보건소 간호사의 직무특성, 직무동기, 업무수행 비교

전경자,김희걸,June, Kyung-Ja,Kim, Hee-Gerl 한국지역사회간호학회 1997 지역사회간호학회지 Vol.8 No.2

In Korea, visiting nursing services in pubic health centers have been in place since 1991. The purpose of this study is to compare the job characteristics, job motivation and job performance between visiting nurses and other public health nurses. 196 subjects were sent mailed questionnaires from Aug. to Sep., 1997. The response rate was 65.3%. Data were analyzed by a SPSSWIN program with a t-test, $X^2-test$, ANCOVA. The results were as follows : 1. The level of job ability in visiting nurses was higher than that of other public health nurses, but it was an insignificant difference(t=1.5975, p=.2078). Among job characteristics, skill variety was significantly higher in other public health nurses(t=8.2121, p=.0046); autonomy and feedback were significantly higher in visiting nurses(t=8.1877, p=.0047/t=7.7026, p=.0085). 2. There was no significant difference in the level of job motivation(t=.6485, p=.4216) and in job performance between the two groups (t=2.7393, p=.0995). In job performance, general nursing and organizational jobs were significantly higher in other public health nurses (t=4.8486, p=.1288/t=9.4237, p=.0024). 3. It was reconfirmed that there was, a significant difference in the level of skill variety, autonomy and feedback in analyzing age and career as covariates. 4. Significant positive relationship was found in job characteristics and job motivation(r=.5488, p=.0000). No significant relationship was found in job characteristics and job performance(r=.0486, p=.498). Through these results, it was supported that there were differences in some of the job characteristics and job performance between visiting nurses and other public health nurses. Therefore, it is requested to redesign job standards, training programs and management styles focusing on the job characteristics of visiting nurses.

간호대상자로서의 지역사회 개념 및 지역사회간호사정에 관한 문헌분석

전경자,권영숙,오진주,박은옥,김은영,김희걸,June, Kyung-Ja,Kwon, Young-Sook,Oh, Jin-Ju,Park, Eun-Ok,Kim, Eun-Young,Kim, Hee-Girl 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

The purpose of this study was to compare the concept of community and community health, community health assessment tool, and community health nursing diagnosis based on the concept of 'Community as Client'. The method for this purpose was to search the articles and textbooks related to community assessment and review the contents by the researchers who were 5 community health nursing faculties and 1 doctoral candidate. The sources of articles were limited in Public Health Nursing and the Journal of Community Health Nursing. As the result, three types of conceptual model were classified: epideiological model. fuctional model. system model. System model by Newman and Helvie included more comprehensive concept of community health than others. Helvie model suggested the most specific indicators among them. The components of nursing diagnosis in the system model had the subjectives. problems and the related factors. It makes the nursing care plan related to the nursing diagnosis. But there was no nursing diagnosis system among the three model. It is needed to compare the nursing intervention based on the concept of 'Community as Client'. It will be helpful to the community health nursing practice to develop the nursing diagnosis system based on the system model. For the community health nursing education, it is suggested to try the case study by the using three types of model. Finally, it is needed to validate the community assessment tool in Korean setting.

영유아 어머니의 지속적인 가정방문 간호 서비스 참여 경험

전경자 ( Kyung Ja June ),이지윤 ( Ji Yun Lee ),조성현 ( Sung-hyun Cho ) 한국모자보건학회 2021 한국모자보건학회지 Vol.25 No.1

Purpose: The purpose of this study was to understand the experiences of mothers of infants who received sustained nurse home visiting services. The program of sustained home visit by nurses (Seoul Maternal Early Childhood Sustained Home-Visiting Program) is an intervention program. Its effectiveness has been verified in Australia, where services are provided to families in a vulnerable families during the period from prenatal period until the newborn is 2 years old. Methods: The study protocol used qualitative approaches. Eleven mothers of infants who received nursing services in December 2015 were invited for an in-depth interview. The data collected were subjected to directed content analysis. Results: The following 4 themes were identified from the analysis: (1) reduction in suspicion and increased feeling of benefit from the visiting service, (2) emotional support to the parents and use of community resources, (3) reliance on friendly nurses, and (4) gaining confidence about parenting and motherhood. Conclusion: Sustained nursing home visiting services can be applied effectively in South Korea. The concrete narrations and descriptions of the experiences of mothers in this study can be used as a base for education, practice, and research.

부모의 장애아동 조기발견 및 중재에 관한 정보습득 실태

전경자 ( Kyung-ja June ),백유순 ( You-soon Back ) 한국유아특수교육학회 2004 유아특수교육연구 Vol.4 No.1

본 연구에서는 장애영유아의조기발견 및 중재에 대한 부모의 정보습득 현황과 대중인식프로그램에 대한 요구를 알아보기 위해 자가보고형 설문지를 이용하여 장애아동 부모 70명을 대상으로 조사를 실시하였다. 연구결과 첫째, 장애아동에 관한 정보습득이 임신전이나 임신중, 출산 후에는 매우 적게 이루어지고 있는 것으로 나타났다. 장애의심 시기나 진단시기에도 다소 증가는 하였으나 정보습득이 충분히 이루어지고 있지는 않았다. 둘째, 장애를 의심하게 된 계기 중에 아동의 어머니가 비정상적 행동을 관찰하거나 연령별 발달기준을 이용한 경우가 있었다. 이에 비해 임신전이냐 임신 중에 습득 한 정보의 내용은 주로 장애의 원인이나 유형에 그치고 있다. 그러나 임신전에서 장애의 진단시기에 이르기까지 습득한 정보에 대해서는 대체로 도움이 되었던 것으로 나타났다. 셋째, 장애 조기발견을 위한 상담자로는 의료기관 종사자가 87.1%로 매우 높게 나타났으나 제공받은 정보 중에서 부모의 역할이나 조기교육에 대한 정보를 충분히 받고 있지 못하였다. 넷째, 장애아동 부모의 입장에서 유용 한 홍보방법으로 제안된 것으로는 방송과 교육프로그램이 가장 많았으며 인터넷이나 홍보물에 대한 요구도 높았다. Identifying infants and young children with special needs through a child find system, who are likely to benefit from early intervention services, is the key element of early intervention for these children. Therefore, the importance of early identification and intervention of infants and young children with special needs is well recognized in the field. The method requirs the dissemination of information to the public to facilitate early identification of infants and young children with special needs and provide early intervention services to them. The purpose of study was to investigate current status of public awareness program in the community based on the experiences of parents with children who have disabilities. Seventy parents were sampled from city public health centers, preschools, and educational centers for children with special needs. Data were collected by self-reported questionnaires and analyzed by using SPSS PC statistical program. The analysis results were as follows; 1. The percentage of parents receiving informations on disabilities and early intervention increased from 12.8% at the time of pre-pregnancy to 84.3% at the time of disability diagnosis. 2. After child disabilities were diagnosed, the types of information sources were varied. It was found that parenting education programs, medical professionals, educational specialists, and family members were the primary sources of information. 3. At the time of diagnosis. information about parental roles and early intervention were not sufficient. 4. Most subjects responded that various types of public awareness programs would be more effective, and more detail contents would be more helpful. In conclusion, information available in the community to prevent severe disability conditions of infants and young children with special needs is limited. It is suggested that more effective public awareness programs in the community should be developed for the early identification and intervention of children with special needs.

산업간호교육과정이 간호학생의 산업간호사에 대한 역할인식에 미치는 영향

전경자(June, Kyung Ja),이꽃메(Yi, Ggod Me) 한국간호교육학회 2000 한국간호교육학회지 Vol.6 No.1

간호학생의 웰 다잉에 대한 인식과 사전연명의료의향서에 대한 지식

전경자(June Kyung Ja),정소현(Jeong Sohyeon),안희지(Ah Heeji),홍예경(Hong Yekyung),이윤진(Lee Yoonjin),김윤아(Kim Yoonah),조수연(Jo Sooyeon) 한국농촌간호학회 2019 한국농촌간호학회지 Vol.14 No.1

Purpose: The purpose of this study was to describe nursing students’ perception of well-dying and knowledge for Advanced Directives. Methods: Nursing students from one university were selected for the research and a survey was carried out during March and April, 2019. A total of 133 nursing students participated in this study. Data were analyzed using t-test, ANOVA, x2 test with SPSS statistics 21.0. Results: According to the results, the mean score for perception of well dying was 3.00±0.31, and knowledge for Advance Directives was 9.05±2.20. Perception of well-dying was significantly different by grade group. Knowledge for Advance Directives was significantly different by pre-education experience. Conclusion: In order to improve the nursing students knowledge for advanced directives, it is necessary to develop education program and provide them through the total school years.

우리나라 최초의 보건간호학 교과서 “공중위생간호학” 연구

전경자(June, Kyung Ja),이꽃메(Yi, Ggodme) 한국지역사회간호학회 2022 지역사회간호학회지 Vol.33 No.1

일개 독립형 호스피스 기관의 가정호스피스 이용자 특성 및 서비스 제공 실태

김형숙,전경자,손영순,Kim, Hyoung Suk,June, Kyung Ja,Son, Young Sun 한국호스피스완화의료학회 2016 한국호스피스.완화의료학회지 Vol.19 No.2

목적: 본 연구는 독립형 호스피스기관의 가정호스피스 서비스에 등록한 말기환자의 특성과 가정호스피스 서비스 제공 실태를 파악하여 가정호스피스 서비스 모델 개발을 위한 기초자료를 제공하기 위하여 수행되었다. 방법: 일개 독립형 호스피스기관의 가정호스피스에 등록하여 방문서비스를 받고, 2014년 1월 1일부터 2014년 12월 31일 사이에 서비스가 종료된 말기환자의 의무기록지 75개를 후향적으로 분석하였다. 결과: 등록 환자의 54.7%가 자가 의뢰를 통하여 가정 호스피스를 이용하였다. 종료 후 25.3%가 가정에서 임종하였고, 50.7%는 호스피스병동, 22.6%는 대학병원이나 요양병원으로 입원하였다. 등록 당시 97.3%가 암성질환이었으며, 비암성질환으로 가정호스피스를 이용한 경우는 2.7%였다. 등록 환자의 58.7%가 임종기에 있었으며, 34.7%는 거의 완전한 와상 상태에 있어 전반적으로 낮은 활동수준을 보였다. 등록 당시 환자들이 가진 신체 증상은 통증(89.4%), 수면장애(71.2%), 배변문제(47.8%), 배뇨문제(35.8%) 순으로 나타났다. 전체 환자의 77.4%가 1개월 이내에 서비스가 종결되었다. 환자들에 대한 가정방문 횟수는 평균 3.25회로 전체 환자의 82.7%가 5회 미만의 가정방문을 받고 서비스가 종결되었으며, 전화상담 횟수는 평균 3.4회였다. 의사 방문 횟수는 평균 1.21회였으며, 이는 불안정기에 유의하게 증가하였다. 결론: 독립형 호스피스기관을 이용하는 환자의 특성과 서비스 제공 형태를 반영한 가정호스피스 서비스 모델 개발이 필요하다. Purpose: This study was conducted to investigate patients' characteristics and actual conditions of home-based services offered by a free-standing hospice center. Methods: A retrospective review was performed with the medical records of 75 patients who received home-based hospice care from a free-standing hospice center from January 2014 through December 2014. Results: Most patients (54.7%) were enrolled via self-directed referral. The reason for the service termination was death at home 25.3%, admission to a hospice ward 50.7%, hospitalization 22.6% and patients' refusal 2.7%. Seventy three patients had cancer, and two patients had ALS. Among all, 58.7% were in a dying phase, and 34.7% were almost completely bedfast at the time of their enrollment in this study. When they enrolled, the patients' physical symptoms were characterized as pain (89.4%), sleep disturbance (71.2%), urinary difficulties (35.8%) and defecation difficulties (47.8%). Among all, 77.4% terminated the home visit service within one month. The mean frequency of the home visits was 3.25 (${\pm}3.98$), and less than five in 82.7% of patients. The mean frequency of the phone service was 3.40 (${\pm}3.12$). The frequency of doctor's home visits was $1.21{\pm}0.79$ on average, and the figure increased when patients' conditions turned unstable. Conclusion: It is necessary to develop a home-based hospice care model with consideration of patients' characteristics and the actual service conditions delivered by free-standing hospice facilities.

보건소의 노인정 운동프로그램 실시에 따른 노인의 인지지각요인, 건강증진행위 및 생활만족도 비교

김은영,전경자,Kim, Eun-Young,June, Kyung-Ja 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

This study was designed to investigate effects on cognitive perception. health promotion activity and life satisfaction of elderly. The participants for this study were 292 in senior citizen's center in S-city. The participants were categorized by two groups. one have taken exercise regularly. at least more than one a week for 6 months, the other have not. The measurement tools were the Perceived Benefit Scale developed by Walker, et al. and translated by Kim. Hee Ja(1994), the Life Satisfaction Index developed by Neugarten. etc. and translated by Lee. Ga Ok(1994) and Self efficacy Scale developed by Kim. Hee Ja (1994). The data were collected by personal interviews. which were taken from January 11 to 16. 1999, and analyzed by SAS 6.12. The major results of this study were as follows 1) Scores of self-efficacy were higher regular exercise group than irregular group. 2) Regular exercise group have taken exercise such as jogging, climbing and the other hands irregular group have not. 3) When the participants were categorized by smoking, other health promotion behavior (weight control. diet), both scores of life satisfaction index were higher smoking group than non-smoking group, other health promotion behavior than non-health promotion behavior. 4) There was no significant difference between the two groups in terms of perceived benefit, life satisfaction, From these findings, regular exercise program will be able to provide elderly with opportunity to change positively their lives in cognitive perception. health promotion activity.

사업장 보건관리자 공동채용모형개발(II)-사업주와 간호사의 의견 비교-

김영임,전경자,이성은,윤순녕,Kim, Young-Im,June, Kyung-Ja,Lee, Sung-Eun,Yun, Soon-Nyoung 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

This study is to develop the model on the joint employment system of occupational health nurse practitioners for medium or small sized enterprises in Korea based on the comparison opinions between employers and occupational health nurses (OHN). The data were collected by questionnaires from Oct. to Nov. in 1997. The number of subjects was 210 OHNs and 176 employers, response rate was 47.1% for OHNs and 23.2% for employers. The SAS PC program was used for the descriptive statistics. The results were as follow: 1. More than three years career was preferred for qualification of OHN by employers and OHNs. OHNs preferred that all instruments and materials should be equipped in each industry, but employers preferred that they should be equipped by OHN. 2. For the limit number of industries and employees per one OHN, employers preferred average 2.25 industries and 307 employees, OHNs preferred average 3.0 industries and 448 employees. Both of them preferred two times visit per week for all day long. 3. OHNs wanted that the local office of Ministry of Labor could act as mediator, but employers preferred direct contact individually. For the average wage, employers preferred 887,000 won per month, but OHNs preferred 1,960,000 won per month. 4. OHNs preferred the Korean Association of Occupational Health Nurse as the recruit agency. Finally, employers and OHNs have the opinions that they can choose this system depending on the condition. There is in need of development of effective strategy for this new system such as manpower development, cost-benefit analysis, establishment of occupational health service standard, advertisement for employers, and government supported project.