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      • KCI등재

        신규간호사와 프리셉터가 인지하는 프리셉터의 교수효율성 비교

        김지양,김영선,김춘실,박현숙,신미영,윤연숙,조유숙,박미미,유문숙 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.2

        Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception (4.07±.44) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors (3.57±.37). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

      • 일부 大學敎授와 敎職員의 心血關係疾患 危險要因 및 健康行態에 關한 硏究

        윤의성,천병철,박미숙,김순덕,염용태 고려대학교 의과대학 1997 고려대 의대 잡지 Vol.34 No.3

        We reviewed the health screening record(1996) of a university to compare cardiovascular risk factors and major health behavior of teaching staffs with those of other staffs. The reviewed cardiovascular risk factors were body mass index (BMI), blood pressure (BP), total cholesterol (TCH) and fasting blood sugar (FBS). Smoking, drinking, exercise and diet habits were cheked as major risk factors. We defined the obesty (BMI>25), hypertension (systolic BP 140 or diastolic BP 90 mmHg), hypercholesterolemia (TCH 230mg/dl), and hyperglucosemia (FBS 110mg/dl) , drinking group (alcohol intake 3-4 times a week and over 1 bottle of soju a time), smoking group (smoking over 10 cigarettes a day), non-exercising group(do excercise below 3-4 times a week, and below 30 min a times), unbalanced diet group(do favor salty and spicy food or do favor flesh food). The 1,341(81.7%) of 1,640 staffs were screened in 1996, the teaching staffs were 614(69.3% of 886 teaching staffs) and other staffs (mainly clerks and administrators) were 737(97.7% of 754). 41 (6.7%) of teaching staffs were female and 166(22.4%) of the other staffs were. Among the teaching staffs, there were no below age 30 but 11.5% of them were over 60; in case of the other staffs 11.3% and 2.0% were in each age group. We divided the teaching staffs into medical staffs and non-medical staffs and compare the risk factors of each group. The total number of screened medical staffs were 92(36.2%) of 254, and non-medical staffs were 522 (82.6%) of 632. The results were follows; 1) The frequency of hypertension of each group were significantly different (7.2% in teaching staff, 11.8% in other staffs) after adjusting sex, age, smoking, drinking, exercise, and diet habits by multiple logistic regression (p<0.001). Hyperglucosemia were founded 10.5% and 12.4% in each staffs and the difference were significant after adjusting age, sex and health habits(p=0.005). Teaching staffs had more hypercholesterolemic persons than other staffs(24.3%, 16.3% in each staffs, p=0.019). Obesity frequency was not significantly different. 2) The number of drinking group were 114(18.6%), 208(28.3%) in each staffs, and this difference were significantly different (CMH=38.295, p=0.001). The number of smoker were 140(22.8%) and 274(37.2%) (CMH=58.109, p=0.001). The frequency of non-exercising group and the frequency of unbalanced diet group were not significantly different. 3) The frequency of obesity were 39.1% and 30.9% in each medical and non-medical staffs (CMH=4.414, p=0.036), but this difference remains non-significant after adjusting by the health habits. The frequency of hyperglucosemia of medical staffs (17.4%) were significantly higher than non-medical staffs (9.2%) after adjusting age, sex and the health habits (p=0.0005). Other risk factors were not significantly different. 4) Medical staffs had more smoker(29.4%) than non-medical staffs(21.5%) (CMH=6.401, p=0.011) and more non-exercising persons (27.2%) then non-medical staffs(11.1%) (CMH=12.446, p=0.001). Other health behaviors are not significantly different.

      • KCI등재
      • 유방에서 기원된 전이성 췌장암종 1예 : A case report

        김윤신,이미숙,장원재,임성철,기근홍,전호종,서재홍 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2

        Pancreas is known for the unfavorable soil to the metastatic carcinoma, and pancreatic metastasis is achieved after systemic dissemination was developed. The primary tumors of metastatic pancreatic carcinoma are breast, lung, Iymphoma, malignant melanoma, leukemia, stomach. and colon. The breast carcinoma is the commonest tumor to metastasize to pancreas and both tumors are related to estrogen receptor for tumor growth. In the present case, tumor cells had small round nucleus and showed indian file infltrating pattern and lack of cohesion, which are seen in infiltrative breast carcinoma. The patient was underwent radical mastectomy due to infiltrative ductal carcinoma three years ago. And also the tumor cells showed nuclear reactivity to immunostaining for estrogen receptor In combination of the histopathologic. immunohistochemical, and her past history, we concluded that breast carcinoma was metastasized to pancreas, and we report a case of metastatic pancreatic carcinoma from breast with review of literatures.

      • 60稅 以上 老人의 日常生活關聯 運動機能의 評價 : 운동을 장기간 동안 습관화하는 노인을 중심으로 하여

        이미숙,박기현,김연자 韓國體育大學校 1999 論文集 Vol.22 No.-

        The purpose of present study was to investigate characteristics of functional fitness reflecting daily living in Korean active elderly. Eighty nine older people in habitually playing Badminton (age range 60 to 82 years) and physically active volunteered for this study. The functional fitness items represent body composition (ponderal index), cardiovascular endurance (800 m walk), flexibility (sit and reach), muscular strength/endurance (arm curl), coordination (soda pop), and dynamic balance/agility (agility course). To ensure measurement consistency, the same tester conducted the same measurements. The testing apparatuses were calibrated prior to all testing sessions. The results of physical characteristics and functional fitness test are expressed as mean values standard deviations. Each 6 functional fitness tasks representing activity of daily living had to demonstrate a significant correlation with age in our preliminary analyses. In order to reduce the 6 items to a single score, the correlation matrix for the 6 items was subjected to principal component analysis. The main idea of this analysis is to reduce the dimensionality of a data set, which consists of a large number of interrelated variables, while retaining as much as possible the variation present in the data set. The first principal component was used as the best single descriptor of total daily living-related physical fitness tasks. The first principal component scores were computed for each subject. In summary, data for this was considered useful in assessing functional fitness of daily living in the elderly people.

      • KCI등재후보

        간호사가 지각한 수간호사의 리더십과 조직유효성에 관한 연구

        김복미,이윤미,윤숙희,최은옥 대한간호행정학회 2007 간호행정학회지 Vol.13 No.3

        Purpose: This descriptive study was designed to find out the relation between nurses' perceptions of leadership and organizational effectiveness. Method: The data was collected from nurses in 451, a tertiary hospital located in B city by means of structured questionnaires. The data was analysed by t-test. ANOVA, Pearson correlation coefficient. Results: The average age of the subjects was 29.1. Regarding the marital status, 68.1% were single. Regarding the nursing unit, 42.6% were working for the general surgical wards. The total period of clinical career was on average 73.7 months. Regarding the period in current ward, 51.0% were 1-less than 3 years. There was a positive correlation with transformational leadership, transactional leadership, job satisfaction, and organizational commitment, whereas the turnover intention had a negative correlation with transformational leadership and transactional leadership. Conclusion: The nurses' different perceptions of transformational leadership, transactional leadership, and organizational effectiveness have strong correlative relationships with each other. This finding suggests the importance of the head nurse's leadership in increasing organizational effectiveness.

      • KCI등재후보

        서울지역 일부 과체중 및 적절체중 학령기 아동의 신체계측, 체지방률, 혈액지표 및 영양소 섭취 상태의 비교 분석 연구

        이정숙,이정윤,임현정,조미란,차성호,조여원 대한영양사협회 2003 대한영양사협회 학술지 Vol.9 No.4

        This study was carried out to compare the characteristics of the over weight elementary school students with those of desirable-weight children. Anthropometric parameters such as height, weight, BMI body fat percentile, triceps skin fold thickness were measured. Dietary assessment and blood analysis were performed. The average ages of over weight children and desirable-weight children were 10.9f2.5 and 10.2±2.8 years, respectively. The means body fat percentile of over weight children and desirable-weight children were 27.5±3.7% and 20.2± 3.8%. respectively. Plasma levels of TG. total cholesterol, LDL cholesterol, and HDL cholesterol of over weight children and desirable-weight children were 179.3±30.0. 104.9f26.6, 52.3f6.7 and 178.3±84.l㎎/dl and those of desirable-weight children were 86.1±43.5, 183.7f16.5, 101.0f2.1 and 67.7±20.0㎎/dl respectively. Plasma TG levels of over weight children were significantly higher than those of desirable weight chddren. On the other hand plasma HDL-cholesterol levels of over weight children were significantly lower than those of desirable-weight children Plasma levels of GOT ,and GPT were in normal range in both group. However, GPT level of over weight children was &her than that of desirable weight children. Plasma levels of albumin, globulin and BUN were all in normal range and no differences were found in both groups. Hematologic data did not show any difference between two group except WBC, KBC and Hgb levels which were significantly higher in over weight group than those of desirable-weight children. DAY nutrients intake of over weight children and desirable-weight children were very similar and they were around the Korean KDA levels for each nutrients. However, the intake of calcium of both groups were little over 50% of KDA. The consumption of d e b fiber was very low and the cholesterol intake was very high shorn that the habitual meals of Korean school children were not well balanced.

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