상황특이적 이론 합성을 통한 한국적 간호이론 개념 개발

서은영 ( Eun Young Suh ) 서울대학교 간호과학연구소 2011 간호학의 지평 Vol.8 No.1

Purpose: This article was proposed to describe and summarize the following 1) the structural hierarchy of nursing knowledge and 2) the four different methods of concept analysis and concept development, which are used most frequently in nursing literature, and 3) to demonstrate a qualitative data synthesis of situation-specific theories in Korea in order to provide an venue for developing Korean-contextualized nursing theory. Methods: A literature review and a meta-synthesis were used. An interpretive integration method for the meta-synthesis was used to incorporate incorporating the results of ten qualitative studies in Korea. Results: The normative and extended concept of the self was one of the three foremost concepts. The experiences of being detached from a group and of being unlike others were perceived with distress to Korean participants. Lastly, as a coping method, complying with a higher flow or power was used. Conclusion: Based on the three concepts elicited in this article, a substantive theory which withholds Korean nursing concepts and essences is hoped to be developed in future.

유방암 환자들의 심리적 대처 과정

서은영(Eunyoung E. Suh) 대한스트레스학회 2008 스트레스硏究 Vol.16 No.4

본 연구는 국내 여성 암 발생률 1위인 유방암을 진단 받은 암환자들이 유방암이라는 스트레스에 심리적으로 대처해가는 과정을 탐구하기 위해 수행되었다. 질적 연구방법론의 하나인 근거이론 방법론을 사용하여 지방의 한 암 진료기관에 내원한 열일곱 명의 유방암 환자들을 대상으로 개인별 심층면담을 수행하였다. 녹음한 면담 내용은 녹취록으로 변환하여 순환적 분석기법을 이용하여 분석하였다. 도출된 중심 주제는 “지나가는 고통을 마음을 낮추어 받아들이고 견뎌냄”이라는 상황 특이적 이론으로 “마음을 비우고 물 흐르는 데로 살아감”과 “마음을 단단히 먹고 버텨냄” 등의 두 하부 주제를 포함하고 있다. 마음을 낮추고 유방암을 인생의 수많은 고통 중 하나로 받아들이며 공존하고자 하는 이 이론은 우리나라의 역사적, 사회문화적 특성을 바탕으로 한 사고 구조와 논리(cultural logics or reasoning)의 산물이라 하겠다. 본 연구를 통해 유방암의 진단과 치료는 문화적 특성에 상관없이 전 세계적으로 유사할지라도 그러한 경험이 개인에게 어떤 스트레스로 작용하여 대처하게 되는가의 차원은 그 개인이 속한 역사적, 사회문화적 맥락을 초월하여 생각할 수 없음을 알 수 있었다. More than 7,000 women are diagnosed with breast cancer each year in South Korea and many of them live long as cancer survivors. To date, no research has investigated Korean women’s coping process with breast cancer. This study thus was aimed to explore and describe the processes of coping with breast cancer among Korea women using a grounded theory methodology. Seventeen women aged between 30 and 63 with breast cancer who underwent cancer treatment in a rural cancer hospital participated in an individual face-to-face interview. All interviews were conducted in Korean, tape-recorded, transcribed, and analyzed according to the grounded methodology. Open coding, axial coding, and theoretical sampling of the categories were proceeded in data analysis. The overriding theme was “accepting and enduring the transient suffering with a lowered mind.” Two sub-themes were “clear one’s mind of distraction and live unboundedly as water flows down,” and “make up one’s mind to accepting reality.” The findings are mediated by Korean cultural concepts such as “lowering one’s mind” and “enduring life-suffering.” The findings highlight that a patient’ successful coping with breast cancer mandates the care provider’s culturally congruent awareness and understanding. (Korean J Str Res 2008;16:305∼315)

유방암 환자의 치료 전 경험

서은영(Suh Eunyoung E),박연환(Park Yeon-Hwan),김성재(Kim Sungjae) 기본간호학회 2008 기본간호학회지 Vol.15 No.4

Purpose: To date most research related to patients with breast cancer has discriminately investigated the status within or after the treatment although the patients demand holistic nursing care from the time of diagnosis. Thus, the purpose of this study was to investigate the trajectory of breast cancer diagnosis and patients' experiences in the pre-treatment period. Method: This qualitative study used qualitative thematic analysis. Nineteen Korean women who were diagnosed with breast cancer within the last 6 month participated in the study. Individualized interviews were conducted with each participant in a cancer center in K city. The interviews were tape-recorded, transcribed, and analyzed using the thematic analysis process. Results: The overriding theme was “the scattered life in an unforeseen swirl”, which illustrates the participants' unexpected crisis with confusion and emotional distress. Two subthemes included “falling into an unavoidable journey”, and “staggering in a muddle with urgency”. The categories were “unexpected probability”, “nagging nodularity”, “ominous presentiment”, “emotional upheaval”, “bad thought intrusion”, and “a sense of urgency”. Conclusion: Patients in the pre-treatment period encountered utter emotional distress and a sense of urgency after being diagnosed breast cancer. Strategies to develop nursing care for patients in this period and nursing implications are discussed.

한국적 종양 전문간호사 교육과정의 발전 전략: 미국 교과 과정과의 비교분석

서은영(Suh Eunyoung) 대한종양간호학회 2006 Asian Oncology Nursing Vol.6 No.2

Purpose: With accumulated necessity to develop Advanced Practice Nursing (APN) in Korea, various types of Nurse Practitioner (NP) programs have been recently developed. Unlike the origin of the NP programs in the U.S., in which the lack of primary health care provider preceded the creation of NP education, NP programs in Korea are currently in an early stage in which the scope of practice and educational boundaries are still evolving. Just imitating American models may result in culturally inappropriate and practically non-feasible APN programs in Korea. This article was aimed to evaluate the top-ranked Oncology NP (ONP) programs in U.S. with those in Korea. Method: Using the Donabedian paradigm, the educational structure, process, and outcome were compared and contrasted between two countries. Results: The findings of this paper demonstrated that many aspects of structure of the Korean program are similar to those of the Americans with minor differences. Three strategies for future development of ONP program in Korea are suggested. Conclusion: Practical and feasible scope of practice for ONP in Korea should be determined. It needs to embrace every aspects of cancer experience. Also, nursing-oriented and culturally competent practice needs to be identified and incorporated into the ONP practice.

시뮬레이션을 이용한 연속적 간호실습교육 모듈개발

서은영 ( Eun Young Suh ),고진강 ( Chin Kang Koh ),이남주 ( Nam Ju Lee ),정재원 ( Chae Won Jung ),채선미 ( Sun Mi Chae ),최희승 ( Hee Sung Choi ),김혜원 ( Hye Won Kim ) 서울대학교 간호과학연구소 2013 간호학의 지평 Vol.10 No.1

This is a project report of the development of consecutive clinical nursing practicum modules using simulation encompassing the essentials of nursing over 4 years of university level education. Methods: The project was conducted from May to December in 2011 in a college of nursing in Seoul, Korea. Six nursing faculty members from different major subjects at the university participated in the project. The theoretical framework was sought in the first phase, resulting in utilizing Neuman`s Systems Model. The principles of developing the contents of and the links between the modules were set up in the second phase, presented as complexity, diversity, and comprehensiveness. The details in the individual module were fleshed out in the third phase. Results: Eight clinical nursing modules using simulation were developed and presented in a table in detail. The complexity, diversity, and comprehensiveness of each module increased in depth and breadth in a consecutive order. Conclusion: It is hoped that this module is a decent curricular exemplar demonstrating comprehensive nursing practice education using a simulation technique.

시뮬레이터와 표준화 환자를 이용한 간호 시뮬레이션 교육의 이론적 기틀 개발

서은영(Eunyoung, E. Suh) 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.2

Purpose: Incorporating simulation modalities into nursing education is known to be effective in enhancing education outcomes. Standardizing the nomenclature of simulation modalities and developing a comprehensive conceptual framework for guiding the development of simulation modules are mandated given the prevalence and disorganization of simulation education. This article, thus, was aimed to summarize literature and propose a conceptual framework for structuralizing simulation education in Korea. Methods: A comprehensive literature review on CINAHL, PubMed, RISS, KISS, DBpia and renowned Korean nursing journals was conducted including articles from 2002 to 2011. Results: The nomenclature of simulation modalities was clarified and summarized. Twenty-eight studies on the effects of simulation education were summarized in a table demonstrating the state of the science in simulation research. In addition, ‘a conceptual framework for three-dimensional nursing simulation education’ was proposed, described in detail, and diagramed. According to ‘the 3D simulation framework’, each three axes, i.e., the scope of practice, complexity, and student competency, has three phases in accomplishing a high level of competency. Conclusion: The proposed ‘3D simulation framework’ is hoped to be a theoretical guide in designing a clinical curriculum utilizing simulation and developing detailed simulation modules in clinical practicum courses.

문학텍스트와 FLE 교재 - FLE 교재 속에 문학 텍스트의 사용에 대하여 -

서은영 ( Suh Eun-young ) 한국프랑스어문교육학회 2010 한국프랑스어문교육학회 학술대회자료집 Vol.2010 No.-

Nous avons d'abord essayé de voir l'histoire du texte littéraire dans une classe de FLE au fur et à mesure de l'apparition des différentes methods d'enseignement. Avec la méthode traditionnelle, le texte littéraire a été utilisé pendant des siècles; étant considéré comme un support didactique parfaitement adapté à l'apprentissage d'une langue étrangère. Cependant, les méthodes centrés sur la communication orale comme méthode directe, SGAV, audio-orale entrâinent la disparition presque du texte littéraire. Avec l'avènement de l'approche communicative, le texte littéraire retrouve sa place dans les manuels de FLE en tant que document authentique appartenent à la culture française. Depuis2000, à l'arrivée de la persective actionnelle basé sur le CECR, la place du texte littéraire est associée à la lecture littéraire. Dans un deuxième temps, nous avons observé la place et le statut du texte littéraire dans les manuels de FLE d'après les résultats de l'analyse menée par E. Riquois. Toutes les méthodes utilisent les différents genres du texte littéraire en méttant en relation avec la diversité des activités utilisables en classe. En fin de compte, il reste à développer des tâches d'apprentissage qui mettent en avant l'aspect esthétique de la littérature pour amener l'apprenant à lire des textes littéraires en dehors de la classe.

문학텍스트와 FLE 교재

서은영 ( Suh Eun-young ) 한국프랑스어문교육학회 2015 프랑스어문교육 Vol.49 No.-

Nous avons d'abord essayé de passer en revue brièvement l'histoire de l'utilisation du texte littéraire dans une classe de FLE au fur et à mesure de l'apparition des différentes méthodes d'enseignement. Avec la méthode traditionnelle, le texte littéraire a été utilisé pendant des siècles; étant considéré comme un support parfaitement adapté à l'apprentissage d'une langue étrangère. Cependant, les méthodes centrés sur la communication orale comme les méthodes directe, SGAV, audio-orale entraînent la disparition presque du texte littéraire. Avec l'avènement de l'approche communicative, le texte littéraire retrouve sa place dans les manuels de FLE en tant que document authentique appartenent à la culture française. Depuis 2000, à l'arrivée de la perspective actionnelle basée sur le CECR, la place du texte littéraire est associée à la lecture littéraire. Dans un deuxième temps, nous avons observé la présence et la répartition des textes littéraires inclus dans les manuels de FLE d'après les résultats de l'analyse menée par E. Riquois. Plus de la moitié des textes inclus dans les manuels sont issus d'écrivains contemporains et représentent les poèmes, les romans et les nouvelles. Ces genres littéraires sont utilisés plutôt pour les niveaux débutants, afin de faciliter leur apprentissage, les poèmes pour le niveau 1 comme le texte poétique étant plus ou moins court et les roamans et nouvelles pour le niveau 2. Dans un troisième temps, nous avons observé quelles activités d'apprentissage sont en général mises en relation avec quels genres de textes littéraires, et pour le constat nous avons analysé trois manuels de FLE. Toutes ces méthodes utilisent les diverses activités utilisables en classe: par exemple, la poésie est mise en relation avec la lecture à haute voix ou la récitation, c'est-à-dire pour l'entraînement oral, et enfin avec la rédaction d'un poème. Les textes de romans sont mis en rapport avec les activités de lecture, de compréhension écrite et de résumé ou de rédaction d'un texte littéraire calqué sur le texte-cible. Les pièces théâtrales sont liées aux activités de jeu de scène et de rédaction de pièce, etc. En fin de compte, il reste à développer des tâches d'apprentissage, par la formation des enseignants et des concepteurs de manuel de FLE, qui mettent en avant l'aspect esthétique de la littérature pour amener l'apprenant à lire des textes littéraires en dehors de la classe.

한인여성들의 유방암 조기진단과 관련된 사회문화적 인식에 대한 연구

서은영 ( Eun Young E. Suh ) 서울대학교 간호과학연구소 2006 금요학술세미나 Vol.2006 No.-

유방암 여성이 인식한 환자중심 간호의 질

강지영 ( Jiyoung Kang ),서은영 ( Eunyoung E Suh ) 서울대학교 간호과학연구소 2015 간호학의 지평 Vol.12 No.2

Purpose: This study aimed to investigate the quality of patient-centered nursing care (PCNC) among women with breast cancer at a cancer center in Seoul, Korea. Methods: In a cross-sectional survey design, 223 women with breast cancer were recruited from the oncology surgery unit. The Korean version of the oncology patients’ perceptions of the quality of nursing care scale, which is conceptualized in four sub-dimensions (individualization, proficiency, responsiveness, and coordination) was used for measurement. Data were analyzed using descriptive statistics and ANOVA. Results: The participants were all women, with a mean age of 51.3 years. The mean score of PCNC was high and significantly different from each other according to age group. Breast cancer women, who had mastectomy, were satisfied highly in terms of proficiency and responsiveness care, but less satisfied with individualization and coordination care than those of other women. Conclusion: The findings of this study show the quality of cancer nursing care, especially focusing on patient-centeredness, can be measured from the patients’perspective. The individualized and coordinated nursing care is considered to be the core of quality cancer care implying patient-centeredness. Based on the findings of this study, more research is necessary to explore the patients’ view of quality cancer care and to test the effects of PCNC within the context of comparative effectiveness.