목회간호사의 업무활동분석

김정남,박정숙,권영숙,Kim, Chung-Nam,Park, Jeong-Sook,Kwon, Young-Sook 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2

The concept of parish nursing began in the late 1960s in the United States when increasing numbers of churches employed registered nurses (RNs) to provide holistic, preventive health care to the members of their congregations. Parish nursing role was developed in 1983 by Lutheran chaplain Granger Westberg, and provides care to a variety of church congregation of various denominations. The parish nurse functions as health educator, counselor, group facilitator, client advocate, and liaison to community resources. Since these activities are complementary to the population-focused practice of community health' CNSs, parish nurses either have a strong public health background or work directly with both baccalaureate-prepared public health nurses and CNSs. In a Midwest community in U.S.A., the Healthy People 2000(1991) objectives are being addressed in health ministries through a coalition between public health nurses and parish nurses. Parish nursing is in the beginning state in Korea and up untill now, there has been no research was conducted on concrete role of korean parish nurses. The main purpose of this study was to identify, classify and analyze activities of parish nurses. The other important objective of this study was to establish an effective approach and direction for parish nursing and provide a database for korean parish nursing model through analysis and' classification of the content of the nursing record which included nursing activities. This study was a descriptive survey research. The parish nurses were working in churches where the demonstration project developed on parish nursing. The study was done on all nursing records which were working in churches where the demonstration project developed on parish nursing. The study was done on all nursing records which were documented by parish nurses in three churches from March, 1995 to February, 1996. Namsan, Taegu Jeei and Nedang presbyterian churches in Taegu and Keimyung nursing college incooperated together for the parish nursing demonstration project. The data analysis procedure was as follows: First, a record analysis tool was developed and second, the data was collected, coded and analyzed, the classification for nursing activities was developed through a literature review, from which the basic analysis tool was produced and cotent validity review was also done. The classification of the activities of parish nurses showed 7 activitity categories. 7 activity categories consisted of visitation nursing, health check-ups, health education, referring, attending staff meetings, attending inservices and seminar, volunteers coordinating. The percentage of activities were as follows: Visitation nursing(A: 51.6%, B: 55%, C: 42.6%) Health check-ups(A: 13.5%, B: 12.1%, C: 22.3%) Health education(A: 13.5%, B: 13.2%, C: 18.2%) Referring(A: 1.4%, B: 4.2%, C: 2.4%) Attending staff meeting(A: 18.8%, B: 13.0%, C: 12.2%) Attending inservices and seminar(A: 1.5%, B: 2.2%, C: 2.1%) Volunteers coordinating(A: 0.3%, B: 0.4%, C: 0.0%) To establish and develope parish nursing delivery network in Korea, parish nurses role, activities and boundaries of practice should be continuously monitored and refined every 2 years. Also, It is needed to develope effective nursing recording system based on the need assessment research data of various congregation members. role, activities and boundaries of practice and arrangement of the working structure, continuing education, cooperation with community resources and structuring and organizing parish nursing delivery network. Also, It is needed to develope effective nursing recording system based on the need assessment research data of various congregation members.

한국 교인들의 목회간호 역할기대

김정남,권영숙,Kim, Chung-Nam,Kwon, Young-Sook 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

목회자의 목회간호에 대한 역할기대

김정남,권영숙,Kim, Chung-Nam,Kwon, Young-Sook 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.1

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

유방절제술 환자의 배우자 지지, 자아존중감 및 사회심리적 적응에 관한 연구

이은영,김정남,Lee, Eun-Young,Kim, Chung-Nam 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

This study was designed to provide the basic data of effective nursing intervention for alleviation of psychosocial adjustment of patients in mastectomy after identifying the correlation between the spouse support, self esteem and psychosocial adjustment. The study subjects were 83 postmastectomy patients who visited the outpatient clinic at 3 university hospitals in Taegu city from September 10, 1997 to October 16 1997. Data was collected by researcher and face to-face interview was conducted. Nam's spouse support scale(1987), Rosenberg's self esteem instrument (1965), Derogatis' Psychosocial Adjustment to Illness Scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t -test and ANOVA with the SAS program. The results of this study were as follows: 1. The mean score for the spouse support of the subjects was 3.73, self esteem was 3.69 and psychosocial adjustment was 3.61points. 2. According to the patient's hope of breast reconstruction(t=2.04, p=0.0445), there was significant difference of self esteem. According to the patient's family number( t = 2.31, p = 0.0237), there was significant difference of the psychosocial adjustment. 3. Perceived spouse support and self esteem had statistically significant positive correlations(r= 0.5120, p=0.0001). Perceived spouse support and psychosocial adjustment had statistically significant positive correlations(r=0.4187, p=0.0001). Perceived self esteem and psychosocial adjustment had statistically significant positive correlations(r = 0.6296, p=0.0001). Therefore, to increase the level of psychosocial adjustment of patients in mastectomy, it will be effective to supportive nursing intervention by improving spouse support and enhancing self esteem.

호스피스 환자의 영적 안녕 상태에 관한 조사 연구

김정남(Kim, Chung nam),송미옥(Song, Mi ok) 한국보건간호학회 2003 韓國保健看護學會誌 Vol.17 No.2

간호학과 교과과정 분석

김정남(Kim Chung Nam),박정숙(Park Jeong Sook),이경희(Lee Kyung Hee),박경민(Park Kyung Min),권영숙(Kwon Young Sook),고효정(Koh Hyo Jung) 계명대학교 간호과학연구소 2004 계명간호과학 Vol.8 No.1

Purpose: Goals and curriculums of nursing college education were analysed to develope future directed and appropriate curriculum for 4 year nursing college education. Method: 48 educational goals and curriculums of nursing collegies and departments of nursing were analysed. Result: 1) 41(85%) Nursing collegies represented their educational goal as 'Develope the ability of role practice as a nursing manager, educator and researcher'. 32(67%) Nursing collegies represented their educational goal as 'Educate and Apply knowledge and skill for the clients's Health maintenance promotion and recovery'. 2) Mean of the total credits for graduation was 146.2, mean of nursing major subject credits was 105.8, mean of cultural subjects was 35.0, hours of nursing practice were 1308.0 and mean of nursing clinical practicum credits was 25.5. 3) Selected 12 nursing collegies curriculum analysis shows as follows: average cultural subject were 33.63 credits.average required cultural subject were 19.38 credits.average elective cultural subject were 14.25 credits. avrage nursing major subject were 107.8 credits. average required nursing major subject were 88.88 credits. average elective nursing major subject were 18.92 credits. 4) Most common basic subjects of nursing major were anatomy, microbiology, physiology, pharmachology, biochemistry and pathology. Most common required nursing major were fundamentals of nursing, maternal nursing, adult nursing, pediatric nursing, psychiatric mental nursing, community health nursing, nursing management, nursing research, physical assesment and practice, school health(health education and practice). 5) Most common nursing clinical practicum subjects were comprehensive clinical practice, practice for adult and elderly, maternal, pediatric, psychiatric and mental, community health, nursing management and practice, adolescent and selective subject

정상체중군과 과다체중군 산업장 중간관리자의 건강증진 행위에 관한 비교연구

김정남(Kim Chung Nam),박경민(Park Kyung Min),류미경(Ryu Mi Kyung),장희정(Jang Hee Jung) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1

The purpose of this study was to identify and compare Health Promoting Behavior and its affecting factors between Normal and Over weight industrial middle manager. The subjects were 163 workers employed in factories in Taegu and Kyung-book were convenient sampling data the period for May 22th-26th, 2000 through self report methodby structured questionnaires. Collected data were analyzed by t, x2, Kendal tau, Pearson correlation, Stepwise Multiple Regression. The results of this study were as follows. 1. There were a significant difference in shift pattern(x2=7.89, P=0.005) and career. (x2=12.99, P=0.005) between normal weight and overweight group. 2. The average score of performance in health promoting behavior among overweight group(2.55) was higher than that of normal weight group(2.46), but not significant. 3. The average score of health status in overweight group(3.07) was lower than that of normal weight group(3.21), but not significant. 4. The average score of self-efficacy in overweight group(3.63) was significant lower than that of normal group(3.71). 5. The average score of the perceived barrier of in overweight group(2.44) was significant higher than that of normal group(2.24). 6. Health promoting behaviors in overweight group was significantly correlated with health status(r=.384, P<.05), health Concept(r= 458, P<.01) self-efficacy ( r=352, P< 01), perceived benefit(r=.386, P< .05), perceived barrier(r= -245, P< .05) Health promoting behavior in normal weight group was significantly correlated with health concept( r= .307, P< .050 and perceived benefit. 7. In consideration of variables that have an influence on Health promoting behavior among Normal weight group, health concept and perceived benefit account for 28.8% of health promoting behavior. In overweight group. The perceived benefit account for 13.7% of health promoting behavior. The suggestions are as follows on the basis of the results of this study. 1. It is required to develop health promoting program to improve health promoting behavior. In addition, there are special demands on developing nursing strategies for health promoting behavior of overweight industrial supervisors. 2. It is necessary to support exercise facility in occupational field for improving supervisor's health promoting behavior.

가정폭력 예방 대책 및 간호 중재

김정남(Kim Chung Nam) 계명대학교 간호과학연구소 1998 계명간호과학 Vol.2 No.1

Although abuse of women and child abuse incident rate has been high among Korean society, nurses working in the hospitals and community do not have much understanding of abuse of women and child abuse. To improve nurses understanding of abuse of women and child abuse, to prevent family violence and to provide comprehensive nursing care for the family, thorough literature review was done. Violence is rough or injurious physical force, action, or treatment. It surrounds us in our society. Results of violent behavior can be seen in large metropolitan areas as well as in small towns and rural populations. It can be seen on the streets, and it is hidden within family situations. What causes the violence so evident in our country today? Various reasons have been explored, ranging from too much violence on television to chemical imbalances in the brain. Another possible explanation is that we learn to become violent through the violent behavior of people around us. The generational aspect of abuse within the family is explained in that way. Frustration can also be considered a possible cause of violence. Anger abounds in our society in individuals who have not been taught ways to control or deal with anger in a nonaggressive fashion. Studies of family violence show the generational aspect of abuse. A majority of batterers (more than 60%) were personally subjected to abuse when they were children. Violence was a way of life in their homes, and in more than 66% of their parents' marriage, violence played a significant role. Several Characteristics may suggest the propensity to violent behavior. Some characteristics are listed that may influence violent behavior between men and women in a close relationship. Abuse of women is severe, deliberate, and repeated physical violence inflicted upon a woman by a man with whom she has or has had on intimate relationship. Violence within a marriage or a close relationship is a problem that cuts across all class, racial, educational, and financial lines. The etiology of child abuse appears to involve an interaction among three factors : personality traits of parents which contribute to abuse proneness, immediate environmental stress, and actual characteristics of the child which make him (or her) vulnerable for scapegoating. To prevent family violence and to provide comprehensive nursing care for those who suffer from the family violence, thorough literature review on the family violence was done. Further research on the cause of family violence and the accessability of nursing care for the victims are needed.

청소년 약물 남용 예방전략 및 간호중재

김정남(Kim Chung-Nam),남명희(Nam Myung Hee) 계명대학교 간호과학연구소 1999 계명간호과학 Vol.3 No.1

Perhaps no other health-related condition has as many far-reaching consequences in human society as does drug abuse. There consequences include a wide range of social, psychological, physical economic and political problems. The media bombards the public with accounts of crimes related to drug use and drug trafficking. Local and national efforts to change the situation often are inadequate and ineffective. This research has attempted to provide an overview of the complex, multifaceted phenomenon of drug abuse and its manifestation among the adolescents. The focus has been on the psychosocial and family dynamics aspects of drug abuse as well as preventive strategies and nursing interventions. From the review of various ethological theories, it is clear that there is no one causative factor in the development of the problem. Consequently, there is no one treatment approach to apply to all drug abusers. Some important points regarding preventive strategies and nursing interventions for adolescent drug abuse are as follows. 1. Prevention and intervention should be tailored to the specific needs of the individual because not all addicts are the same. 2. Prevention and intervention should stress the importance of family interaction and attempt to engage important social network members in the process. 3. Treatment is not recovery but rather part of the recovery process and experience. As such, prevention and intervention programs must address the after-care needs of the client to maintain the gains made m treatment. 4. A comprehensive prevention and intervention approach will recognize the multifaceted nature of dependence and addiction and attempt to address there multiple influences within the course of the treatment and after discharge. Researcher discussed the way how community health nurses can assist individuals, families, and groups experiencing drug abuse problems. First they can provide an accurate assesment, which includes a family history and specific questions about personal drug use. Denial of drug abuse or dependence may range from completely blocked awareness of the entire problem to partial disavowal of the detrimental effects of the drug abuse. The community health nurse may also include the social network to get the person into treatment. The trust that develops in a caring nursing relationship can support disclosure of drug abuse problems and decrease denial in the adolescent client or family members. Mutual help groups are associations that are voluntarily formed, are not professionally dominated, and operate through face-to-face supportive interaction focusing on a mutual goal. There are many mutual help groups, and they are usually organized by recovering substance abusers or these recovering from compulsive behavior patterns. The early AA members of USA developed 12 steps to guide the recovery process. The process can be applied into Korean adolescent drug abuse situation.

조직에서의 참여효과에 관한 경험적 연구모형

김정남(KIM, Chung-nam) 경상대학교 사회과학연구원(사회과학연구) 1991 사회과학연구 Vol.9 No.-