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      • SCOPUSKCI등재

        만성질환아 어머니의 아동질병으로 인한 불확실성 경험

        박은숙,Park Eun Sook,Martinson M.I. 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2

        The purpose of this study was to build a substantive theory about the experience of the maternal uncertainty in childhood chronic illness. The qualitative research method used was grounded theory. The interviewees were 12 mothers who have cared for a child who had chronic illness. The data were collected through in-depth interviews with audiotape recording done by the investigator over a period of nine months. The data were analyzed simutaneously by a constant comparative method in which new data were continuously coded into categories and properties according to Strauss and Corbin's methodology. The 34 concepts were identified as a result of analyzing the grounded data. Ten categories emerged from the analysis. The categories were lack of clarity, unpredictability, unfamiliarity, negative change, anxiety, devotion normalization and burn-out. Causal conditions included : lack of clarity, unpredictability, unfamiliarity and change ; central phenomena : anxiety, being perplexed ; context. seriousness of illness, support ; intervening condition : belief action/interaction strategies devotion, overprotection ; consequences : normalization, burn-out. These categories were synthesized into the core concept-anxiety. The process of experiencing uncertainty was 1) Entering the world of uncertainty, 2) Struggling in the tunnel of uncertainty, 3) Reconstruction of the situation of uncertainty. Four hypotheses were derived from the analysis : (1) The higher the lack of clarity, unpredictability, unfamiliaity, change, the higher the level of uncertainty (2) The more serious the illness and the less the support, the higher the level of uncertainty. (3) The positive believes will influence the devoted care and normalization of the family life. Through this substantive theory, pediatric nurses can understand the process of experiencing maternal uncertainty in childhood chronic illness. Further research to build substantive theories to explain other uncertainties may contribute to a formal theory of how normalization is achieved in the family with chronically ill child.

      • KCI등재

        간호대학생의 입원아동 안전간호활동 인식 영향 요인

        박은숙,오원옥,김미림,Park, Eunsook,Oh, Won-Oak,Kim, Mirim 한국아동간호학회 2017 Child Health Nursing Research Vol.23 No.4

        Purpose: The purpose of this study was to identify the factors that affect nursing students' perception of pediatric safety nursing activities for children during hospitalization. Methods: The study sample included 304 nursing students who had participated in pediatric nursing practice. Data were analyzed using SAS 9.3 program. Results: Regression analysis showed that the model's explanatory power was 37%. Safety policy and procedure, safety priority, disaster experience, and knowing a place of refuge were factors affecting the perception of safety nursing activities for children during hospitalization. Conclusion: Findings show that safety policy and procedures and safety priority are major factors that affect the perception of safety nursing activities and indicate that effective education programs on safety policy and procedure and safety priority are necessary to improve the perception of safety nursing activities.

      • 마이크로소프트의 네트워크 전략 세계를 하나로 '빅 브라더의 꿈'

        박은숙,Park, Eun-Suk 한국정보통신집흥협회 1995 정보화사회 Vol.95 No.-

        통신위성을 이용한 하나의 네트워크, MSN으로 세계를 묶고, 비디오 및 오디오 전송에 서버프로그램인 타이거를 사용하며, 그 단말에 윈도 95를 공급, 가정에서 글로벌 네트워크까지 일체형으로 연결되는 시스템을 구상 하고 있는 마이크로소프트의 네트워크 전략은 구체적으로 무엇인가.

      • SCOPUSKCI등재

        만성질환아 어머니의 질병에 대한 불확실성 정도와 양육태도

        박은숙,Park Eun Sook 한국아동간호학회 1996 Child Health Nursing Research Vol.2 No.2

        The purposes of this study were to measure the degree of perceived uncertainty and to identify the rearing attitudes of mothers with chronically ill children, and to examine the relationship between the perceived uncertainty and the rearing attitude of these mothers. The subjects of this study consisted of 133 mothers with chronically ill children, registered at 2 university hospitals in Seoul. Data was collected from April 1 to May 31, 1996. The Parents' Perception of Uncertainty Scale(28-item 4 point scale) and the Maternal Behavior Research Instrument (49-item 5 point scale) were used. Data was analyzed by Cluster analysis, ANOVA MANOVA and t-test. Results of this study are summarized as follows : 1. Mothers perceived their uncertainty to be slightly high (Mn 2.48). The degree of perceived uncertainty by the four components slightly differed unpredictability(2.72), lack in clarity(2.58), vagueness (2.52) and lack of information(2.04) . The degree of perceived uncertainty of mothers with ill children revealed to be influenced significantly by the age of the ill children, duration of illness after the diagnosis, and the experience of hospitalization. 2. Among the rearing attitudes : moderatlely high affective(Mn 3.98) and resrictive(Mn 3.58) attitudes of mothers toward their ill children were identified. Mothers tend to give positive evaluations of their childrens' behaviors (Mn 3.38) and less rejection(Mn 2.81). 3. Mothers' rearing attitude were correlated with the degree of perceived uncertainty in illness ; mothers in the Low Perceived Uncertainty Group (Mn 1.99) revealed the highest affective (Mn 4.08), the lowest resrictive(Mn. 2.72) attitudes and tendency to give positive evaluations of their childrens' behaviors (Mn 3.54) compared to the High Perceived Uncertainty Group(Mn 3.26) and Moderate Perceived Uncertaity Group(Mn 2.57). 4. The degree of perceived uncertainty, the duration of illness after the diagnosis and the experience of hospitalization revealed to be significantly influential to the rearing attitude of mothers with chronically ill children. From the above results, it can be concluded that predicting and controlling mothers' uncertainty are necessary for improved, efficient nursing interventions and normal growth & development of the chronically ill children.

      • KCI등재

        원전종사자의 방사선 노출과 암사망 위험도와의 관련성에 대한 메타분석

        박은숙,문기은,김한나,이원진,진영우,Park, Eun-Sook,Moon, Ki-Eun,Kim, Han-Na,Lee, Won-Jin,Jin, Young-Woo 대한예방의학회 2010 예방의학회지 Vol.43 No.2

        Objectives: We conducted a meta-analysis to investigate the relationship between low external doses of ionizing radiation exposure and the risk of cancer mortality among nuclear power plant workers. Methods: We searched MEDLINE using key words related to low dose and cancer risk. The selected articles were restricted to those written in English from 1990 to January 2009. We excluded those studies with no fit to the selection criteria and we included the cited references in published articles to minimize publication bias. Through this process, a total of 11 epidemiologic studies were finally included. A publication bias was tested for using Egger's test. The homogeneity test was performed before the integration of each of the standardized mortality ratios (SMRs) and the result proved that the studies were heterogeneous. Results: We found significant decreased deaths from all cancers (SMR = 0.75, 95% CI = 0.62 - 0.90), all cancers excluding leukemia, solid cancer, mouth and pharynx, esophagus, stomach, rectum, liver and gallbladder, pancreas, lung, prostate, lymphopoietic and hematopoitic cancer. The findings of this meta-analysis were similar with those of the 15 Country Collaborative Study conducted by the International Agency for Research on Cancer. A publication bias was found only for liver and gallbladder cancer (p = 0.015). Heterogeneity was observed for all cancers, all cancers excluding leukemia, solid cancer, esophagus, colon and lung cancer. Conclusions: Our findings of low mortality for stomach, rectum, liver and gallbladder cancers may explained by the health worker effect. Yet further studies are needed to clarify the low SMR of cancers, for which there is no useful screening tool, in nuclear power plant workers.

      • 사회복지시설 근무 간호사의 실태조사 및 역할 활성화 방안

        박은숙,임지영,Park, Eun-Suk,Park, Yeong-Ju,Im, Ji-Yeong 대한간호협회 2004 대한간호 Vol.43 No.1

        산업화와 도시화로 인해 사회와 가족이 구조적으로 다양화됨에 따라 여러 가지 사회 문제가 발생하고 있다. 그 중 빈곤, 질병, 그리고 가족제도의 해체 등과 같은 문제들은 이를 부양해야할 사회적 역할과 책임의 증대를 가져왔다.<중략>

      • 흉추에 생긴 MRSA에 의한 신생아 골수염 1례

        박은숙,신선희,김성구,윤혜선,Park, Eun Sook,Shin, Seon Hee,Kim, Sung Goo,Yoon, Hae Sun 대한소아감염학회 2002 Pediatric Infection and Vaccine Vol.9 No.2

        골수염은 신생아에서는 드문 질환이며 신생아 중환자실 입원 환아 100명당 1~3명 정도에서 나타난다. 척추의 골수염은 이 중 1~2%를 차지하며 진단상의 어려움과 합병증으로 치료가 어렵다. 환아는 재태연령 34+2주, 출생체중 1.6 kg으로 생후 22일째 혈액 배양에서 MRSA가 발견되어 2주간 항생제 치료 후 다시 발열이 있어 입원치료 하였다. 자기 공명 영상상 흉추 7~8 부위의 골수염이 나타나 8주간의 vancomycin 정맥치료 결과 임상적, 방사선학적으로 호전되어 퇴원하였다. 저자들은 MRSA의 감염으로 척추의 골수염을 가진 신생아 1례를 경험하였기에 보고하는 바이다. Vertebral osteomyelitis represents only 1% to 2% of osteomyelitis and may pose a diagnostic conundrum, with disastrous consequences if diagnosis and therapy are delayed. We report a neonate with the unique association of vertebral osteomyelitis and MRSA infection. A 1-month-old boy was admitted to the hospital for evaluation of high fever and decreased oral intake. He was born at 34 wks, and his birth weight was 1.6 kg. We founded MRSA on his blood culture. Magnetic resonance imaging study showed findings of T7-T8 vertebral osteomyelitis. With 8 weeks of intravenous vancomycin treatment, the patient improved clinically and radiologically.

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