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

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

맞벌이 가정의 가족스트레스에 관한 연구

李賢鈺,金良喜,李慶姬,洪秉淑 中央大學校 家庭文化硏究所 1989 가정문화논총 Vol.3 No.-

The purpose of this study was to understand the contents of family stresses among dual earners in urban area. Selected research objectives included the coping behaviors, adoptation methods, and the effects of family resources with family stresses. For this purpose, 142 samples were selected and interviewed. It was found that there were close relationships among the family resources, coping behavior, adoptation methods and family stresses of dual earners. Different style of coping behavior and adoptation methods seemed to change the degree of family stress, and the family resources were the most important factor that influenced the family stresses of dual easners.

장애인과 비장애인 운동군의 심폐기능 비교 연구

김경숙,최원현 韓國體育大學校 1998 論文集 Vol.21 No.-

The purpose of this study heed in investigating the characteristics by comparing the cardiovascular function of disabled and normal exercising group. I used Isokinetic Upper body Ergometer compared and analyzed the value by measuring items for in time of stability and right after maximum exercise and for during 5 minutes of convalescence. As the result, got the conclusions like following. 1) The change of heart rate showed no significance all in time of stability, in time of maximum exercise and in time of convalescence, the order of the mean value of maximum heart rate was the disabled weightlifters(190.43±10.80)>the normal weightlifters(186.84±4.56)>the normal bodybuilders(179.08±35.35). 2) The order of the mean value of ventilation in time of maximum exercise was the normal bodybuilders(103.08±22.60)>the normal weightlifters(99.05±15.70)> the disabled weightlifters(83.34±22.28). 3) The oxygen uptake showed significance(p<0.05) in time of stability, and in time of maximum exercise and showed significance(p<0.001) according to the passing of the time in convalescence. The order of the mean value of maximum oxygen uptake was the normal bodybuilders(2620.25±756.56)>the normal weightlifters(2524.00±384.18)>the disabled weightlifters(1861.50±420.37). 4) The Ventilation of carbon dioxide showed significance(p<0.01) all in time of stability, in time of maximum exercise and in time of convalescence. The order of the mean value of maximum ventilation of carbon dioxide was the normal bodybuilders(3173.13±775.66)>the normal weightlifters(2762.00±387.71)>the disabled weightlifters(2148.88±503.61). 5) The change of the rate of gas exchange showed that the measured value after 2 minutes after convalescence was larger than the maximum value during exercise and that after 3 minutes after convalescence, in all of three groups, the value went down. The predominant order of the mean of the rate of maximum gas exchange was the disabled weightlifters(1.58±0.20)>the normal bodybuilders(1.50±0.11)>the normal weightlifters(1.24±0.04). 6) The change of oxygen uptake per weight showed significance(p<0.05) in time of stability and in time of maximum exercise. and also in time of convalescence, maintained the same significance with in time of maximum exercise. The order of the mean value of maximum oxygen uptake per weight was the normal weihgtlifters(38.72±3067)>the normal bodybuilders(32.21±8.58)>the disabled weightlifters(29.12±5.34). 7) The change of oxygen pulse showed significance in time of stability and in time of convalescence. The order of the mean value of maximum oxygen pulse was the normal bodybuilders(18.98±14.19)>the normal weihgtlifters(13.95±1.44)>the disabled weightlifters(10.34±2.11). Generalizing the conclusions by measuting items of cardiovascular function,① all of three groups showed the characteristics of cardiovascular function as anaerobic exercising group ② only the difference by measuring item showed according to the age difference of disabled weihgtlifters and normal weihgtlifters. It was made clear that there is no difference in the ability of cardiovascular function between the disabled exercising group and the normal one.

고려수지요법을 이용한 손 마사지가 항암 화학요법을 받는 암 환자의 오심·구토 및 식욕부진에 미치는 효과

이현숙,성기월,손보경,김지선,이혜정,이순영 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The purpose of this study was to examine the effect of hand massage through Korean hand acupuncture therapy on nausea, vomiting and anorexia induced by chemotherapy in cancer patients. Method: Subjects consisted of 40 patients with cancer who were hospitalized and had chemotherapy at D university hospital in D city, Korea. These subject were assigned randomly to a hand massage throght Korean Hand Acupuncture Therapy (experimental group: n=20, control group: n=20). The data were collected from April 1 to September 15 in 2005. All the patients were assessed for their nausea, womiting and anorexia; Nausea and vomiting were measured with Rhodes INVR(index of Nausea, Vomiting by Rhodes and McDaniel) and Anorexia was measured with VAS(Visual Analogue Scale). As an experimental treatment, the hand massage through Korean Hand Acupuncture Therapy was applied three times a day for three consecutive days. The data were collected at the time of 4 hours before the start of chemotherapy, 24hours and 48hours after hand massage respectively. The data were analyzed with SPSS/WIN 11.5 program using frequency, percentage, χ²-test, t-test, repeated Measures ANOVA. Reslt: Severity of nausea and vomiting in hand massage through Korean Hand Acupuncture Therapy group was significantly less than of control group(F=28.10, P=.000). Severity of anorexia in hand massage through Korean Hand Acupuncture Therapy group was also significantly less than that of control group(F=31.24, P=.000). Conclusion: Hand massage through Korean Hand Acupuncture Therapy is effective for relieving patients' nausea, vomiting and anorexia during chemotherapy. Therefore, it is proposed that hand massage through Korean Hand Acupuncture Therapy can be applied as a supportive as a supportive nursing arbitration method to relieve naussa, vomiting and anorexia in patients who are getting chemotherapy.

유아교사 양성교육에 있어서 아동발달 지식

김현경,이정숙 기전여자대학 2001 論文集 Vol.21 No.-

The prevailing view of the teachers as a passive transmitter of knowledge does n, accord with of what the teaching act requires. The purpose of this study is to explore the question concerning the contents an applications of child development knowledge. Questions include; what child development knowledge should be learned? How the teaching strategies for child development knowledge should be used in teacher education? How to apply theory to practice? The implications of answers to these questions are also discussed.

관상정맥동과의 연결이 없는 좌상대정맥의 CT 소견 : 1예 보고 case report

백상현,박재성,이혜경,홍현숙,김대호,조준희,박성진,차장규 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

A persistent left superior vena cava (PLSVC) is the most common thoracic venous anomaly. It is a persistent remnant of a vessel that is present as a counterpart of normal right-sided superior vena cava(SVC) in early embryological development but normally disappears later. Its diagnosis can be confirmed by many noninvasive and invasive tests, or it is incidentally diagnosed at insertion into the left subclavian or jugular vein or thoracic surgery. If it is not associated with other congenital cardiac anomalies, it is usually asymptomatic and hemodynamically insignificant. We describe the chest radiograph and CT findings of bilateral SVC with drainage to left superior intercostal vein, hemiazygos, azygos vein and right SVC, and no connection of coronary sinus.

Effects of Conomitant Micro-organisms in a Culture Medium of Entamoeba histolyica on the Establishment of Abscesses in Hamster Livers

김경래,박 현,정윤자,김숙향,소진탁 INSTITUTE OF TROPICAL MEDICINE YONSEI UNIVERSITY 1991 YONSEI REPORTS ON TROPICAL MEDICINE Vol.22 No.1

통상적인 이질아메바 배지내에는 분변에서 유래된 각종 세균 특히 장내세균등이 배지에 첨가한 항균제에 의하여 차츰 감소되기는 하나 대부분의 경우 몇 가지 종류는 그대로 남아 있어 특수한 무균처치(axenization)를 하지 않을 경우 거의 영구적인 공존 미생물(concomitant micro-organism)로서 이질아메바 배지에서 없어지지 않는다. 본 연구는 현재 실험실에서 계대 보관중인 10개 이질아메바를 대상으로 그 배지 modified Boeck-Drbohlab's diphasic medium으로부터 6가지 공존 세균을 분리하였다. 즉 Escherichia coli, Klebsiella pneumoniae, Acinetobacter sp., Aeromonas hydrophilus, unidentified gram negative Diplococcus, glucose-gas negative but not Salmonella등 6개 종류를 검출하였는데 그중 E. coli 및 D. pneumoniae와 또 TTY-SB monophasic 배지내의 이질아메바 공존 원충인 Crithidia sp.를 재료로 하여 그들이 이질아메바의 간농양 형성에 미치는 영향을 실험적으로 검토한 바 그 얻어진 성적을 요약하면 다음과 같다. 1) Escherichia coli는 간조직내에서 약 1개월 또는 그 이상 생존 가능하다 단독으로는 병변을 야기할 수 없었고 이질아메바와 공존시 아메바성 간농양 형성을 조장하였다. 2) K. pneumoniae는 단독으로는 간조직에 농양을 형성하지 않았으나 아메바성 간농양 형성은 조장하였다. 3) Crithidia sp.는 간조직에서 병변을 야기하지 않았고 6시간 이내에 소실되나 이질아메바와 섞여 간조직에 주입할 경우 아메바성 농양 형성을 조장하였다. 4) 무균적으로 배양된 이질아메바는 간조직에 주입하여도 농양형성을 볼 수 없었으나 배지에 Escherichia coli를 혼합한뒤 6시간 경과된 아메바성 간농양 형성이 가능하였다. 이상의 성적으로 미루어 이질아메바 배지내 공존 세균과 무균배지내 이질아메바는 각각 단독으로는 간농양을 형성할 수 없으나 특수미생물과 이질아메바가 일정한 시간 공존하면 세균이 이질아메바의 병원성을 조장하여 아메바성 간농양이 더 촉진되는 것으로 생각된다.

소규모사업장 보건관리기술지원사업 지원여부에 따른 사업장내 의사소통 비교

정최경희,박혜숙,김정연,이경용,현성민,오지영,김수근,김현주,하은희 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

목적: 소규모사업장 보건관리기술지원사업 지원여부에 따라 사업장내 위험의사소통채널이 마련되었는지와 이 채널이 기능을 하는지, 그리고 의사소통채널마련과 사업장내 위험의사소통 활성화의 기본적이고 중요한 배경이 되는 사업주의 산업보건에 대한 관심이 차이가 있는지에 대해 살펴보고자 하였다. 방법: 서울, 안산, 대전, 광주, 포항 지역에서 보건관리기술지원사업을 받은 사업장과 받지 않은 사업장을 대상으로 비례층화무작위표본추출법을 사용하여 추출한 후 1991년 12월 6일부터 10일간 우편설문조사를 실시하였다. 설문대상은 각 사업장의 남녀 각 1명, 보건업무담당자, 사업주였으며, 설문내용은 사업장 및 응답자의 일반적 특성 및 사업장내 위험의사소통이었다. 설문에 응답이 온 463개 사업장의 자료를 자료처리하여 총 228개 사업장(단해년도지원 사업장 189개, 연속2년지원 사업장 13개, 비지원사업장 26개)을 대상으로 분석하였다. 결과: 사업장내 의사소통에 대한 단변량분석에서는 보건업무 담당자의 선정여부만이 통계적으로 유의한 차이가 있었다. 소규모사업장 보건관리기술지원사업을 지원받지 않은 사업장과 지원받은 사업장의 사업장내 위험의사소통을 비교하기 위한 로지스틱회귀분석 결과, 모든 항목에서 통계적으로는 유의한 차이를 보여주지 않았다. 그러나 사업주의 관심(OR ; 1.63, 95% CI ; 0.38~7.01)과 보건업무담당자의 선정(OR ; 3.67, 95% CI ; 1.00~13.44) 및 결정권한(OR ; 1.48, 95% CI ; 0.25~8.91), 사업주의 산업보건문제 소통(OR ; 3.07, 95% CI ; 0.81~11.71), 보건업무담당자의 정보요청경험(OR; 4.48, 95% CI ; 0.97~20.57)에서는 지원받지 않은 사업장에 비해 지원받은 사업장에서 교차비가 증가하는 양상을 보여주었다. 반면 노동자의 산업보건문제 소통가능성여부는 오히려 교차비가 0.53(95% CI ; 0.11~2.44)로 감소하는 경향을 보여주었다. 결론: 소규모사업장 보건관리기술지원사업을 의사소통의 측면에서 평가해보면, 사업주나 보건업무담당자에게는 다소 효과가 있었지만 노동자가 지속적으로 참여할 수 있도록 의사소통문화를 바꾸어내는 데에는 한계가 있었다. 개선을 위해서는 노동자 중심의 접근 프로그램의 개발 및 시행이 시급하다 할 수 있다. Objectives :This study was to evaluate the effectiveness of the government-funded subsidized occupational health program for small-scale enterprises(GSOHP_SSE) by occupational health com-munication in workplace. Methods : We sampled the 1,835 enterprises of study by proportional stratified random sampling among industries of supported and not supported by GSOHP_SSE in Seoul, Ansan, Daejeon, Kwang-joo and Pohang. Information on the general characteristics of enterprises and respondants and occupational health communication in the workplace was collected on self-reported questionnaires by post-survey between December 6 and 15 in 2001. We received answers from 463 enterprises and analyzed 228 enterprises through data-cleaning by logistic regression to evaluate effectiveness of GSOHP-SSE about occupational health communication in the workplace. Results : By multiple logistic regression analysis, GSOHP_SSE turned out not to be statistically significant factor in all dependent variables about occupational health communication in the work-place. The concern of owner(odds ratio (below OR) ; 1.63, 95% confidence interval(below 95% CI) ; 0.38-7.01), formation(OR ; 3.67, 95% CI ; 1.00-13.44) and empowerment(OR ; 1.48, 95% CI ; 0.25-8.91) of health manager, request about occupational health problem of health manager(OR ;4.48, 95% CI ; 0.97-20.57) and occupational health communication of owner (OR ; 3.07, 95% CI ; 0.81-11.71) had the trend increasing OR in the industries supported GS-OHP_SSE relative to the industries not supported. But in recognition of possibility on occupational health communication of laborers, OR of GSOHP_SSE was decreased in 0.53(95% CI ; 0.11-2.44). Conclusions: This study found that the GSOHP_SSE was some effective to the side of employer and health manager, but had a limitation about change of communication culture useful to the laborers. We suggested the laborer-centered health training programs or the empowerment-based health training programs for effective occupational health management in the workplace.

상징놀이와 인지발달의 관계에 대한 Piaget와 Vygotsky의 관점 비교 : A Piagetian Framework Vs A Vygotskyian Framework

김현경,이정숙 기전여자대학 2000 論文集 Vol.20 No.-

This article suggests new directions for application of symbolic play and cognitive development based on Piaget's paradigm and Vygotsky's paradigm. Children's symbolic play has focused on the way early childhood curriculum formation process differently as historical and philosophical background. This study emphasize the meaning of relationships between symbolic play and cognitive development. Piaget's framework and Vygotsky's framework are multual negotiation and collaboration. Central to the role of teachers is conceiving of Piagetian framework and Vygotskyian framework about cognitive development. And then they have to do various intervention as a scaffolder.