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姜希京 제주한라대학 1991 論文集 Vol.15 No.-
Hopefulness is believed to be a significant element in the human responses to illness and health, but its clinical impact has not been documented due to conceptual and operational difficulties. This article describes a definition of hopefulness (hope) that generalized from researches of Karin and Benita The phenomenon of hope has been described according to spheres and dimensions. The spheres of generalized hope and particularized hope are related but distinct. The six dimensions of hope are affective, cognitive, behavioral, affiliative, temporal and contextual. Each dimension is depicted by a set of components that structure the experience of hope. This definition serve as a theoretical model for understanding the complex nature of hope. It provide a perspective for assessing hope and for therapeutically influencing hope in persons during the illness process and in their families. Analysis of case situations suggests hope is a multidimensional, dynamic life force rather then trait-oriented and unidimensional. Therefore, there is always hope. And the nurse's role is vital to recognizing hopelessness and instilling hope. Nurses must become aware of the power of hope as well as hopelessness. And, although after the investment you may reap a painful harvest, there is value and growth and good in the process. It's sowing the seeds of hope.
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간호진단과 컴퓨터 : 간호교육의 중심 테마 The Central Theme in Nursing Education
강희경 제주한라대학 1993 論文集 Vol.17 No.-
In this article, nursing diagnosis and computer assumed as the central theme in nursing education were reviewed. These are buildings as skills of survivals for nursing within other disciplines and guides for the domain of nursing within health care system. First, the view is taken that nursing diagnoses provide a way of conceptualizing the domain of nursing and a focus for theory development. Nursing diagnosis appear to be catching the attention of many in the nursing arenas of practice, administration, research, and education. Second, history and future of the computer in nursing education were reviewed. Nursing educators are beginning to realize that computer literacy has become a survival skill for the profession. They suggest the openness and awareness for future technologic possibilities. Also, the evolution of formal coursework in computer literacy has moved from learning "about the computer" to learning "with the computer". Today the use of the computer is expanding geometrically as microcomputers become common. Graduate students and faculty use them for literature searchs and data analysis. Undergraduates are routinely using computer-assisted instruction. Coursework in computer technology is fast becoming a given for nursing students and computer competency a requisite for faculty. Therefore, computer literacy becomes a necessity "for Heaven and the future's sake". Finally, the computer strategies for teaching nursing diagnosis were introduced. Computer techniques such as EXTEND (EXperT System for Education in Nursing Diagnosis) and ART (Adaptive Resonance Theory)-2 Neural Network et al. can provide new avenues for students and educators in nursing.
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姜希京 제주한라대학 1989 論文集 Vol.13 No.-
This article address the contributions of V. Henderson to the metaparadigm of Nrg. V. Henderson presented her definition of the nature of Nrg. in an era when Nrg, was beginning to see the manifestations of the advanced education offered by Columbia Teacher's College. Although her task was not unlike that of the prophet, V. Henderson's definition of Nrg. may not be strictly interpreted as theory and that it fits a preparadigm state of theory development : there is little agreement on reliant facts, and supporting data are close to common, every-day-type observations. But, her preparadigm works present perspectives for Nrg. This is attractive because of its closeness to the Nr.-Pt. relationship. This article reflects on selected works by V. Henderson. The focus is not one of critical analysis, but one of journey. Used as guideposts through the journey are Nrg.'s metaparadigm : Person, Health, Nrg., & Environment. The obtains through this journey are summarized as follows : 1. It may appear true that Henderson's idea of person is primarily biologically oriented because of the emphasis she places on the wisdom of her physiological studies. But Henderson is holistic in her view of individuals. She de-scribes that emotions are linked to physical wellbeing and that mind and body are inseparable. 2. Independence is a key concept in Henderson's view of health, wholeness, corn-pleteness, & independence are the elements of health. Independence, or health is measured by the person's ability to perform, unaided, 14 basic functions. 3. Nrg. does not occur apart from the pt., nor can it be defined apart from the Pt., Henderson presents Nrg. as a systemic process involving analytical thinking & evaluation around pt. needs. In 「The Nature of Nursing」, Henderson describes health care & the role of various providers in the form .of a pie chart. The pie concept places nrg. in a dynamic health field along with other care providers ( eg, clergy, physicians, social worker, and pt. families). It offers no reference to dominance or superiority, and reflects that services & providers are determined by pt. needs. 4. Though she never expands the concept of environment, she provides insight into what happens to the person when removed from his normal day for placement in the hospital. She became an advocate of humanistic care, which has its early roots in what she believed was a very inhumane autocratic hospital environment. She advocates a nursing curriculum with strong physical, biological, and psychosocial sciences, with a humanistic approach to the study of clinical nrg. V. Henderson undertook an enormous task. We could not be very wrong by taking her words to heart. She lays a foundation for broad, academic-based Nrg. education, realizes our responsibility for analytical thinking & research, and carves out a unique contribution of nrg. to society. I conclude this journey with words adapted from Henderson's mentor. "Finally and fundamentally the quality of Nrg. care depends upon the quality of those giving care."
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갑상선 유두상 암종과 유두상 증식에 대한 S-100 단백 및 EMA 발현에 대한 연구
강대영,김경희,최정목,송규상,강동욱 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2
The diagnosis of papillary carcinoma of the thyroid is readily achieved based on a defined aggregate of histopathologic features. A papillary architecture is an imporant but not pivotal component of the diagnosis. The classic nuclear features are the essential diagnostic element. However, both papillary architecture and nuclear features may be encountered in other conditions and produce problems in histopahologic interpretation. A papillary architecture may be found within a follicular or an oncocytic neoplasm of within the nodules of hyperplastic nodular goiter. Moreover, there may be scattered cells within several thyroid lesions that display some of the nuclear characteristics of papillary carcinoma. The distinction of these lesions from papillary carcinoma is important for differential diagnosis. Thus, the availability of supportive diagnosic evidence would be helpful. Immunoreactivity for S-100 and epithelial membrace antigen was investigated in 16 papillary thyroid carcinomas(PTC), including three examples of the follicular variant, 16 cases of papillary hyperplasis, 8 follicular adenomas, and 6 follicular carcinomas. The degree of reaction was rated on a four point scale: +++, most cells(>51%) have positive staining; ++, 11-50% of cells have positive staining; +, less than 10% of cells have positive staining; -, no positive staining is present. The results are summarized as follows: 1) All the papillary carcinomas showed intense nuclear and cytoplasmic expression of S-100 (+++; 7 cases, ++; 9 cases), and EMA was expressed(++; 7 cases, ++; 6 cases, +; 3 cases). 2) In the cases of papillary hperplasia, papillary foci were generally negative for S-100 and EMA(12/16 ; -). In some areas, they were focal, of weak intensity, and showed preferential apical cytoplasmic location of oncocytic change. 3) Four of eight follicular adenomas expressed S-100(++;2 cases, +; 2 cases), whereas four were completely negative. EMA was also expressed(++; 2 cases, +; 3 cases). 4) Follicular carcinoma showed variable expression of S100 and EMA Five of six follicular carcinomas expressed S-100(++; 2 cases, +; 3 cases), whereas one was negative. EMA was also expressed(++; 2 cases, +; 1 case). In conclusion, in the distinction of papilary carcinoma from papillary hyperplasia, we would recommend an initial histological appraisal, with immunohistochemical staining of S100 and EMA in difficult cases.
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학령기 자녀를 둔 빈곤가족의 스트레스 -일 지역 빈곤가족의 실태와 경험을 중심으로-
강희경,Kang Hee Kyeung 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.2
In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.
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′아동건강관리 프로그램′ 모형개발을 위한 연구 - 북제주군 모자보건선도보건사업을 중심으로 -
강희경,Kang Hee Kyeung 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.1
The aim of the study is to analyze and evaluate the Child Health Management Service that was promoted as a part of Mother-Child Health Guidance Project by the Public Health Center of BukCheju-gun in 1999, to reflect the problems needed to be improved, and, thus, to present the integral program model for the Child Health Management Service that guides childhood health, regarded as the foundation of that of the adulthood period, to the optimum level. The common results of the evaluation of the Child Health Management Service of BukCheju-gun public health center are as below: 1. In the aspect of public information, the existing simple material and method of public information was not effective. 2. The opportunities for the necessary training and education to develop the persons concerned and their ability for the Child Health Management were not enough.3. The environment under which the service, aimed to promote Child's health, was carried out was not clearly divided from that of the services related with the prevention and treatment of disease. And the service environment for the child health was threatening to the clients.4. Still, the actual result was pursued more than the quality management, while carrying out the project. With the reflection of the above result, the research has presented the program model of Child Health Management Program for the next. The main concept of the model is, through the establishment of the network for information offerings and effective convergence of a variety of opinions for the community around the Public Health Center and for the correct evaluation of the project and the reflection of the result from it, to achieve the ultimate goal of the optimal growth and development of the childhood by expanding the support necessary for carrying out Child Health Management Program more effectively.
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