정서적 이완 간호가 수술전 환자 불안에 미치는 영향에 관한 연구

홍여신,이소우 최신의학사 1982 最新醫學 Vol.25 No.2

大學院 看護敎育課程 改善에 關한 硏究

洪麗信,李笑雨 최신의학사 1982 最新醫學 Vol.25 No.6

암환자가 지각한 좋은 간호사의 특성

조남옥,홍여신,한성숙,엄영란 병원간호사회 2006 임상간호연구 Vol.11 No.2

This study was based on a phenomenological approach. All patients were hospitalized cancer patient who had insight about cancer. Data were collected through in-depth interviews during the months of July and August, 2004. Interviews lasted one and half hours on an average and data were analyzed by Van Kaam method. Result: Four essential attributes of good nurse were identified: compassion, need fullfillment, virtuous and professional expertism. And four essential attributes of bad nurse were identified: insincere, neglect, disregard and lack of expertism. Conclusion: The results of this study showsd that cancer patients perceived the good nurse as possessing the qualities of compassion for patients, having virtuous attitude and professional expertism and fullfilling patient's need. And cancer patients perceived the nuse showing familial intimacy as a good nurse. This perception of cancer patients was influenced by tradition and cultural background. So there is a need for further research about our own culture and its influences on nursing practice.

The First Asia-Pacific Nursing Conference: Perspectives and Policy Issues in Gerontological Nursing : Policy for Gerontological Nursing ; Study on the effectiveness of caregiver education program on the home care of senile dementia patients

( Yeo Shin Hong ),( Sun Ja Lee ),( Hyeoun Ae Park ),( Nam Ok Cho ),( Jin Ju Oh ) 서울대학교 간호과학연구소 1995 비정기 세미나 간행물 Vol.1995 No.-

A Study Community Health Practitioner Role Consolidation and Its Effect on Maternal and Child Health Program in Korean Rural Communities

Hong,Yeo Shin 서울대학교 간호대학 간호과학연구소 1988 간호학 논문집 Vol.3 No.1

본 연구는 한국의 보건진료원 제도를 중심으로한 일차보건의료 전달체계의 운영상의 문제를 분석 파악하고 지역사회조직을 하부조직으로 활용하는 대안이 모아건강관리에 미치는 효과를 분석하기 위해 시도되었으며 기본연구설계는 두군의 실험군과 한 개의 대조군을 두어 실험효과를 검증하는 준 실험설계로서 사전조사, 실험중재, 사후조사의 3단계 연구진행을 양평군, 이천군, 안성군을 대상으로 시행하였으며 총 15개 보건진료소장과 120여명의 마을지도자 및 이들관할지역의 표본으로 총 1,256 가구가 연구대상으로 참여하였다. 본 연구의 기본가정은 보건진료원을 중심한 일차보건의료접근의 실효를 얻기 위해서는 마을주민의 협조가 절대적이며 주민의 협조는 조직을 통해 활성화될 수 있고 보건진료원 업무중 지역사회중심활동의 비율이 높아질수록 주민의 협조가 높아지고 지역주민의 질병예방과 치료 및 건강증진을 위한 사업이 증진될 수 있다는 것이며 지역사회조직의 특성에 따라 사업별로 효과에 서로 다르게 작용할 수 있다는 가정하에 실험군 1은 공식적 조직인 반상회 조직을, 실험군 2는 비공식 조직으로서 어머니회, 자모회, 교회조직, 종친회모임등의 마을 자생조직을 각기 보건진료원 중심으로 전개되는 일차보건의료사업에 협조하는 하부조직으로 활용함으로서 사업효과를 증대시키려는데 목적을 두었으며 사업전후 비교 및 실험군과 대조군과 비교를 통해 실험사업의 효과를 규명하려 하였다. 1983년에서 1986년까지 3년간 진행된 본 연구의 결과를 요약하면 다음과 같다. 1. 보건지료원 사업활동은 모아보건면에 있어 산전산후 관리 가족계획 및 분만개조율을 보건진료원 활동기록과 지역주민의 건강관리 행태조사에서 공히 월등히 높였고 특히 유아예방접종율에 있어 괄목할만한 차이를 보였다. 2. 실험군과 대조군간의 비교에서 보면 첫째로 지역사회조직활동, 보건교육, 발달계측 및 발달사정, 학교보건환경위생관리 등 지역사회 중심활동에 있어 제1 실험군인 양평군에 있어 그 활동이 두드러지게 나타났으며 모아건강관리측면에서 가족계획성과를 제외한 모든 부문에서 공식조직인 반상회를 활용한 영평군에서 사업효과가 크게 증대되었음을 나타내었다. 3. 가족계획부문사업효과에 있어서는 동질성이 높은 여러가지 비공식마을 자생조직을 활용한 이천군지역에서 보건진료원의 활동량과 관계없이 월등히 큰차로 사업효과가 증대되었음을 알 수 있다. 4. 지역간 차이에 작용하는 사업의 변수로서는 지역의 도시화와 의료시설 특히 병원이용의 편의와 관련된 변수를 들 수 있고 특히 병원분만율과 산전, 산후 진찰율은 밀접한 관계가 있는 것으로 나타났으나 가정분만의 경우에도 보건진료원의 직접간접 도움이 산전, 산후관리 및 예방접종 등 영유아 건강관리에 크게 영향하는 것을 알 수 있다. 본 연구결과에서 얻은 중요결론은 기본가정에서와 같이 보건진료원의 지역 중심조직활동과 지역주민 특히 지역조직등을 이끄러가는 지역지도자들과의 긴밀한 협조관계는 보건진료원의 역할정착을 도웁고 일차건강관리의 궁극적 목표에 접근하도록 하는 촉매가된다는 것을 재확인할 수 있었으며 마을 지도자들에게 부여된 역할중 건강정보전달자로서의 역할은 쉽게 수용되고 그 효과가 빨리 나타나는 반면 보건교육자, 응급치료자로서의 역할기대는 쉽게 수용되지 않아 역할대상자 역할 개발이 동시에 이루어져야 하고 역할변화에 많은 시간과 용기가 부여되어야 한다는 점과 장기적인 안목에서 지역주민의 자조적 능력개발을 위한 의료인들의 교육적 지원적 역활확대 내지 역할변화를 통해서만 건강한 국민, 건강한 국가건설의 목표에 도달하는 길이 열릴 수 있다는 점이다. Central to the purpose of this study was to find means to effectively consolidate community health practitioner roles as envisioned in Special Act and assess their effect on health status of people and productivity in CHP activities specifically on maternal and child health program. The basic strategy for this study was to elicit community cooperation with the role performance of community health practitioner in the provision of primary health care. Thus this study was proposed to test the feasibility and effectiveness of an experimental primary health care program in the remote Korean rural communities incorporating existing nonhealth community organizations as substructures for health care service delivery in conjunction with the activities of community health practitioners who have been specially trained and deployed by the Health Ministry of the Korean government. The project specifically addresses itself to the problem of how existing nonhealth community organizations can be effectively used as village level substructure for primary health care service to facilitate the effectiveness of Community Health Practitioner in her role function and expand the health care services to currently underserved target populations. The study was designed as an action research with alternative experimental input and evaluation of the effect of the experimentation. The study was carried out in three distinctive stages of problem analysis, solution development and implementation and final evaluation of the effect of experimental input. The study was carried out in three country areas, namely, Ansung, Incheon and Yand Pyung, incorporating 15 CHP posts and their catchment areas for three years begining in April 1983. Study sample of 1,256 households were obtained by random sampling of 20% of total households registered in town offices within the catchment areas of 15 community health practitioner posts. Included in the sample were 431 households in Icheon, 429 in Yang Pyung and 396 in Ansung. This action research was designed as a quasi-experimental study with two experimental groups and one control group to compare the effect of alternative experimental input. The result of the experimentation is analyzed through pre and post-test comparison and intergroup comparison. Experimental group I incorporated Bansang Hoe (villager's meeting), a formal official organization with monthly regular meetings, as the substructure for primary health care serveic by CHPs. Experimental group II incorporated various informal community groups such as mothers' club, 4-H club, church group, agricultural cooperatives, extension workers, clan meeting and village movement committee as the substructure. The control did not incorporate any special substructure. The three alternative solutions namely of formal and informal organizations, and control group were compared in terms of their effectiveness in expanding CHP productivity, improvement in health indices and improving efficiency in cost-effectiveness of PHC services. The results of analysis of the data from household surveys and CHP activity records all indicate that primary health care services by the CHPs are best incorporated with Bansang Hoe as the formal and official community organization. Unless the informal organizations are considerably improved in its structure and greatly activated, much efforts put into organizing, training, and stimulating through those organizations would be wasted. In all categories of services, CHPs in Yang Pyung with cooperation from Ban chiefs have had best performances in the delivery of services especially in the area of maternal and child health including family planning. This difference in CHP performance between groups were well reflected in the outcome of household surveys as related to the amount of care received and health practices exercised by community people. In Korean rural communities, power seem to be concentrated in formal and official line positions, and Bansang Hoe as an official villager's meeting possess potentialities that none of other informal organizations can compete with. Thus, cooperations from officers of the formal community organizations can effect great influences on the success of Primary health care charged by CHPs. Other lessons that the project team has gained from the study were; 1) the offect of educational input appears so slowly that within the 15 months period of experimentation the activities of community health leaders did not increase to the level of satisfaction except for the role fo communicator; 2) in order to develope and enact a new role in communities, a concurrent development of counter roles among community people is needed; and 3) with elevated local officer's interest through project involvement, satisfaction of CHPs in their service activities has increased and satisfaction on the part of community people for their services has been improved as a consequence.

Philosos Philosophical Stances for Future Nursing Education Education

Hong, Yeo Shin 간호사 1981 월간 看護 Vol.1981 No.12

A RURAL HEALTH SERVICE MODEL FOR KOREA BASED ON A PRIMARY CARE NURSING SERVICE SYSTEM

Yeo-Shin Hong 한국간호과학회 1981 Journal of Korean Academy of Nursing Vol.11 No.2

A STUDY OF CURRICULUM PATTERNS IN SELECTED BACCALAUREATE NURSING PROGRAMS IN THE UNITED STATES OF AMERICA

HONG, YEO SHIN 中央醫學社 1973 中央醫學 Vol.25 No.1

人類의 健康과 福祉를 위한 偉大한 理念밑에서 看護員을 養成하고 있는 大學課程 看護敎育은 과연 急變하고 있는 오늘날의 社會與件에 어떻게 符合하고 있으며 未來의 桃戰에는 어떤 對備策을 마련하고 있는가를 究明하므로써 敎育的 手段에 있어서의 變化를 理解하려는데 그 目的을 두었다. 數많은 미국의 대학에서 본 硏究의 對象이 된 것은 最近에 간호교육과정을 改編하여 施行하고 있는 代表的인 8個大學 - 東部地方(3), 中部地方(3), 그리고 西部地方(2) -을 選定했다. 물론 8個大學은 미국에 있는 간호대학 總數의 極少部分에 不過하지만 分析의 結果로서 얻고저 한 초점이 바로 간호교육에 있어서의 새로운 方向을 追究하는데 있었기 때문에 對象이 된 大學의 數爻에는 크게 問題되지 않을 것 같다. 分析에 쓰여진 資料는 8個大學을 일일이 訪問하여 聽取調査로 敎育의 方針, 改編이 必要했든 契機 등의 基礎的 情報를 얻는 同時에 敎課內容에 關聯된 여러 가지의 計劃 및 硏究報告書를 蒐集하여 比較分析하므로서 다음과 같은 結論을 얻을 수 있었다. 첫째, 大學課程을 통해 知識과 敎養을 겸비한 指導者的 人格을 陶治하고 創意性과 理解力을 具備한 專門人을 養成한다는 觀點에서 自由롭고 融通性있는 학습계획이 마련되는 것이 바람직한데, 실제에 있어서 이 分析의 對象이 된 대학에서는 敎科目중에서 60% 내지 72%는 人間敎育에 중점을 두는 一般課目을 履修하게 되고, 一般課目 요구중에는 하급학년 敎養外, 상급학년 敎養으로 履修해야하는 학점이 거의 모두 選擇으로 되어있어 學生에 의해 11% 내지 23%의 課目選擇이 可能했다. 專功分野에 있어서도 選擇課目을 正規的으로 두는 學校가 세곳, 放學中에만 과하는 곳이 하나 있었다. 從來의 엄격했던 것과는 對照的으로 臨床實習에 있어서도 時間, 場所 및 學習方法에 있어서 融通性이 있어 大學看護敎育目標와 一般敎育理論에 符合된 점을 발견하였다. 둘째, 變化하는 社會에 相應하기 위해 科學的인 態度, 自己指向的인 思考力, 自發的인 學習態度를 통해 獨自的인 看護行爲를 할수 있게끔 育成한다는 目標下에 모든 大學에서는 方向을 굳히고 있다. 그 方法으로 知識의 傳達이 아닌 過程中心의 學習을 위해 Seminar, Nursing Process의 응용등에 主力을 두고있다. 8개大學중에서 5個大學에서는 Independent Study를 必須 혹은 選擇科目으로 課하고 있어 自主的인 判斷과 그에 隨伴되는 擴大된 責任을 甘受하는 訓練을 하고 있는 것은 하나의 發展이 아닐수 없다. 셋째로 健康槪念의 變化와 함께 健康維持와 福祉增進을 目標로 하는 看護員의 역할을 감안하여 종래의 疾病을 중심으로 한 傳統的인 敎育方向에서 떠나 健康과 福祉증진에 중점을 둔 敎育方針을 세우고있었다. 이룰위해 家庭과 地域社會에 대한 認識으로 始作하여 段階的으로 疾病을 가진 個人과 家庭에 대한 看護와 나아가서는 地域社會看護의 形態로 이끌어가는 學習計劃을 하고 있었다. 學習에 適用된 看護理論도 大體的으로 正常的인 個人과 家庭의 成長發達 및 人生過程을 背景으로하여 疾病問題도 Stress와 위협에 대면하여 일으킬 수 있는 反應으로 理解하려는 경향을 보이고 있어 社會的要請으로서의 地域社會 健康의 要求에 符合되는 敎育의 試圖라고 하겠다. I . INTRODUCTION Nursing education in the United States is truly in its turmoil of. transition in its effort to supply needed manpower for the nation's health care crisis and in preparation for the challenge of nursing tomorrow as it is perceived in the society's movement toward planning for better health care delivery for the population in general. The editorial of R.N. magazine writes, "a true revolution for nursing. education began in 1960's and the 1970's in fact, may see greater changes in the role of the nurses than occurred even in the decade just past, thus it becomes of vital importance to try to assess the performance of nursing education. Is today's nursing education really relevant? Is it preparing the students for the nurse's role of today and tomorrow?"19' The same questions have been asked again and again by many who are concerned with the education of nurses. But what are the true expectation of the role of nurses today and tomorrow? and what are the planning of the educational institutions in the education of nurses for the future in reality? The discussion of relevancy of nursing education for today should only follow the true understanding of what we have today. By these two guiding questions in mind, this study is intended to investigate the existing curriculum patterns with their guiding theories and principles and

Poster Session 4 : Hormones and mediators Immunology Lipid metabolism and membrane association Nucleic acid biochemistry Physiological and Clinical chemistry and nutrition Plant gene structure and expression ; Characterization of 4-1BBL on human T cells a

( Shin Il Kim ),( Hyun Suk Youk ),( Myung Shin Han ),( Shin Koo Yeo ),( Nam Shik Kim ),( Hong Hee Kim ),( Zang Hee Lee ),( Byoung S. Kwon ),( Kyu Bum Kwack ) 한국생화학분자생물학회 (구 한국생화학회) 2001 생화학분자생물학회 춘계학술발표논문집 Vol.2001 No.-

A Survey Study of Literatures Concerning the Development of Associate Degree Nursing Programs

Hong, Yeo-Shin 中央醫學社 1970 中央醫學 Vol.18 No.3

Purpose and Scope of the Study My special interest in the study of the development of associate degree programs In nursing is to find out whether or not it would be feasible to set up similar programs in our country. Basic assumption for this is that some of problems which American society and the profession of nursing are facing here might be as pertinent in our society and nursing in the country. We share many problems in common such as the problems of supplying the society with professional services in the quantity and quality it demands of professional nursing today. Ever growing demands for more nurses and for more diversified functions, with growing gap between the demand and the supply and the profession's need for growth toward quality and status of full profession, are some of the basic problems. We are facing now in nursing profession in Korea. Though the situations do not warrant exact application to our society, I believe that studying some of the early endeavors made to produce these associate degree programs in nursing, its growth through the years, and the issues pertinent to the new programs in nursing may have an incredible merit in reflecting our thought for formulating our grand step forward a new approach in solving those problems we are faced with. Because of the limitations of available resource materials, I have confined myself to the study of the development of associate degree programs in the United States of America in the light of social professional and the nursing educational background for enhancing this developments, some of the early projects and endeavors contributed in developing this new program of nursing education, some of their distinct characteristics of structures, curriculums, philosophies and the student bodies, and some of the issues pertinent to these program development, and the utilization of the graduates of associate degree programs in nursing development. It is certainly a possibility provided with the joint interest and efforts by the existing higher educational institutions and the nursing profession.