의료기관 종사자의 이직의도에 미치는 영향요인 : 중소병원 간호사 중심으로

강지순 한국상업교육학회 2016 상업교육연구 Vol.30 No.3

본 연구는 의료기관 종사자의 이직의도, 내부마케팅인지, 직무만족, 조직몰입, 스트레스에 미치는 영향을 알아보기 위해 질문지를 통해 조사 분석한 서술적 조사연구이다. G지역의료기관을 편의 추출하였으며, 연구대상자 선정은 중소병원에 근무하는 간호사 210명을 대상으로 하였다. 자료 수집은 2015년 5월에서 6월까지 실시하였다. 연구도구는 5점 리커르트 척도를 이용하여 이직의도, 내부마케팅인지, 직무만족, 조직몰입, 스트레스를 측정하였다. 자료의 분석은 SPSS WIN 18.0프로그램을 이용하여 t-test, ANOVA, 피어슨 상관관계, 다중회귀분석 통계방법을 활용하여 분석하였다. 연구결과를 살펴보면 이직의도와 내부마케팅인지, 직무만족, 조직몰입은 음의 상관관계를 보였고, 이직의도와 스트레스는 양의 상관관계를 보였다. 또한, 이직의도에 영향을 미치는 요인은 조직몰입, 스트레스 순으로 나타났으며 설명력은 64.3%였다. 본 연구결과를 근거로 의료기관 종사자 중 가장 높은 비율을 차지하는 중소병원 간호사의 이직관리는 병원경영과 의료서비스 질을 향상시키기 위한 핵심요소임을 제기하였고, 중소병원 간호사의 조직몰입 정도가 높아지고 스트레스 정도가 낮아지면 이직의도가 낮아 질것을 예측할 수 있었다. 따라서 중소병원 간호사의 이직의도를 낮추기 위해 간호사의 스트레스를 줄이고, 조직몰입을 향상시키기 위한 중재 방안이 필요할 것으로 사료된다. This study is the descriptive research through a survey questionnaire analysis in order to examine the effects of Turnover intention, Perception of internal marketing, job satisfaction, organizational commitment, stress. G reginal hospital was selected from convenient sampling method and subjects this study were 210 Nurses working in small and medium-sized hospitals. Data collection was performed in May 2015 to June. Then it measured the nurses’ turnover intention, perception of internal marketing, job satisfaction, organizational intention, and stress by using the 5-point Likert-scale as research tools. The research conducted t-test, ANOVA, Pearson correlation, and regression analysis using the SPSS WIN 18.0 program. In this study, turnover intention showed a negative correlation with perception of internal marketing, job satisfaction, and organizational commitment, while there is a positive correlation with stress. In addition, the factors affecting turnover intention were to organizational commitment, stress order with 64.3% explanation power. The results of this study suggested that the management problem of turnover occupied the highest percentage in small and medium-sized hospital is a key element. The study results demonstrated that it is possible to predict the turnover intention of the nurses in small and medium-sized hospitals nurses will be decreased if their organizational commitment increases and their stress decreases; Thus, to lower the turnover intention of small and medium-sized hospitals nurses, it is required to adopt an intervention plan to reduce the nurses’ stress and improve their organizational commitment.

한반도 GNSS 가강수량 자료동화의 호우 예측 개선 효과 연구

강지순,조민수,조정호 한국기상학회 2016 한국기상학회 학술대회 논문집 Vol.2016 No.10

MPAS 앙상블 자료동화 개발 현황 및 예측 개선 효과 연구

강지순,조민수,박상훈 한국기상학회 2018 한국기상학회 학술대회 논문집 Vol.2018 No.10

Effect of Psychological Insulin Resistance, Diabetes Distress, and Diabetes Self-Efficacy on the Insulin Therapy Adherence of Patients with Type 2 Diabetes: An Analysis Based on the Actor-Partner Interdependence Model

강지순,박준희,한정원 한국성인간호학회 2020 성인간호학회지 Vol.32 No.2

Purpose: This study aimed to identify the effects of psychological insulin resistance, diabetes distress, and diabetes self-efficacy of patients and their spouses on insulin therapy adherence of patients with type 2 diabetes. Methods: A path analysis based on the actor-partner interdependence model, a couple analysis method, was used to identify the actor and partner effects of psychological insulin resistance, diabetes distress, diabetes self-efficacy on the insulin therapy adherence of patients with type 2 diabetes. Data were collected between February 25 and May 1, 2019, from 200 patients with type 2 diabetes and their spouses. Results: The psychological insulin resistance of the patient had an actor effect on the diabetes self-efficacy of the patient and a partner effect on the diabetes self-efficacy of the spouse, and the patient’s diabetes distress had a partner effect on the diabetes self-efficacy of the spouse. The psychological insulin resistance of the spouse had an actor effect on the diabetes self-efficacy of the spouse, and the diabetes self-efficacy of the patient and spouse were found to affect the insulin therapy adherence of the patient directly. Conclusion: This study provided basic data for the development of programs that can enhance insulin therapy adherence in patients with type 2 diabetes, focusing on the perspectives of both the patient and spouse.

Secondary Productivity of Pelagic Zooplankton in Lake Paldang and Lake Cheongpyeong

강지순,박상규,양동우,주성배,남성진,정가람,박혜경 한국생태학회 2009 Journal of Ecology and Environment Vol.32 No.4

We estimated monthly and annual secondary productivity of pelagic zooplankton in Lake Paldang and Lake Cheongpyong. Secondary productivity was calculated by combining estimated zooplankton biomass and biomass-specific productivity for each site and depth from March to November 2008. In addition to somatic production, we measured production of eggs and exuviae for three dominant species: Daphnia galeata, Bosmina longirostris, Cyclops sp. In terms of biomass, B. longirostris was dominant in Lake Paldang in April and May, B. longirostris showed explosive biomass growth, especially in May. In June and July, B. longirostris and D. galeata were both dominant. Lake Cheongpyeong showed much lower zooplankton biomass than Lake Paldang. In August, there was little or no biomass in both lakes probably due to heavy rain. The Gyeongan River contributed most of the secondary productivity and B. longirostris contributed the most secondary productivity in Lake Paldang. D. galeata also contributed in the Gyeongan River, the South Han River and at the Paldang Dam in spring and fall. Overall, Lake Cheongpyeong showed lower secondary productivity than Lake Paldang. B. longirostris made the largest contribution to secondary productivity in the Cheongpyeong Dam area while D. galeata contributed the most near Nami Island. Somatic production constituted ~80% of the total secondary productivity (the sum of somatic, egg and exuvia production) for D. galeata and B. longirostris. Although production-to-biomass (P/B) ratios were usually <<1, B. longirostris sometimes showed very high P/B ratios, probably due to fish predation. D. galeata showed much lower P/B ratios than B. longirostris after the summer at most sites.

Establishment of Reference Intervals of Osteocalcin according to Age in Women for Health Promotion Center

강지순,유병주,오정은,김건재,Kang, Ji-Soon,Yoo, Byoung-Joo,Oh, Jung-Eun,Kim, Geon-Jae The Korean Society of Nuclear Medicine Technology 2009 핵의학 기술 Vol.13 No.1

목적 : Bone Gla protein (BGP)라고도 불리는 Osteocalcin은 조골세포에 의해 합성되는 비 콜라겐성 뼈 단백질이다. 혈청 Osteocalcin은 골 대사의 생화학적 지표로 이용되고 있다. Osteocalcin수치의 참고치는 연령에 따라 제조회사에서 권장하는 참고치가 있으나 검사실 자체적으로 정하도록 권고하고 있다. 본 연구는 현재 사용되어지고 있는 연령별 Osteocalcin 참고치를 재설정해 보고하고자 하였다. 실험재료 및 방법 : 2007년 8월부터 2008년 9월 사이에 본원 건강검진 센터를 방문하였던 20~80세의 정상 성인 여자 864명을 대상으로 하였다. 혈청 Osteocalcin은 면역방사계측법(IRMA)을 이용한 Kit (OSTEO-RIACT, CIS Bio international, Gif-sur-Yvette, France)를 사용하였으며, 각각의 결과는 통계 프로그램인 SPSS 12.0을 이용하여 분석하였다. 결과 : Hoffmann 방법을 시행하여 얻은 Osteocalcin 참고치는 다음과 같다. 20~30세에서는 8.8~39.4 ng/mL에서 6.3~28.8 ng/mL로 31~40세에서는 7.7~31.9 ng/mL에서 5.9~17.4 ng/mL로 41~50세에서는 8.0~36.0 ng/mL에서 5.5~20.1 ng/mL로 51~60세에서는 8.0~50.5 ng/mL에서 6.7~27.0 ng/mL로 61~80세에서는 12.9~55.9 ng/mL에서 7.5~27.5 ng/mL로 변경되었다. Osteocalcin 참고치는 제조회사 권장 참고치와 차이가 있었다. 결론 : 대사성 골질환의 지료로서 사용되어지고 있는 Osteocalcin의 참고치를 정확하게 제공함으로서 임상적 의사결정에 유용하게 이용할 수 있다. 한 번 정한 참고치는 계속 사용하지 말고 지속적으로 재평가를 시행해야 할 것으로 사료된다. Purpose: Osteocalcin is also known as the bone gamma-carboxyglutamic acid (Gla) protein (BGP), is noncollagenous bone protein synthesized by osteoblasts. Serum concentrations of Osteocalcin have been used as a biochemical marker of bone turnover. The reference intervals of Osteocalcin is categorized by kit corporation according to the age. However, each laboratory should establish its own reference intervals. In this study, the variation in the serum Osteocalcin level were used to find actual standard age-specific Osteocalcin reference intervals. Materials and Methods: We have selected 864 healthy females aged 20~80 years who visited a health promotion center between Aug. 2007 and Sep. 2008. The Osteocalcin IRMA Kit (OSTEO-RIACT, CIS Bio international, Gif-sur-Yvette, France) was used for the quantification. Each results were analyzed with the SPSS 12.0 statistical software. Results: The analyzed reference intervals of Osteocalcin by using Hoffmann method are from 8.8~39.4 ng/mL to 6.3~28.8 ng/mL for the case of the age from 20 to 30, from 7.7~31.9 ng/mL to 5.9~17.4 ng/mL for the case of the age from 31 to 40, and from 8.0~36.0 ng/mL to 5.5~20.1 ng/mL for the case of the age from 41 to 50, and from 8.0~50.5 ng/mL to 6.7~27.0 ng/mL for the case of the age from 51 to 60, and from 12.9~55.9 ng/mL to 7.5~27.5 ng/mL for the case of the age from 61 to 80. Reference intervals of Osteocalcin were not in agreement with those recommended by the manufacturers. Conclusions: Osteocalcin is used as an indication of metabolic bone diseases. So in our study we wanted to provide reference intervals of Osteocalcin that can be useful to a clinical decisions. Also, previous reference intervals should not be re-used and new intervals should be set by continuous analyzing.

KISTI 전지구 기상/기후 예측모델링 서비스 고도화 연구개발 현황 및 계획

강지순,조민수,김재엽,안준언 한국기상학회 2018 한국기상학회 학술대회 논문집 Vol.2018 No.10

유류오염 토양의 열탈착 전처리 효율에 관한 연구

강지순,송주석,박창웅,오광중 대한환경공학회 2002 대한환경공학회 학술발표논문집 Vol.2002 No.12

간호교육에서 PBL(Problem-Based Learning) 수업의 적용 효과

강지순,이현주,김주옥 한국응용과학기술학회 2019 한국응용과학기술학회지 Vol.36 No.4

This study applied the PBL class to the 'Nursing Process and Critical Thinking' courses in the second semester of 2018, and is a primitive research that utilized a single-group, pretest-posttest experimental design in order to examine the effects of the class on Critical Thinking Disposition, Problem Solving Ability, and Professional Self-Concept. Self-report questionnaires were administered to 59 nursing college students in G province. The PBL class consisted of 8 weeks of traditional lectures and 4 weeks of PBL classes. The SPSS/WIN 23.0 program was used for data analysis. Frequency and percentage were used to analyze the general characteristics, and mean, standard deviation and paired t-test were used to analyze the difference between the two groups. As a result, the Critical thinking Disposition of nursing college students was significantly increased(t=4.39, p<.001) after PBL class(3.71±.36) than before PBL class(3.41±.40). The Problem Solving Ability was notably improved(t=3.97, p<.001) after PBL class(3.70±.59) than before PBL class(3.36±.38). The Professional Self-Concept was considerably increased(t=4.84, p<.001) after PBL class(3.22±.50) compared to before PBL class(2.92±.28). Therefore, applying Problem-Based Learning in nursing education to a greater extent is estimated to be effective in increasing the core competencies of nursing college students. 본 연구는 문제중심학습(PBL) 수업을 2018년 2학기 ‘간호과정과 비판적사고’ 교과목에 적용한 후, 비판적 사고성향, 문제해결능력과 전문직 자아개념에 대한 효과를 규명하기 위하여 단일군 전⦁후 설계를 활용한 원시실험 연구이다. G도에 소재한 간호대학생 59명을 대상으로 자가보고식 설문을 실시하였 다. 문제중심학습(PBL) 수업은 전통식 강의 8주, 문제중심학습(PBL) 수업 4주로 진행하였다. 자료분석은 SPSS/WIN 23.0 프로그램을 이용하였으며 일반적 특성은 빈도와 백분율, 두군 간에 차이는 평균, 표준편 차, Paired t-test를 시행하였다. 연구결과, 간호대학생의 비판적 사고성향은 문제중심학습(PBL) 수업 전 (3.41±.40)보다 수업 후(3.71±.36)에 유의하게 증가하였다(t=4.39, p<.001). 문제해결능력은 문제중심학 습(PBL) 수업 전(3.36±.38)보다 수업 후(3.70±.59)에 유의하게 증가하였다(t=3.97, p<.001). 전문직 자아 개념은 문제중심학습(PBL) 수업 전(2.92±.28)보다 수업 후(3.22±.50)에 유의하게 증가하였다(t=4.84, p<.001). 따라서 문제중심학습(PBL)을 간호교육에 더욱 확대하여 적용한다면 간호대학생이 갖추어야 할핵심역량을 높이는데 효과적일 것이라고 사료된다.

MPAS 모델을 활용한 태풍 사례 모의 및 ADCIRC-SWAN를 활용한 남해안 파랑 모의

강지순,육진희,명훈주 한국기상학회 2020 한국기상학회 학술대회 논문집 Vol.2020 No.10