심한 과개 교합 환자의 Gothic arch 묘기법을 이용한 전악 수복 증례

손현미 ( Hyun Mi Son ),이남훈 ( Nam Hun Lee ),계기성 ( Kee Sung Kay ) 조선대학교 구강생물학연구소 2008 口腔生物學硏究 Vol.32 No.3

심한 과개 교합 환자의 Gothic arch 묘기법을 이용한 전악 수복 증례

손현미 ( Hyun Mi Son ) , 이남훈 ( Nam Hun Lee ) , 계기성 ( Kee Sung Kay ) 조선대학교 구강생물학연구소 2008 Oral Biology Research (Oral Biol Res) Vol.32 No.3

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병원 간호사의 의료진 간 의사소통 능력과 이직의도 관계에서 자기효능감의 매개효과

손현미(Hyun Mi Son),성경미(Kyung Mi Sung) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.12

본 연구는 병원간호사를 대상으로 의료진 간 의사소통 능력과 이직의도 관계에서 자기효능감의 매개효과를 규명하기 위해 실시된 서술적 조사연구이다. 본 연구의 대상자는 일 지역 두 개 대학병원에 근무하는 간호사 208명이었다. 수집된 자료는 SPSS 23.0을 이용하여 분석하였으며 기술통계, t-test, one-way ANOVA, Pearson correlation coefficients correlation을 확인하였다. 또한 자기효능감의 매개효과를 확인하기 위해 Baron & Kenny의 3단계절차를 이용한 multiple regression으로 분석하여 Sobel test로 간접효과를 확인하였다. 연구결과 의사소통 능력과 이직의도 간에 부적상관(r=-.22, p=.001)이 있었으며, 의사소통 능력과 자기효능감 간에는 정적상관(r=.61, p<.001), 자기효능감과 이직의도 간에는 부적상관(r=-.25, <.001)이 있었다. 의사소통 능력과 이직의도의 관계에서 자기효능감의 매개효과는 1단계에서의 의사소통 능력이 이직의도에 미치는 영향은 유의하였지만(β=-.22, p<.001), 3단계에서의 의사소통 능력은 이직의도에 유의한 영향을 미치지 않아(β=-.11, p=.194) 의사소통 능력과 이직의도의 관계에서 자기효능감이 유의하게 완전 매개함을 확인하였다(z=-2.15, p=.032). 따라서 본 연구결과 의사소통 능력을 향상시켜 자기효능감을 높여주는 것이 병원 간호사의 이직의도를 줄이는데 기여할 수 있을 것으로 보인다. This study was conductedto investigate the mediated effects of self-efficacy in relation tocommunication competency within the medical team and turnover intention of hospital nurses. Data were collected from 208 nurses working at two university hospitals. In analyzing data using SPSS/WIN 23.0 program, descriptive statistics, t-test, ANOVA, Pearson"s correlation coefficient and after analyzed with Multiple regression analysis using Baron & Kenny`s 3 stage procedure, confirmed indirect effect with Sobel test. Evaluation ofrelationships among communication competency, turnover intention and self-efficacy of subjects revealed a negative relationship(r=-0.22, p=0.001) between communication competency and turnover intention, a positive relationship(r=0.61, p<0.001) between communication competency and self-efficacy and a negative relationship(r=-0.25, <0.001) between self-efficacy and turnover intention. Concerning the mediated effect of self-efficacy in the relationship between communication competency and turnover intention, the influence of communication competency at stage 1 on turnover intention was significant(β=-0.22, p<0.001), but communication competency at stage 3 had no significant influence on turnover intention(β=-0.11, p=0.194). Accordingly, the mediated effect of self-efficacy in the relationship between communication competency and turnover intention fully mediated and the mediated effect of self-efficacy was significant(z=-2.15, p=0.032). Heightening self-efficacy by improving communication competency could effectively reduce the turnover intention of nurses.

과민성방광증후군 여성의 증상 심각도, 스트레스 및 건강 관련 삶의 질

김미영 ( Mi Young Kim ),김영혜 ( Young Hea Kim ),이정주 ( Jeong Zoo Lee ),손현미 ( Hyun Mi Son ) 여성건강간호학회 2013 여성건강간호학회지 Vol.19 No.4

Purpose: The objective of this study was to identify the relationships among symptom bother, physical and mental stress and health-related quality of life (HRQoL) in women with overactive bladder (OAB) syndrome. Methods: The participants were 106 women who were diagnosed with OAB (urgency, urge urinary incontinence, frequency, and/or nocturia) at P university hospital. Data were collected from Dec 23, 2011 to Aug 31, 2012. Results: The mean score for symptom bother was 43.1 points, for physical stress, 12.8 which was slightly higher than mental stress (11.8),and for HRQoL, 63.9. For symptom type, there were statistically significant differences in the symptom bother (F=8.67, p<.001) and HRQL (F=3.32, p= .023). The Symptom bother of OAB was positively correlated with physical stress (r=.23, p = .014) and mental stress (r=.33, p<.001) and negatively correlated with the subscales of HRQoL;coping (r=-.66, p<.001), concern (r=-.71, p<.001), sleep (r=-.59, p<.001), and social interaction (r=-.58, p<.001). Conclusion: From the results, bother symptom was associated with physical, mental stress and HRQoL. These results suggest that nursing intervention programs for OAB should be developed not only to relieve the symptoms but also to reduce stress and improve the quality of life.

임상실습경험에 따른 간호대학생의 죽음에 대한 태도와 자아존중감 및 삶의 만족도 비교

김순희,김동희,손현미,Kim, Soon-Hee,Kim, Dong-Hee,Son, Hyun-Mi 한국호스피스완화의료학회 2011 한국호스피스.완화의료학회지 Vol.14 No.3

목적: 본 연구는 간호대학생의 임상실습 경험유무에 따른 죽음에 대한 태도, 자아존중감 및 삶의 만족도의 차이를 파악하기 위한 서술적 조사연구이다. 방법: 양산시에 위치한 2개 대학에 재학 중인 간호대학생 1,030명으로 대상으로 하였다. 자료수집은 2010년 10월 1일~10월 30일까지 강의시간 이외의 시간에 연구의 목적과 방법을 설명하고 설문에 대한 응답은 익명으로 처리됨을 알려 준 뒤 연구에 참여하기로 자발적으로 동의한 대상자에게 서면동의서와 설문지를 배부하고 개별적으로 설문내용을 작성하도록 한 후 현지에서 직접 회수하였고, 수집된 자료는 PASW statistics data editor 통계 프로그램을 이용하여 실수, 백분율, 평균, 표준편차, 카이제곱 검정, t 검정, 분산분석, Scheffe 검정과 Pearson correlation coefficients로 분석하였다. 결과: 죽음에 대한 태도 점수는 임상실습 경험이 있는 간호대학생의 경우 2.85점, 실습경험이 없는 간호대학생의 경우 2.79점으로 중간수준이었으며, 임상실습 경험이 있는 간호대학생이 임상실습 경험이 없는 간호대학생에 비해 죽음에 대해 보다 긍정적인 태도를 가지고 있었고 자아존중감과 삶의 만족도가 높았다. 임상실습 경험이 있는 간호대학생의 죽음에 대한 태도는 자신이 지각하는 경제수준과 본인이 지각하는 자신의 건강상태에 따라 죽음에 대한 태도의 차이가 있었으며, 자아존중감과 만족도와 낮은 상관관계가 있었다. 결론: 간호제공자의 죽음에 대한 태도는 임종간호의 가장 중요한 요소로 간호의 질을 결정함을 감안할 때 미래의 간호사가 될 간호대학생의 죽음에 대한 태도를 보다 긍정적으로 변화시킬 필요가 있다. 특히 임상실습 경험이 없는 간호대학생이 죽음에 대해 보다 부정적인 태도를 가지고 있었고 자아존중감과 삶의 만족도가 낮았으므로 이들에게 보다 적극적인 관심이 필요할 것이다. 한편 임상실습 경험 유무에 따른 간호대학생의 죽음에 대한 태도, 자아존중감 및 삶의 만족도에 대한 선행연구가 부족하여 논의하는데 제한이 있으므로 반복연구가 필요할 것을 제언한다. Purpose: This study was conducted to compare nursing students' attitudes toward death, self-esteem and life satisfaction according to clinical experience. Methods: We surveyed 1,030 nursing students from two different universities with a questionnaire consisting of items regarding attitudes toward death, self-esteem and life satisfaction. The data were analyzed using a PASW program. Results: Students with clinical experience scored 2.85 on the attitude toward death, while those without clinical experience scored 2.79 (t=2.775, P=0.006). Students with clinical experience had significantly higher self-esteem (t=4.541, P<0.001) and life satisfaction (t=4.050, P<0.001) than those without it. Students with clinical experience showed correlations between attitude toward death and self-esteem (r=0.159, P<0.001) and life satisfaction (r=0.090, P=0.025), while those without it did not (r=0.106, P=0.014). Conclusion: These results provide guidance for developing educational strategies such as educational program to help students build positive attitude toward death through their experience in clinical practice.

간호대학생에서 근거기반실무 태도에 영향을 미치는 요인

최미향(Choi, Mi-Hyang),김영혜(Kim, Young-Hae),손현미(Son, Hyun-Mi) 한국간호교육학회 2016 한국간호교육학회지 Vol.22 No.3

Purpose: This study is aimed at identifying factors influencing attitudes of Evidence-Based Practice among nursing students. Methods: 202 nursing students were recruited from B city and G district. The questionnaires included critical thinking dispositions, information retrieval skills, knowledge and attitudes of Evidence-Based Practice, and characteristics. Data were analyzed by SPSS/Win 21.0 using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regressions. Results: The average score of undergraduate nursing students for Evidence-Based Practice attitudes was 32.92±4.57. Evidence-Based Practice attitudes had positive correlation with critical thinking disposition (r=.53, p<.001), information retrieval skills (r=.45, p<.001) and Evidence-Based Practice knowledge (r=.42, p<.001). Factors influencing Evidence-Based Practice attitudes were critical thinking dispositions (β=.45) and Evidence-Based Practice knowledge (β=.30). Total variance was explained about 35.3% (F=55.80, p<.001). Conclusion: These results show that teaching strategies that enhance critical thinking dispositions are recommended to improve Evidence-Based Practice attitudes among nursing students. Also, nursing education should include a regular Evidence-Based Practice curriculum to improve Evidence-Based Practice knowledge as is necessary for students to improve information retrieval skill. Reading nursing articles can help nursing students comprehend the up-to-data evidence of clinical practice.

학령전기 아동 어머니의 부모역할 만족도 관련 요인

정인경,김영혜,손현미,Jung, Inkyung,Kim, Young-Hae,Son, Hyun-Mi 한국아동간호학회 2017 Child Health Nursing Research Vol.23 No.4

Purpose: The purpose of this study was to identify factors related to level of satisfaction among mothers of preschoolers. Methods: Participants were 359 mothers of firstborn healthy preschoolers. The questionnaires were collected from August 1 to November 21, 2012. Data were analyzed using SPSS 20.0. Results: The mean score for degree of mothers' parenting satisfaction was 5.94 out of 7. There were significant differences in the level of parenting satisfaction according to mother's job (t=2.48, p=.014), planned pregnancy (t=3.07, p=.002), number of children (t=2.22, p=.027), and parenting education (F=4.33, p=.005). The environmental variables of age of spouse (F=3.06, p=.048) and monthly income of the household (F=2.87, p=.036) also seemed to have an influence. Analysis of predictors such as the mother's job, planned pregnancy, parenting education, overall health problems, parenting stress, perception of emotional status and behaviors in children, age of spouse, and spouse's support explained 31.5% of the variance in mother's parenting satisfaction. Conclusion: The results suggest a need to develop nursing intervention programs for parenting stress reduction, and health programs for fathers to support mothers' child rearing.

상호문화역량 측정도구 개발 연구

이병준(Byung-Jun Yi),손현미(Hyun-Mi Son),최말옥(Mal-Ok Choi),한현우(Hyun-Woo Han) 한국문화교육학회 2017 문화예술교육연구 Vol.12 No.1

본 연구는 교육, 행정, 복지, 의료 분야의 실무가들 대상으로 상호문화역량 측정도구를 개발하고, 타당도와 신뢰도를 검증하였다. 문헌연구와 전문가 FGI를 통해 주요개념과 구성요인을 도출하고, 델파이 조사를 통해 예비문항의 적절성과 내용타당도를 검증하여 8개의 구성요소와 51문항의 예비문항을 작성하였다. 타당도와 신뢰도를 검증하기 위해 교육, 행정, 복지, 의료 영역의 실무자 352명을 대상으로 설문조사를 실시하였다. 구성타당도 검증을 위한 요인분석 결과, 4개 구성요소의 26개 문항이 최종도구로 확정되었다. 그리고 수렴, 판별타당도, 준거타당도, 외국인 친구나 가족 유무의 집단비교를 통해 상호문화역량 점수에 유의한 차이가 있음을 확인함으로써 도구의 타당도를 확인하였다. 그리고 측정도구의 신뢰도(Cronbach`s α)는 .922이었다. 연구결과, 유연성과 민감성은 갈등관리 역량의 하위요소로 포함되었고, 공감이 존중의 역량과 합쳐졌으며, 문화적 지식의 역량군은 삭제되었다. 이러한 차이는 현재 한국사회에서 상호문화주의와 상호문화역량에 대한 학술적 담론이 사회적, 실천적 담론으로 확산되지 못함을 보여주므로 상호문화주의와 상호문화역량에 대한 인식고취를 위한 방안이 필요하다. 이를 위해서 단순히 타인과의 문화차이에 대한 이해를 넘어 성찰을 통한 적극적 의사소통의 실천행위를 강조하는 상호문화역량을 강화할 수 있는 프로그램 개발과 적용이 필요하다. This study focused on developing a new assessment tool examining the intercultural competence and on verifying its validity and credibility. To do so, this study targeted educators, administrators, social workers, and medical employees. Through Delphi survey, the items of 8 categories and 51 questions have been selected at first in process of examining relevance and content validity, and of the literature research and the FGI comprised of the experts. Then, in an attempt to verify the validity and credibility, 352 surveys were conducted. According to factor analysis examining construct validity, 4 categories and 26 questions were finally selected. Through multi-attribute and multi-question matrix, criterion-related validity was verified and this tool’s validity was also able to be confirmed by the meaningful differences in the intercultural competence test scores of compared groups. This newly developed tool showed .992 of credibility(Cronbach’s a). Since intercultural competence is not a simple recognition of cultural differences with others, developing program and applying it to help strengthen intercultural competence in terms of its focusing on active communication and behavior through reflection are needed.

간호사의 시간압박감이 안전간호활동에 미치는 영향: 소진의 매개효과를 중심으로

윤정임(Yun, Jungim),손현미(Son, Hyun-mi) 한국간호과학회 간호행정학회 2019 간호행정학회지 Vol.25 No.3

Purpose: This study was done to identify the effects of nurses’ time pressure on their safety care activities through the mediation of burnout. Methods: Participants, 147 nurses with at least one year of work experience in two university hospitals were enrolled in this study. Data were collected using a self-reported questionnaire from July 31, to August 31, 2017 and analyzed with t-test, ANOVA, and Pearson’s correlation coefficients. SPSS 23.0 was used for analysis. Mediating effects were examined with stepwise simple and complex regression, and statistical significance was verified with the Sobel test. Results: Time pressure and burnout were significantly negatively correlated with safety care activities, and there was a positive correlation between time pressure and burnout. Regarding the mediating effects of burnout in the relationship between time pressure and safety care activity, time pressure had a significant effect on safety care activity both directly and indirectly through burnout, confirming a partial mediation effect of burnout. Conclusion: Strategies for enhancing work efficiency to reduce nurses’ time pressure are needed to promote safety care activities. Furthermore, because burnout facilitated by time pressure among nurses influences their patient care activities, interventions for burnout management must also be implemented simultaneously.

갑상선암환자의 방사성요오드 치료 경험 분석

김주성(Kim, Ju-Sung),손현미(Son, Hyun-Mi) 한국산학기술학회 2010 한국산학기술학회논문지 Vol.11 No.12

본 연구의 목적은 방사성요오드 치료를 받는 갑상선암환자가 전처치기 및 입원치료기간 중 경험한 방사성 요오드 치료와 관련한 지각된 어려움, 의료진으로부터 제공받은 방사성요오드 치료정보 수준 및 치료과정에 대한 만 족도를 파악하는 것이다. 조사대상은 갑상선전절제술과 방사성요오드 치료를 받은 총 165명의 갑상선암환자이었다. 구조화된 설문지와 개방형 질문을 이용해 수집된 자료는 기술통계와 내용분석법으로 분석하였다. 연구결과 방사성요 오드 치료 전처치기 및 입원치료기에 환자들이 가장 빈번히 지각한 어려움은 갑상선 특이적 증상이었으며(38.2% vs 43.0%) 방사성요오드 치료와 관련한 의료진의 정보제공 수준은 보통 이상으로 평가하였다(평균3.63±0.80점). 방사성 요오드 치료과정에 대한 만족도는 중등도 수준(평균6.43±2.21점)으로 의학적 관심과 환자요구에 대한 의료진 대처절 차에서 만족도(7.64±2.37점)가 가장 높았다. 그러나 정보 적절성(5.67±2.78점)에서 가장 낮았다. 따라서 방사성요오드 치료를 받는 갑상선암환자를 위한 간호중재 프로그램은 갑상선 특이적 증상과 관련한 환자의 요구를 지지할 수 있 고 방사성요오드 치료절차에 대한 환자의 이해를 증진시킬 수 있도록 개발되어져야 하며 이를 통해 환자들은 치료 행위에 효과적으로 참여할 수 있는 역량을 가질 수 있을 것이다. The purpose of this study was to investigate the perceived difficulties during both pre-treatment period and admission period for radioactive iodine therapy (RAIT), the level of information about RAIT provided by medical staffs and the satisfaction of RAIT process in thyroid cancer patients receiving RAIT. Participants were 165 thyroid cancer patients, who had total thyroidectomy and had been offered RAIT. The data were collected using structured questionnaire and open-ended questions and analyzed by descriptive statistics and content analysis. The most frequent perceived difficulties of RAIT was associated with thyroid specific symptoms during both pre-RAIT period and RAIT admission period(38.2% vs 43.0%). The rating of RAIT information provided by medical staffs was evaluated as over moderate level(mean 3.63±0.80). The RAIT process satisfaction was investigated as moderate level(mean 6.43±2.21). the satisfaction of RAIT was the highest in medical attention and coping procedure (mean 7.64±2.37) however it was the lowest in adequacy of RAIT information(mean 5.67±2.78). Thus the nursing intervention program for thyroid cancer patient undergoing RAIT should be developed to support needs of thyroid cancer patients related to thyroid specific symptoms and to improve patients' understanding about RAIT procedure so that patients have competence to participate in therapeutic activities efficiently.