중환자실 완화의료 모델과 간호사의 역할

고진강,Koh, Chin-Kang 한국중환자간호학회 2014 중환자간호학회지 Vol.7 No.1

Purpose: In Korea, about 30,000 people die in intensive care units annually. However, their quality of life at the end-of-life seems very low. The purpose of this study was to describe palliative care models that could be applied in intensive care units and examine nurses' roles in the models. Methods: A conventional literature review was performed focusing on palliative care in intensive care units and nursing roles in the approaches identified. Results: There are two different models regarding the implementation of palliative care approaches in the intensive care unit. Those are the consultative model and the integrative model. Each model has advantages and disadvantages. Therefore, an appropriate model must be chosen according to the setting. Nurses' roles could vary depending on the setting. Conclusion: Palliative care in the intensive care unit is important to improve patients' quality of life. Moreover, nursing roles are important in providing comprehensive palliative care in intensive care units.

생애 말 연명의료에 대한 중환자실 간호사의 인식: 내용 분석 연구

고진강,고정미,박혜영,Koh, Chin-Kang,Ko, Chung Mee,Park, Hyeyoung 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.1

Purpose: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life. Methods: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital. Results: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members. Conclusions: Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.

사전의사결정 제도에 있어서의 전문간호사 역할

고진강,Koh, Chin-Kang 한국중환자간호학회 2010 중환자간호학회지 Vol.3 No.2

Purpose: The purpose of this literature review was to describe the roles of advanced practice nurses related to advance directives. Methods: A comprehensive literature review was conducted utilizing Pubmed, Ovid, and CINAHL. The key words for search were 'advance directives', 'living wills', 'durable power of attorney', 'advanced practice nursing', 'advanced practice nurse', 'nurse practitioner', and 'nurse specialist'. Research articles published between January 1990 and September 2010 and written in English were included. Review papers and expert's opinion were excluded. Results: Five articles were yielded and analyzed. Among them, two focused on the advanced practice nurses' role during the process of advance directives. The other three presented the outcomes depending on the type of nurses' involvement in each health care delivery system. Conclusion: Recently, Korea established advance directives and expanded to diverse sites. Advanced practice nurses' role in the advance directive decision-making process should be examined and developed in research and practice.

A Socio-Cultural Interpretation of Healing Music

Koh Eun-kang(고은강),Koh Chin-kang(고진강) 가천대학교 아시아문화연구소 2009 아시아문화연구 Vol.16 No.-

음악학 분야에서 음악 치료는 음악의 치유의 기능에 초점을 맞춘 학제간 연구 분야로서 자리잡았다. 이와는 별도로, 민족음악학 분야에서 치유는 여러 다른 맥락에서 연구되었다. 본 연구는 사스가 창궐하였던 시기, 홍콩의 도교 의식을 통해 사회문화적 관점에서 치유 음악을 연구분석하였다. 사스는 2003년 중국 본토에서 시작되어 홍콩을 경유지로 하여 전 세계에 빠른 속도로 확산된 전염병이다. 이 기간 홍콩인들은 극도의 경제 침체를 경험하였고, 감염의 위험을 피해서 모임을 자제하는 가운데 여타의 정치 및 문화 활동도 위축되었다. 의사를 비롯한 민간인이 감염 사망하고, 학교는 휴교하는 등 사회 전체가 전염병의 공포에 지배당하는 가운데 홍콩도교협회는 1주일에 걸친 대규모 법회를 열어 전염병의 악귀를 물리치고 병을 치유하고자 하였다. 법회는 성황을 이루어 도교 신자 이외에도 많은 사람들이 참가하여 병이 물러가기를 빌었다. 본 연구는 민족음악학의 다양한 접근을 본 연구자의 시각에서 정리하고, 치유 음악을 음악의 의미를 만드는 행위자 중심의 시각에서 접근하였다. 본 연구자는 민족음악학의 접근 방식을 내용 중심의 접근, 역할 중심의 접근, 주어진 의미에 초점을 맞추는 접근, 행위자가 만들어 가는 의미에 초점을 맞추는 접근의 네 가지 범주로 분류하였다. 기존의 민족음악학 연구는 음악 자체에 내재한 음악적 형식이나 내용, 치유 등 기타 음악적 기능이나 음악의 역할, 혹은 이미 음악에 부여되어 있다고 간주된 상징이나 의미에 초점을 맞추어 진행된 경향이 있다. 본 연구자는 민족음악학의 최근 경향과 궤적을 같이 하여, 음악을 만드는 행위자, 음악에 새로운 의미를 부여하는 행위자에 초점을 맞춘 연구의 필요성을 제기하였다. 그 일례로 홍콩의 전염병 치유 의식을 참여관찰하여, 의미를 만드는 행위자 중심으로 연구 분석을 시도하였다.

여성결혼이민자의 의료서비스 이용경험

고진강(Koh, Chin-Kang),고선강(Koh, Sun-Kang) 한국간호교육학회 2009 한국간호교육학회지 Vol.15 No.1

의료처치 및 환자 비밀유지에 대한 중환자실 간호사와 일반병동 간호사의 윤리적 갈등 경험 비교연구

고정미,고진강,Ko, Chungmee,Koh, Chin-Kang 한국중환자간호학회 2018 중환자간호학회지 Vol.11 No.3

Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.

중환자실 간호사의 임종 환자 돌봄 경험

설은미,고진강,Seol, Eun-Mi,Koh, Chin-Kang 한국중환자간호학회 2018 중환자간호학회지 Vol.11 No.2

Purpose : This study aimed to develop an in-depth and comprehensive understanding of the experiences of critical care nurses caring for dying patients. Method : Eleven critical care nurses with experience in caring for dying patients were recruited from four tertiary hospitals. Semi-structured face-to-face interviews were conducted between November 2016 and March 2017. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of critical care nurses. Results : The following six themes, and twelve sub-themes, were identified: (1) the gap between expectation and reality, (2) a distorted meaning of death, (3) repeated emotional pain and stress, (4) finding a solution alone, (5) sublimation into mission and calling, and (6) integration into one's own life. Conclusion : This study found that critical care nurses experience various psychological difficulties while caring for dying patients, and they made efforts on their own to overcome them. These findings are expected to inform the development of specialized programs to support critical care nurses to tackle these challenges, create guidelines on caring for dying patients, and help promote death education.

간호교육 : 중환자간호 기계환기 시뮬레이션교육이 간호학생의 임상판단력과 자신감에 미치는 영향

하이경 ( Yi Kyung Ha ),고진강 ( Chin Kang Koh ) 서울대학교 간호과학연구소 2012 간호학의 지평 Vol.9 No.2

Purpose: The purpose of this study was to evaluate the effects of mechanical ventilation simulation on the clinical judgment and self-confidence of nursing students. Methods: This study was a quasi-experimental study. From one university, 118 undergraduate nursing students participated in this study. Sixty students were in the intervention group, and fifty-eight students were in the control group. A simulation scenario utilizing a high-fidelity human simulator focusing on nursing care for patients with a mechanical ventilator was developed for this study. Data were collected with a self-report survey method before the intervention, right after intervention, and two weeks later. Results: Students in the intervention group showed significantly higher increases in clinical judgment and self-confidence than those in the control group at the immediate posttest. Moreover, 2 weeks later, the increase in clinical judgment and self-confidence from the pretest among the intervention group was significantly larger than those in the control group. Conclusion: Utilizing simulation education focusing on patients with a mechanical ventilator may contribute to training more competent nurses in the area of critical care nursing. It may also serve to provide a better critical care environment for the safety and health of patients.

일개 여자대학교 학생의 사전의사결정서 작성의향에 영향을 미치는 요인에 관한 연구

고정미(Ko, Chung Mee),고진강(Koh, Chin-Kang) 기본간호학회 2013 기본간호학회지 Vol.20 No.1

Purpose: The purpose of this study was to identify university students’ willingness to write advance directives and factors related to this willingness. Method: A cross-sectional survey design was used and 400 nursing students and 287 non-nursing students participated in the study. Data were collected by convenience sampling using self-report questionnaires. Data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The mean score for willingness to write advance directives was 4.09. From the multiple regression analysis, predictors of willingness to write advance directives were found to be majoring in nursing, awareness of advance directives, preference for autonomous decision making related to the end of life care, family preference related to the end of life care, and self esteem. Conclusion: The study results indicate that various factors are related to willingness to write advance directives and nurses need to consider client characteristics, knowledge, and own values when taking care of issues on advance directives.

인유두종바이러스 백신 미접종 간호대생의 접종의도 영향 요인

윤영희(Yun, Younghee),고진강(Koh, Chin-Kang) 한국간호교육학회 2018 한국간호교육학회지 Vol.24 No.3

Purpose: This study was performed to identify factors associated with human papillomavirus vaccination intention among unvaccinated nursing students. Methods: Two hundred-and-five female nursing students from three universities completed self-administered questionnaires including participants’ characteristics, human papillomavirus-related knowledge, attitude toward human papillomavirus vaccination, and human papillomavirus-related health beliefs. Multivariate logistic regression analysis was used to determine significant independent predictors of human papillomavirus vaccination intention. Results: Of 205 participants, 134 (65.4%) reported an intention to obtain a vaccination against human papillomavirus. As a result of the analysis of the bivariate relationships, family history of cervix cancer, perceived needs, importance of prevention, perceived susceptibility, perceived benefit, and perceived barrier were significantly related to vaccination intention. A multivariate logistic regression model identified factors of human papillomavirus vaccination intention: higher importance of prevention (Adjusted Odds Ratio [AOR]: 4.20, 95% Confidence Interval [CI]: 1.73∼10.19), higher perceived benefit (AOR: 6.94, 95% CI: 2.01∼23.98), lower perceived barrier (AOR: 0.39, 95% CI: 0.20∼0.73). Conclusion: The results of this study indicated significant factors influencing the intention to obtain human papillomavirus vaccination in unvaccinated nursing students. Also, the importance of prevention, perceived susceptibility, perceived benefit, and perceived barrier in obtaining human papillomavirus vaccination should be taken into account when developing educational programs.