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다문화 가족 대상 가정방문 양육지원 프로그램 개발을 위한 델파이 연구
손현미 ( Son Hyunmi ),홍윤경 ( Hong Yunkyung ),한규민 ( Han Gyumin ) 부산대학교 간호과학연구소 2021 글로벌 건강과 간호 Vol.11 No.1
Purpose: This study was conducted to identify essential components of home-visit parenting support programs for multicultural families with young children. Methods: The Delphi method was used with a group of experts to validate the elements. The instrument was developed through focus group interviews and a literature review. We derived 33 draft items on the degree of performance and importance of programs (Domain I), and eight draft items on the need for and urgency of improvement of programs (Domain II). Using surveys comprising items rated on a five-point Likert scale and open-ended items, we conducted two rounds of the Delphi method with 36 and 29 experts, respectively. The content validity ratio (CVR) and Kendall’s W for agreement were calculated for the experts’ opinions. Results: Items with a CVR value of less than .31 in the first Delphi survey were not excluded from the second round to confirm consensus in the latter. As a result of the second Delphi, three items in Domain I and one item in Domain II showed a CVR of .33 or less. Finally, 23 items were derived in Domain I and seven in Domain II. All Kendall’s W values were statistically significant. Conclusion: It is necessary to develop appropriate teaching aids that reflect the needs of the subjects and considers their literacy levels. In addition, it is necessary to expand the target of these programs to multicultural families. This study can be used as a basis for planning and executing programs and services for multicultural families.
임상실습에서 간호대학생이 경험하는 간호사의 무례함, 대처가 소진에 미치는 영향
홍윤경(Hong, Yunkyung),김영혜(Kim, Younghae),손현미(Son, Hyunmi) 한국간호행정학회 2016 간호행정학회지 Vol.22 No.4
Purpose: The purpose of this study was to identify the effects of nurse’s incivility experienced by nursing students and coping against incivility on burnout in clinical practice. Methods: A cross-sectional correlation study design was used. The subjects were 120 nursing student from four universities in Busan and Yangsan, South Korea. A self-report questionnaire was used to collect data on incivility, coping, and burnout. Finally total 117 nursing students’ data was analyzed except 3 nursing students who had never experienced nurse’s incivility for clinical practice. Data analyzed using descriptive statistics, Pearson correlation coefficient, independent t-test, ANOVA, and multiple regression. Results: 97.5% of subjects (n=120) experienced incivility. Incivility was positively correlated with seeking social support coping, avoiding focused coping and burnout. Incivility and avoiding focused coping had a significant positive effect on burnout. The explained variance for burnout was 10.0% and avoiding focused coping was the most significant factor in burnout. Conclusion: Most of nursing students experience the nurses’ incivility. Judging incivility as a difficult problem to solve, students use more avoiding focused coping strategy and burnout is increased. Therefore education is needed to improve the coping strategies at incivility. Additionally colleges and hospitals should establish the formal reporting system to handle the incivility.