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      • Making a Difference with Qualitative Inquiry

        Sally Thorne 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.1

        Since nurses first began taking up qualitative research methods as a way of engaging with certain forms of knowledge relevant to their practice, they have struggled with how to follow methodological guidelines originally developed for the purpose of social science theorizing while simultaneously producing knowledge that will have relevance demonstrable relevance for the work of the discipline. Over time, the qualitative methodology conversation has become increasingly intertwined with the philosophical debates within nursing thought, including the relationship between knowledge of the general and that which pertains to the particular, the standardizing forces of an evidence-based care agenda, the nature of nursing’s distinctive epistemological position on matters of health and health care, and the moral implications of a social justice mandate. In this presentation, I describe newer options available to our profession in the form of qualitative research design options that offer the “look and feel” of a legitimate nursing inquiry process. These newer applied approaches allow us to integrate our disciplinary intelligence and insight into the kinds of research questions we generate, guide us to determine study samples and data construction approaches that reflect the nature and diversity of the phenomena we wish to study, allow for critical, cross comparative, and deep interpretive analysis at a level reflective of a solid grounding in the body of knowledge available to the discipline, and steer us toward articulating findings of a nature that can “speak” to the intended audience with disciplinary relevance and epistemological authority. In keeping with the nursing discipline’s deep commitment to knowledge that is “of use” to the profession, knowledge translation is therefore integrated into study design from the outset, such that the user community becomes an inherent stakeholder in the interpretive engagement of ideas throughout the entire process. Qualitative research designed to align with the logic of the nursing discipline lends itself to a wide range of study forms, from the largescale formal inquiries that can enter such dimensions as patient perspective and human subjectivity into the evidence dialogue within a field to the smaller practice based kinds of studies in which teams of nurses build sensitivity, understanding and insight around the complexities of the clinical phenomena they encounter. As we continue to build our disciplinary sophistication around how we can know good qualitative research when we see it, and gain confidence in designing the kinds of qualitative studies that will be best suited to answering the questions our profession most urgently needs to ask, we will be well positioned to play a leadership role in the evolving evidence-based practice discourse, thereby ensuring that patient voices and the capacity to individualize care remain into the future a hallmark of what our nursing profession stands for.

      • Revisiting Universality: Recognizing the Core Ideas Underlying Nursing Care and Leadership Excellence

        Sally Thorne 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.1

        The idea of universality orients thought leaders in the nursing profession to consider the deeply held core values that nursing holds about people in general and those we serve. Nursing has a long history of leadership in matters of social justice, focusing on equity issues within society and ensuring to the extent we are able that the conditions exist for optimizing respect and dignity, even among society’s most vulnerable and marginalized populations. As the complexity and challenge of health care system development increases, our profession is further challenged by such imperatives as evidence-based practice, which brings with it a standardizing agenda that can compromise our capacity to serve those members of our society whose health needs depart from the norm, or who encounter complex biomedical and socioeconomic conditions. In this presentation, I consider some of the dominant threads throughout our profession’s history that have characterized what one might consider a universal nursing ethos. Despite quite differing cultural, regulatory, and political influences upon nursing practice across our various nations, a coherent ideational structure has allowed nursing to flourish and evolve, to adapt to the complexities of our changing conditions and systems, without losing sight of those core values. I conclude the presentation with reflections on how nursing organizations working in international collaboration together can powerfully contribute to the collective force that our profession represents in the direction of a more just, humane, and healthy society.

      • KCI등재

        Direct Moxibustion to Treat Spleen Qi and Yang Deficiency Fatigue: A Pilot Study

        Tracy L. Thorne,Doug A. Hanes,Heather Wild,Agatha Colbert 사단법인약침학회 2014 Journal of Acupuncture & Meridian Studies Vol.7 No.2

        Limited research suggests that indirect moxibustion may be beneficial for treating fa- tigue, but no studies to evaluate direct moxibustion have been conducted in the United States. Thus, we explored the usefulness of four outcome measures for evaluating the effectiveness of direct moxibustion for patients with spleen qi and yang deficiency fa- tigue (SQYDF). Eleven female volunteers, ages 25e60 years, were enrolled. Three to five rice grains in thread-sized moxa cones were burned on 11 acupuncture points once per week for 8 weeks. Eight participants completed the study. The most common adverse events (AEs) were temporary worsening of fatigue, lightheadedness, and headache. Symptomatic improvement was seen on the SF-36 energy/fatigue scale (p Z 0.003), SF-36 social function scale (p Z 0.008) and Flinders fatigue scale (p = 0.014). The skin conductance at acupoints showed no consistent diagnostic baseline meridian patterns. Heart rate variability data showed an improved low frequency/high frequency (LF/HF) ra- tio in three of four participants. Direct moxibustion is safe in patients with SQYDF. The Flinders Fatigue Scale (FFS) and the SF-36 are useful outcome measures for evaluating the effects of direct moxibustion, and the heart rate variability (HRV) may be, but the skin conductance did not correlate with SQYDF diagnosis or with symptomatic improvement. Limited research suggests that indirect moxibustion may be beneficial for treating fa- tigue, but no studies to evaluate direct moxibustion have been conducted in the United States. Thus, we explored the usefulness of four outcome measures for evaluating the effectiveness of direct moxibustion for patients with spleen qi and yang deficiency fa- tigue (SQYDF). Eleven female volunteers, ages 25e60 years, were enrolled. Three to five rice grains in thread-sized moxa cones were burned on 11 acupuncture points once per week for 8 weeks. Eight participants completed the study. The most common adverse events (AEs) were temporary worsening of fatigue, lightheadedness, and headache. Symptomatic improvement was seen on the SF-36 energy/fatigue scale (p Z 0.003), SF-36 social function scale (p Z 0.008) and Flinders fatigue scale (p= 0.014). The skin conductance at acupoints showed no consistent diagnostic baseline meridian patterns. Heart rate variability data showed an improved low frequency/high frequency (LF/HF) ra- tio in three of four participants. Direct moxibustion is safe in patients with SQYDF. The Flinders Fatigue Scale (FFS) and the SF-36 are useful outcome measures for evaluating the effects of direct moxibustion, and the heart rate variability (HRV) may be, but the skin conductance did not correlate with SQYDF diagnosis or with symptomatic improvement.

      • KCI등재
      • KCI등재

        보호지역 관리를 위한 생물다양성 평가

        최혜영,James H. Thorne,주우영,권혁수 한국환경복원기술학회 2020 한국환경복원기술학회지 Vol.23 No.1

        National parks and other protected areas often do not adequately protect national biodiversity be- cause they were originally created for socio-economic and/or aesthetic values. The Korean government has committed to expanding the extent of protected areas to fulfill its commitments to the Aichi Biodiversity Convention. To do so, it is necessary to quantify the current levels of biodiversity repre- sentation within existing protected areas and to identify additional conservation needs for vulnerable species and ecological systems. In this study, we assess the proportion of species ranges found in South Korea’s protected areas, for the species documented in the 3 rd National Ecosystem Survey. We modeled the range distribution of 3,645 species in the following taxonomic groups; plants (1,545 spe- cies), mammals (35), birds (132), herptiles (35), and insects (1,898) using the MaxEnt species distribution model and calculated how much of each species’ range is within protected areas. On average, 17.4% of plant species’ ranges are represented in protected areas, while for mammals and insects an average 12.0% is currently conserved. Conservation representation for herptiles averages 9.3%, while it is 8.6% for birds. Although large proportions of species that have restricted distributions should be represented in protected areas, 17 plant species, two insects (Parnassius bremeri and Lasioglossum oc- cidens), and one bird species (Phylloscopus inornatus) with ranges smaller than 1,000 km 2 have less than 10% of their ranges within protected areas. Establishing specific conservation goals such as the protection of endangered species or vulnerable taxonomic groups will increase the efficiency of the biodiversity conservation strategies. In addition, lowland coastal areas are critical for biodiversity con- servation because the protected areas in South Korea are mainly composed of high mountainous areas.

      • KCI등재

        An Intervention Model to Help Clients to Seek Their Own Hope Experiences: The Narrative Communication Model of Hope Seeking Intervention

        김달숙,김혜숙,Sally Thorne 한국호스피스완화의료학회 2017 한국호스피스.완화의료학회지 Vol.20 No.1

        The paper describes The Narrative Communication Model of Hope Seeking Intervention developed by the authors as an approach to help clients to have individually specific hope experiences. The Model is founded upon the existential conceptualization of hope that views hope as subjective, unique experiences of meaning and processes. The Model has been developed based on the findings both in the literature and the authors’ work on the nature of hope and hope experiences and integrating the concept of hope as subjective meanings and experiences, the processes of story-telling and the concept of narrative configuration as a way to engage in person-specific experiences, and person-centered communication. The results of the experiences with the application of the model in a study are used to clarify the model further. The Model incorporating story-telling and narrative construction through person-centered communication is identified in three components–the story-telling, the narrative intervention, and the communication components. These components are processed as an intervention to culminate into personspecific hope experiences in which active participation of clients as the story-teller and of interventionist as the communicative facilitator is required to produce narratives of hope with individual specific thematic plots that become the basis for hope experiences. The application of the Model has shown positive outcomes in clients with successful seeking of own hope experiences. The success of the Model application seems to depend upon interventionists’ understanding of the model and the competency with the application of person-centered communication strategies.

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