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유아교사의 전문성 인식과 유아의 문제행동 간의 관계에서 유아교사의 교수효능감과 부정적 훈육방식의 순차적 매개효과
심숙영 ( Shim Sook Young ),심미영 ( Shim Mi Young ) 미래유아교육학회 2019 미래유아교육학회지 Vol.26 No.2
본 연구에서는 유아교사의 전문성 인식이 교수효능감과 부정적 훈육방식을 통해 유아의 문제행동에 미치는 영향을 분석하였다. 본 연구에는 서울시에 소재한 유치원과 어린이집에 근무하는 유아교사 224명과 그들이 가르치는 유아 429명이 참여하였다. 전문성 인식, 교수효능감, 부정적 훈육방식과 유아의 문제행동 간의 관계를 분석하고 전문성 인식과 유아의 문제행동 간에서 교수효능감과 부정적 훈육방식의 매개효과를 분석하기 위해 구조모형을 사용하였다. 연구결과, 첫째, 교사의 전문성 인식이 높을수록 교수효능감이 높은 것으로 나타났다. 둘째, 교사의 교수효능감이 높을수록 부정적 훈육방식은 낮아지는 것으로 나타났다. 셋째, 교사의 부정적 훈육방식이 낮을수록 유아의 문제행동도 낮아지는 것으로 나타났다. 마지막으로, 교사의 전문성 인식이 높을수록 교수효능감이 높아졌고, 부정적 훈육방식은 낮아졌으며, 이는 유아의 문제행동 감소로 이어졌다. 본 연구결과는 교사의 전문성인식이 유아의 문제행동을 감소시키는 데 단초가 될 수 있다는 점에서 전문성인식의 중요성을 시사한다. This study aimed to examine the effects of professional recognition of teachers on the children’s behavioral problem through the sequential effects of teaching efficacy and discipline styles of early childhood educators. The participants for this study were 429 children aged 2-5 years attending kindergarten and child care centers and their 224 teachers in charge. The teachers reported the questionnaires of their professional recognition, teaching efficacy and discipline styles and their children's behavioral problem. Data were analyzed by structural equation modelling. The results of this study indicated that first, higher professional recognition was associated with higher teaching efficacy. Second, higher teaching efficacy was associated with fewer negative discipline styles. Third, fewer negative discipline styles was related to fewer children’s internalizing and externalizing problems. Finally, higher professional recognition was associated with higher teaching efficacy, and higher teaching efficacy was related to fewer negative discipline styles, which in turn led to fewer children’s internalizing and externalizing problems. These findings highlight the importance of teachers’ professional recognition to enhance teaching efficacy, lessen negative discipline styles and protect against children’s behavioral problem.
이은준,심미영,송숙희,이미미,김혜미,강봉선,양은진,임지영,김진아,이미나,Lee, Eun-Joon,Shim, Mi-Young,Song, Suk-Hee,Lee, Mi-Mi,Kim, Hye-Mi,Kang, Bong-Sun,Yang, Eun-Jeen,Lim, Ji-Young,Kim, Jin-A,Lee, Mi-Na 한국중환자간호학회 2010 중환자간호학회지 Vol.3 No.2
Purpose: The purpose of this study was to examine the frequency and the course of delirium, and identify risk factors for the development of delirium in surgical intensive care unit (SICU). Methods: Subjects older than 19 years admitted to the SICU were recruited. After informed written consent, enrolled subjects had baseline cognitive and functional assessments. Subjects were assessed daily for delirium using the Confusion Assessment Method-ICU (CAM-ICU). Results: During the study period, 110 patients were enrolled. The overall incidence of delirium was 20% (22/110). The average time to onset of delirium was 3.04(${\pm}1.25$) days. Several variables were associated with an increased risk of delirium including older age (p<.05), higher admission APACHE II score (p<.001), use of opioid and analgesics (p<.01), using physical restraints (p<.001), and intraoperative hypotension (p<.05). In a multivariate logistic regression model, using physical restraints (p<.001), intraoperative hypotension (p<.05), and older age (p<.05) remained significant predictors of the delirium development. Conclusion: Using physical restraints, intraoperative hypotension and older age was strongly associated with development of delirium in the SICU. Prevention measures need to focus on identifying patients at higher risk for delirium development.
중환자 간호요구도에 근거한 중환자실 간호사 배치수준 산정 : 다기관 연구
박미옥,양은진,이미미,조성현,심미영,이순행,Park, Miok,Yang, Eunjin,Lee, Mimi,Cho, Sung-Hyun,Shim, Miyoung,Lee, Soon Haeng 한국중환자간호학회 2021 중환자간호학회지 Vol.14 No.2
Purpose : The aim of this study was to propose appropriate nurse staffing of adult intensive care units considering patients' nursing care needs according to the Workload Management System for Critical Care Nurses (WMSCN). Methods : In a cross-sectional survey conducted in September 2017, 1,786 patients' WMSCN scores, surveys from 2,145 nurses, and administrative data from 118 units in 41 hospitals were analyzed. The means (standard deviations) of the aforementioned scores and nursing hours per patient day were presented. Nurse-to-patient ratios and nurse-to bed ratios for staffing to meet patients' nursing care needs were calculated. Results : The mean WMSCN scores were 109.50±17.17 in tertiary hospitals and 96.38±19.26 in general hospitals. Nursing hours per patient day were 12.47±2.80 in tertiary hospitals and 11.01±2.45 in general hospitals. Nursing hours per patient day correlated with WMSCN scores. Nurse-to-bed ratios required for the provision of ICU nursing care ranged from 1: 0.36 to 1: 0.48. Conclusion : Our findings provide evidence that current ICU nurse staffing is insufficient for meeting patients' nursing care needs. We suggest adjusting the legal standards for adequate nurse staffing considering these needs.