표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구

김경옥,김희경,안효자,신헌태,Kim, Kyeong-Ok,Kim, Hee-Kyung,An, Hyo-Ja,Shin, Heon-Tae 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1

Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

호스피스 자원봉사자의 감성지능, 소진탄력성 및 생의 의미 간의 관계

김경옥,유명숙,Kim, Kyung Ok,Yoo, Myung Sook 한국가정간호학회 2018 가정간호학회지 Vol.25 No.1

Purpose: The purpose of this study was to identify the relationships among emotional intelligence, resilience to burnout, and meaning in life of hospice volunteers. Methods: Data were collected through structured questionnaires from 200 hospice volunteers who were working at hospitals for six months or longer. Data were collected from March 7 to March 31, 2016, and analyzed using descriptive statistics, independent t-tests, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SPSS WIN 22.0. Results: There was a statistically significant correlation between emotional intelligence, resilience to burnout and meaning in life. The significant predictors of hospice volunteers' meaning in life were resilience to burnout(${\beta}=.47$), emotional intelligence(${\beta}=.15$), educational level(college, ${\beta}=.11$), religion(protestant, ${\beta}=.12$; buddhism, ${\beta}=-.15$), and motivation for neighborhood service(${\beta}=.16$). These variables explained meaning in life up to 50.2%. Resilience to burnout was the greatest effective factor on meaning in life. Conclusion: These results suggest a need to develop programs that improve hospice volunteers' emotional intelligence and resilience to burnout. Also, educational level, religion, and service motivation of hospice volunteers should be considered.

환자 분류에 기초하여 입원병동의 적정 간호인력을 산정하는 모델

김경옥,박미정,이인광,박경순,손호선,김경아,서창진,차은종,Kim, Kyoung-Ok,Park, Mi-Jung,Lee, In-Kwang,Park, Kyung-Soon,Shon, Ho-Sun,Kim, Kyung-Ah,Seo, Chang-Jin,Cha, Eun-Jong 대한의용생체공학회 2016 의공학회지 Vol.37 No.2

Nursing staffing is of major interest in hospital management, however, no practical method has been developed. The present study proposed a mathematical model based on the patient classification system for nursing staffing optimization. A few characteristic parameters possibly determined experimentally and/or empirically were introduced followed by systematic calculation of the required number of nurses. An essential concept of the model is the unit work load defined as the amount of nursing work performed on single patient per unit time, where the work load is defined as the number of nursing staffs multiplied by the working hours. The unit work load was considered to vary with the patient classification level as well as the working time during a day, both of which were represented by corresponding parameter values. The number of patients for each class and the number of working hours were multiplied to the unit work load, and added up to obtain the total required work load. As the next step, the averaged number of hours that a nurse could provide per day was formulated considering the degree of nursing practice experience into 3 levels. Finally, the appropriate number of nursing staffs was calculated as the total work load divided by the average working hours per nurse. The present technique has a great advantage that the number of nursing staffs to fulfill the required work load is systematically calculated once the characteristic parameters are appropriately determined, leading to instant and fast evaluation. A practical PC program was also developed to apply the present model to nursing practice.

전산화된 임상 데이터에 기반한 환자 분류 체계 및 간호 인력 관리 방안

김경옥(Kyoung-Ok Kim),박경순(Kyung-Soon Park),서창진(Chang-Jin Suh) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.3

본 연구는 전산화된 임상 데이터를 이용하여 환자 중증도를 분별하는 기법을 고안하고 간호사가 작성한 분류 점수와 비교 분석하여 타당성을 검증하기 위하여 일개 종합병원의 7개 병동 재원환자 348명에게 하루동안 간호사가 수행한 행위를 근거로 환자분류(KPCS-1: Korean patient classification system for nurses) 점수를 간호사가 작성하고, 병원정보시스템에 저장되어 있는 임상 데이터를 이용하여 산정,수집한 점수와 비교하였다. 간호사가 작성한 점수와 임상 데이터를 이용한 환자 중증도 점수 모두 진료과 및 환자유형에 따라 점수 분포를 비교한 결과 유의한 차이가 있는 것으로 나타나 환자분류의 타당성이 동일하게 검증되었으며, 두 방법 간 에는 상관계수 0.96(p<.001)의 높은 상관성이 있었다. 임상 데이터 기법이 다소 높은 점수를 보였으나 일부 영역의 보완을 거친다면 간호사가 환자분류를 작성하지 않고, 병원정보시스템에 저장된 임상 데이터에 연동하여 자동으로 환자 중증도를 분별하는 시스템 개발이 가능하고 이를 간호인력의 성과관리 및 수급계획 등에 활용 할 수 있을 것으로 기대된다. To develop a technique classifying patients based on computerized clinical data followed by validity verification by comparing with nurses examination. Class scores were determined by nurses for a day on 348 resident patients in 7 wards of a general hospital according to KPCS-1. The class scores were simultaneously evaluated by reviewing the computerized clinical data acquired from the hospital management information system. These two class scores were both significantly different among different departments as well as disease patterns. Intraclass correlation analysis resulted a very high correlation coefficient of 0.96(p<0.01) between the two scoring methods, but the clinical data scores were somewhat higher. An automated patient classification system seemed possible to be developed in future with further enhancement of the present results based on computerized clinical data without manual scoring, which can be applied for performance evaluation as well as workforce planning.

전후 일본 소,중학교 도덕교육에서의 "개인존중" 의미 고찰 : 발달심리학 관점으로

김경옥 ( Kyung Ok Kim ) 韓國日語日文學會 2008 日語日文學硏究 Vol.66 No.2

조안나 러스의 『여성남자』에 나타난 여성 주체의 포스트모던 서사

김경옥 ( Kyung Ok Kim ) 미국소설학회(구 한국호손학회) 2020 미국소설 Vol.27 No.3

This article explores the postmodern narrative of the female subject in Joanna Russ’s The Female Man. Russ criticizes the female subject defined by society’s patriarchal ideologies, proclaiming that gender dichotomy, such as women and men and femininity and masculinity, are neither natural nor essential. In addition, she insists that there is no single definition of gender identity, showing that the lives and consciousness structures of women are organized differently based on their social and cultural situations. She deconstructs the female ego using a nonlinear and fractional narrative structure to tell the stories of the four female characters from parallel worlds that differ in terms of time and space, including a utopia, a dystopia, and the present world. She also creates a new female subject. Russ’s postmodern female subject is an anti-differential, constructivist, and fluid subject with various interconnected meanings and changes. Overall, the postmodern narrative of The Female Man is produced through a fluid, divisive subject and a fragmentary narrative in order to create new possibilities and space for the female subject.

일본의 공민교과서에 나타난 공공성

김경옥(Kim Kyung Ok,金京玉) 한국외국어대학교 일본연구소 2016 日本硏究 Vol.0 No.68

The purpose of this reserch is to clarify the definition of the term "public nature," which is stated in the Japanese high school Kouminn textbook. Kouminn nature was lively debated by this world since 'living together' was the number one problem after the 21st century. Recently, the need for combined public philosophy from Korea, China, and Japan was shared as problematic cognition, hence, there was an active movement to settle East Asian public philosophy. Based on this problem awareness, this research examine what types of Kouminn nature education are processed in Japanese high school. As a result of the research, the reason for the statement that Kouminn and its education contents need to be improved is for the need of capable leader in the country and society. Especially, expression on the desirable human life as giving a priority to society and nation is one of them although having minds of Japanese ancestors, who lead the country as invasive nation, as a basic clause and relating it to the lives of people rather than teaching it just as a knowledge are claimed as subjective approaches. Therefore, the meaning of 'Kou' in 'Kouminn' is inclined to the authoritative-nation way, rather than the citizen-society perspective. 本稿では、日本の高等学校の公民教科書に明記されている「公共性」という用語の意味を明らかにすることを目的とする。 公共性に関しては、「共生」ということを21世紀に生きていく人類の最大の課題とし、活発に議論されてきた。これに関連して日本でも公 · 公共 · 公共性 · 公共哲学などの用語の定義をはじめそれらの議論が進められている。例えば、「公共哲学京都フォーラム」という研究会は1998年4月から初めほぼ毎月開催されているが、2016年1月現在120回を越えている。また、ここ数年の間に韓 · 中 · 日の伝統思想を融合させた公共哲学の必要性を共有しながら、東アジアの公共哲学を確立しようとする努力が著しく現れている。 周知のように、公共について様々な側面から議論されいる最終的な理由とその必要性は、21世紀の人類のすべてが幸せになるための方法を見つけるためであろう。したがって経済先進 · 文化先進国である日本であるからこそその方法を見つけることに力を入れなければならないといえよう。しかし、今の現象を見ると、日本では公共性の形成に関する議論だけが進められているような気がする。つまり、望ましい公共性の形成のための実践的な提案を出さなければならないにもかかわらず、むしろこれに逆行しているような内容の教育が行われていると思われる。 このような疑問に基づいて本稿では日本の高等学校の公民教育で公共性に関しての教育がどのように行われているかについて調べてみた。研究の結果、公民科の教育内容に表れている 「公民としての資質を向上させなければならない」というのは、国家又は社会のための有能な形成者を必要としているからであると考えられる。特に、日本を侵略国家に導いてきた先賢の基本的な考え方を手がかりに、先賢の思想を単に知識として学ぶ学習ではなく、自分の人生と関連付ける必要がありと明示している。これは、主体的 · 主観的だと言ってはいるが、社会と国家を優先する姿勢が人間の望ましい生活であると説明していることだろう。したがって、ここでいう 「公民」というのは、市民社会的側面から考えられる 「公民」というより、国家権力的側面での「公民」の意味を持っていると言える。

『맥베스』에 나타난 마녀의 의미와 역할

김경옥(Kyung-Ok Kim) 한국셰익스피어학회 2004 셰익스피어 비평 Vol.40 No.4

This paper is focused on the witches from the viewpoint of decentralism. In Macbeth, decentral viewpoint becomes clear when the witches say that "fair is foul and foul is fair" in the first scene of the play. In the middle of confusion, the witches exist. Witches' role suggests various meanings and possible interpretations. One of the major critical views concerning the witches in Macbeth is to regard them as symbolic representations of the unconsciousness of Macbeth. The other is that witches are the most wicked beings. They are neither immaterial nor merely appearances. The witches are real although they are described as ambiguous beings. The witches are the leading characters of the play although they appear only in short scenes. They exist outside of the society, blurring its boundaries, distorting its rules, and attacking its center. The phrase - "Fair is foul, and foul is fair" - is a metaphor which pervades almost all the scenes in Macbeth. They speak ambiguously with riddles, and their speeches tend to subvert the patriarchal order in the play. In the Renaissance period, women who criticised the value of patriarchal society and exposed the instability of ideology, were regarded as dissidents and a threat. They were often demonized as witches. The frequent witch-hunting reflected the patriarchism that attempted to remove aggressive women from the maile dominant society. The magic is a form of another anti-social movement. It refuses irrational structures of systems that are generalized The witches deny those closed and fixed generalization, and make the world open ended. They suggest the possibility to break the absolute value of patriarchism and authority.

학생의 특성에 기초한 교사의 수업 의사결정에 관한 연구

김경옥(Kyung Ok Kim) 한국교육심리학회 1993 敎育心理硏究 Vol.7 No.1

한국, 중국, 일본 표준 아동복 사이즈 체계 변화 및 차이

김경옥(Kyung ok Kim),천종숙(Jongsuk Chun) 대한인간공학회 2018 대한인간공학회 학술대회논문집 Vol.2018 No.11

Objective: The aim of this study is to identify the characteristics and differences of the standard sizing systems in Korea, China and Japan Background: Since 2013, the Chinese children" s wear market has been growing at a high rate. In terms of anthropometry, the people’s body size of Korea, Japan, and China have considerable morphological differences. The comparative study of the differences in the body shape of children in Korea, China and Japan and the standard of clothing dimensions will help Korean apparel companies to enter the Chinese fashion manufacturing industry steadily. Method: We compared the Standard Children’s garment sizing systems in Korea, Japan and China. The comparative analysis was performed. Results: Korea has specified size standards for infants, children and adolescents by age, but China and Japan did not mention the age in the Standards sizing systems. Infant and children sizes were designated with height. The sizing systems of Japan and China offer sizes according to body type. Conclusion: In the segmentation of the standard, Age was important factor in Korea sizing systems. has specified the size of infant, child and adolescent garments by age, and China and Japan did not separate youth standards. The height showing distinction of gender was 90cm for Japan,115cm for Korea, and 135cm for China.