환자시뮬레이터활용교육에서의 자기주도적 학습능력과 집단효능감의 변화

전화연(Hoa-Yun Jun),조영임(Young-Im Cho),박경은(Kyung-Eun Park),김지미(Ji-Mee Kim) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.5

본 연구는 환자시뮬레이터활용교육에 따른 간호대생의 자기주도적 학습능력과 집단효능감 변화를 파악하고자 시도한 단일군 전후 실험연구이다. 대상자는 환자시뮬레이터활용교육을 받은 적이 없는 2학년 전체 학생 중 통합실습과목에 등록하고 연구에 동의한 92명이었다. 환자시뮬레이터활용교육은 팀활동학습, 술기훈련, 환자시뮬레이터를 이용한 팀시뮬레이션, 디브리핑으로 구성되어 12주간 운영되었다. 사전 자료수집은 2010년 8월 23일에서 27일까지 이루어졌고 사후 자료수집은 12주간의 환자시뮬레이터수업을 수행한 후 2010년 11월 29일에서 12월 3일 까지 시행되었다. 환자시뮬레이터활용교육 전 후로 자기주도학습능력의 증가(t=4.24, p=0.000)는 통계적으로 유의미하였으나 집단효능감의 증가는 유의한 효과를 나타내지 못하였다. 이러한 결과에 근거하여 환자시뮬레이터활용교육은 간호대생의 자기주도적 학습능력 향상에 영향을 미치는 교육전략임을 알 수 있다. The purpose of this study was to identify the effect of human patient simulator(HPS)-based education on self-directed learning(SDL) and collective efficacy(CE) for nursing students. This study design was one group pre-posttest. The subjects were 2nd grade 92 students enrolling in the integrated practice. They have no previous experience of HPS-based education. HPS-based education included team based learning, skill training, taking a high-fidelity simulation with Medical Education Technologies, Inc (METI) simulator and being debriefed during 12 weeks. The pretest and posttest were conducted to understand the improvement in SDL and CE. After the subjects had participated in the HPS-based education, they showed statistically significant higher SDL(t=4.24, p=0.000) than before. However, there was no significant change in CE. Based on the results, this study suggests that SDL for nursing students were significantly improved by HPS-base education.

자료 : 영양사의 직무능력 향상을 위한 계속교육의 참여동기 분석

손정민 ( Cheong Min Sohn ),조영연 ( Young Yun Cho ),배미용 ( Mi Yong Bea ),도은경 ( Eun Kyoung Do ),나우리 ( Woo Ri Na ),김미성 ( Mi Sung Kim ) 대한영양사협회 2013 대한영양사협회 학술지 Vol.19 No.4

본 연구는 영양사 직무능력 향상을 위한 계속교육의 참여동기를 분석하여 향후 영양사의 계속교육 프로그램 개발을 위한 기초자료로 사용하기 위해 실시되었다. 영양사 622명을 대상으로 조사된 설문 분석 결과는 다음과 같다. 1. 본 연구에 참여한 영양사는 연령별, 최종학력별, 근무처별, 영양사 업무 근무경력별로 분류하여 조사하였다. 조사에 참여한 영양사의 연령대는 40대가 262명(42.1%)으로 가장 많았으며, 최종학력은 4년제 대학졸업이 322명(51.8%)으로 가장 많은 것으로 나타났다. 근무처는 학교 영양사가 251명(40.4%)으로 가장 많은 것으로 나타났으며, 근무 경력은 7∼10년 228명(36.7%)이 가장 많은 것으로 나타났다. 2. 전문영양사 계속교육 참여동기에 대한 타당성 및 신뢰도 검증을 위해 요인분석을 실시한 결과 총 4개의 요인이 도출되었다. 이는 각각 ‘전문역량 유지 및 개발’, ‘상호교류 및 전문가의 책임’, ‘직업의 안정성, 개인의 이익’, ‘고객에 대한 서비스’라 명명하였고, 이 중 ‘전문역량 유지 및 개발’의 설명분산이 29.343%로 가장 큰 것으로 나타났다. 참여요인의 Cronbach’s α값은 각각 0.967, 0.927, 0.878, 0.937로 분석되었다. 3. 본 설문에 참여한 영양사의 일반적 특성에 따른 계속교육 참여동기에 대한 분석결과 연령이 낮을 수록, 학력이 낮을수록, 유치원, 어린이집, 기타 근무자일 경우, 6년 이하의 경우에서 ‘직업의 안정성, 개인의 이익’에 대한 참여동기가 높은 것으로 분석되었다. 이상 결과를 종합하여 볼 때 영양사 계속교육 촉진 및 프로그램 개발을 위해 본 연구에서 분석된 연령, 학력, 근무처 및 경력 등을 고려하여 전문성을 증진시킬 수 있는 프로그램을 개발해야 할 것이며, 특히 연령이 적고, 경력이 길지 않은 영양사의 참여동기가 높은 것으로 보아 이들을 위해 전문성을 가진 프로그램 개발이 우선적으로 이루어져야 할 것으로 사료된다. This study analyzed the reasons for continuing education among dietitians. An internet-based survey of 622 dieticians was conducted from August 31, 2012 to September 12, 2012. Based on data from the Participation Reasons Scale (PRS) questionnaire, factor analysis was conducted by principle component analysis for the extraction of major factors. Subsequent reliability analysis was performed by assessing Cronbach`s α. The ANOVA-test was performed to compare the participation reason scores for each factors according to general characteristics. Statistical analysis was performed using SPSS ver.17.0, and P<0.05 was considered significant. Factor analysis for the participation reasons revealed four types of factors. These factors were “maintenance and development of professional competencies”, “interaction and responsibility of professionals”, “job stability and personal profits” and “services for customers” respectively. Among the participation reasons, “maintenance and development of professional competencies” was the first reason with a 29.34% variance. In addition, the participation reasons for continuing education differed according to age (P<0.05), the highest level of education (P<0.05), workplace (P<0.01), and work experience in dietetic area (P<0.001). In conclusion, continuing education programs for dietitians should focus on effectively developing and promoting professionalism.

한국 성인 남녀에서 지방섭취제한 행동 변화단계에 따른 영양상태와 건강관련 행위에 대한 신념 비교

오세영(Oh Se-Young),조미란(Cho Mi Ran),김진옥(Rim Jean Chinock Kim),조영연(Cho Young-Yun) 韓國營養學會 2001 Journal of Nutrition and Health Vol.34 No.2

사용자 요구 조건을 반영한 외부차양 선정 방법

최수지(Choi, Su-Ji),이동석(Lee, Dong-Seok),이병연(Lee, Byung-Yun),조영흠(Cho, Young-Hum),조재훈(Jo, Jae-Hun) 한국건축친환경설비학회 2016 한국건축친환경설비학회 논문집 Vol.10 No.2

Shading devices perform an important role in reducing cooling load and solar radiation. To choose suitable shading devices, building characteristics need to be considered. However, there are no clear methods available for choosing shading devices. It just depend on aesthetic preference or designer"s intuition for selection. The purpose of this study is to present the qualitative and quantitative factors for choosing shading devices and propose the decision making chart composed of main list. To evaluate the shading performance through the decision making chart, four-types of shading devices commonly applied to the building are selected. The main list is derived from the factor which considered the characteristics of buildings. Proper shading devices were selected for an office building evaluation. Through the decision making chart, we obtain the shading devices according to the orientation. The simulation was conducted to evaluate the annual energy consumption and daylight illumination to confirm the effectiveness of the shading devices.

체외막형 산화기를 시행한 심장내과 중환자실 입원 환자의 경장영양 지원: 관찰 연구

김성혜 ( Sung Hye Kim ),신윤진 ( Yoonjin Shin ),라미용 ( Mi Yong Rha ),조영연 ( Young Yun Cho ),양정훈 ( Jeong Hoon Yang ),조양현 ( Yang-hyun Cho ),서지영 ( Ji Young Seo ),강보리 ( Bori Kang ),김양하 ( Yangha Kim ) 한국정맥경장영양학회 2016 한국정맥경장영양학회지 Vol.8 No.3

Purpose: Enteral feeding remains controversial in patients receiving extracorporeal membrane oxygenation (ECMO), particularly in those treated with a high-dose vasopressor. This study examined the safety and feasibility of enteral nutritional support for patients undergoing ECMO in a cardiac care unit (CCU). Methods: Adult patients admitted to the CCU undergoing ECMO from January 2014 to May 2015 were included. Patients with <48 hours of support, undergoing ECMO at another hospital, and inaccurate medical records were excluded. Results: Among the 14 patients undergoing ECMO in the CCU, 2 patients were diagnosed with malnutrition and the others were in the normal state in the initial assessment. On the other hand, they had the malnutrition risk factors (anorexia, weight loss, fluid retention, and hypermetabolic state). Thirteen patients received enteral nutrition and 1 patient had possible oral intake. The average initiation day of enteral nutrition was 2.0±1.6 days on ECMO. The mean duration of enteral nutrition was 5.2±4.9 days and the target goal was achieved within 3 days. There were no serious adverse effects for enteral nutrition but 3 patients had gastrointestinal problems (diarrhea and anorexia), and gastrointestinal bleeding occurred in 1 patient. In 1 case, enteral nutrition had to be stopped due to the prone position. Overall, 5 patients were cured, 3 patients recovered through heart transplantation, and 6 patients died. Conclusion: Most CCU patients receiving ECMO were well nourished but had the malnutrition risk factors in progress. These results suggest that enteral feeding might be safe and feasible in patients treated with ECMO but there were minor side effects.

위암환자의 위절제술 후 영양상태 평가 및 식사섭취도에 관한 연구

김태현(Kim Tae Hyun),김원경(Kim Won Gyoung),조영연(Cho Young Yun),이영희(Lee Young Hee),김진복(Kim Jin Pok) 韓國營養學會 1994 Journal of Nutrition and Health Vol.27 No.8

2010 당뇨병 환자를 위한 식품교환표 개정

주달래(Ju Dal Lae),장학철(Jang Hak Chul),조영연(Cho Young Yun),조재원(Cho Jae Won),유혜숙(Yoo Hye Sook),최경숙(Choi Kyung Suk),우미혜(Woo Mi Hye),손정민(Sohn Cheong Min),박유경(Park Yoo Kyoung),조여원(Choue Ryowon) 韓國營養學會 2011 Journal of Nutrition and Health Vol.44 No.6

A food exchange system for diabetes is a useful tool for meal planning and nutritional education. The first edition of the Korean food exchange lists was developed in 1988 and the second edition was revised in 1995. With recent changes in the food marketplace and eating patterns of Koreans, the third edition of food exchange lists was revised in 2010 by the Korean Diabetes Association, the Korean Nutrition Society, the Korean Society of Community Nutrition, the Korean Dietetic Association and the Korean Association of Diabetes Dietetic Educators through a joint research effort. The third edition is based on nutritional recommendations for people with diabetes and focuses on adding foods to implement personalized nutrition therapy considering individual preferences in diverse dietary environment. Foods were selected based on scientific evidence including the 2007 Korea National Health and Nutrition Examination Survey data analysis and survey responses from 53 diabetes dietetic educators. While a few foods were deleted, a number of foods were added, with 313 food items in food group lists and 339 food items in the appendix. Consistent with previous editions, the third edition of the food exchange lists included six food categories (grains, meat, vegetables, fats and oils, milk, and fruits). The milk group was subdivided into whole milk group and low fat milk. The standard nutrient content in one exchange from each food group was almost the same as the previous edition. Korea Food & Drug Administration's FANTASY (Food And Nutrient daTA SYstem) database was used to obtain nutrient values for each individual food and to determine the serving size most appropriate for matching reference nutrients values by each food group. The revised food exchange lists were subjected to a public hearing by experts. The third edition of the food exchange lists will be a helpful tool for educating people with diabetes to select the kinds and amounts of foods for glycemic control, which will eventually lead to preventing complications while maintaining the pleasure of eating. (Korean J Nutr 2011; 44(6): 577 ~ 591)

유기인제 중독의 복합예방제로서의 Procyclidine과 Physostigmine의 일반약리작용

이선애(Sun Ae Lee),조순옥(Soon Ock Cho),이보영(Bo Young Lee),반주연(Ju Yeon Ban),조영(Young Cho),허경행(Gyeung-Haeng Hur),김왕수(Wang-Soo Kim),김지천(Jee-Cheon Kim),김윤배(Yun-Bae Kim),성연희(Yeon Hee Seong) 한국실험동물학회 2005 Laboratory Animal Research Vol.21 No.3

General pharmacological properties of procyclidine and physostigmine, as a combinational prophylactic regimen for organophosphate poisoning, were investigated in experimental animals and in vitro test system. Procyclidine and physostigmine were administerd by subcutaneous injection or miniosmotic pumps for sustained release. Procyclidine had no effects on general behavior, spontaneous motor activity, pentobarbital sleeping time, motor coordination and normal body temperature at the doses of less than 30 ㎎/㎏ or 1728 ㎍/㎏/hr. Gastric secretion and intestinal motility in rats were not influenced by the sustained release of procyclidine at dose of 1296 ㎍/㎏/hr. Procyclidine up to 40 ㎎/㎏ did not change the mean arterial blood pressure and heart rate in conscious rats. Procyclidine had no effect on the respiratory rate at the same doses when given to anesthetized rats. In in vitro experiments, procyclidine at the concentration of more than 0.1 and 1 ㎎/ℓ showed significant inhibitory action on the acetylcholine-and histamine-induced contractions, respectively, in the isolated ileum of guinea-pig. In the isolated guinea-pig tracheal muscle, procyclidine did not affect the histamine-induced contractions at the dose of 5 ㎎/ℓ, but showed partial inhibition on the acetylcholine-induced contractions at the doses of 3 and 5 ㎎/ℓ. Physostigmine at the concentration of 0.05 ㎎/㎏ or 36 ㎍/㎏/hr neither produced significant change of the normal physiological activity of rats, nor completely recover the inhibitory effect of procyclidine on the gastrointestinal tract. Based on these results, it was concluded that procyclidine and physostigmine did not induce marked adverse effects in experimental animals except the significant inhibitory effect on the gastrointestinal system.

당뇨한자가 지각한 가족지지, 자기효능감 및 건강증진 생활양식과의 관계

조영임,전화연,이정은,이영희 동남보건대학 2003 論文集-東南保健大學 Vol.21 No.2

The purpose of the study was to examine the relationship between the perceived family support, self-efficacy, and health promoting life style. Two hundred thirty-six diabetes mellitus patients received follow-up therapy at two university hospitals and one diabetes clinic in Suwon from July to August in 2003. The research tools used in the study were: the Family Support scale developed by Ku(1992), Diabetes Self-Efficacy scale developed by Hurley(1998), Health Promoting Life Style scale developed by Park(1995). The data were analyzed by using frequency, percentage, mean, standard deviation, Pearson correlation coefficients and Multiple stepwise regression. The reliability of the tool was tested by Cronbach's α and showed that they were .767 and .798 and .907 each respectively. The results were as follows : 1) The subjects showed family support for diabetes patients with mean values of 2.691 and standard deviation of .465(1.67~3.67, the lowest value of 1 and the highest of 4). 2) The subjects showed self-efficacy in diabetes patient with mean values of 2.297 and standard deviation of .465(1.25~3.9, the lowest value of 1 and the highest of 4). 3) The subjects showed health promoting life style in diabetes patients with mean values of 2.821 and standard deviation of .423(1.79~3.97, the lowest value of 1 and the highest of 4). 4) There were positive correlations between the subjects perceived family support and health promoting life style(r=.7957, p=.001), self-efficacy and health promoting life style(r=.7474, p=.001), family support and self-efficacy(r=.6738, p=.001). 5) Family support was the highest factor predicting a health promoting life style. A total of 71% of the variance was explained by adding self-efficacy. In conclusion, the more perceived family support and self-efficacy were, the higher the health promoting life style was. The results suggested that new nursing intervention be devised to enhance health promoting life style in diabetes patients.

공공병원 간호사의 직무만족도 연구

전화연,조영임,고정은,김순오,박찬병,황정례 동남보건대학 2003 論文集-東南保健大學 Vol.21 No.2

This research was conducted to identify job satisfaction of medical center nurses. The purpose of this study is to provide a basic source of data to increase job satisfaction medical nurses. The sample consisted of 64 nurses of a medical center located in Suwon. The data were collected during a one month period from September 1 to 30, 2003. The tool used for the study was a structured questionnaire which was Slavitt's job satisfaction scale. The data were analyzed by frequency, percentage, mean, standard deviation, χ^2-test, Pearson's correlation coefficient, t-test, ANOVA, and Cronbach's alpha by use of the SPSS Win 10.1. The results of the study are as follows : 1) The mean age of subjects was 30.00 years old. 42.2% of the respondents were married and 70.3% were graduates of 3-year colleges. 2) The mean job satisfaction level was 3.09 and the standard deviation was .24. The level of job satisfaction is revealed a 'moderate' satisfaction. Comparing the scores between 7 factors of job satisfaction, the highest score was obtained at the level of professional status(3.60), interaction(3.59), autonomy(3.50), nurse-doctor relationship(3.02), administration(2.81), task requirement(2.70), and pay(2.52) in order. 3) In the correlation among 7 factors of job satisfaction, pay was significantly related with the administration(r= .331, p= .009) and interaction(r=- .305, p= .016). Professional status was significantly related with the nurse-doctor relationship(r= .349, p= .005) and autonomy(r= .497, p= .000). Nurse-doctor relationship was significantly related with the administration(r= .403, p= .001), autonomy(r= .263, p= .038) and task requirement(r= .279, p= .027). Administration was significantly related with the autonomy(r= .311, p= .014) and task requirement(r= .313, p= .013). Autonomy was significantly related with the interaction(r= .390, p= .002). 4) As for general characteristics influencing on the job satisfaction, married status was significantly related with professional status(t=-2.801, p= .007) while working place was significantly related with pay(F=2.847, p= .032), nurse-doctor relationship(F=8.702, p= .000), administration(F=2.857, p= .031) and total job satisfaction(F=3.278, p= .018).