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        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

      • 버팔로 뉴욕 주립대학교 부설 보육시설의 보육프로그램 운영실태

        이현섭,김순자 진주산업대학교 1997 論文集 Vol.36 No.-

        In this paper, Child Care Programs in the U. S. A and Child Care Programs operating at the University Buffalo Child Care Center, Inc. are analyzed. The above child care center are analyzed as following. 1. Basic Principles of Program 2. Personal Management 3. Admission & Enrollment 4. Safety Management 5. Health Management 6. Center Activities and Program Policies The above study result is as following. The University at Buffalo Child Care Center, Inc. is a private, not-for-profit organization, dependent primarily upon tuition (based on a sliding, scale) from parents. Special grants from State University of New York Central, and Governor's Office of Employee Relations of New York State Laber Management Child Care Advisory Committee (Civil Service Employees Association, Public Employees Federation, United University Professions, Council 82, and Management Confidential) provide additional support for continued operation. The University at Buffalo Child Care Center, Inc. does not discriminate on the basis of sex, race, religion, ethnicity, national origin, or handicapping condition.

      • 21세기의 국제 경쟁력 강화를 위한 교과 교육의 과제

        이종희,김현자,전숙자,최연희,허명 이화여자대학교 교육대학원 1996 교과교육연구 Vol.5 No.-

        The purpose of this study is to provide suggestions for the innovation of Korean secondary education. The suggestions were dervied from in - depth study regarding various subjects taught in secondary school, such as Korean language, Mathematics, English, Social Studies and Science. Five kinds of questionnaires were developed and answered by a total of 728 secondary teachers. The teachers were selected nation-wide by stratified cluster sampling method. Major results of this study are as follows : A student-centered teaching model of Korean language focusing on the improvement of creative and critical thinking was developed. Examples of effective teaching method for developing mathematical literacy were presented. Some suggestions for improving English education were proposed ; The curriculum should be established by both the top- down process from the educational administers and the curriculum developers, and the bottom-up process from the teachers : furthermore, the teachers should be allowed to adapt it for their own classes. Each school should be able to choose class- types; for example, small classes with less than 25 students, large classes with around 50 students, class placement by the students' proficiency, or team teaching. Multimedia English classrooms will be needed for more effective whole-class activities, group work, and individual work to overcome the problems with too many students in a class or with students with various proficiency in a class. The testing system should be changed completely, The entrance examinations for higher- level schools or nation-wide written tests should be abolished. Then, each city or district should have a center for testing and developing teaching aids to help teachers by providing listening test items and teaching aids, and administering direct testing for speaking or writing. Teacher qualifying examinations and reeducation programs for teachers should be changed to have better-qualified English teachers for the 21st C. A curricular and instructional model emphasizing the improvement of students' ability to dealing with various social problems was proposed. 5) Various problems and issues in current science education were identified, and detailed suggestions to solve the problems and issues were proposed, which include entrance examinations, teacher education, curriculum development, gifted-student education and educational environment.

      • 우측 대장에 발생한 연소성 용종 1예

        이준식,박성한,홍현진,안광순,김지연,배용목,이은영,박선자 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

        Juvenile polyp, also known as a retention polyp because they contain mucin cysts, is a relatively common hamartomatous lesion in chlidhood. It occurs in 1-2% of children and young adults; however it is uncommon in adulthood. Juvenile polyp is rare in the first year of life and is thus presumed to be acquired and not congenital. It is pedunculated, 2-3 cm in size, red-tan in colour, smooth and always shows fluid filled cystic spaces on cut surface. Histologically, Juvenile polyps are hamartomatous with distended, mucus-filled glands, often with cystic dilatation and edematous lamina propria containing abundant vasculature. The most common manifestation is rectal bleeding produced by auto-amputation of the polyp. Juvenile polyp has been considered not to be at increased risk of developing carcinoma. However, atypical epithelium is observed in some lesions, especially in larger polyps, which may give rise to adenoma and subsequent malignant transformation. Therefore the diagnosis of solitary juvenile polyp should not be made only with colonoscopy and biopsy, but should be totally resected endoscopically for pathologic evaluation. About 90% of the lesions are solitary and localized within 20cm from anal verge. In Korea, there are some reports of juvenile polyps located in the rectosigmoid colon. We report one case of juvenile polyp in adolescent that presented as a hematochezia & abdominal pain, which is located at right colon.

      • Equisetum arvense L.이 Streptozotocin유발 당뇨성 쥐의 항당뇨작용에 미치는 영향

        이현자,김석환,손기호,최종원 慶星大學校 環境問題硏究所 1993 環境硏報 Vol.3 No.1

        The present study was undertaken in order to elucidate the effects of pretreatment with Equisetum arvense L.(EM) on change in serum lipid compositions and pancreatic enzymes induced by streptozotocin(STZ) in rats with pancreatic histopathology. 1. Total serum lipid and triglyceride levels in the STZ-induced diabetic rats were significantly higher than those in the control group, and those in the group pretreated with EM but the phopholipid serum level was not significantly different in any of the group. 2. In the STZ-induced diabetic group, the total serum cholesterol, VLDL-and LDL-cholesterol levels, and the atheroscerotic index were higher, while the HDL-cholesterol level was lower when compared to the control group. HOwever, these changes were slightly prevented by EM. 3. Pancreatic lipase and trypsin activities were increased, but amylase activity was decreased by STZ, and pretreatment with EM slightly prevented these STZ-induced changes, in the histological changes of the pancreatic β-cell. These results suggest that EM pretreatment slightly supresses STZ induced changes in the serum lipid compositions and pancreatic enzyme via maintenance of prevent of β-cell destruction by STZ.

      • 젓갈의 유래 및 영양학적 고찰 : Fermented Fish Products

        이성희,이현자,강근옥 안성산업대학교 1993 論文集 Vol.25 No.-

        The purpose of this study was investigated historical background, kind, character and nutritional value of Jeot-Kal(fermented fish product). The result were as folows:(1) Edible history of Jeot-Kal was dated from acient times. (2) 30 kinds of Jeot-Kal found according to types and part of fish used. (3) Jeot-Kal is considered as a excellent food which is rich in protein, vitamin, inorganic substance, nucleic acid etc. caused by resolution of raw material substances in nutrition.

      • 만성 간질환에 대한 DDB(Biphenyl Dimethyl Dicaboxylate)의 임상적 효과

        이헌영,임의혁,김성걸,김진희,육은주,성자원,김병호,정형용,강대영,김영건 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

        To investigate the effects of short-term administration of DDB(Biphenyl Dimethyl Dicarboxylate) for decreasing elevated serum aminotransferase levels in chronic liver diseases, authors applied 3 capsules of DDB per day at each meal time for 35 patients and compared with 35 patients treated with other conservative management. The following results were obtained. 1. Serum alanine aminotransferase (ALT) levels significantly decreased from 247.1± 180.0 IU/L of pretreatment level to 96.6±126.0 IU/L, 61.1±62.7 IU/L and 38.0±26.8 IU/L after 1, 3 and 6 months of treatment(p<0.05) and effective rates were observed in 60.0%, 71.4% and 88.6% of patients after 1, 3 and 6 months of treatment. 2. Serum aspartate aminotransferase (AST) levels decreased also significantly from 167.8±96.9 IU/L of pretreatment levels to 124.4±155.0 IU/L, 77.9±49.6 IU/L, 60.6± 46.9 IU/L after 1, 3 and 6 months of treatment(p<0.05), but decreasing pattern of serum AST was less significant than that of serum ALT. 3. No significant difference were observed in the serum ALT and AST changes according to the cause and duration of hepatitis. 4. No significant adverse effects were observed in whole patients treated with DDB. It is suggested that small dose administration of DDB is effective for decreasing serum aminotrans ferase levels in chronic liver disease in which other conservative management was not effective.

      • 안성군 농촌지역의 취학전 어린이 영양에 관한 연구 : 제2보 : 이유실태조사 Dietary survey of weaning practices

        이성희,이현자,강근옥 안성산업대학교 1995 論文集 Vol.27 No.-

        The purpose of this study was find out weaning practices for pre-school children in Ansung. This survey was performed by interview and questionnaire with 261 mothers, May.22 to June.19 of 1995. Following's are the conclusions of this survey: 1) The condition and health and sleep of infants were rather satisfactory. 2) only 52,5% of the subjects included began to be fed supplementary food before the age of 6 months. 3) As for methods of stopping breast feeding, 54.1% of the subjects were naturally terminated while 27.2% were forced to terminate by the application of sticking plaster of midicins to the mother's nipples 4) The reason that prevent them from weaning weaning was 48.3% of the dislikeness of their infants, 18.0% of the abonunance of breast milk, 15.0% of the having no time for it. 5) The motives for weaning were various such as; 77.6% of the breast milk no longer covers all nutriontal demand of the baby. 12.6% of the pregnancy during lactation. 5.8% of the insuffient secretion of breast milk to feed infants. 6) foodstuffs used in weaning is fruit juice (72.2%), beef(65.9%), egg(62.3%), rice gruel(61.1%), fish(59.8%), potato etc. 7) Most of the infants like fruit and fruit juice (22.2%), milk(18.6%), egg(16.4%), bread(14.6%), fish(12.3%), beef(10.5%), potato(5.6%) etc. 8) Most of the infants dislike hot taste (59.3%), carrot and vegetable, bean(23.7%) etc. If we review this survey, we could see that the mothers have little nutrition knowledgel of infants, nevertheles they were highly educated in this survey. The need of nutrition education is emphasized once more, because the difference is notable in the untrition management of infants according to their mother's education rank. Tht purchase in low price is needed urgently by mass production of adequate weaning foods.

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