보건소 공무원의 코로나19 대응 경험

손행미,양혜련,박보현 한국지역사회간호학회 2021 지역사회간호학회지 Vol.32 No.4

Purpose: The purpose of this study was to examine the experiences of public officials working for the Coronavirus Disease-19 (COVID-19) response in community health centers in South Korea. Methods: A qualitative thematic analysis was conducted using data collected from three focus groups and two individual interviews. Results: The participants performed quarantine tasks in a poor working environment with several problems, such as significant workload, lack of manpower, and inappropriate compensation system. Participants experienced obstacles in performing quarantine works, which had the lack of the detailed quarantine guidelines, work support and cooperation system. Participants suffered from civil complaints. Participants endured sacrifices in their personal lives while partaking in COVID-19 response work without holidays, and subsequently experienced health problems. And also participants said that it was necessary to secure expertise and effective communication for infectious disease management. Conclusion: The study results suggest that policies are required that are aimed to improve the working environment and the recruitment of experts in infectious diseases. In addition, the job stress related to the COVID-19 response by public officials in community health centers must be evaluated, and the relation of their job stress to physical and mental problems, as well as psychosocial stress, must be examined.

만성 간 질환자의 지각된 질병장애정도와 삶의 질과의 관계

손행미 성인간호학회 2002 성인간호학회지 Vol.14 No.4

Purpose: This study was performed to identify the illness intrusiveness, quality of life, and their relationships in patients with chronic liver disease. Method: Data was collected using scales of illness intrusiveness developed by Devins et al and Korean health related quality of life(KoQoLS) developed by Shim et al to measure the illness intrusiveness and quality of life from 141 chronic liver disease patients. Result: The total mean score of illness intrusiveness was 38.85±18.45. The domain of illness intrusiveness which showed the highest mean score was health(4.60±2.02), and the lowest mean score domain was relationship with spouse (2.04±1.69). The subcategory of KoQoLS which showed the highest mean score was bodily pain (6.96±2.98), and the lowest mean score subcategory was vitality (2.75±1.20). There were negative relationships between illness intrusiveness and KoQoLS in all subcategories. Abovel all, Illness intrusiveness had the strongest negative relationship with role limitation (r=-0.641) among the KoQoLS subcategories. Conclusion: Because the illness intrusiveness had negative influence on the quality of life in patients with chronic liver disease, further research will need to specify detailed illness intrusiveness and to explore influencing factors on quality of life in them.

신규 간호사의 실무 적응 경험

손행미,고문희,김춘미,문진하 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.5 No.2

This study aimed at uncovering the experience of adaptation of the new nursing staff in hospital setting. Methods: For this study, 15 new graduate nurses participated. The data was collected through the in-dept interviews and analysed in terms of Strauss and Corbin′s grounded theory methodology. Results: The core category was identified with "entering orbit". The new graduate nurses, who experienced the taeoom because of their unskilled professions, tried to enter orbit by overcoming difficult situations through reducing stress, maintaining good interpersonal relationship, grasping, compensating, persisting, and introspecting. Noticeably, in the process of adaptation, negative image of nursing, conflict of interpersonal relationship and the educational program for the new nursing staff had effect on the intervening factors. Finally, this study confirmed that the processes of new nurses′ adaptation are confusing, confrontating, becoming a member and settling in hospital setting. Conclusion: Therefore, the educational programs reflecting new nursing staffs′ experiences should be developed.

Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A Retrospective Chart Review

손행미,이형숙 한국간호과학회 2024 Asian Nursing Research Vol.18 No.1

Purpose This study examined the modifiable factors, including nurse-led multidisciplinary education and in/out-of-hospital rehabilitation, to predict cardiac events in patients with heart failure (HF) in South Korea. Methods A retrospective review of the medical records was conducted using data of patients admitted for HF between June 2021 and April 2022. A total of 342 patients were included in this study. Information related to HF education, cardiac rehabilitation, and demographic and clinical characteristics were collected. Cardiac events, including emergency department visits, readmissions, and deaths, were defined as a composite of events. After adjusting for covariates, a multivariate Cox proportional hazard regression model was used to explore the association between modifiable factors and cardiac events in patients with HF. Results During the follow-up period (median, 823 days), 123 patients (36.0%) experienced at least one cardiac event. In the Cox regression model, patients who received nurse-led multidisciplinary HF education during hospitalization were less likely to experience cardiac events (hazard ratio: 0.487; 95% confidence interval [CI]:0.239–0.993). Additionally, high NT-pro BNP levels were associated with an increased risk of cardiac events. Conclusions The education led by nurses on HF was a factor that reduced adverse prognoses in patients with HF. Our results highlight the importance of a nurse-led multidisciplinary approach during hospitalization.

질적내용분석의 이해와 적용

손행미 대한질적연구학회 2017 대한질적연구학회지 Vol.2 No.-

Purpose: The purpose of this study was understanding of Qualitative Content Analysis (QCA), according to theoretical foundation. Methods: QCA explained concepts and procedures systematically, through literature review and researcher’s analytical thinking. Results: QCA was one of the various qualitative research techniques, in which meanings can be derived from the text and various material such as video, articles, and books etc. QCA classified three approaches, including: conventional, directed, and summative content analysis. Despite there being no systematic rule of analysis of QCA, the process of the QCA was suggested as: preparation, organizing, and reporting phase. It is of great significance that unit of analysis was selected during preparation phase. Both, coding and categorization were generated during the organizing phase. Analyzing the process and results were described with either conceptual map or model during the Reporting Phase. Results showed that the differences of the application between QCA and thematic analysis, along with grounded theory. The trustworthiness was affirmed for the validity of the results. Conclusion: Researchers who want to apply the QCA require understanding of its method, sufficiently. It is emphasized that QCA should exhibit the researcher’s interpretation from the data in some degree, in order to not defect the essentiality of qualitative research.

임상간호사의 근무 중 발생한 업무중단 경험

손행미,김은정 대한질적연구학회 2019 대한질적연구학회지 Vol.4 No.-

Purpose: The purpose of this study was to understand the nurse’s experiences of ‘work flow interruption’ in hospital settings. Methods: Data were collected by in-depth interviews with 6 nurse in General wards or in the ER of tertiary hospitals. Qualitative content analysis method was used to analyze the data. Results: The following three categories were elicited; ‘acceptable interruptions’, ‘unacceptable interruption’, ‘nursing work environment interrupting work flow’. Conclusion: The findings provided interruptions are occurring in systemic structure and relationships within the hospital, taking into account the aspect of providing quality nursing care as profession. This confirms that nurses have negative effect on workload rather than positive ones. Based on the findings, it needs to be of interest to the nurses at the organizational level in order to relieve the burden and fatigue due to overloaded work.

혼합방법연구의 적용

손행미 대한질적연구학회 2018 대한질적연구학회지 Vol.3 No.-

Purpose: The research that combines qualitative and quantitative methods are recently received attention in nursing academia and the number of research on mixed method is increased. The purpose of the study was to understand and discuss the application of mixed method research (MMR). Methods: This study provided the concept, research design, justification, and systematic issues of MMR through the literature review and researcher’s analytical thinking. Results: MMR was generally accepted in the literature as a new and comprehensive methodology. MMR was developed from the philosophical foundation on pragmatism. The designs of MMR and notation, mixing strategies, strategies for sampling and data analysis, and validity of MMR were examined. These were continued to be the issues including epistemology and pragmatic stances of MMR, primary point of interface for mixing, the level of interaction between different method (qualitative and quantitative), and more proper langue than ‘mixed’ etc. of MMR. Conclusion: In spite of those issues, MMR is solidified it’s position as multi-strategy research in the aspect of expansion of qualitative and quantitative methods with triangulation. I recommended that the researcher should apply the MMR after considering of epistemological assumptions and possibility evaluation of the synergy effects to his or her research for the merits of extensive results of MMR.

질적 메타합성에 대한 문헌고찰

손행미 대한질적연구학회 2020 대한질적연구학회지 Vol.5 No.2

Purpose: Recently, with the increasing demand for a evidence-based practice model in the health care area, qualitative meta-synthesis studies that provide a comprehensive understanding of phenomena of interest has increased. This study was conducted to understand the concept of qualitative meta-synthesis and guide the application of appropriate methods. Methods: This study is a literature review to address and analyze concepts and methods used in qualitative meta-synthesis studies. Results: The definition and purpose of qualitative meta-synthesis, philosophical background, procedures and outcomes are described. And the meta-ethnography, which is widely applied, was described. In addition, grounded theory, critical interactive synthesis, and meta-study were briefly introduced. It is also desirable to evaluate the quality of the primary research paper by utilizing evaluation criteria and evaluation tools to select the primary research paper, which also affects the quality of qualitative meta-synthetic studies. It is necessary for the researcher to recognize the epistemological difference in qualitative meta-synthesis, to consider saturation of the primary research paper, and to minimize the decontextualization of the primary research paper. Above all, the creative interpretation of researchers should provide expanded knowledge and insights into the research area. Conclusion: By clarifying the purpose of qualitative meta-synthesis, the researcher should ensure justification for performing qualitative meta-synthesis. Researchers also need to make efforts to ensure methodological transparency in order to overcoming the limitations of qualitative meta-synthesis.

간호사의 보완대체요법에 대한 태도

손행미 성인간호학회 2002 성인간호학회지 Vol.14 No.1

Purpose: This study was performed to develop a scale for evaluation of attitudes toward complementary and alternative therapies (CAT) and to investigate nurses' attitudes toward CAT. Method: The subjects were 263 nurses working at a university hospital in Seoul and Inchon. The personally designed questionnaire was tested for its reliability and validity. Nurses' attitudes to CAT were evaluated using the questionnaire. Results: Cronbach's α coefficient was 0.7405. 23 items were selected by item analysis and 4 factors including application, therapeutic effect, social interest and communication about CAT were classified by factor analysis. The mean score of attitudes and its subcategories were high, especially that of communication was very high. Nurses had a positive response to CAT in several items: acceptance as nursing intervention, its therapeutic value, complement for conventional medicine, and open communication about CAT. Attitudes were different significantly according to education and number of working years. There were high relationships between attitudes and its subcategories except communication. Conclusion: The Scale of attitudes toward CAT was proven to be reliable and valid. Positive nurses' attitudes toward CAT will help the patients be provided with a proper and safe way to take CAT.

관상동맥질환자의 흡연력과 삶의 질

손행미,이동숙 기본간호학회 2003 기본간호학회지 Vol.10 No.3