치매노인 가족의 극복력

김근면 ( Geun Myun Kim ),박은영 ( Eun Young Park ),이영신 ( Young Shin Lee ),이종남 ( Jong Nam Lee ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2012 정신간호학회지 Vol.21 No.3

Purpose: The purpose of this study was to pave the way for developing nursing intervention strategies to enhance family resilience by identifying unique patterns of resilience in families of elderly patients with dementia. Methods: The Q-methodology was used to define types and describe characteristics of family resilience. After in-depth interviews with 12 family members of patients with dementia and study of related literature, final 50 Q-samples were selected by collecting the opinions of experts. The selected 50 Q-statements were sorted by 30 family members (P-samples). The PC-QUNAL program was used to analyze Q-sort data. Results: Four distinctive Q-factors for family resilience were identified: I. Seeking positive meaning, II. Developing reasonable cooperation with family members, III. Accepting reality passively, IV. Depending on external resources. Conclusion: Families caring for elderly patients with dementia show unique patterns of family resilience, which result from multi-factors, such as their own belief systems or culture, organizational patterns, and communication processes, in dealing with crisis. The results of this study can be useful in confirming the types of resilience of families of patients with dementia and their characteristics, and the underlying data can be used as to develop tailored nursing strategies for strengthening family capacities to master adversity.

장기요양시설 요양보호사의 연명의료 중단에 대한 태도

김근면 ( Geun Myun Kim ),박빈희 ( Park Bin Hee ),전은주 ( Jeon Eun Ju ),홍유미 ( Hong You Mee ) 한국주관성연구학회 2017 주관성연구 Vol.- No.37

본 연구는 장기요양시설 요양보호사의 연명의료중단에 대한 태도를 탐색함으로써 임종기 노인을 대상으로 돌봄을 제공하는 요양보호사의 역할을 강화하기 위한 교육 프로그램 구성에 기초자료를 제공하기 위해 시도되었다. 본 연구는 Q 방법론을 활용하였다. 9명의 요양보호사와 심층면담을 실시하고 관련문헌을 참고로 하여 총 152개 Q 모집단을 구성하고 40개의 Q 표본을 추출한 후 총 30명의 대상자에게 Q 분류를 실시하였다. 연구결과, `자기결정 존중형`, `현실적 판단형`, `가족 중심 의사결정형`, `삶의 의지 중시형`, `자연 순응형`의 5개 유형이 확인되었다. 5개의 다양한 특성을 지닌 유형의 발견은 가치판단의 주체와 찬반의 의견뿐 아니라 노인 돌봄상황에서 인식하는 다양한 주관성이 반영된 결과라 볼 수 있다. 이러한 다양한 유형을 통한 주관적 인식의 이해를 통해 환자의 `웰다잉`에 긍정적인 영향을 줄 수 있도록 요양보호사를 위한 교육프로그램에 반영되어야 할 것이다. Purpose: This study was to identify on the attitudes toward the withdrawal of life sustaining treatment among long-term care worker using Q methodology. Methods: Thirty long-term care worker classified 40 selected Q-statements into 9 points standard. The obtained data were analyzed by using a QUANL-pc program. Results: Principal Component Analysis identified 5 types of the attitudes toward the withdrawal of life sustaining treatment and named by researcher. Type Ⅰ is `self-decisions-type`, type Ⅱ is `realistic judgment`, type III is `family-centered decision-making`, type IV is `Importance of life`s will and type V is `natural adaptation.` The findings of the five different types of characteristics are significant in the context of a variety of subjective representations recognized under the care of older adults. Conclusion: The results suggest that attitudes toward withdrawal the life sustaining treatment among long-term care worker should be considered for long-term care worker in education program.

신규간호사의 이직에 대한 태도 유형: Q 방법론적 접근

김근면 ( Geun Myun Kim ),임지영 ( Ji Young Lim ),김은주 ( Eun Joo Kim ),이용미 ( Yong Mi Lee ),황미희 ( Mi Heui Hwang ),장정희 ( Jung Hee Jan ),이경아 ( Kyung A Yi ) 한국주관성연구학회 2011 주관성연구 Vol.- No.23

간호대학신입생의 정서인식, 정서표현, 정서표현양면성이 대학생활적응에 미치는 영향

김근면(Geun Myun Kim),차선경(Sunkyung Cha) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.1

본 연구는 간호대학신입생의 정서인식, 정서표현, 정서표현양면성과 대학생활적응을 확인하고 대학생활 적응에 영향을 미치는 요인을 파악하고자 수행되었다. 연구대상은 4년제 대학 2곳에 재학 중인 간호학과 신입생 159명이었고, 구조화된 설문지를 이용하여 2012년 5월 20일부터 6월10일까지 자료조사를 실시하였다. 대학생활적응은 정서주의와 정서명명과는 유의미한 양의 상관관계를 보였고, 긍정표현에 대한 양면성과 부정표현에 대한 양면성과는 유의미한 음의 상관관계를 나타냈다. 대학생활적응에 가장 큰 영향을 미치는 요인은 정서주의였으며, 정서주의, 긍정표현에 대한 양면성, 부정표현에 대한 양면성, 정서명명은 대학생활 적응에 대해 31.8%의 설명력을 나타내었다. 간호대학신입생의 대학생활적응 향상을 위해서 정서인식 및 정서표현양면성을 돕는 교육 프로그램의 개발이 필요하다. This study was done to investigate emotional awareness, emotional expressiveness, ambivalence over emotional expressiveness, and college student adjustment, to analyze the factor affecting college student adjustment. The subjects were 159 freshman nursing students. Data were collected through structured questionnaires from May 20 to June 10, 2012. Data analysis was done using descriptive statistics, independent t-test, ANOVA, Pearson correlation coefficient, and multiple regression with SPSS WIN v 18.0. Positive correlation were found between college student adjustment and mood monitoring as well as mood labeling. On the other hand, ambivalence over positive emotional expressiveness and ambivalence over negative emotional expressiveness were significantly negative correlation with college student adjustment. In addition, mood monitoring, ambivalence over positive emotional expressiveness, mood labeling, and ambivalence over negative emotional expressiveness accounted for 31.8% of variance in college student adjustment. The results of this study suggest that programs for promoting emotional awareness and reducing ambivalence over emotional expressiveness are important for college adjustment in freshman nursing students.

노인의 통증신념 유형에 따른 통증대처 전략 영향요인

김근면(Kim Geun Myun),장성옥(Chang Sung Ok),이용미(Lee Yong Mi) 기본간호학회 2008 기본간호학회지 Vol.15 No.3

Purpose: This study was done to identify factors (pain stress, perceived stress, pain disability, fatigue, depression) strategies used by elders to cope with pain based on their type of pain belief. Method: Data were collected from 314 elders in community settings in Seoul from September to December of 2007. Cluster analysis, t-test, and ANOVA were used to analyze data. Result: The types of pain belief were classified as the following groups: Self-blame, Enduring & Mysterious, and Short-term & Understandable. Perceived stress (t=2.36, p=.02), social support (t=2.24, p=.03), extent of pain relief (t=2.39, p=.02), and duration of pain relief (t=2.09, p=.04) were important factors for active and passive coping in the Self-blame group. Pain stress (t=2.39, p=.01) and depression (t=-3.99, p=.00) were significantly related to the active coping in the Enduring & Mysterious group. Perceived stress (t=2.55, p=.01) was an important factor in the passive coping in the Short-term & Understandable group. Conclusion: Considering different types of pain belief in elders and factors that are significantly related to different coping strategies, future nursing interventions should be population specific to encourage active coping strategies and to decrease passive coping strategies.

생의주기별 흡연유형 및 흡연유형별 흡연관련 변수에 관한 연구

김근면 ( Geun Myun Kim ),장성옥 ( Sung Ok Chang ),김순용 ( Soon Yong Khim ),임세현 ( Se Hyun Im ) 한국주관성연구학회 2010 주관성연구 Vol.- No.20

만성 통증을 가진 노인의 피로에 영향을 미치는 요인

김근면 ( Geun Myun Kim ),이용미 ( Yong Mi Lee ),장성옥 ( Sung Ok Chang ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1

Purpose: This study was done to examine fatigue in elderly people with chronic pain and identify factors influencing fatigue. Methods: Participants in the study were 296 elders suffering from pain for more than 6 months. The data were collected by personal interviews using questionnaires and were analyzed using Pearson correlation coefficients, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 15.0 version. Results: The mean score for fatigue was 30.5, and fatigue showed a significant positive correlation with depression (r=.57, p<.001), perceived stress (r=.12, p=.035) and pain disability (r=.52, p<.001), but a negative correlation with social support (r=-.21. p<.001) and ADL (r=-.22, p<.001). Depression was found to be a significant predictor of fatigue. Conclusion: The results of this study show that psychological factors like depression have more influence on fatigue in elders than physical activities or daily capability. Therefore, it is important to consider psychological factors which influence fatigue as well as the fatigue itself in order to efficiently control fatigue.

간호대학생의 성별에 따른 성정체성, 성평등의식과 자아존중감

김은주,김근면,최경원,김상숙,임지영,Kim, Eun Joo,Kim, Geun Myun,Choi, Kyung-Won,Kim, Sang Suk,Lim, Ji Young 한국가정간호학회 2014 가정간호학회지 Vol.21 No.1

Purpose: The purpose of this study was to analyze the differences between gender identity, gender equality, and self-esteem among nursing college students. Methods: The subjects were nursing college students who were selected from 4 different nursing colleges. We measured gender identity, gender equality, and self-esteem using verified measurement tools. Data were analyzed using descriptive and comparative statistical methods. Results: Gender equality among nursing college students showed a significant difference between male students and female students. Male students had higher gender equality scores than female students on all 4 types of gender equality. Conclusion: Male nursing college students that there are differences in gender equality, especially in the areas of education and employment. Based on these results, we suggest that future work should focus on developing a curriculum to increase awareness of gender equality among under graduate students, and thereby build an organizational culture of mutual respect for gender equality among clinical nurses.

메타상관분석을 이용한 병원간호사의 직무만족에 관련요인

임지영,김은주,김근면,Lim, Ji Young,Kim, EunJoo,Kim, Geun Myun 한국가정간호학회 2022 가정간호학회지 Vol.29 No.1

Purpose: This study aimed to investigate the research trends concerning job satisfaction among hospital nurses. Methods: Articles published between 2008 to 2018 were searched. In the first search, 10,859 articles were extracted from academic databases, and 168 were included. Results: A total of 36 variables were explored regarding job satisfaction. Among the major variables, organizational commitmentandculture and justice had positive correlations withjobsatisfaction. In contrast, burnout, negative affectivity, and turnover intention had negative correlations with it. In the meta-analysis, according to the conceptual framework, salary and promotions showed significant positive correlations with job satisfaction. In contrast, professionaldevelopment showed a significantly negative correlation with it. Conclusion: Strategies to improve the variables corresponding to motivation factors are required to improve job satisfaction among hospital nurses. Furthermore, efforts to improve the nursing work environment corresponding to hygiene factors are also required for efficiency and rational management at the hospital level.

간호대학생의 자의식과 의사소통 불안이 대인의사소통 능력에 미치는 영향

박정원(Jeoung Weon Park),김근면(Geun Myun Kim) 대한스트레스학회 2011 스트레스硏究 Vol.19 No.1

본 연구는 간호대학생들의 자의식, 의사소통 불안, 대인의사소통 능력을 파악하고 이들 간의 관계 및 대인의사소통 능력에 영향하는 요인을 규명함으로써 간호학생들의 의사소통 및 대인관계 증진과 관련된 교육과 연구 분야에 활용되기 위한 목적으로 실시되었다. 본 연구대상자는 간호대학생 623명이었고, 자료수집 기간은 2009년 10월 5일부터 12월 15일까지이었다. 수집된 자료는 SPSS/WIN12.0 프로그램을 활용하여 분석하였다. 자의식 전체 평균은 3.50이었고 의사소통 불안은 평균 67.07로 높은 수준이었다. 대인의사소통 능력은 평균 74.71로 중상의 점수를 나타내었다. 대상자의 자의식은 의사소통 불안과 유의한 양의 상관관계를 보였고, 의사소통 불안은 대인의사소통 능력과 유의한 음의 상관관계를 나타냈다. 대상자의 대인의사소통 능력에 영향하는 요인을 확인하기 위해 다중회귀분석을 실시한 결과 사회적불안과 의사소통 불안, 공적자의식이 낮을수록 대인의사소통 능력은 증가하는 것으로 확인되었다. This study was examined how self-consciousness and communication apprehension related to interpersonal communication competence of nursing students. The subjects were 623 nursing students. The data collection conducted from Oct 5 to Dec 15, 2009. The psychological tests used in this research included the following; self-consciousness scale, personal report communication apprehension, interpersonal communication inventory. The major findings of this study were follows: 1) Public self consciousness and social anxiety were positively correlated with communication apprehension. 2) Communication apprehension was negatively correlated with interpersonal communication competence. 3) Significant factors influencing interpersonal communication competence were social anxiety, public self consciousness and communication apprehension. The results of the study have implications for nursing pointing out relieving communication apprehension of nursing students and effective communication education programs to develop nurse-client therapeutic relationship. (Korean J Str Res 2011;19:1∼10)