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지역사회간호사업의 내용 및 평가에 관한 연구 : 일부 저소득층 지역사회를 중심으로
방매륜,한영란 이화여자대학교 간호과학연구소 1990 Health & Nursing Vol.2 No.-
All people aspire to a life of health from birth to death. Health is both a right and a responsibility. Health as a human right is expressed in the WHO stated purpose of "Health for All by the Year 2000." In Korea an unequal distribution of health services is related to the ever increasing cost of medical care due to the professionalization of health services, the costly training and education of health care professionals and the soaring costs of medical equipment. It is now generally accepted that the health care wanted and needed by the people is first and foremost the activation and expansion of equally accessable primary health care. This study was carried out by the nursing staff of the Community Health Nursing Clinic of the Social Welfare Centre of Ewha Womans Uni versity. The research problems included the identification of principles from theories supportive of community health nursing services and of criteria from these theories useful for the evaluation of the services and as objectives to guide future services : the description of the i development of the services with a selected community group over a three year period : the evaluation of those services using the criteria developed from the theories and the recommendation of guide - lines for the planning and practice of these and similar community health nursing services. The purpose was to develop a community health nursing model for the expansion and activation of primary health care. The population was a group of women living with their families in a crowded poor area in one district in the Mapho area of Seoul. The women had organized as a mothers association to strength - en their autonomy and decision-making power. The study describes the process whereby the nurses and women worked together from 1987 to 1989 and how the women changed to become active and critical participants in decision making about their health and the nursing services. A theoretical framework was developed to support and guide the practice using Rogers Science of Unitary Human Beings, concepts of Primary Health Care from Health for All by the Year 2000, the health challenges, promotion mechanisms and implementation strategies of the Framework for Health Promotion of the Canadian Ministry of Health and Welfare and principles from the Ottawa Charter for Health Promotion. Four criteria for evaluation of the nursing services were developed from the concepts and principles of the theories. They were : 1. that a nursing theory worthy of providing a world view of the complexity of interrelationships between the human and environmental fields involved in community health nursing - the Science of Unitary Human Beings suplemented by concepts from Primary Health Care and Health Promotion-be used to direct services ; 2. that the people of a community participate in full partnership with service agencies in making decisions regarding the planning, provision and evaluation of their health care ; 3. that both the nurses and people be empowered , and 4. that the community health services be strengthened. Evaluation using the criteria demonstrated the effectiveness of the services in achieving the valued objectives of theory-directed care, empowerment and participation with this population, but relative ineffectiveness in achieving change in official public health policies which would strengthen services or promote a more healthy environment. The four criteria were proposed for use in building more concrete objectives for community health nursing services and the process as helpful for developing future services.
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한국이민자들이 이용한 카나다의 건강사업 및 그 기관에 관한 도움의 지각에 대한 기술적 연구
방매륜 이화여자대학교 간호과학대학 1975 이화간호학회지 Vol.- No.9
필자가 1975년 6월에 카나다 토론토 대학교 대학원에 제출한 간호학 석사학위 논문 중에서 제 4장 총괄, 결과에 관한 토의 및 관련에 관한 부분만을 여기에 요약했다. 논문은 카나다 간호협회 도서관, 토론토대학교 생물학 도서관, 토론토 한인연합교회 도서실 및 이화여자대학교 간호대학 도서실에 비치되어 있으므로 참고하기 바란다.
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구타당한 주부의 경험에 관한 질적 연구 : PARSE 의 간호이론 및 연구방법에 따라
한영란,방매륜 이화여자대학교 간호과학연구소 1993 Health & Nursing Vol.5 No.-
Nurses are becoming of aware of the seriousness of violence in our society. Victims of violence are beginning to speak up more about their experiences and legal penelties have become more sever in response to changing social consciousness. The family is expected to be a haven safe from violence, but nurses working in the community are becoming increasingly awre that of the woman and children they meet are suffering abuse within their families. Family violence costs the human health and integrity of both the victims and the abusers ; the victims, in turn, may learn to use abuse against others. Nursing needs knowledge about the family abuse in our society. This study set out to understantd the subjective experience of women being battered by their husbunds with the hope that understanding their experiences may help nurses to work woth them toward their goals for a different quality of life. The purpose of this study was to develop a theoretical stucture of the lived experience of battered wives. The research question was "what is the experience of being a battered wife?". The theory quding this study was Parse's Human Becoming theory of nursing and the mothodology was Parse's Research Methodology. The data were gathered from May, 1990 to May, 1991 in one-three interview each with nine women who had experienced more than three episodes of violence in their marriage and were analyses according to Parse's Research Mothodoloty *The structure of the lived experience which emerged was : (1) The lived experience of being a battered wife in one of expanding her world view as she reveals and conceals her present situation and creating possibilities in life, seeking freedom within her valus system while living a life of moving between spearating and connecting. (2) The lived experience of being a battered wife is one of expanding her world view as she reveals and conceals her present situation. *The strutural integration is illustrated in the following. 1. Expressing verbally her past, present and future is interpreted as languaging 2. Concealing a part of herself in relationship with others is interpreted as revealing -concealing. 3. Living a life keep moving between separating and connecting is interpreted as connecting-separating. 4. Voluntarily fighting back to improve the situation is interpreted as powering. 5. Affirming her own value and acting accord ing to it is interpreted as valuing. 6. Developing self esteem and discovering meaning in life through a religious faith is interpreted as valiing *The conceptual integration which emerged was The lived experience of being a battered wife is transforming through the revealing -concealing of languaging toward powering through the valuing of connectingreparating. Implications for theory development, research and practice were discussed including effective of Paese' Practice Methodology in clinical practice. Further research using Parse' Human Beocming Nursing theory and Research methodology in the study of other experiences of family violence was recommanded.
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