간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

아동자녀의 수술에 대한 부모의 정서적 반응

조진경,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 1997 중앙간호논문집 Vol.1 No.2

The purpose of this study was to understand the emotions of parents with children undergoing operation, and find effective nursing inter- vention method. The subjects of study were 19 parents whose children were undergoing operations in a university affiliated hospital in Seoul. The parents were alert enough to be interviewed and agreed willingly to participate in this study. Data was gathered from June to July 1996 through an in-depth interview of the parents open and unstructured questions. The author interviewed each parent before the operation, during the operation, and after the operation. The interview were 15 minutes to 40 minutes long. The Content of the interviews was recorded and transcribed later. Transcription took between 2 to 4 hours. The data was analyzed using Giorgi's phenomenological analysis method. Similar data was grouped into higher categories and named. The results were as follows. 1) The category of experience of the parent before the child's operation was classified into 7 groups such as : anxiety, overwhelming by burden, transcendental attitude, expectation, desire for escape, dissatisfaction and satisfaction. 2) The category of the experience of the parent during operation has shown 6 types as shown below : anxiety, overwhelming by burden, expectation, desire to get together, dissatisfaction and satisfaction. 3) The category of the experience of the parent after the child's operation has shown 5 types : anxiety, overwhelming by burden, expectation, dissatisfaction and satisfaction. The parents who were anticipating the operation of their child experienced anxiety and were very sorry that the child would go through the operation. On the other hand, they hope for a good result of the operation as a result of the doctor's effort. They especially rely on and thank God when they are religious. Parents whose children will have an operation often experience panic before their kid's operation and are concerned about their kids, but they have hope for a good operation and faith in the medical team. When the parents have religion, they have faith that god will take care of their child. When the parents are optimistic, religious, have much faith in the medical team, perceive that the disease is not more serious than others, or have experience with their own operation, they tend not to worry to much. The parents of the patient were also concerned about anesthesia, operation, pain, complication and the effect on the rest of the family members who were at home. They were dissatisfied with the unkind manner of the hospital staff and insufficient explanation by the doctor, but satisfied with the kindness of the medical team. They were nervous about their kids operation, expected good results and nice treatment from a medical team, and hoped that their kids would get well. They regreted that they could not be with their children during the operation and hoped to be with kids soon after ward. They hurt their mind thinking of their patients. Waiting too much time for the operation, not enough explanation about the operation and the medical staff not considering the patient's needs made the parents dissatisfied. They were relieved with good result of the patients who were worse case than their children. The good manner of the staff made the parents feel appreciated. They were relived after the operation was finished without trouble, and thought that the operation was successful. They changed their understanding of health. They also thankful to God for the good operation and to the medical team who shown good manner. And they experienced the uneasiness of a recovery and a sequelae and depended on god that everything will be fine. They felt sorry for their kid's pain after operation. They often said that, the hard part after operation was that they felt sorry for their kid's pain. According to this research, I would like to suggest the intervention for the patients with child after/before operation. 1) Hope the result of this research will influence how nurses treat the parents of pediatric surgical patient in the future. 2) This research dose not consider the severity of the patient, so it needs to be considered.

지역사회 공공보육시설 설치를 위한 학부모 인식 연구

조복희,이옥,이진숙,한유미 한국영유아보육학회 2003 한국영유아보육학 Vol.0 No.35

This study examined the parents' perception to the establishment of educare center in local area. The subject were 1,313 mothers with zero to five-year-old children. The major findings were as follows : First, most mothers preferred chid care support center(40%), child care center for infant(38%), especially dual-career wives preferred child care center for infant, but house wives preferred chid care support center. Second, in the opinion of program center operated by part-time, the preferrance to the program operated by once a week or anytime tended to be high, and also dual-career wives preferred weekend program. Third, in the services of chid care support center, most mothers preferred the providence of free-playroom for kid, parent-child playroom. And child care/education information and chid care counseling were preferred by mothers. Finally, we proposed the new model of public educare center in local area in the basis of results.

일기상자료에 의한 읍면별 벼 작황진단 및 쌀 생산량 예측

조경숙,윤진일 한국농림기상학회 1999 한국농림기상학회지 Vol.1 No.1

CERES - rice, a rice growth simulation model, was used in conjunction with daily weather data to figure out the spatial variation of the phenology and yields of paddy rice at 168 rice cultivation zone units(CZU) of Kyunggi Province in 1997. Two sets of cultivar specific coefficients, which represent early and mid - season maturing varieties, were derived from field experiments conducted at two crop experiment stations. The minimum data set to run the model for each CZU (daily maximum and minimum temperature, solar irradiance, and rainfall) was obtained by spatial averaging of existing "Digital Map of Korean Climate"(Shin et al., 1999). Soil characteristics and management information at each CZU were available from the Rural Development Administration. According to a preliminary test using 5 to 9 years field data, trends of the phasic development (heading and physiological maturity ), which were obtained from the model adjusted for these coefficients, were in good agreement with the observed data. However, the simulated inter - annual variation was somewhat greater than the reported variation. Rough rice yields of the early maturing cultivar calculated by the model were comparable with the reported data in terms of both absolute value and inter - annual variation. But those of the mid season cultivar showed over estimation. After running the simulation model runs with 1997 weather data for 168 CZU's, rough rice yields of the 168 CZU's calculated by the model were aggregated into corresponding 33 counties by acreage - weighting to facilitate direct comparison with the reported statistics from the Ministry of Agriculture and Forestry. The simulation results were good at 22 out of the 26 counties with reportedly increasing yield trend with respect to the past 9 years average.

注意力缺乏:·過剩運動障碍와 "行動障碍" 및 "反抗障碍"와의 相互關係에 關한 硏究

曺洙哲,徐珍淑 서울醫大 1990 精神醫學 Vol.15 No.2

초등학교 교사들의 직무스트레스와 건강 수준

조현숙,이종태,손혜숙,박진국 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective : The purpose of this study was to assess the effect of job strain on stress and health status among elementary school teachers. Methods and Material : The subjects in this study were 300 teachers who were selected from among 588 teachers in 13 out of 42 elementary schools in the city of Gimhae. Through the questionnaire, demographic characteristics, Karasek's Job Content Questionnaire(JCQ) and the Psychosocial Well-being Index (PWI) to assess their occupational characteristics and psychosocial stress level were surveyed. Medical checkup results of them were adopted to measure their Health status. Results : 24.9 percent of the general teachers were low strain group, and 16.3 percent of them were high strain group. In the senior teachers, 19.7 percent belonged to a low strain group and 21.3 percent belonged to a high strain group. In regard to health status, more senior teachers than junior teachers suffered from obesity(24.6%) and diabetes(11.5%) (p<0.O5), and they also were higher in DBP(p<0.057), total cholesterol(p=0.039) and blood sugar level(p=0.000), the low strain group perceived more social support(p=0.000), and the high strain group felt bigger physical overload(p=0.000). Concerning psychosocial stress, the low strain group was more aware of teacher social role and put more confidence in themselves(p=0.004). The high strain group was more depressed(p=0.001), but no difference was detected in health status. The health status difference between the high strain and low strain groups was significant in depression of psychosocial stress(OR=3.823, 95%CI=1.584-9.224). Conclusion : The senior teachers group was more morbid to obesity, diabetes and hyperlipidemia, which implies that some measure should be studied to help senior teachers manage those diseases properly. The high strain group suffered more from physical overload and was high 'Social support'. Therefore it's required for high strain group to be given more support from colleagues and supervisors, and a stress management program should be implemented to reduce their psychosocial stress.

조명해석 프로그램을 이용한 광선반의 적정크기 선정 및 채광성능분석에 관한 연구

조일식,김병수,이진숙 대한건축학회 2004 대한건축학회논문집 Vol.20 No.6

The purpose of this paper is to make an optimum guideline of a light shelf suitable for the domestic situation, this study is worked by experiments using a light shelf and analysis of variables(light self length, reflectance, angle of a light shelf and domestic position) using illumination program(Lightscape). The result of this study is summarized as follows. 1) Concerning the presence of a light shelf itself, the ratio of the maximum to the minimum inner illuminance and the proportion of inner daylight decrease 3.5times as much as that, whereas a distribution of inner illuminance is uniformed 2) Concerning the Sky conditions, the a light shelf has little effect on the light in the overcast sky, whereas it has an effect on the light in the partial overcast sky with the over 45.000lux and in the clear sky with the over 75.000lux, Especially, in the partial overcast, a light shelf was in the highest of efficiency. 3) Concerning the degree of angle of the a light shelf, there is no change under 10 degree from the horizon, whereas the uniformity ratio of inner illuminance and the proportion of inner daylight increase respectively 48% and 29% between 20 and 30 degree. The latter condition is proved to be better for an uniformed distribution of inner illuminance and a more effective lighting. 4) Concerning the proportion of reflectance of a light shelf, 10% of increase each ranging from 60% to 90% is proved to have no effect on the increase of light. 5)The inner and outer optimum size of a light shelf is proved to be over 200mm and 600mm respectively, which makes it possible to make a general formula adaptable to all parts of our country.

전자의무기록의 충실성 검토를 통한 미비기록 개선 활동

조윤정,김경숙,이향숙,이진영,김태민,김민순 한국의료QA학회 2008 한국의료질향상학회지 Vol.14 No.1

문제: 전자의무기록(EMR) 시행 후 의무기록 정리율의 저하와 질적인 측면에서의 충실성과 정확성에 대한 문제점이제기되었다. 목적: 전자의무기록의 정리율과 충실성 검토를 통하여 문제점을 파악하고개선점 찾아 의무기록 정리율을 향상시키고 충실성을 높이고자 하였다. 의료기관: 서울시에 소재한대학병원 의무기록과 질 향상 활동: 전자의무기록의 문제점을 개선히키 위하여 사용자 편의를 위한 EMR프로그램 수정 및 보완, 진단·수술 관련 작업, 업무개선, 교육, 홍보 등의 활동을실시하였다. 개선효과: 의무기록 정리율, 전자인증미비, 경과기록 기재일수, 퇴원요약주진단적합률, 기록지별 필수항목기 재율, 충실성에서 향상이 이루어졌다.

小兒期 精神分裂症 : 思春期 以前 發病群과 思春期 以後 發病群의 臨床的 比較 硏究 A Comparison between the Two Groups with the onset prior to Puberty and after Puber

崔珍淑,鄭嬉然,崔貞美,曺洙哲,洪剛義 서울醫大 1991 精神醫學 Vol.16 No.4

피로와 의료이용, 업무상 사고 및 질병결근

장세진,고상백,강동묵,김성아,정진주,이철갑,강명근,현숙정,조정진,차봉석,박종구 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objectives: This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemo-graphics, job-related factors, health-related behaviors, personality trait, self=perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence. Results: In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar worker's adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22-1.66) and highest quartile (OR:1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers. Conclusion: This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.