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      • KCI등재

        현대국어 <말>명칭에 대한 고찰(1) : <목적>을 중심으로 especially on the <purpose>

        손숙자 고려대학교 한국학연구소 2001 한국학연구 Vol.14 No.-

        This study aims at showing how to characterized as terms of 〈Language〉, focusing on the 〈Purposes〉of the 〈language〉. This is to try to find out the way of reflection Koreans concerning the objective world of 〈language〉and clarify wordfield theory of 〈language〉nouns. The characteristic points that have derived from this study's trial for claifying the structure are summarized below. (1) 〈Language〉as archilexem represents the wordfield theory of〈language〉nouns. And the〈language〉can be interpreted as 1. Voices showing the thought and feling through mouth or its activities and contents and as 2. Something that includes word, proverb, sentence and as 3. Stories related with certain phenomenon. By taking these roles, 〈language〉comes to occupy the position of archilexem. This means that 〈purpose〉, 〈content〉, 〈way of expression〉, and 〈way of evaluation〉become the objects of viewpoints. And these are subdivided into 〈ritual〉, 〈process of progress〉, and 〈notice〉. (2) 〈Ritual〉-oriented expressions characterized as 〈language of mourning and congratulating〉and 〈ingorm〉. (3) The central expressions of 〈way of expression〉characterized as 〈beginning〉and 〈ending〉. (4) 〈Notice〉-oriented expressions characterized as〈expressing opinions〉, 〈result〉, 〈admonition〉, 〈catch-phrase〉and 〈greetings〉. And the in-depth studies on 〈contents〉, 〈way of expression〉and 〈way of evaluation〉will be done in later thesis.

      • KCI등재후보

        2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

        이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

        목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

      • SCOPUSKCI등재

        간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

        서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

        As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

      • KCI등재

        Job Analysis of Clinical Research Coordinators Using the DACUM Process

        Kang, Hyun-Sook,Son, Haeng-Mi,Lim, Nan-Young,Cho, Kyung-Sook,Kwon, Sung-Bok,Yi, Yeo-Jin,Park, Young-Sook,Lee, Eun-Hee,Kim, Joo-Hyun,Han, Hye-Ja,Baik, Jung-Mi,Jeong, Younhee 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.7

        Purpose: This study was done to analyze the job of clinical research coordinators (CRCs). Methods: Through the “developing a curriculum (DACUM)” workshop, the definition of CRCs’ role was described and CRCs’ duties and tasks were identified. Finally, the developed duties and tasks were validated for importance, difficulty, and frequency. Results: A CRC is defined as the one who coordinates and performs tasks related to clinical research/trials among investigators, participants, and sponsors according to the Good Clinical Practice at institutions conducting clinical trials. Twelve duties and 78 tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks represented as A, B, and C respectively. Based on determinant coefficient (DC) of the task, the highest ranked task was confirming the eligibility of participants for research (DC=8.03) and the lowest was inventory management for clinical study materials (3.95). Conclusion: In this study, the job of a CRC was analyzed through the DACUM process and it was found that CRCs were doing various duties and tasks. Based on these results, it is suggested that it is necessary to develop CRC education programs considering the career ladder of CRCs.

      • KCI등재

        데이컴 직무분석 기법을 이용한 수술실 간호사의 직무분석

        조경숙(Cho Kyung-Sook),손행미(Son Haeng-Mi),강현숙(Kang Hyun-Sook),김주현(Kim Joo-Hyun),임난영(Lim Nan-Young),윤계숙(Yoon Kye-Sook),한혜자(Han Hye-Ja) 기본간호학회 2008 기본간호학회지 Vol.15 No.4

        Purpose: Developing a curriculum(DACUM) is a method of analyzing job focused competency, which is obtained from the data of an expert belonging to a certain career. In this study the DACUM method was used to analyze the jobs of operating room nurses. Method: Through the DACUM workshop which was arranged by two DACUM facillitators, a definition of the role of operating room nurses was developed and then duties and tasks of operating room nurses' were identified. For the workshop, a DACUM committee with 10 operating room nurses was organized. Finally, the duties and tasks which were identified were validated by 422 nurses for importance, difficulty, and frequency. Results: Thirteen duties and 105 tasks were identified on the DACUM chart, where importance, difficulty, and frequency of tasks were represented by alphabet letters A, B, and C as higher degree of importance. The determinant coefficient(DC) showed that the most important duty was assisting with operations(DC=6.61), and the least, managing operating materials(DC=4.22). For tasks, the most important ones were assisting in orthostatic surgery(DC=7.60), and assisting in thoracic surgery(DC=7.38), and the least important making gauze ball(DC=2.39), and saving of operation site((DC=3.27). Conclusion: The results suggest a need to develop an education program using the DACUM chart as a basis for the development and as a clinical career ladder and for curriculum of operating room nursing.

      • KCI등재

        한국 임상간호사 역할정립에 관한 연구 Ⅱ : 한국 임상간호사 역할의 타당성 연구 A study on the validity of the clinical nurse's role

        김주현,강현숙,권성복,김동옥,박영숙,서문자,손영희,손행미,이여진,이은희,임난영,조경숙,한혜자,성영희,박정원,이계숙 병원간호사회 2005 임상간호연구 Vol.10 No.2

        Purpose: This study examined the validity of 40 roles of a clinical nurse guided from 'A study on the establishment of the nurse's role in Korea', and describes the classification, definition, and work of each role. Thus, this performed to provide basic material which is necessary for establishing developed nursing policy and nursing law. Method: This study was composed of four procedures, the first step was to examine the validity of first contents; the second step was to examine the validity of second contents; the third step was to finally figure out the role of a nurse from the total information; and the fourth step was to suggest the definition of nurse's roles and work. In order to support the procedure, researcher panel discussion, clinical practitioner panel discussion, and researcher team workshop with clinical practitioners and finally researcher team workshop were carried out. Result: In the first step of examining the validity of contents, we reorganized 761 conducts of nursing role, 80 classifications of nursing role, and 40 roles of nursing. In the second step of examining the validity of contents, we classified 40 roles of nursing in a simple and important sequence if possible, and corrected the terms to be clear, unified, and not overlapped. In the third step of examining the validity of contents, we figured out 689 conducts of nursing role, 82 classifications of nursing role, and 18 roles of nursing by incorporating process and roles of nursing in a sequence from general to unique, and specific through panel discussion and workshop of researchers. Conclusion: This study examined the validity of 40 roles of a clinical nurse guided from 'A study on the establishment of the nurse's role in Korea', and describes the classification, definition, and work of each role. Accordingly, it is expected that this study can be used as necessary material for building a policy in establishing the role of a clinical practitioner.

      • KCI등재후보

        임상간호사 역할정립에 관한 연구

        지성애,이은희,조경숙,서문자,강현숙,임난영,김주현,손행미,권성복,김동옥,박영숙,손영희,한혜자,이여진,성영희,박광옥,박정원,이계숙 병원간호사회 2004 임상간호연구 Vol.9 No.2

        Purpose: To identify the clinical nurses' role in hospitals in Korea to provide the basic data needed for the establishment of the policy of nursing practice. Method: Four stages of multi-dimensional survey was done inductively during 2002,7 to 2003, 7. At the first, nurse role activities were sorted with the rigorous review of the related literatures and documents and simultaneously, the data were collected by Delphi methods from professional nurses and interview with patients and their families. Secondly, research seminars were done many times to validate the contents of nurses role activities and its components with analysing the first data and classified them into nurse role and it's activities. Thirdly, massive nationwide survey on the frequency and the perceived importance of the nurse role activities from the nurses, physicians, patients and their families using the questionnaire developed by the research team. At fourth stage, research seminars were held several times to analyse the data thoughtfully. Total 1,133 composing of 652 nurses, 206 physicians and 275 patients in 40 hospitals sized over 500 beds nationwide. And there was a group of panelist composing of 17 experts. Result: Nurses' Roles and Nurses' Role Activities were identified as follows : At first step, 868 Nurses' Role Activities from literature reviews, and 981 from Nurses' Role Activities with Delphi method were sorted. At second step, 30 nurses roles and 772 nurses' role activities were sorted from the analysis of the data from the first step. Finally 40 nurses roles and 770 nurses' role activities were identified through the validation process with the research team seminar. The perceived frequency on nurses' role activities of clinical nurses was significantly different upon their ages, experiences, working places, and positions. The higher the educational level, the more perceived importantly their role activities significantly. The average score of the perceived frequency was 3.17(max. : 5) and the average scores of the perceived importance of nurse' role activities were different among nurses(4.10), doctors(3.55) and patients(3.58). Conclusion: Since these results were obtained from multi-dimensional approach nationwide, and the intensive validation process of contents were scrutinized thoughtfully, this data could be used as basic information to establish the nurse policies regarding to nurse job description and planning the nurse's man power.

      • 간호조직의 임파워먼트(Empowerment)에 대한 임상간호사의 지각

        김시현,조영신,박상주,김윤정,정선임,윤은자,고미숙,이은애,최현숙,홍정자,김나리,고덕순,박영례,지성애,손희진,정지숙,조영수 중앙대학교 의과대학 간호학과 간호과학연구소 1999 중앙간호논문집 Vol.3 No.1

        This study is to supply the data for nurse management and nursing productivity through analyzing the personal and group empowerment level of nurses. A monitoring material which has 50 items was designed and tested by the selected 62 nurses working at 5 university hospitals and 1 personal university located Kyong-In area. As a result, the empowerment of nurses was proved to be not so high, thus the nurses in the hospital need an extended continuous education to improve personal empowerment even after graduation. Further researches are necessary to generalize the measurement tool, for example, by increasing test numbers and by extending test groups such as students, professors and other areas of nurses.

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