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가정간호 수혜자의 가정간호에 대한 인식조사 연구 : Q-방법론적 접근
김미숙,정연강,양갑필,원삼순,은미자,김복순,박현옥,양기우,윤정인 중앙대학교 의과대학 간호학과 간호과학연구소 1998 중앙간호논문집 Vol.2 No.2
The purpose of this study was to understand the pattern of the client's recognition on home nursing care system, individually, and then to provide some basic information that needed for establishment home nursing care system. The research had been proceeded as follows : 1. Delineation of the Q-population : the statements of Q-population had been derived from review of the related literature and open-ended questionare filled by Nurses, Doctors, general public, and outpatient. 2. Selection of the Q-sample : Among 452 concourse, those which was obscure or overlapped were deleted. 30 concourse were selected finally. 3. selection of the P-sample 27 subjects had been determined among the person who were provided home health nursing care after discharged from inpatient service in 1 university hospital. We visited at their home and collected data from 20th, Oct. to 5th, Nov. 1998. 4. Q-sorting : based on 1 to 9 point scale(forced normal distribution), the selected P-sample rated their operant definition of home health nursing care 5. Determination of Q-type : with Q-sorts, PC-QUANL program identified the three Q-types 6. Analysis of Q-type : the characteristics of three different recognition had been analyzed based on the typal array, extreme comments, and subject's demographic information The results revealed that there are three different pattern of recognition on home health nursing care system: certain type(recognition of effectiveness), deficiency of recognition type, uncertain type. As a view of summerized results the recognition of the home health nursing system had characteristics of 3 types with similarity but independency Accordingly, the means of this study was the facts discovered the characteristic 3 types that home health nursing subjects had thought. Because this 3 types are not fixed but changeable through each reaction and by their being conditions, we think that to build a practical and concrete home health nursing system and to utilize will be necessary.
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간호사의 통증 인식에 관한 주관성 연구: Q-방법론 적용
은미자,최미혜,조은숙,김경희,정혜경,송미승,권혜진,지동옥,양갑필,박현옥 중앙대학교 의과대학 간호학과 간호과학연구소 1999 중앙간호논문집 Vol.3 No.2
The pain should be accessed the pain according to the expression of target patient, and it should be managed in a way to relieve and remove in full use of every method. The wrong belief about pain of medical people is the critical factor influencing improper pain management. Thus, for more effective pain management suitable to a patient it needs to explore the subjectivity of nurse, who solves the problems of patient closely. To investigate research questions, the research method adopted to perform a survey in this study. The subjects consisted of 40 nurses working in a hospital in affiliation with C University. The analysis method in this study adopted Q-methodology. Analysis showed that there was 4 types of the subjectivity about pain perception, and the results are as follows. The first is 'reception type' This type of nurse thinks that she administraters medication for a pain control for patients so far as it is not bad for their health. In brief, this type of nurse think that it is most important to take the pain midacation as needed and perscribe as soon as possible for pain reduction. The second is 'judgment type' This type of nurse seems to think that she cares for patients on the basis of a objective and rational basis, not a discomfort itself caused by the pain of patient. Also, these nurses seem calmn because they are very rational about the pain of patient. The third is 'consideration type'. This type of nurse has the most hospitalization experience compared to the other types. They think that the psychological and environmental influence on pain is important because of their own experiences. Accordingly, they have more empathy with the patient than the other types. The fourth is 'dissension type'. This type of nurse has more confidence in treating patients with acute pain rather than a chronically ill patient, but she deals with pain when chronic a patient feels pain in an acute sense. This uncertainty classifies them into the 'dissension type'.
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