심리적 인슐린저항성 측정도구 개발

송영신(Song, Youngshin),전영희(Jeon, Younghee),조정화(Cho, Jeonghwa),김보현(Kim, Bohyun) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.6

Purpose: This study was done to develop and validate a measure to evaluate the Korean version of psychological insulin resistance (K-PIR) in patients with diabetes in Korea. Methods: Items were initially generated from literature reviews and interviews with 19 patients with diabetes. The content validity of the items was evaluated by experts. Participants were 424 patients with diabetes recruited through convenience sampling. A cross-sectional survey was designed for item-analysis, exploratory factor analysis with principal axis factoring, and confirmatory factor analysis. Cronbach’s alpha was calculated to measure the internal consistency. Results: For the 24 items of the Korean version of psychological insulin resistance, six items were eliminated because of low correlation with the other items. Exploratory factor analysis with 18-item showed that two factors (psycho-cognitive factor and supportive factor) explained 41.8% of the variance, and the factor structure of K-PIR model had a good fit. Internal consistency of K-PIR with 18 items revealed good reliability. Conclusion: The findings show that the K-PIR is reliable for measuring the psychological resistance to insulin therapy for Korean patients with diabetes. However, further study is needed to evaluate the validation because the proportion of variation of K-PIR was low in this study.

신규간호사의 기본간호 업무에 대한 자기효능감과 비판적 사고성향 및 간호실무능력간의 상관성 연구

송영신(Song Youngshin) 기본간호학회 2009 기본간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to identify self-efficacy, disposition to critical thinking and level of nursing competency in new nurses and to exam the correlation among these variables. Method: The sample was composed of 286 new nurses who had worked at E hospital for 1 year. Descriptive and correlation analysis using the SPSS program were used to analyze the data. Results: The mean score for self-efficacy was 67.10, disposition to critical thinking, 3.01 and nursing competency, 3.02. There were significant differences in scores for 3 variables between nurses with College degrees and nurses with Baccalaureate degrees. There was a significant positive correlation between disposition to critical thinking and nursing competency scores. Couclusion: Further study of the various components that influence nursing competency is necessary. Also based on the disposition to critical thinking, there is a need to develop education programs to strengthen curiosity and other related variables. The results of this study confirmed the necessity of developing a clinical model of nursing competency ability.

지식경영 시스템을 활용한 신규간호사 e-Learning 프로그램 개발 및 평가

송영신(Song, Youngshin) 한국간호교육학회 2007 한국간호교육학회지 Vol.13 No.1

기본간호학 교과서 표준화작업을 위한 기초조사 Ⅱ: 투약, 감염, 욕창

송영신(Song, Youngshin),김지수(Kim, Ji-Su),박수현(Park, Soohyun) 기본간호학회 2020 기본간호학회지 Vol.27 No.2

Purpose: The purposes of this study were to analyze and compare the textbooks of fundamentals of nursing and practice in order to standardize them for medication administration, infection control, and pressure injury. Methods: The current study is a literature review of the ten textbooks published after 2013. Ten textbooks were the ones selected by the Korea Health Personnel Licensing Examination Institute as major textbooks. Three items were reviewed: medication administration, infection control, and pressure injury, with a focus on differences in numbers, range, direction, and others. Results: For medication administration, there were some discrepancies in the size of needle and syringe, maximum dosage depending on injection methods, replacement period of catheter and infusion set, depth of insertion for vaginal medication administration. For infection control, items with discrepancies included length of time for hand washing, concentration of chemical sterilant, frequency of ventilation to prevent airborne disease, distance to prevent droplet-borne infection, the latent period of infectious disease, and methods to treat medical wastes. For pressure injury, the discrepancies were exhibited in the degree and duration of pressure for pressure injuries, range of scores for risks in pressure injury assessment tools, and temperature of the solution to irrigate pressure injuries. Conclusion: Standardized textbooks for these three parts will be useful teaching aide for students and nurses to carry out consistent and professional nursing for patients’ safety.

심리적 인슐린저항성 개념분석

송영신(Song, Youngshin) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.3

Purpose: The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes. Methods: The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process. Results: The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators. Conclusion: The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.

국내 운동 관련 메타분석 논문의 질 평가

송영신(Song, Youngshin),강문희(Gang, Moonhee),김선애(Kim, Sun-Ae),신인수(Shin, In-Soo) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.5

Purpose: The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes. Methods: Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for ‘meta-analysis’ and ‘exercise’ in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and χ2-test. Results: The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention. Conclusion: This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.

코로나19 발생 초기 기본간호학실습 교육의 운영현황 및 제언

신윤희(Shin, YunHee),송영신(Song, Youngshin),박수현(Park, Soohyun),박진희(Park, Jin-Hee),임세현(Lim, Sehyun),박효정(Park, Hyojung),홍지연(Hong, Jiyeon),김지수(Kim, Ji-Su),김선애(Kim, Sun-Ae),원종순(Won, Jongsoon),정승교(Chaung, Seung 기본간호학회 2022 기본간호학회지 Vol.29 No.4

Purpose: The purpose of this study is to understand the actual status of fundamentals of nursing practice (FNP) education at nursing colleges, and the difficulties of FNP operation in the early stages of the COVID-19. Methods: This study used a descriptive design. Data collection was conducted from December 9, 2020 to January 31, 2021 using the self-report questionnaire method for a total of 95 nursing colleges. The questionnaire consisted of characteristics related to FNP, changes in FNP education, difficulties in operating FNP, and countermeasures in the COVID-19 situation. Results: Changes in FNP due to COVID-19 were distribution of practice places, reduction of the number of students, short-term intensive classes, and reduction of face-to-face practice. Most colleges conducted FNP face-to-face, but some schools showed that FNP was conducted non-face-to-face. The difficulties of operating FNP that instructors experienced induced concerns about a decrease in student competency due to lack of face-to-face practice and an unofficial increase in the number of teaching hours and physical demands on instructors due to the expansion of the division. Conclusion: In order to develop the capabilities of nursing students in other pandemic situations in the future, it is necessary to find systematic coping strategy to reduce the burden of FNP instructors, and to develop non-face-to-face online practice contents and consumables for online practice.

신규간호사의 실무능력평가를 위한 OSCE(객관적구조적임상수기평가) 개발과 적용

정남연(Cheung Namyoun),송영신(Song Youngshin) 기본간호학회 2006 기본간호학회지 Vol.13 No.3

Purpose: The purpose of this study was to develop and examine the feasibility of OSCE for novice nurses. Method: The study was designed using a methodological design. Data were collected from January to February, 2005. Nine stations were developed for the examination. Five minutes was allowed for each station. The examination was administered to 2 groups of novice nurses. Results: OSCE for clinical performance improvement which consisted of nine 5-minute long stations, was developed. Those stations were tested by 79 beginning nurses who were divided into 2 groups. Reliability ranges for Cronbach's alpha were 0.399~0.811 and the mean value was 0.797. Total mean score for the OSCE was 66.75. Total score for the 2nd group was significantly higher than the 1 st group. The nurses were satisfied with the OSCE method and process. Conclusion: The OSCE can be an effective tool for evaluating clinical nursing skills in novice nurse. More reliable and valid stations need to be developed and then repeated evaluation of the nurses can be done.

지역사회 노인의 인지기능과 우울감이 도구적 일상생활동작에 미치는 영향

서가원(Seo, Kawoun),송영신(Song, Youngshin) 한국재활간호학회 2016 재활간호학회지 Vol.19 No.2

노인 고혈압 자가간호행위 측정도구의 타당도와 신뢰도 검증

안나(An, Na),전영희(Jun, Younghee),송영신(Song, Youngshin) 기본간호학회 2017 기본간호학회지 Vol.24 No.1

Purpose: The purpose of this study was to evaluate the psychometric properties of the Hypertension Self-Care Behavior Scale for older adults with hypertension in Korea. Methods: A cross-sectional descriptive study was used with 196 participants. Translation and back-translation were performed by bilingual nursing professionals and a nutritionist. Reliability and validity such as content validity, construct validity, and concurrent validity were conducted. To evaluate the concurrent validity, the correlation coefficients between the Korean version of Hypertension Self-Care Behavior and concurrent scales (hypertension adherence scale and self-efficacy scale) were calculated. Results: The total 20 items for the Korean version of the Hypertension Self-Care (HBP-SC) Behavior Scale were retained during item-analysis. In explanatory factor analysis, a two-factor solution was proposed and the two factors named, ‘HBP-SC Diet behavior’ and ‘HBP-SC Health behavior (except diet)’. The two factors accounted for 48.9% of the variances. The Korean version of the Hypertension Self-Care Behavior Scale correlated with concurrent variables such as hypertension adherence and self-efficacy. For reliability of the Korean version of the Hypertension Self-Care Behavior, Cronbach’s ⍺=.92. Conclusion: Findings show that the Korean version of the Hypertension Self-Care Behavior is reliable and valid for measuring self-care behavior of older adults with hypertension.