국민청원, 소환과 참여의 수사학

오희영(Oh, Heeyoung),하병학(Ha, Byunghak) 한국수사학회 2021 수사학 Vol.- No.40

국민들이 촛불 시위로 직접 의사를 표현하여 정권을 교체한 이후, 의사표명을 통한 직접민주주의에 대한 국민들의 욕구는 점점 더 커지고 있다. 그 대표적인 사례 중 하나가 본고가 다루고자 하는 <청와대 국민청원>이다. 하지만 매체의 다양화, 언론의 상업화 및 정치화, 메이저 언론기관의 독점화 등으로 인해 언론이 여론 생태계를 교란하여 의견의 다양성을 막고 있다. 이로 인해 국민들도 이분법적인 프레임에 빠져 이념, 계층 등의 갈등을 심각하게 겪고 있으며, 그 현상은 청원에서도 나타난다. 이러한 문제점들을 종합적인 맥락에서 분석하는 것이 수사학의 역할이다. 본고는 국민과 국민, 국민과 정부 사이의 열린 의사소통의 한 형태인 〈청와대 국민청원〉에 올라온 청원들을 수사학적인 관점에서 분석함으로써 현재 한국의 의사소통 민주주의의 실상을 밝히고자 한다. 국민청원에서는 공동체의 문제를 해결하기 위해 국민들을 청자로 소환하고 그들을 설득하기 위한 여러 수사적 기법들이 드러난다. 본고는 국민청원들을 거시적 시각과 미시적 시각에서 다룬다. 거시적 시각에서는 수사학적 설득 유형에 따른 분류, 청원 주체에 따른 분류, 비정상적 청원 분류, 중복 청원 등으로 분석한다. 미시적 시각에서는 사회적으로 관심을 크게 끌었던 조은산의 〈시무7조〉를 분석한다. 청원은 공동체 문제와 관련하여 국민을 설득하는 것을 목적으로 하는 공적 담론이다. 따라서 청원은 더 많은 국민들을 대상으로, 나와 의견이 다른 사람들까지 대상으로 삼을 때 설득의 정당성을 확보할 수 있다. 이러한 의미에서 청원은 수사학에서 말하는 설득의 세 요소인 로고스, 파토스, 에토스를 모두 갖춤으로써 더욱 소통적일 필요가 있다. After the people changed the regime by expressing their intentions through candlelight protests in Korea, the people"s desire for direct democracy through the presentation of personal opinion has grown more and more. One of the important examples is 〈the Blue House National Petition〉, which this paper intends to analyze. But the press disrupts the ecosystem of public opinion and obstructs diversity of opinions due to commercialization and political partiality of media, and monopolization of major media companies. As a result, the people have fallen into a dichotomous frame and are seriously in conflict of ideology and class etc., which are also seen in the petition. It is the role of rhetoric to analyze these problems from a contextual perspective. This paper analyzes the petitions posted in 〈the Blue House National Petition〉, which is an open communication between the people and the people, and between the people and the government, from a rhetorical point of view in order to reveal the reality of communication democracy in Korea. In the petitions appear various rhetorical techniques and strategies, which are methods to summon the people as listeners and persuade them to solve the public problems. This paper deals with petitions from a macroscopic and microscopic perspective. From a macroscopic perspective, petitions are analyzed according to rhetorical persuasion type, petition subject, abnormal type of petition, and redundant petitions. From a microscopic point of view, we analyze Jo Eun-san"s 〈7 Articles of Simu〉, which attracted great social attention. The petition is a public discourse aimed at persuading the people in relation to community issues. Therefore, the justification of persuasion can be secured when the petition targets more people and even people with different opinions. In this sense, the petition needs to be more communicative by considering all three elements of persuasion in rhetoric, logos, pathos, and ethos.

한국인 고혈압 환자의 의료접근성 및 미 충족 의료실태와 위험요인 분석

오희영(Oh, Heeyoung),길은하(Gil, Eunha) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1

시설노인의 수분 섭취 강화 프로그램의 효과 분석

오희영(Heeyoung Oh),이은현(Eun-Hyun Lee),허명행(Myung-Haeng Hur),김은경(Eun-Kyung Kim) 한국노년학회 2007 한국노년학 Vol.27 No.2

본 연구는 시설노인을 위한 수분 섭취 강화 프로그램을 개발하고 적용하여 그 효과를 평가하고자 수행되었다. 자료 수집은 충청지역에 위치한 일개 노인요양시설에 거주하는 39명의 노인을 대상으로 하였으며 프로그램 적용 전, 4주후, 6주후의 연속 3일 측정한 수분 섭취량의 평균, 소변색, 요비중의 평균, 요비중이 탈수 내지 임박한 탈수의 범위에 속하는 대상자의 비율을 비교하였다. 수분 섭취 강화 프로그램 적용 전 1일 평균 수분 섭취량은 프로그램 적용 4주후, 6주후에 통계적으로 유의한 증가를 나타냈다. 1일 수분 충분섭취량인 1,100mL 미만을 섭취한 대상자의 비율은 프로그램 적용 전에 비해 4주, 6주후에 감소하였다. 요비중이 임박한 탈수 혹은 탈수의 범위에 속하는 대상자 비율은 중재 전 보다 중재 4주후에 감소하였으나 6주후 증가하였고 요비중의 평균은 프로그램 적용 4주후, 6주후에 통계적으로 유의한 차이를 나타내었다. 소변색은 중재 전, 후 모두 정상범위를 나타내었다. 본 연구의 결과는 시설노인 수분 섭취 강화프로그램은 노인의 수분 섭취를 증진하는데 기여할 수 있는 가능성을 시사하며 추후 임상에서의 적용을 위하여 해결해야 할 문제점들을 논의하였다. The purposes of this study were to 1) develop fluid intake enhancing program for the institutionalized elderly and 2) examine the effect of fluid intake enhancing program on amount of daily fluid consumed, urine specific gravity, and urine color. Data were collected from 39 nursing home residents in a nursing home located in urban Chung-chung providence. With a convenient sample of 39 nursing home residents, consecutive three days of 24 hour fluid intake, were measured and recorded. Urine samples were obtained and urine specific gravity, urine color were analyzed at pre-intervention, 4 weeks, and 6 weeks following the intervention. When compared to pre-intervention, the average amount of daily fluid intake was significantly increased at 4 weeks and 6 weeks following the intervention. The proportion of subjects who consumed less than Adequate Intake(AI) was 35.9% at pre-intervention and was decreased to 10.3%, 7.7%. In conclusion, inadequate fluid intake among institutionalized elderly is prevalent. From careful employment of the fluid intake enhancing program, increase in fluid consumption among institutionalized elderly can be expected.

만성질환 자가간호 중범위이론 검증

길은하(Gil, Eunha),오희영(Oh, Heeyoung) 한국간호과학회 2018 Journal of Korean Academy of Nursing Vol.48 No.5

Purpose: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. Methods: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. Results: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. Conclusion: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.

임상간호실습 현장지도자용 임상간호역량 평가도구 개발

곽은미(Kwak, Eunmi),오희영(Oh, Heeyoung) 한국간호과학회 2018 Journal of Korean Academy of Nursing Vol.48 No.4

Purpose: The purpose of this study was to develop and establish the psychometric properties of a clinical nursing competency evaluation tool to be utilized by clinical preceptors. Methods: The initial items were identified through in-depth literature review and field interviews based on a hybrid model. Content validation of the items was evaluated through three rounds of content validity testing. Participants were 34 clinical preceptors and 443 nursing students participating in clinical practice. Data were analyzed using exploratory and confirmatory factor analysis, convergence and discriminant validity, internal consistency and inter-rater reliability. Results: The final scale consisted of 23 items and four factors, fundamental nursing skills performance, critical thinking skills based on the nursing process, basic nursing knowledge, and professional attitude; these factor explained 69.7% of the total variance. The analysis with multi-trait/multi-item matrix correlation coefficients yielded 100.0% and 95.7 % convergence and discriminant validity, respectively. Cronbach’s alpha for the total items was .95. The four subscale model tested by confirmatory factor analysis was satisfactory. Inter-rater reliability ranged from .912 to .967. Conclusion: This scale was found to be a reliable and valid instrument that clinical preceptors can apply for evaluating the clinical nursing competency of nursing students in clinical settings.

간호학생의 객관구조화 임상시험(OSCE) 후 피드백 유형에 따른 임상수행 자신감과 피드백 만족도 효과 비교

길은하(Gil, Eunha),오희영(Oh, Heeyoung),신선경(Shin, Seonkyoung),박연희(Park, Yeonhee),이예은(Lee, Yeeun),박정아(Park, Jeong Ah) 기본간호학회 2015 기본간호학회지 Vol.22 No.3

Purpose: The purposes of this study were to compare confidence in practice of intermittent gavage tube feeding and participants’ satisfaction by three types of feedback; professor verbal feedback, professor feedback with smartphone video, and peer feedback with smartphone video. In addition, frequently failed items in the intermittent gavage tube feeding procedure were analyzed. Methods: Data were collected from a convenience sample of 78 nursing college students in November 2014. Students were randomly assigned to the control group, experimental group I (smartphone video with professor feedback) or group II (smartphone video with peer feedback). Data were analyzed using descriptive statistics including chi-square test, ANOVA, and Scheffe test with SPSS 21.0. Results: Confidence in practice of intermittent gavage tube feeding and satisfaction with feedback were highest in experimental group I that had professor feedback with smartphone video. For the procedure, the most frequently failed item was giving an explanation to patients about the purpose and the procedure of tube feeding. Conclusion: The results indicate that professor verbal feedback with smartphone video is the most benefit to the nursing students in acquiring core nursing practice skills.

한국어판 류마티스 관절염 자가간호 측정도구의 타당도와 신뢰도 검증

박근경(Park, Geungyeong),오희영(Oh, Heeyoung) 한국성인간호학회 2021 성인간호학회지 Vol.33 No.3

중장년 성인과 노인의 노화에 대한 태도

조아라(Jo, Ahra),오희영(Oh, Heeyoung) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1

성인과 노인의 응급의료서비스 만족도 영향요인

길은하(Gil, Eunha),오희영(Oh, Heeyoung) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1

응급의료 취약지 거주가 심근경색증 증상 인지에 미치는 영향

조미래 ( Mirae Jo ),오희영 ( Heeyoung Oh ),장석용 ( Suk-yong Jang ) 한국보건정보통계학회(구 한국보건통계학회) 2021 보건정보통계학회지 Vol.46 No.1

The purpose of this study is to investigate the awareness level of myocardial infarction (MI) symptoms for the residents in the underserved and deserved emergency medical services areas and verify the effect of the existence of residence in the underserved emergency medical services areas on the awareness of MI symptoms. Methods: This is a cross sectional study by using the data of the 2017 Korea Community Health Survey. The residence in the underserved emergency medical services areas is defined as being targeted to the residents in 101 areas notified in 『Emergency Medical Service Act』. The awareness of MI symptoms was classified as being aware of all five items of MI symptoms. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are computed by multivariable logistic regression. Results: Of the total 195,246 subjects, 43.6% were aware of MI symptoms (43.7% and 43.6% of underserved and deserved emergency medical services areas, respectively). The residence in the underserved emergency medical services areas was associated with the awareness of MI symptoms (aOR 1.15, 95% CI=1.11-1.18). In addition, this study has found that gender, age, education level, income level, occupation, subjective stress level, drinking frequency, current smoking, and diagnosis of hypertension and diabetes were factors influencing the awareness of MI symptoms. Conclusions: Continuous efforts are needed to increase the awareness of MI symptoms for the residents in the underserved and deserved emergency medical services areas. Education and promotion should be conducted in consideration of gender, age, education level, income level, and occupation to improve the awareness of MI symptoms.