 이에 본 연구는 2015년 주거급여가 개편된 후 사회취약계층을 대상으로 진행된 주거복지정책과 법제도를 살펴보고, 지자체 및 민간․ 공공의 개별 주택개량사업의 정책과 현황 파악 및 외국의 주택개량정책 사례를 검토하였으며, 검토된 내용을 바탕으로 사회취약계층의 주거복지지원을 위한 주택개량사업의 쟁점과 법적 과제를 제시하였다. 사회취약계층의 주거복지지원을 위한 주택개량사업의 향후 법적 과제는 다음과 같다. 첫째, 사회적 취약계층을 대상으로 일시적이고 즉각적인 구호 차원의 성격을 벗어나 지속가능한 거주가 가능할 수 있도록 명확한 목표 설정 및 실질적인 주택개량사업의 방향성을 수립해야 한다. 둘째, 주택개량사업의 효과 및 효율성 제고를 위해 주택개량사업의 지원대상을 구체적으로 선정토록 하며, 모든 주택을 대상으로 동일한 요율의 지원금 적용 대신, 대상자의 특성 및 거주 주택의 노후도 및 상태에 따라 지원금을 탄력적으로 운용하는 것이 필요하다. 특히 모든 국민이 주택개량을 통해 최저 수준 이상의 주거에서 거주하는 주거권의 권리를 보장받을 수 있도록 사회취약계층인 노인과 장애인의 특성에 맞춘 주택개조 및 개량이 이루어져야 하며, 이를 지원하는 별도의 전달체계를 구축 및 관련 법령 및 조례 제정을 진행해야 한다. 셋째, 최저주거기준의 구조․성능․환경 기준을 구체적으로 설정하고, 모든 사람이 이를 충족하는 거처에서 생활 할 수 있도록 제도를 수립토록 하며, 불충족시 해당주택의 거래를 금지 시키거나 이용하지 못하도록 규제하는 법적 제재 수단을 정비해야 한다. With the recognition that housing welfare has a direct effect on the quality of life of the people, various housing policies for the socially vulnerable groups were continuously introduced and implemented. However, for a long period of time, the focus has been on increasing the housing supply ratio, mainly focusing on the provision of public lease housing for low-income families. Although there is a significant decrease in the number of households below the minimum housing standards through the construction of public housing, the socially vulnerable groups are frequently exposed to very low levels of residential environment and life quality, such as living in an aging and deteriorating housing environment. Since it is difficult to improve the quality of housing for the socially vulnerable groups solely by housing supply, there is a continuing need for supporting improvement of inadequate housing environment as well as supplying housing and providing housing subsidies, in order to solve the problem of housing poverty. Especially in the 2000s, as the housing supply ratio exceeded 100%, with a start of urban regeneration and difficulties in the large-scale housing site development, the paradigm of housing welfare policy has shifted its focus from housing construction and extensive redevelopment toward the quality of housing, management of housing inventory, and quality of housing conditions. As a result, the need and effect of housing improvement program that ameliorates the degree of deterioration, rather than the entire demolition system, has been noted. This study examined the housing welfare policy and the legal system for the socially vulnerable groups after the reform of the housing benefits in 2015, grasped the policies and the status of the respective housing improvement program implemented by the local governments, the private and public sectors, and reviewed cases of foreign countries. Based on the results of the review, issues and legislative tasks of housing improvement program were presented, as a housing welfare service for socially vulnerable groups. The legislative issues of the housing improvement program as a housing welfare service for the socially vulnerable groups are as follows. First, clear targets and substantive directions for the housing improvement program should be set so that it can guarantee sustainable residence beyond a temporary and immediate relief service. Second, in order to enhance the effectiveness and efficiency of the housing improvement program, the eligibilities for support should be specified. Instead of applying the same rate of subsidy to all housing, it is necessary to operate the subsidy flexibly according to the characteristics of the subject and the deterioration and status of the respective houses. Especially, to ensure that all citizens are entitled to housing rights in the housing above the minimum level, the housing renovation and improvement should be made in accordance with the characteristics of the socially disadvantaged people including senior people and people with disabilities, which requires establishment of a separate service delivery system for the housing improvement program and enactment of relevant laws and ordinances. Thirdly, the government should set the structure, performance, and environmental standards in the minimum housing standards, establish an institution so that every person can live in a place that meets those standards, and revise legal means of prohibiting transactions for substandard housing.

정신장애인의 장애수용이 삶의 만족도에 미치는 영향과 대인관계능력과 주관적 건강인식의 이중매개효과

문영임 ( Moon Young Im ) 한국정서행동장애학회 2021 정서ㆍ행동장애연구 Vol.37 No.4

본 연구는 정신장애인의 장애수용이 삶의 만족도에 미치는 유의미한 영향을 파악하고, 이러한 관계에서 대인관계능력과 주관적 건강인식의 이중매개 효과 검증을 통해 정신장애인의 주관적인 삶의 만족도를 실질적으로 향상시킬 수 있는 실증적 개입방안을 제안하는 것을 목적으로 한다. 이를 위해 본 연구에서는 장애인 고용패널 조사 2차 웨이브 5차 조사 자료를 사용하였으며, 전체 설문에 응답한 4,577명 가운데 정신장애인 144명을 연구 참여자로 설정하였다. 연구의 가설 검증 및 효과 분석에는 SPSS 24.0 프로그램과 SPSS 매크로 프로세스 v.3.5를 사용하였다. 분석 결과, 정신장애인의 장애수용은 삶의 만족도에 직접적인 유의미한 영향을 미치고 있으며, 대인관계능력과 주관적 건강인식을 매개하여 삶의 만족도에 간접적인 유의미한 영향을 미치는 것을 확인하였다. 즉 정신장애인의 장애수용 수준이 높을수록 삶의 만족도도 높아지며, 대인관계능력과 주관적건강인식에 의해 삶의 만족 수준이 증진되는 것으로 나타났다. 최종적으로 이중매개 효과를 검증하였으며, 정신장애인의 장애수용 → 대인관계능력 → 주관적 건강인식 → 삶의 만족도라는 구체적 인과 경로가 확인되었다. 이에 본 연구의 결과를 바탕으로 정책적·실천적인 개선방안을 제안하였다. This study is to examine that can improve the life satisfaction of the persons with mental disabilities by understanding the effects of the persons with mental disabilities of disability acceptance on the life satisfaction, and in this relationships, by verifying the double mediating effect of interpersonal ability and self-rated health. By exploring this study aimed to contribute on activating the linkages between welfare services for mental health and welfare services for the disabled. As a result of the analysis it was confirmed that disability acceptance of the persons with mental disabilities had a direct effect on the life satisfaction and indirectly affects the life satisfaction by mediating interpersonal ability and self-rated health. In other words, the higher the level of disability acceptance of mental disabled persons, the higher the level of the life satisfaction and the higher the level of the life satisfaction by interpersonal ability and self-rated health. Finally, through the verification of the double mediation effects, a specific causal path was identified : disability acceptance of the Persons with Mental Disabilities → interpersonal ability → self-rated health → life satisfaction.

장애인의 디지털정보화 활용 수준이 삶의 만족도에 미치는 영향: 사회적 지지의 조절효과 분석

문영임 ( Moon Young-im ),이성규 ( Lee Seong-gyu ),김지혜 ( Kim Ji-hye ) 한국정보화진흥원 2021 정보화정책 Vol.28 No.4

최근 우리사회는 지능정보사회로의 진입과 디지털 대전환으로 인해 개인의 삶에서 디지털정보화 활용 능력이 강조되고 있다. 본 연구는 정보취약계층인 장애인의 디지털정보화 활용 수준과 삶의 만족도의 관계를 실증적으로 파악하고, 이들간 관계에서 사회적 지지의 조절효과를 검증하기 위해 실시하였다. 이를 위해 한국지능정보사회연구원의 「2020년 디지털정보격차 실태조사」 자료를 분석에 활용하였으며, 연구대상자는 장애인 2,200명이다. 연구결과, 장애인의 디지털정보화 활용 수준이 높을수록 삶의 만족도가 높아지는 것으로 나타났다. 또한 사회적 지지의 경우 디지털정보화 활용 수준과 삶의 만족도간의 관계에서 부(-)적인 조절효과를 가진 것으로 나타났다. 즉 장애인이 사회적 지지에 의존하기보다 자립과 자력으로 디지털기기 및 기술을 일상생활에서 빈번하게 활용할 시 삶의 만족도가 높아질 수 있음을 확인하였으며, 정책 및 실천현장에서 이에 대한 개입의 필요성을 제언하였다. Recently, Korean society has emphasized the level of digital information usage in each individual's life due to the advent of the intelligent information society and the great digital transformation. The purpose of this study is to examine how the level of digital information usage of people with disabilities affects their satisfaction with life and whether social support moderates the relationship between the level of digital information usage and life satisfaction. This study analyzed the data of 2,200 people with disabilities taken from the 2020 Survey on the Digital Divide conducted by the National Information Society Agency. The results of the analysis suggest that people with disabilities have a higher degree of satisfaction when they are employed and have a higher than average monthly income and higher levels of digital information usage and social support. In addition, the results show that social support played a negative moderator role between the level of digital information usage and life satisfaction. This shows that life satisfaction can increase when the disabled frequently use digital devices and technologies in their daily lives without relying on social support, and suggested the need for intervention in policies and practice sites.

집단 성교육이 초등학교 6학년생의 성 지식 및 태도에 미치는 효과

문영임,박은숙,박호란,Moon Young Im,Park Eun Sook,Park Ho Ran 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.1

It is very important for elementary school students in sixth grades who are reaching the age of puberty to acquire right knowledge and desirable attitude toward sex so that can overcome psychological instability caused by physical growth, be responsible for their behaviors and lead happy lives. Therefore, the purpose of this study was to find out the effects of sex educatin in the population of primary school students. The subjects of this study were 767 six-grades in one private and two public elementary school in Seoul. The research tool was a questionnairebased on a literature review. The sex education given to the subjects included 50 minutes lecture. The research methodology included data collection done before and the sex education was given to the subjects, to assess their knowledge of, and attitude toward sex, one week later after the sex education was given to assess change in knowledge of, and attitude to, sex. The data was analyzed through pc-SAS program. real numbers, percentage, 1-test, and ANOVA were utilized. The results of this study are as follows : 1. After sex education, the score of sixth grade elementary students’ sex knowledge was higher than before(t=11.92, p=0.0001) 2. After sex education, the score of sixth grade elementary students’ sex attitude was higher than before (t=2.08, p=0.0373). From the above findings, it can be said that sex education given to the children reaching the age of puberty significantly influences their knowledge of, and attitude toward. Therefore, for children to have the sound knowledge and positive attitude of sec, it is suggested that sex education should be included in their curriculum in order that systematic sex education be practiced.

학령기 입원아동 어머니의 불안정도

문영임,박호란,Moon Young Im,Park Ho Ran 한국아동간호학회 1996 Child Health Nursing Research Vol.2 No.2

This study was designed to investigate the level of mother's anxiety and to exent knowledge about critical factors of mothers who has hospitalized school aged children. The subject of this study were 395 mothers who have hospitalized school-aged children in 9 different general hospital in Seoul. This outcome measures of mothers' anxiety were tested by Spielberger' STAI. The findings from this study were as follows : 1. The mean score of mother's anxiety was 46.7. 2. The level of mother's anxiety by mother's age, educational level, relegion and experience of loss of children showed significantly difference. Also level of mother's anxiety by the type of disease, hospital days and birth order of children showed significantly difference.

캉가루식 돌보기가 저출생체중아 어머니의 불안, 역할 수행에 대한 자신감 및 만족감에 미치는 효과

문영임,구현영,Moon Young Im,Koo Hyun Young 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.3

This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2. The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3. The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.

백혈병 환아 어머니의 불안정도

박선남,문영임,박호란,최선희,Park Sun Nam,Moon Young Im,Park Ho Ran,Choi Sun Hee 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2

The purpose of this study was to investigate the level of anxiety for the mothers of leukemic children and to provide the fundamental data for the better performance of caring to them. The subjects were 292 mothers : 100 mothers whose children had a leukemia, 80 mothers whose children had taken a tonsillectomy, 112 mothers whose children with medical disease except cancer. The data were collected through The State-Trait Anxiety Inventory of Spilberger and analyzed by t-test, ANOVA Scheffe test. The results were as follows ; 1. The state anxiety mean score of mothers with leukemic children was 54.16. 2. The state anxiety of mothers with leukemic children was higher than that of the rest (F=8.00, P=0.0004). 3. There was no significant difference in anxiety of mothers with leukemic children in relation to leukemic children's and their mother's general characteristics.

극소 체중아에 대한 임상간호 고찰

박호란,문영임,Park Ho Ran,Moon Young Im 한국아동간호학회 1996 Child Health Nursing Research Vol.2 No.2

This study examined characteristics among 131 infants who were born at three hospitals affiliated with Catholic University. Those infants were very low birth weight infants (VLBWI ). Data were gathered through review of medical records between 1990 to 1993. The results were as follows : 1. Regarding the birth weight, 72.6% were between 1000 gm to 1500 gm and 27.4% were below 1000gm. Of the VLBWI, 27.5% had gestational age of 29-30 weeks and 22. lof had gestational age of 26 weeks and below. The birth weight of them was significantly correlated with their gestational age. 2. Most of VLBWI had been hospitalized for more than 30 days and particulaly those who were between 1100-1400gm had been hospitalized more than 60 days. And the number of clinical problem was the most influencing factor on their discharge. 3. Of the VLBWI, 28.2% were given gavage feeding. 4. Jaundice appeared predominantly on the 3rd day after birth ,with 64.1% of incidence rate. Of those infants developed jaundice, 92.9% received phototherapy 5. The most common problem after birth was respiratory conditions. And oxygen therapy was administered for 93.9% of the VLBWI while they were in the hospital.

지역사회에서의 가정간호 접근성 제고 방안 - '서울시간호사회' 가정간호사업 분석을 토대로 -

황나미,박성애,김윤옥,문영임,박정숙,유호신,이계숙,Hwang, Na-Mi,Park, Sung-Ae,Kim, Yun-Ok,Moon, Young-Im,Park, Jeong-Sook,Ryu, Ho-Sihn,Rhee, Kae-Sook 한국가정간호학회 2003 가정간호학회지 Vol.10 No.1

Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.