진폐환자의 건강증진행위 관련 요인에 관한 연구

변도화,현혜진 한국직업건강간호학회 2008 한국산업간호학회 학술대회 Vol.2008 No.1

노인장기요양보험 제도 하에 제공되는 방문간호 서비스의 중요도와 성과도

변도화,현혜진 한국지역사회간호학회 2013 지역사회간호학회지 Vol.24 No.3

Purpose: This study was attempted to provide quality improvement and revitalization of visiting nurse services by Importance-Performance Analysis of persons being provided with the services. Methods: The subjects were 350 people being provided with visiting nurse services from a long term home care institution in the kangwon Province during the period of data collection between Aug. 16 and Sep. 15, 2011. Data analysis was conducted through t-test, ANOVA, and IPA by using the SPSS/WIN 12.0 program. Results: As a result of the Importance- Performance Analysis of visiting nurse services, it turned out that the strength on reliability, assurance, and empathy should be maintained with good work and the aspects of responsiveness appeared to be intensively improved, and the tangibility proved to be subject to improvement. Conclusion: For the activation of visiting nurse services, methods for improving the performance in the intensive care area and management strategy establishment which highlights the advantages of strength maintenance area are needed.

계획된 행동 이론을 적용한 화재안전교육이 요양보호사 교육생들의 화재안전행동에 미치는 효과

변도화 한국화재소방학회 2019 한국화재소방학회논문지 Vol.33 No.1

본 연구는 요양보호사 교육생들을 대상으로 화재안전교육의 효과를 규명하기 위한 유사실험연구로 비동등성 대조군 전후시차설계(Non-equivalent control group no-synchronized design)이다. 연구대상자는 S요양보호사 교육원의 교육생으로 실험군 28명, 대조군 29명으로 총 57명 이었다. 실험처치기간은 2018년 5월 21일부터 6월 14일까지 주 1회씩 총 4회로 구성하여 화재안전교육을 실시하였다. 자료분석은 χ²-test, t-test로 분석하였다. 연구결과 화재안전교육은 요양보호사 교육생들의 화재안전에 대한 지식, 화재안전에 대한 태도, 화재안전에 대한 지각된 행동통제, 화재안전 행동의도, 화재안전 행동을 증진시키는데 효과적인 교육으로 일상생활에서 화재안전행동실천에 유용하게 활용될수 있을 것이라 기대된다. 반면 화재안전에 대한 주관적 규범은 유의한 차이가 없는 것으로 나타나 화재안전에 대한주관적 규범의 효과를 검증하는 후속연구를 제언한다. This study was a quasi-experimental research of a non-equivalent control group and non-synchronized design foranalyzing the effects of fire safety education on care worker trainees. The subjects of the study were care worker traineesof the S Care Worker Institution: 57 trainees with 28 in the experimental group, and 29 in the control group. The researchperiod was from May 21 to June 14, 2018 and the experiments focusing on fire safety education were performed once perweek for a total of four times over the research period. The data were then analyzed using a χ²-test and t-test. Theresults showed that fire safety education is an effective source of education for increasing the knowledge on fire safety,attitudes towards fire safety, perceived behavioral control on fire safety, behavioral intention on fire safety, and fire safetybehavior in addition to being incredibly useful in practicing fire safety behaviors throughout their daily lives. On the otherhand, the subjective norms on fire safety did not show any significant differences. Therefore, this paper suggests a follow-upstudy that should focus on analyzing the effects of the subjective norms on fire safety.

진폐증 환자의 건강증진행위와 관련요인에 관한 연구

변도화,현혜진 한국직업건강간호학회 2008 한국직업건강간호학회지 Vol.17 No.2

방문요양서비스 이용자가 지각한 서비스의 질 측정을 통한 중요도와 성과도 분석

변도화(Byeon, Do-Hwa) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.1

본 논문은 방문요양서비스를 이용하고 있는 대상자 중심의 서비스 평가를 바탕으로 중요도와 성과도 분석을 통해 관리전략을 제시하였다. 연구대상은 강원도 S시에 소재한 3개소의 재가장기요양기관에서 서비스를 받고 있는 대 상자로 하였으며, 자료 분석은 SPSS 12.0을 이용하여 기초통계, 신뢰도분석, 요인분석을 실시하였다. 분석결과 방문요 양서비스 중요도는 총5점 만점에 4.55점으로 나타났고, 성과도는 4.26점으로 나타났다. 집중개선영역은 ‘신속한 서비 스 제공’과 ‘안심하고 서비스 제공’으로 나타났고, 유형성의 4개 속성, 신뢰‧확신성의 4개 속성, 대응‧공감성의 1개 속 성은 개선고려 영역으로 나타났으며, 신뢰‧확신성의 3개 속성, 대응‧공감성의 5개 속성은 강점유지영역으로 나타났다. 결론적으로 방문요양서비스 질을 높이기 위해서는 우선적으로 집중개선영역의 성과향상이 필요하며, 서비스 제공자의 지속적인 교육과 훈련을 통한 전문성의 확보와 규칙적인 대상자 중심의 서비스 평가를 통한 관리가 필요할 것으로 사료된다. This dissertation is based on the evaluation of service by the home help service users and suggested managing strategy through analyzing importance and performance. The subject is a person receiving the service from the three home long term institutions in S city, Gangwon province, and SPSS 12.0 is used to analyze data to conduct analysis of basic statistic, confidence level, and factors. The result came out that home help service’s importance showed 4.55 out of 5, performance 4.26 out of 5. The most improvement needed factor was ‘providing quick service’ and ‘offer service at ease’. Also it seemed that the four categories in tangibles and four categories in reliability and assurance, one category in responsiveness and empathy needs to be improved. The three in reliability and assurance and five properties in responsiveness and empathy need to remain its strength. In conclusion, in order to better the home help service first the progress result in focus improvement area needs to be achieved.

노인장기요양보험 내 방문간호센터 운영의 활성화 방안

변도화(Byeon, Do Hwa) 한국보건간호학회 2015 韓國保健看護學會誌 Vol.29 No.2

Purpose: The purpose of this study is to find and suggest ways to invigorate operation of visiting nursing centers. Methods: SWOT analysis was performed based on the status of use of visiting nursing centers and opinion survey on the centers’ nursing experts. Results: SO strategy was drawn to improve service satisfaction, develop standardized manuals, and improve the areas of visiting nursing services, and WO strategy was drawn to establish reliability, strengthen promotion or marketing strategy, strengthen management ability, and reinforce the governmental support of visiting nursing services. ST strategy was drawn to recover the functionality of health management, secure competitive advantage, and simplify the issuance of visiting nursing directions, and WT strategy was drawn to provide customized service, establish the cooperative system of related agencies, and adjust fees. Conclusion: For invigoration of visiting nursing centers, people must recognize the importance of the visiting nursing service and institutional standards should be established so that visiting nursing service, which is currently provided as an option according to Standard Long-Term Care Plan, can be provided on a mandatory basis.

죽음준비교육이 간호학생들의 생의 의미, 죽음과 웰다잉, 호스피스에 대한 인식에 미치는 효과

변도화(Do-Hwa Byeon),박미현(Mi-Hyeon Park) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.5

본 연구는 죽음준비교육을 실시하여 간호대학생들의 생의 의미, 죽음과 웰다잉, 호스피스에 대한 인식의 변화 정도를 파악하고 효과를 규명하기 위한 비 동등성 대조군 전‧후 유사실험 연구이다. 연구대상자는 A시의 C대학 간호학과에 재학중인 38명을 실험군으로, P시의 P대학 간호학과에 재학 중인 36명을 대조군으로 선정하였다. 연구기간은 2016년 2월 29일부터 4월 20일까지 주 1회 90분씩 8회기에 걸쳐 죽음준비교육을 실시하였고, 자료 분석은 χ²-test, t-test로 분석하였다. 죽음준비교육은 죽음교육의 중심적인 4가지 영역인 인지적, 정서적, 실천적, 가치 영역의 구분에 맞추어 생의 의미를 부여하고 죽음과 웰다잉, 호스피스에 대한 인식에 중점을 두면서 내용을 구성하였다. 연구결과 죽음준비교육은 간호학생들의 생의 의미, 웰다잉 인식, 호스피스에 대한 인식을 높이는 것으로 나타나 간호학생들 자신의 생이라는 의미 부여와 함께 올바른 삶의 가치관 정립에 도움을 주며 긍정적으로 살아갈 수 있는 원동력이 되고, 웰다잉과 호스피스에 대한 올바른 인식 함양을 돕는 유용한 교육으로 활용될 수 있을 것으로 기대된다. 반면 죽음에 대한 인식은 유의한 차이가 없는 것으로 나타나 죽음에 대한 인식에 대한 효과를 검증하는 반복 연구와 적용기간에 따라 웰다잉 인식 변화의 차이가 있는지를 확인하는 후속 연구가 필요함을 제언한다. This study, a non-equal prior and post quasi-experimental research on a control group, investigates the nursing students’ change of perception on the meaning of life, death, well-dying and hospice in order to elucidate its effect. The study subjects were 38 students registered in the Department of Nursing Science in C University located in A city as the experimental group and another 36 students registered in the Department of Nursing Science in P University in P city as the control group. Death preparation education was conducted from February 29 through April 20, 2016. A 90-minute session was conducted each week for eight weeks and the data were analyzed by χ²-test and t-test. In line with four domains of death education, i.e., cognition, emotion, practice and value, death preparation education was composed by imparting meaning to life and focusing on the perception on death, well-dying and hospice. From the study results, death preparation education enhanced nursing students’ perception on the meaning of life, well-dying and hospice, and hence helped nursing students grant meaning to their lives and establish right values of life. Thus, it acted as a driving force for nursing students to live positive lives and is expected to be utilized as useful education which cultivates right perception on well-dying and hospice. However, in the absence of any significant difference in perception of death, repeated follow-up studies are required to verify the effect on the perception on death and the change in the perception of well-dying depending on the period of application.

시뮬레이션 기반 통합실습 교육이 간호학생들의 실습몰입, 학습 실재감 및 문제해결 적극성에 미치는 효과

변도화(Do Hwa, Byeon) 한국간호연구학회 2019 한국간호연구학회지 Vol.3 No.4

Purpose : This study is a one group pre-post designed experimental study, which was conducted to identify the effects of simulation-based integrated clinical practice education on the flow, learning presence and proactivity in problem solving for nursing students. Methods : The study was conducted on 136 students in 4th grade of nursing at C college located in A city for a total of eight weeks from 29th october to 14th december 2018. The data analysis was done with descriptive statistics, ANOVA, t-test. Results : The results of this study show that after simulation-based integrated clinical practice education, nursing students’ learning presence, and proactivity in problem solving had improved, and that there is no significant difference in flow, but flow had increased. Conclusion : It is expected that the flow of nursing students could be enhanced, if various teaching methods were devised and applied through research to identify factors affecting the flow.

민관협력을 통한 고혈압·당뇨병 등록·관리사업의 접근 전략

변도화(Do-Hwa Byun),김은정(Eun Jeong Kim),박명배(Myung-Bae Park),손효림(Hyo-Rim Son),박혜경(Hye-Kyong Park),김춘배(Chun-Bae Kim) 한국보건교육건강증진학회 2013 보건교육건강증진학회지 Vol.30 No.4

한‧일 노인복지시설 종사자의 업무저해요인과 안전문화인식 비교

변도화(DO-Hwa Byeon),최화영(Hwa-Yeong Choi),백종욱(Jong-Uk Back),카즈토시 후루카와(Kazutoshi Furukawa) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.2

본 연구는 한국과 일본의 노인복지시설종사자들의 업무저해요인 및 안전문화인식을 비교하기 위하여 실시한 비교서술연구이다. 연구대상은 일본 "N"시 지역 노인복지시설 근무 종사자 460명과 한국의 K도의 "A"시, "S"시에 소재하는 노인복지시설 근무 종사자 220명으로 총 680명 이었다. 연구기간은 2018년 4월 1일부터 8월 30일까지 이었으며, 자료는 χ2- test, t-test, ANOVA로 분석하였다. 연구결과 업무저해요인은 한국과 일본 두 집단 간의 유의한 차이는 없는 것으로 나타났다. 안전문화 인식에서는 한국 노인복지시설 종사자들이 일본 노인복지시설 종사자들 보다 안전문화인식의 수준이 유의하게 높게 나타났다. 또한 양국 모두 업무저해요인이 적을수록 안전문화인식을 잘 하는 것으로 나타났으며, 업무저해요인이 안전문화인식에 영향을 미치는 변인으로 나타났다. 이에 본 연구결과는 안전문화인식을 높이고 업무저해요인을 감소시키기 위한 근무환경개선과 인적자원관리 전략수립의 기초자료로 활용될 수 있을 것이라고 기대된다. This is a comparative descriptive research conducted to compare work obstacles and safety culture perceptions of elderly welfare facility employees in Korea and Japan. The number of subjects are total 680 including 460 Japanese employees, working at elderly welfare facility in city "N", and 220 Korean employees in city "A" and "S" of province "K". This study had been conducted from April 1, 2018 to August 30, 2018 and the data was analyzed by x2-test, t-test, ANOVA. As a result, work obstacles were korea and japan, there were no statistically significant differences between two groups. In the safety culture perceptions, employees of elderly welfare facility in Korea showed significantly higher level of safety culture perception than employees of that in Japan. furthermore, it is revealed in both countries that the less work obstacles they have, the higher safety culture perceptions they get. And it is a work obstacles that affects safety culture perceptions. Lastly, it is expected that the result of this study can be used as basic data for the improvement of working environment and for the strategy development in human resource management to enhance the safety culture perceptions and to reduce work obstacles.