옹호개념에 관한 신생아실 간호사의 인지 내용 분석

조갑출,Cho Kap Chul 한국아동간호학회 1996 Child Health Nursing Research Vol.2 No.1

This descriptive study was done to detect the possibilities of the development of the advocacy concept in nursing. The subjects consisted of 3 nurses who had agreed to participate to the study, working at nursery room in a general hospital. Data was collected from May 22 to June 13 in 1995 through tape recorded intensive-interview, and written down, then content analyzed qualitatively related to the infant advocacy. 1. Derivation fo the meaning about advocacy concept 1) The situations in need of infant advocacy were 12 categories : malpractice, overcharing, negligence, unnecessary services, and services without consent, and so on. 2) Fourteen categories of advocacy activities percived by nurses were derived from participants' statements. Protesting infant or his /her families against their counterpart, providing informations to families, cooperating with medical staffs for her patient, then calling medical staff not so as to be maleficient to her patient in its rank. 3) The expected result of advocacy activities perceived by nurses was respectively positive to her patient or families, but negative to nurse. 4) The feelings of nurses in the sitution of advocacy were expressed in to concern, comprehension, regret, powerlessness, charity, desire, and so on. 5) Nurses perceived that advocacy activities could be influenced positively by factors related to nurses' qualification and negatively by factors related to doctor's overdo and nurse's underdo. 2. Categorization of the meaning and their relationships In case of antecedental situation in need of infant advocacy, nurse perceives her patients need the advocacy to get a benefit through nurse's information, intervention speaking, building cooperations. The expected factors to influence advocacy activities perceived by nurses, are the power imbalance between medical staffs, the nurse's qualification, and the nurse's feeling from the situation. The above results suggest that the infant care situation will be recommendable field work place for concept development of advocacy with hybride model when it involves infant's families.

산학공조형(Co - op) 간호실습교육 운영모형 개발

조갑출(Cho, Kap-Chul),노영숙(Roh, Young Sook),부은희(Boo, Eun Hee) 한국간호교육학회 2005 한국간호교육학회지 Vol.11 No.2

간호대상자 옹호 이론

조갑출 ( Kap Chul Cho ) 연세대학교 간호정책연구소 2006 간호학탐구 Vol.15 No.1

Backgrounds: As the hospital structure becomes more complicated and bureaucratic, concerns for management of the institution have taken priority over patient care itself. Humanistic nursing scholars are leading a movement of humanistic caring and nurse-as-advocate. Since 1990, descriptive studies about the concept of client advocacy have been published in the health science journals. However, there are not enough bases to apply the concept of client advocacy in nursing practice. Purposes: The purpose of this study, literature review, is to inquire possibility of the development to the prescriptive theory from the client advocacy model and the application to the nursing practice with the client advocacy model. Results: A definition and the conceptual structure of client advocacy was described in this paper. The attributes consisted of four categories : nurse-client relationship, motives for advocacy, advocacy behaviors, and responses to the advocacy behaviors. In order to apply the client advocacy model to the nursing practice, following procedures are established : 1. Identify and assess the advocacy needed client Although client advocacy is one of the most common nursing activities under all of the nursing situations, the nurse should apply client advocacy for the vulnerable population. 2. Determine the behavior of client advocacy Decision of the proper advocacy behavior should be made with respecting the client`s self-determination. Additionally, determination of the pathway of client advocacy should be done by analyzing client`s situation. 3. Perform the client advocacy activities Since the purpose of the client advocacy is enhancing client`s rights and benefit, the nurse needs to find the advocacy strategy which could bring the maximum benefit to the client. 4. Pursue positive outcome of the client advocacy In order to apply the client advocacy to the nursing practice, the client`s rights and health benefit should be the outcome of the advocacy activity. Also, the outcome of the client advocacy should be measurable. Suggestions: On the basis of the results of this study, suggestions for further research were described as follows : 1) It is necessary to develop an instrument to measure nurse`s advocacy activities on the basis of attributes and indicators. 2) It is necessary to have a study which proves the positive outcomes of the client advocacy by measuring and comparing the client`s satisfaction, hospital days, complication, and recovery.

베트남 결혼이주여성 부부의 임신·출산 및 양육준비를 위한 개별교육의 효과

김영미,조갑출,Kim, Youngmee,Cho, Kap-Chul 한국아동간호학회 2017 Child Health Nursing Research Vol.23 No.4

Purpose: The study was undertaken to see whether the culturally sensitive education for perinatal care using a face to face approach improves understanding of spouse's culture, knowledge of pregnancy and parenting skills, and self-efficacy among Korean husbands and Vietnamese wives. Methods: This study has a pre- and post-test study design conducted in a total of 13 couples who live in Seoul and agreed to participate. The education program consisted of lecture and hands on practice. The self-administered questionnaires and the checklist developed based on the educational purpose were used to assess the education effects. Results: The knowledge scores on Korean/Vietnamese culture, pregnancy and parenting skills as well as the performance scores on hand washing, pelvic strengthening, feedings and newborn bathing techniques were significantly improved in both husbands and wives after education, but pelvic floor exercises were improved only in wives. Conclusion: Overall, the individual education for culturally sensitive perinatal care was effective in our study participants.

새터민(탈북자)의 삶의 질

신기수(Shin, Gi Soo),조갑출(Cho, Kap Chul),양선희(Yang, Sun Hee),이옥철(Lee, Og Cheol),백희정(Baek, Hee Chong),이규영(Lee, Gyu Young),이숙정(Lee, Suk Jeong) 한국보건간호학회 2011 韓國保健看護學會誌 Vol.25 No.2

Purpose: The study sought to provide basic information for North Korean defectors (Sae-Tu-Min) by studying the quality of life(QoL) based on their general characteristics and health problems. Methods: The targeted subjects were 1400 North Korean settlers who were receiving settlement service by Korean National Red Cross after finishing their training at Hanawon in 2005. The data was collected from August to October in 2007. The QoL was assessed by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA and t-test with SPSS win 15.0 program. Result: The majority of the 466 subjects were female(77.9%). The average age was 36.8 years, 52.8% lived alone, and 64.0% were unemployed. The average QoL score of the group was 62.4 ±18.4, which was markedly lower in terms of social, physical and mental health compared to the scores of immigrants to South Korea from other countries. The score was the highest for physical ability and the lowest for general health. Influential socio-demographic factors to QoL were gender, age, education, religion, annual salary, occupation, and life insurance. Employed in the subject group showed higher level of QoL on eight categories than unemployed. Concerning health problems that detracted from QoL, 18.5% of the subjects were aware they suffered from anemia and 8.8% of them recognized they suffered from attention deficits. Conclusion: The health conditions of the North Korean settlers had improved since they settled in South Korea, but their QoL was lower than other immigrants. Various programs to maintain and promote the health of North Korean settlers would be useful.

시뮬레이션 연계 문제중심학습이 간호학생의 간호기본역량에 미치는 효과

이우숙(Lee Woo Sook),조갑출(Cho Kap Chul),양선희(Yang Sun Hee),노영숙(Roh Young Sook),이규영(Lee Gyu Young) 기본간호학회 2009 기본간호학회지 Vol.16 No.1

Purpose: The objective of this study was to identify the effects of problem based learning (PBL) combined with simulation on the basic nursing competency of nursing students. Method: A pretest-posttest design with a nonequivalent control group was used to examine the effects of problem based learning combined with simulation for 9 weeks in a group of 283 nursing students. The PBL group of 141 students participated in PBL classes with simulation, 4 hours a week for 9 weeks compared to control group of 142 students who received the usual fundamental nursing class. Results: The group that had PBL with simulation showed significant increases in problem solving and self-directed learning competency, although there were no significant changes in communication competency as compared to the control group. Conclusion: The findings of this study demonstrate that PBL with simulation for nursing students may increase problem solving and self-directed learning competency and suggest that utilizing this teaching-learning method may be beneficial as an effective nursing education strategy.

모자동실제 유형에 따른 산모피로도 및 모유수유율 비교

김영미(Youngmi Kim),김성희(Sunghee Kim),조갑출(Kap-Chul Cho) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.5

본 연구는 모자동실 유형에 따른 산모의 피로도와 모유수유율에 차이가 있는지를 확인하기 위해 시도되었다. 서울소재 일 종합병원의 모자동실제 정책이 전일모자동실제에서 부분모자동실제로 전환된 후 두 제도 간에 산모의 피로도와 모유수유율에 차이가 있는지 비교하기 위해 수행되었으며, 평가내용은 출산 후 산모의 피로도와 모유수유율을 비교분석하여 관련성을 파악하는 것이다. 전일모자동실제의 산모 64명을 대상으로 자체 평가한 2012년 10월의 분석결과와 부분모자동실제로 전환운영한 2014년 6- 7월까지의 산모 43명을 대상으로 수집한 자료를 비교분석하였다. 자료처리 및 분석방법은 SPSS 22.0을 이용하여 빈도, 백분율, χ²-test, t-test, 피어슨상관관계분석을 통해 4개의 가설을 검정하였다. 그 결과 ‘전일모자동실군이 부분모 자동실군보다 하루 수유횟수가 많은 것’으로 나타났으며, ‘전일모자동실군과 부분모자동실군 간에 모유수유율은 차이가 없었다’. ‘전일모자동실군이 부분모자동실군보다 피로도가 높았으며’, ‘산모의 피로도와 입원기간동안의 모유수유율은 관련이 없게’ 나타났다. 따라서 본 연구 결과를 토대로 모자동실제 유형에 따라 모유수유율에는 차이가 없으므로 산모의 피로도가 높은 전일모자동실제로 운영하는 것 보다 산모와 신생아의 상태를 고려하여 개별화된 부분모자동실제로 운영하는 방안을 고려해 볼 수 있다. This study was conducted to identify the relevance between postpartum women’s fatigue and breast-feeding rate in accordance with the types of rooming-in care at one hospital in Seoul. The data were collected by using a self-report questionnaire between June and July of 2014. All subjects were full-time rooming-in group, with 64 mothers and part time rooming-in group, 43 mothers. The collected data were analyzed using SPSS 22.0 windows program. The result supported Hypothesis 1, in which the number of full-time rooming-in group’s daily breast-feeding would out number that of part time rooming-in group. Hypothesis 2, on the other hand, which was that the breast-feeding rate would differ between the full-time rooming-in and the part-time rooming-in groups was overruled. Hypothesis 3, in which the fatigue of the full-time rooming-in group would be higher than the part-time rooming-in group was supported. Hypothesis 4, in which postpartum women’sfatigue would relate to breast-feeding rate during hospitalization period was overruled. Thus, based on this research, it is suggested that rather than collectively running the full-time rooming-in care, part-time rooming-in care that is individualized with considerations to the conditions of the mothers and new-born should be considered.

어린이 안전교육용 웹사이트 개발 연구 : 꼬마안전짱(http://ccoma.redcross.ac.kr)

조갑출,안은숙,이규영 적십자간호전문대학 2000 적십자간호전문대학논문집 Vol.23 No.-

서울시내 탁아모 양성기관의 교육내용 분석

조갑출 적십자간호전문대학 1987 적십자간호전문대학논문집 Vol.9 No.-

서울시내 일부 종합병원 신생아 간호의 질 평가 : for Three General Hospitals in Seoul

조갑출 적십자간호전문대학 1986 적십자간호전문대학논문집 Vol.8 No.-