보건진료원의 업무 및 보건진료소 운영에 관한 고찰

김춘미,Kim, Chun-Mi 한국농촌간호학회 2009 한국농촌간호학회지 Vol.4 No.1

By the rural area health care special law in 1980, Primary health care posts were established in rural areas as fundamental elements of the national health system. Nurses have been deployed to the posts after taking an education course mandated by the special law. However, health care posts have confronted environmental changes over the past 30 years such as an aging and decreasing rural population and advanced traffic systems, which make it necessary to reshape their form and role. Therefore, some guidelines are suggested for future role enlargement of health care posts by analyzing their current management and duties. The guidelines are as follows: 1) enlarging the portion of prevention and management of chronic degenerative diseases, 2) development and practice of diverse health promotion programs, 3) extension of primary health care for the increasing older population, 4) development of health programs for married immigrants, 5) practice of timely maternal child health programs, 6) development of adequate health care posts for low-income people in rapidly urbanizing rural areas and in poor areas in big cities, and 7) revision of laws and institutional arrangements for the role enlargement of health care posts to match social changes and customer needs.

책임부재의 교육

김춘미,Kim, Chun-Mi 한국대학교육협의회 1991 大學敎育 Vol.54 No.-

중환자실에서 이루어지는 간호사 인수인계 실태 및 인수인계에 대한 평가

김춘미,김은만,고지운,Kim, Chun Mi,Kim, Eun Man,Ko, Ji Woon 한국중환자간호학회 2015 중환자간호학회지 Vol.8 No.2

Purpose: This study identified the current status and perception of intensive care unit nurses' handover. Methods: A cross sectional descriptive survey was employed. The population included nurse managers and staff nurses who worked in intensive care units in hospitals with more than 500 beds and excluded nursing homes, psychiatric hospitals, and military hospitals. Results: Of the nurses, 61.7% were satisfied with the current handover method, 68.36% had no handover-related guidelines, and 83.2% of them perceived that the handover was important for patients' safety. The most frequent cause for errors related to handover was that the "nursing workload is heavy." The nurses perceived that their handover was informative ($5.62{\pm}0.79$) and efficient ($5.04{\pm}0.98$). The variables associated with their perception of the handover were the level of satisfaction with the current handover method, existence of handover guidelines, and importance of handover for patient safety. Conclusion: The development of standardized handover guidelines, especially for intensive care units, is necessary to reduce handover time and errors and to improve handover quality for patients'safety and high standards of nursing care.

생각한다 : 앎의 새 지평들을 꿈꾸며

김춘미 (Chun Mi Kim) 민족음악학회 1998 음악과 민족 Vol.15 No.-

일개 보건소 방문간호사업의 업무 분석

이홍자,김춘미,윤순녕,Lee, Hong-Ja,Kim, Chun-Mi,Yun, Soon-Nyong 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

소규모 사업장 여성근로자의 건강문제

김영임,윤순녕,최정명,김춘미,정혜선,Kim, Young-Im,Yun, Soon-Nyung,Choi, Jeong-Myung,Kim, Chun-Mi,Jung, Hye-Sun 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

For basic data to develop health management program of female workers. this study was intended to characterize factors affecting health problems of women at workplace which has less than 50 workers by Cornell Medical Index(CMI). 195 items of CMI questionnaire were simplified to 57 items which were composed of 35 items concerning physical health problems and 22 items concerning mental health problems. The data was collected during 6 months from July 10 to December 30 and analyzed with frequency, percentage, t-test and ANOVA. The 107 female workers included in this study was characterized to be mainly twenties(64.5%), single(69.2%) and working at production position(89.7%). The most frequent physical problem was fatigability and the next, neurological system and cardiovascular system. Main mental complaints were inadquacy. anger and tension. When the health problems were reviewed according to its general characteristics, anger in young age, adaptiveness in single and respiratory complaints in self-recognized unhealthy group were prevalent. According to life styles. the prevalent complaints were musculoskeletal one in alcoholic group and cardiovascular one in group who are sleeping just for four to five hours. The appropriateness of each items of CMI should be evaluated to reveal the reasons why meaningful results could not come from many items of this questionnaire. The repeated study should be carried out to figure out the health problems and its related factors of female workers at small scale workplace. Also, exercise program and abstinence from drinking and smoking should be carried out for female worker's health.

지역 다문화가족 지원을 위한 협력적 거버넌스 문제점과 해결방안: 충청남도를 중심으로

최승범 ( Seung Beom Choi ),김홍환 ( Hong Whan Kim ),김춘미 ( Chun Mi Kim ) 한국지방행정연구원 2015 地方行政硏究 Vol.29 No.4

본 연구는 특히 광역지자체 수준에서 다문화가족지원을 하고 있는 유관 기관들 사이의 협력현황을 파악하고 문제점 및 원인을 분석하여 해결방안을 제시하고자 하는 것이 목적이다. 연구의 방법은 문헌연구와 방문인터뷰의 방법을 사용하였으며, 연구의 공간적 범위는 충청남도이며, 시간적 범위는 2015년에 집행되고 있는 충남도청과 각 기관들 사이에 다문화가족지원 협력노력에 집중하기로 한다. 기관간 협력을 어렵게 하는 원인들은 중앙부처의 분절적이며 자기완결적 다문화가족지원사업 전달체계, 기관 간 목표 공유의 부재, 기관 간 정보공유의 부재, 각 기관별 별도의 기관평가 시스템 운영, 리더십을 갖는 컨트롤타워 기관의 부재 등 이었다. 그나마 다행인 것은 지자체 수준에서 각 기관들이 협력의 의사마저 포기한 것은 아니며, 대체로 다문화가족지원 서비스 전달체계가 가지고 있는 중앙부처들의 분절적이며 자기완결적인 전달체계의 구조 때문에 행동의 폭을 제한당하고 있다는 것이다. The purpose of the study is to find problems and their causes in the cooperative efforts made between public authorities at the level of provincial governments, which are providing multi-cultural family programs, and to suggest solutions. The locational scope of the study is Chunhgcheong Namdo and the subjects are the provincial government, local police department, office of education, immigration service, Nonghyup etc.. The causes making cooperative efforts difficult among the public authorities are the self-sufficient fragmented structure of the multi-cultural service delivery system, lack of sharing goals, information and communication among the authorities, separate evaluation system of each authority without incentives for cooperative efforts, lack of control tower among authorities. Fortunately, many authorities have a mind to cooperate each other, but the self-sufficient separate structure is the main constraint on the cooperation among authorities.

특실병동 간호사의 실무적응과정에서의 의사결정 경험

김춘미,김정수,김덕희 대한간호학회 간호행정학회 2009 간호행정학회지 Vol.15 No.3

Purpose: The purpose of this research was to describe the decision making experience of VIP ward nurses in the clinical practice adjustment process. The research question was about "how nurses adjust their clinical practice to nursing situations and develop decision making process in a VIP ward." Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin(1998). The data was collected through in-depth interviews with 10 nurses from July to November, 2007. Results: The core category of nursing care decision making process was named as "adjusting with flexibility and deepened insight." The clinical practice adjustment process in nursing care decision making has progressed through four preceding interlocking phases: 1) dependent phase, 2) defensive phase, 3) independent phase, 4) integrative phase. These phases were classified by the level of nurses' dependency, proactivity, presupposition and integration. Conclusion: The result of this study indicated that nurse's decision making depended on their experiences and the nature of social context in which nursing occurs. Therefore, it is important to elaborate an effective training program for nurses to develop the phases of nursing care decision making.

치매노인을 돌보는 가족의 대처과정

김춘미 대한간호협회 2005 대한간호 Vol.44 No.4

Purpose : The purpose of this study was to understand the coping process that family caregivers experience during the process of care; to grasp the coping behaviors used for the solution of this problem; and finally to develop a substantive theory by analyzing the coping process. Method : The methodology of collecting and analyzing the data used in this study followed the grounded theory of Strauss and Corbin(1998). The data was collected through an in-depth interview with open-ended and descriptive questions about their coping experiences, which were audio-taped and transcribed. The data was collected between February, 2000 and February, 2001. The subjects of the study were 17 women. Result : The result of the study is as follows. Coping process of family caregiver while taking care of demented elderly is confirmed to have six stages: the stage of problem recognition; the stage of undertaking care; the stage of struggling; the stage of mental control; the stage of burden mediation; and the stage of acceptance. These stages make progress with reciprocal action and in cycle. Conclusion : The result of this study is helpful for developing effective and individual nursing strategy which is suited for coping stages. It is necessary to develop the assessment tool which can judge caregiver's coping stage on the basis of the result of this study. And continuous study to practice nursing mediation and to analyze the change about nursing effect and family member s adaptation.

치매노인을 돌보는 가족원의 대처전략

김춘미 노인간호학회 2002 노인간호학회지 Vol.4 No.1

The purpose of this study was to understand the difficulties that family caregivers experience while caring for elders with dementia and to identify the coping strategies that can be used to solve this problem. The data were collected through in-depth interviews using open-ended and descriptive questions about their coping experiences, and analyzed by content analysis after being audio-taped and transcribed. The data were collected between February, 2000 and February, 2001. The participants were 17 women, who were daughters, daughters-in-law, spouses, and sisters of the elders. Eleven coping strategies were found to reduce the burden of role, to reduce mental anguish resulting from care, and to regulate the problematic behavior of the elders. They are seeking help, ventilating emotions, converting mood, relying on religion, treating affectionately, mediating caring role, managing problematic behavior, redefining circumstances, wishing, projecting, and emptying the mind. Among them, affirmative coping strategies included 'mediating caring role,' 'seeking help,' 'redefining circumstances,' and 'treating affectionately'. In conclusion, this study showed that coping strategies used in the process of caring elders with dementia vary according to the circumstances of care. The findings of this study will provide new directions to develop tailored nursing strategies suited to the circumstances of coping.