응급실 간호사와 응급구조사의 외상성 사건의 경험, 외상후 스트레스장애에 대한 지식, 태도 및 회복탄력성

홍선우(Hong, Sun-Woo),방경숙(Bang, Kyung-Sook),방활란(Bang, Hwal Lan),현혜진(Hyun, Hye Jin),이미영(Lee, Miyoung),정유나(Jung, Yu Na) 한국간호교육학회 2023 한국간호교육학회지 Vol.29 No.1

간호대학생의 인권의식에 영향을 미치는 요인

홍선우(Sun-Woo Hong),김지수(Ji-Soo Kim),현혜진(Hye-Jin Hyun) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.6

본 연구에서는 간호대학생의 인권의식을 파악하고 여기에 영향을 미치는 요인을 확인하여 미래 의료현장 전문가로서의 인간 존중에 대한 가치관을 분석하고 함양할 수 있는 방안을 모색하고자 한다. 본 연구를 위해 인천, 강원 지역의 대학교에 재학 중인 간호학과 학생을 대상으로 구조화된 설문지를 배포하여 자료를 수집하였으며 최종 440부를 분석하였다. 분석 결과 간호대학생의 인권의식은 의무적 측면보다 권리적 측면이 더 높게 나타났다. 그리고 인권의식에 영향을 미치는 유의한 요인으로는 어머니의 자율-통제 양육태도였고(p< .001), 어머니의 자율-통제 양육태도는 인권의식을 7.6%설명하는 것으로 나타났다. 또한 간호대학생의 인권의식은 연령에 따라 유의한 차이가 있었으며, 부모의 양육태도, 자아존중감, 심리적환경과는 유의한 상관관계를 나타냈다. This study was done to identify awareness of human rights in nursing students, and to evaluate the factors affecting human rights for nursing students. A cross-sectional design was used, with a convenience sample of 440 nursing students from two university in Incheon and Kangwon province. The score for right consciousness was much higher than duty consciousness inherent in human rights. The predicting factor for human rights was mother's rearing attitude in terms of autonomy and this factor explained 7.6% of human rights for nursing students. There was a significant difference on human rights for nursing students according to age and awareness of human rights were related to perceived parents' rearing attitude, self-esteem, psychological home environment.

간호학과생과 응급구조학과생의 PTSD에 대한 태도와 지식

홍선우(Hong, Sun-Woo),방경숙(Bang, Kyung-Sook),방활란(Bang, Hwal Lan),임지희(Lim, Jihee) 한국간호교육학회 2020 한국간호교육학회지 Vol.26 No.4

Purpose: This study aimed to identify attitude and knowledge level on post-traumatic stress disorder (PTSD) among nursing and paramedic students. Methods: A questionnaire survey was conducted from December 1st to 20th in 2019. A total of 210 students participated from two universities in Korea. Data were analyzed using descriptive statistics, t-tests and one-way analysis of variance. Results: Students were positive about the governments spending on PTSD treatment (91.4%), and professional training (92.4%). PTSD patients were considered to be more dangerous (68.1%) and violent (42.4%) than the general population. There were no significant differences in attitude and general knowledge on PTSD between nursing and paramedic students. However, general knowledge on PTSD differed according to education experience on PTSD (t=2.04, p=.043). Knowledge scores for PTSD treatment differed significantly according to the academic major (t=2.02, p=.044), and education experience on PTSD (t=2.87, p=.005). Conclusions: The results of this study indicate nursing and paramedic students lack knowledge on PTSD. Therefore, developing curriculum regarding PTSD-related contents in undergraduate and continuing education in both departments is needed to provide better quality health care to people with PTSD.

지역사회 거주 노인의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식

홍선우(Hong, Sun Woo),김신미(Kim, Shin Mi) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.3

Purpose: This study was performed to identify the level of Korean elderlys knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society. Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program. Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST. Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.

ROC 함수 추정

홍종선,홍선우,Hong, Chong-Sun,Lin, Mei Hua,Hong, Sun-Woo 한국통계학회 2011 응용통계연구 Vol.24 No.6

모집단이 부도와 정상상태로 구분되는 신용평가 관점에서 부도와 정상 상태의 조건부 누적분포함수를 추정하는 방법으로 정규혼합 분포추정과 kernel density estimation을 이용하는 분포추정을 고려한다. 정규혼합 분포의 모수를 EM 알고리즘을 사용해 추정하고, KDE 방법에서는 많이 사용하는 다섯 종류의 커널 함수와 네가지의 띠폭을 이용한다. 그리고 추정한 분포로부터 구한 각각의 ROC 함수를 구한다. 추정한 분포들의 적합도를 비교 분석하고, 이를 바탕으로 구한 ROC 곡선의 성과를 비교 토론한다. 본 연구에서는 KDE 방법으로 추정한 분포함수가 더 적합하고, 추정한 정규혼합 분포를 이용한 ROC 함수가 더 좋은 성과를 나타내는 것을 발견하였다. From the point view of credit evaluation whose population is divided into the default and non-default state, two methods are considered to estimate conditional distribution functions: one is to estimate under the assumption that the data is followed the mixture normal distribution and the other is to use the kernel density estimation. The parameters of normal mixture are estimated using the EM algorithm. For the kernel density estimation, five kinds of well known kernel functions and four kinds of the bandwidths are explored. In addition, the corresponding ROC functions are obtained based on the estimated distribution functions. The goodness-of-fit of the estimated distribution functions are discussed and the performance of the ROC functions are compared. In this work, it is found that the kernel distribution functions shows better fit, and the ROC function obtained under the assumption of normal mixture shows better performance.

인지면담을 이용한 한국형 사전의료의향서 모델 개발

김신미,홍영선,홍선우,김진실,김기숙,Kim, Shin Mi,Hong, Young Sun,Hong, Sun Woo,Kim, Jin Shil,Kim, Ki Sook 한국호스피스완화의료학회 2013 한국호스피스.완화의료학회지 Vol.16 No.1

Purpose: The purpose of the study was to develop a feasible form of a Korean version of advance directives (K-AD). Methods: Sixteen adults participated in this study: 10 aged 20~50 years and nine aged 65 years or older. Using a draft version of the K-AD, cognitive interview was conducted on the participants to establish a culturally acceptable form of advance directives whose directions can be understood and responded accordingly by the general population. Results: Cognitive interviews revealed areas of concerns for the draft version of K-AD: lack of instructions or clarity for technical and medical terms, context complexity and inadequate response categories. The draft version was revised by rewording, offering examples and rearranging the context. Editorial style was added with appropriate uses of bold fonts, bullet-points and underlines to facilitate interviewees' cognitive responses. Conclusion: Study results feasibility of the revised version of the K-AD. Further study should be performed with a larger number of participants to develop a K-AD with an acceptable level of reliability and validity. 목적: 본 연구의 목적은 사전의료의향서 사용 집단을 대상으로 초안에서 도출된 한국형 사전의료의향서 콘텐츠의 구성 요소를 바탕으로 실제 사용자 집단에서 인지적, 심리적 및 사회적으로 수용 가능한 문장과 문항으로 구성된 문서를 구축하여 한국형 사전의료의향서 모델을 제시하는 것이다. 방법: 실제 사용자인 일반 성인의 보건의료정보 문해력과 정서적 수용성 및 작성 과정을 고려하여 초안을 작성하였으며 초안을 바탕으로 인지면담(Cognitive Interviewing) 방법을 통한 문항 개발 과정을 수행하였다. 대상자는 9명의 65세 이상 노인을 포함한 16명의 인지면담에 장애가 없는 성인이었다. 결과: 총 2회기에 걸친 인지면담 결과를 분석한 후 최종적으로 3개 속성(가치관, 의료지시[9문항] 대리인 지정)을 중심으로 총 430개 단어로 구성되는 모델을 확정 제안하였다. 결론: 본 연구에서는 한국형 사전의료의향서 문서를 효과적으로 향상시킬 수 있는 방법으로 인지면담을 사용하였으며 그 가능성을 검증하였다. 한국형 사전의료의향서 최종 모델을 위해서는 대규모 양적 연구를 통해 가용성을 검증하며, 신뢰도와 타당도를 확보하여 모델을 확정하는 과정이 포함된 추후연구가 필요할 것이다.

한국판 사전의료의향서(K-AD)의 가용성 평가

김신미(Kim, Shin Mi),홍선우(Hong, Sun Woo),김진실(Kim, Jin Shil),김기숙(Kim, Ki Sook) 한국간호교육학회 2014 한국간호교육학회지 Vol.20 No.4

Purpose: This study evaluates the feasibility of Korean Advance Directives (K-AD) developed earlier. Method: From January 1 to February 28, 2013, data were collected from 330 adults through a self-reported questionnaire established by the authors based on literature review and expert consultation. The feasibility of K-AD was multi-dimensionally evaluated through four criteria: cognitive, psychological, document making and socially expecting aspects. Data were analyzed using t tests, one-way ANOVA, and Scheffe post hoc tests via the SAS 9.1.3 program. Results: The feasibility of K-AD differed significantly by gender (p=.003), educational level (p<.001), religion (p=.002), and self-reported health status (p=.039). Differences in the level of easiness with K-AD by gender (p=.008) and education (p=.047) were significant. Perceived simplicity of AD differed significantly by religion (p=.005), and the necessity of AD differed significantly by gender (p=.025) and religion (p=.005). Conclusion: K-AD are sufficiently feasible to be tentatively utilized in practice. This is the first study to explore the feasibility of K-AD on the basis of multiple aspects. However, further studies involving diverse populations and methodologies to validate the usefulness of K-AD are warranted.

자폐성장애 아동 부모의 삶의 전환과정 측정도구에 대한 구성타당도 평가

이애란(Lee, Ae Ran),홍선우(Hong, Sun Woo),주세진(Ju, Se Jin) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.5

Purpose: The study was done to identify the construct validity and reliability of the life transition scale (LTS) for parents who have children with autism. Methods: Exploratory factor analysis (EFA) and confirmative factor analysis (CFA) were conducted to identify the most adequate measurement model for structural validity. Convergent validity and discriminant validity were also conducted for structural validity. Data were collected from 208 parents through self-reported questionnaires and analyzed with SPSS/WIN 15.0 and AMOS 20.0 version. Results: A four factor-structure was validated (χ<SUP>2</SUP>=541.23, p<.001, GFI=.82, RMSEA=.07, IFI=.89, CFI=.89, PNFI=.73, Q (χ<SUP>2</SUP>/df)=2.20) at the 3rd order of EFA and CFA, and factors were named as denying, wandering, despairing, and accepting. Both convergent and determinant validity for LTS were 100%. Cronbach’s alphas for the reliability of each structure were .77-.90 and .83 for total structure. Conclusion: The four structures, 24-item instrument showed satisfactory reliability and validity. LTS has the potential to be appropriate for assessing the transition process of life for parents who have children with autism and provides basic directions for differentiated support and care at each stage.

장애아동 건강증진을 위한 어머니의 돌봄 행위에 영향을 미치는 요인

이애란(Lee, Ae Ran),홍선우(Hong, Sun Woo),윤순녕(Yun, Soon Nyoung) 한국간호교육학회 2009 한국간호교육학회지 Vol.15 No.2

자폐성장애 아동 부모의 삶의 전환과정 측정도구 개발

이애란(Lee, Ae Ran),홍선우(Hong, Sun Woo),주세진(Ju, Se Jin) 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.6

Purpose: The purpose of this research was to develop a scale to measure the life transition process of parents of children with autism, against the backdrop of a lack of research on this topic. Methods: Seventy preliminary items were drawn from previous qualitative research, and content validity was tested by three professors as well as three parents of children with autism. A questionnaire survey was also done between August 2011 and February 2012. Data were collected from 207 parents of children with autism and analyzed using descriptive statistics, item analysis, Cronbach’s alpha, Pearson correlation coefficients, and factor analysis with the SPSS Win 15.0 program. Results: Twenty-nine items were selected to constitute the appropriate measuring scale and categorized into 5 factors explaining 63.2% of the total variance. The 5 factors were named; stages of denial (5 items), wandering (6 items), devotion (7 items), frustration (3 items), and finally acceptance (8 items). Cronbach’s alpha for the 29 items was .80. Conclusion: The results of this study not only suggest assessment criteria for the life transition process of parents who have children with autism but also provide basic directions for program development to provide differentiated support and care at each stage.