일 보건소 호스피스ㆍ완화의료 사업을 위한 지역주민의 요구도 평가

이병숙(Lee Byoungsook),고효정(Kho Hyojung),권영숙(Kwon Youngsook),김정남(Kim chungnam),곽혜원(Kwak Hyeweon),박미현(Park Mihyun) 계명대학교 간호과학연구소 2008 계명간호과학 Vol.12 No.1

  Purpose : The purpose of this study was to identify the perception about hospice and palliative program offered by Sungju-gun public health center and the needs for the hospice and palliative service in the residents of Sungju-gun. Method : The subjects of this study were 500 residents who were 20 years old and more. Data were collected from Aug. 6, 2007 to Aug. 31, 2007 with tools developed by researchers. Data were analyzed with SPSS/WIN 12.0 version. Results : Mean score of the perception about hospice and palliative program offered by Sungju-gun public health center was 8.45(SD 5.75) out of 19.00. There were significant difference in the score of the perception according to the subjects" age, monthly income, religion, education and marital status. In the needs for hospice and palliative service offered by Sungju-gun public health center, the score of the dimension "Service Connection" was highest, 1.75 out of 2.00, and the score of the item "Assistance for activities in daily living" in volunteer service was highest, 1.82 out of 2.00. There were significant difference in the score of the needs for hospice and palliative service according to the subjects" monthly income. Conclusion : The results showed the perception of the subjects about hospice and palliative program offered by Sungju-gun public health center was low while the perception of the subjects with old age, low income, and low education was relatively high. So, hospice and palliative service programs for these populations service connection and volunteer services are especially strengthened should be developed and actively informed to the residents.

혈액종양 환자에 있어 스토리텔링 간호프로토콜의 심리적 효과

이아름(Lee, A Reum),이병숙(Lee, Byoungsook) 계명대학교 간호과학연구소 2013 계명간호과학 Vol.17 No.2

Purpose: This study, as a pilot study, aimed to explore psychological effects of a storytelling nursing protocol in hemato-oncology patients. As the psychological variables, self-esteem, powerlessness, and hope of hemato-oncology patients were examined for this purpose. Methods: This study was a non-equivalent control group pre and post test quasi-experimental study. The storytelling nursing protocol was developed based on the literature and screened from the experts of oncology nursing and the stroytelling. Data were collected from eight patients of an experimental group and another eight patients of a control group among hemato-oncology patients who agreed to participate in this research. Three scales were used to measure self-esteem, powerlessness, and hope. Data analysis was done with SPSS WIN 15.0 using Mann-Whitney U to test hypotheses, and Krskal-Wallis to identify the differences of dependent variables by periods. Results: The hypotheses to verify the effects of storytelling nursing protocol on self-esteem, powerlessness, and hope of the subjects were supported. Conclusion: The storytelling nursing protocol was revealed as an effective nursing intervention for self-esteem, powerlessness, and hope of hemato-oncology patients. Based on this research, storytelling can be suggested as one of the effective nursing interventions to improve the patients' psychological problems.

신규간호사 프리셉터의 역할 인식 유형: Q 방법론적 적용

김수경(Kim, Sukyung),이병숙(Lee, Byoungsook) 한국간호행정학회 2021 간호행정학회지 Vol.27 No.3

Purpose: This study aimed to identify the types of role perception of preceptors for new nurses. Methods: For this study the Q methodology was applied in which 36 Q samples were selected out of 210 Q population extracted from literatures and in-depth clinical interviews with preceptors, new nurses and nursing managers. P samples consisted of 30 nurses having experience as preceptors for new nurses. The Q samples were classified into a normal distribution frame measured with a nine-point scale. Data were analyzed using PQ Method program. Results: Four types of role perception were identified: (1) cleaning up regarding work, (2) guardians of clinical adaption, (3) on-the job educator, and (4) role model as a nurse. The ‘cleaning up regarding work’ type was most frequently used by the participants. Conclusion: The results showed that the preceptors felt strong responsibility in helping their preceptees to adapt successfully to a new job. The preception was reflected in four types of role perception. The negative role preception results in a great burden to preceptors. Therefore, it is necessary to establish a support system for preceptors to reduce negative role perception through the connection of preceptees appropriate to the role perception type of preceptors.

간호사-의사 협력에 대한 간호사 및 의사의 인식

김가희 ( Gahee Kim ),이병숙 ( Byoungsook Lee ) 아시아문화학술원 2018 인문사회 21 Vol.9 No.5

본 연구는 초점집단 면담과 질적내용분석을 적용하여 간호사-의사 협력에 대한 당사자들의 인식을 기술하고 이해하기 위한 연구이다. 연구 참여자는 대학병원에 근무 중인 10명의 간호사와 8명의 의사이다. 질적내용분석은 간호사-의사 협력의 의미, 영향 요인, 그리고 협력의 중요한 상황의 세주제를 중심으로 이루어졌다. 연구결과, 세 주제는 7개의 범주, 16개의 하위범주 및 32개의 주요 개념으로 범주화되었다. 이 중 간호사-의사 협력의 의미에는 함께 환자를 돌보는 것과 동반자 관계를 형성하는 것의 두 범주가, 영향 요인에는 서로에 대한 인식과 태도, 지지적 업무환경 및 전문인으로서의 역량과 의식의 세 범주가, 협력이 중요한 상황에는 문제 상황에서 효과적인 대처가 필요할 때와 대상자가 의료서비스의 문제를 제기할 때의 두 범주가 포함되었다. 결론적으로 참여자들에 있어 간호사-의사 협력은 파트너십을 가지고 함께 환자를 돌보는 것으로서 직무환경과 당사자들의 역량 및 태도에 영향을 받으며, 환자의 문제 상황에서 특히 중요함을 알 수 있었다. This study aimed to describe and understand nurses' and physicians' perceptions about nurse-physician collaboration. Focus group interviews and a qualitative content analysis were used for this study. The participants of four focus group interviews were ten nurses and eight physicians working at an university hospital. Three themes for the interview questions were for data collection and analysis. Seven categories, 16 subcategories, and 32 concepts were extracted. Theme of the meaning of nurse-physician collaboration had two categories, caring patients together and making partnership. Theme of the influencing factors for the collaboration had three categories, perception and attitude toward each other, supportive work environment, and competences and spirit as a professional. Theme of the important situations for the collaboration had two categories, when the problem situation needs effective management and when the clients claim problems or insufficiency of the services. In conclusion, the participants perceived the nurses-physician collaboration as the efforts of caring patients together with partnership and being influenced by work environments and the competences and attitudes of the professionals. The collaboration was particularly important in the situations of patients’ serious problems.

간호사 및 동료 의료인의 임상간호사 ‘태움’ 인식 경험

권덕화 ( Deokwha Kwon ),이병숙 ( Byoungsook Lee ) 아시아문화학술원 2018 인문사회 21 Vol.9 No.4

본 연구는 간호사 및 동료 의료인의 임상간호사 ‘태움’ 인식 경험을 이해하고 기술하며 설명하기 위한 질적 연구이다. 참여자는 서울, 대구, 포항 소재 종합병원에서 근무 중인 간호사 18명과 동료 의료인 5명이다. 자료 수집기간은 2017년 11월 13일부터 2018년 2월 12일까지이며 개별면담을 통해 자료를 수집하였고 Graneheim & Lundman(2004)의 질적 내용분석방법으로 분석하였다. 연구결과 임상간호사 ‘태움’ 현상은 교육이라는 명분하에 용인되어 온 폭력이며 이유는 감당하기 힘든 업무와 문제해결 능력 부족으로 나타났다. 결과는 가해자, 피해자, 조직 모두의 상처이며 예방 및 해결책은 개인과 조직의 동반적 변화로 나타났다. 하지만 간호사들이 인식하는 ‘태움’의 억압적, 폭력적, 강요적인 훈련 방식에 대해 동료 의료인들은 잘 모르고 있고 문제로 인식하지 않았다. 그러므로 임상간호사 ‘태움’은 간호사 스스로 해결해야 하며 원인을 스스로 찾고 해결해 나가는 ‘태움’ 극복 프로그램의 개발 및 효과 검증 연구를 제언한다. This study is qualitative study for understanding, describing and explaining the experience of the clinical nurse ‘Taeoom’ recognition of nurses and fellow physicians. Participants are 18 nurses and 5 fellow physicians working at general hospitals in Seoul, Daegu and Pohang. The data collection period was from November 13, 2017 to February 12, 2018, and the data were collected through individual interviews and analyzed by the qualitative content analysis method of Graneheim & Lundman(2004). The results of the study showed that the clinical nurse ‘Taeoom’ phenomenon was tolerated under the name of education, and the reason was that it was difficult to cope with work and lack of problem solving ability. The results are wounds to both perpetrators, victims, and organizations, and prevention and solutions are accompanied by personal and organizational changes. But fellow physicians were unaware of the oppressive, violent, and compulsive training methods of the ‘Taeoom’ that nurses perceived, and did not recognize them as problems. Therefore, the clinical nurse ‘Taeoom’ should solve the problem by the nurse himself, and suggests the development and effectiveness verification of the ‘Taeoom’ overcoming program to find and solve the cause later.

혼종모형을 이용한 임상간호사의 간호업무강도에 대한 개념분석

설미진 ( Mijin Seol ),이병숙 ( Byoungsook Lee ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.3

본 연구는 간호업무강도의 개념을 명확히 정의하기 위해 시행되었다. 연구방법은 문헌고찰과 심층면담을 통해 개념을 규명하는 Schwartz-Barcott & Kim(2000)의 혼종모형 방법이 사용되었다. 자료수집은 간호업무강도와 관련된 문헌과 9명의 임상간호사로부터 심층면담을 통해 수집하였다. 연구 결과로 간호업무강도는 4개의 차원과 8개의 속성으로 도출되었다. 최종적으로 간호업무강도의 정의는 아픈 사람을 돌보는 일을 하는데 스스로 느끼는 총체적인 부담의 세기로써, 부담은 시간에 대한 압박감, 간호 전문성의 요구도, 한꺼번에 몰리는 업무량의 비중, 3교대 근무, 예측 밖의 업무시간, 업무에 대한 만족감 저하, 의료진 간의 상호작용 장애, 간호 자체가 주는 부담감 등의 총체를 의미한다. 본 연구는 임상간호사의 인적자원관리 방안을 위한 개념적 근거를 제공한 점에서 의의가 있으며, 간호업무강도 측정을 위한 도구개발을 제안한다. This study was conducted to clearly define the concept of nursing work intensity. This study method a hybrid model of Schwartz-Barcott & Kim(2000) was used to clarify the concept through literature review and in-depth interview. Data collection was collected through in-depth interviews from 9 clinical nurses and literature related to the nursing work intensity. As a result of the study, the nursing work intensity was derived with four dimensions and eight attributes. Ultimately, the definition of the nursing work intensity is the total amount degree of burden you feel yourself spent in caring for the sick. That is, the amount degree of burden refers to the pressure on time, the demand for skilled nursing knowledge, the weight of work concentrated at one time, three shifts, unexpected work hours, reduced work satisfaction, impaired interaction between medical staff, and the burden of nursing itself. This study is significant in that it provided a conceptual basis for the resource management plan of clinical nurses, and based on this study, propose the development of a tool for measuring the nursing work intensity.

인공신장실 간호사의 임파워먼트, 직무스트레스 및 소진의 관계

허영주(Youngju Hur),이병숙(Byoungsook Lee) 계명대학교 간호과학연구소 2011 계명간호과학 Vol.15 No.1

Purpose: This study was designed to find out relationship between the empowerment, job stress and burnout of nurses in hemodialysis units. Method: Subjects of this study were 280 nurses working at 51 hemodialysis units located in Daegu metropolitan city and Kyeongbuk province. Three scales were used to measure the subjects’ empowerment, job stress and burnout. The data were analyzed using descriptive statistics, t-test, ANOVA with Scheffe’s test, Pearson correlation and stepwise multiple regression in SPSS. Result: The salary level, the pattern of the shift, and the intention to work in the hemodialysis unit were affecting empowerment and job stress in the subjects. Age, marital state, clinical experience, career experience at hemodialysis unit, present position, the pattern of the shift, the intention to work in the hemodialysis unit were affecting burnout in the subjects. There were significant negative relations between empowerment and job stress, and empowerment and burnout in the subjects. Conclusion: The results showed that the more job stress the nurses have, the higher burnout they could feel. Additionally, the results showed nurses’ higher empowerment could decrease their job stress and burnout. Based on the results, strategies to strengthen the empowerment of the nurses in the hemodialysis units are recommended to decrease their job stress and burnout.

호스피스 간호서비스 만족도 측정도구(HNSSS) 개발

곽수영(Kwak, Su Young),이병숙(Lee, Byoungsook) 계명대학교 간호과학연구소 2011 계명간호과학 Vol.15 No.2

Purpose: This study was performed to develop Hospice Nursing Service Satisfaction Scale(HNSSS) for hospice units in general hospitals. Methods: This study was done with two steps, the development and the verification of reliability and validity of the scale. For the development of items, literature review and In-depth interviews with ten hospice clients were done. An item analysis and factor analysis were done to verity the reliability and validity of a 5-point preliminary scale. For this procedure, 200 hospice clients who received hospice nursing services in a hospice unit of an university hospital participated. Data for the verification of the scale were collected with telephone interviews. Results: In the process of the item development, 53 items were selected after evaluating content validity of the items. The preliminary HNSSS which was developed using 53 items with 5 point scale was examined for its reliability and validity. Finally 52 items in six factors remained for HNSSS. The Cronbach a of HNSSS for the reliability of the scale was .959. As the results of Factor Analysis for the construct validity of the scale, six factors were identified and their total variance was 59.1%. Histogram of the scores in the subjects showed normal distribution. Conclusion: HNSSS was verified in reliability and validity and it could be an useful tool for the improvement of the quality of hospice nursing service and for the studies about the quality of hospice nursing services.

호스피스 자원봉사자의 죽음불안과 죽음에 대한 태도

김명희(Myunghee Kim),이병숙(Byoungsook Lee) 계명대학교 간호과학연구소 2009 계명간호과학 Vol.13 No.1

Purpose: This study was performed to identify death anxiety and attitude on death in hospice volunteers. Method: The subjects were 267 hospice volunteers from six general hospitals in Daegu-Kyungbuk area. Tools for the death anxiety developed by Park(1995) and the attitude for death, the Korean version of Thorson & Powell(1988) were used. SPSS/Win 12.0 was used for statistical analyses. Result: The average score of the death anxiety was 2.12(SD .59) in 4 score scale. In death anxiety, there were significant differences according to sex, occupation, religion and the frequency of volunteer service. And, these variables explained 11.6% of death anxiety. The average score of subject’s attitude to death was 2.91(SD .59) in 4 score scale, revealing the positive attitude to death. In attitude on death, there were significant differences according to religion, frequency of participating volunteer service, experience of the death of close relatives and the motivation of participating volunteer service. And these explained 6.6% of attitude on death. Negative correlation was found between the death anxiety and the attitude on death. Conclusion: The variables affecting death anxiety and attitude on death, such as sex, occupation, religion and frequency of participating volunteer services, and the motivation of participating volunteer services should be considered in the development of programs for hospice volunteers.

일 권역응급의료센터 내원 환자의 체류시간 및 관련 요인

천숙진(Cheon, Suk-jin),이병숙(Lee, Byoungsook) 계명대학교 간호과학연구소 2012 계명간호과학 Vol.16 No.2

Purpose: This study was conducted to analyze the length of stay and related factors of patients admitted in regional emergency medical center. Method: The subjects included were 162 patients who visited the regional emergency medical center in a metropolitan city. The length of stay from reception to the physician's response, decision for admission, length of stay in the emergency medical center were measured and analyzed. Results: The average length of stay from reception to the physician's response was 49.00 minutes, decision for admission was 884.29 minutes, and the average length of stay was 1056.62minutes. According to patients' levels of severity and the types of admission and discharge, the length of stay from physician's response, from decision for admission, and total length of stay were significantly different. Logistic regression showed the length of stay for physician's response, stay for decision of admission were the significant predictors for the delayed stay. As the stay for the physician response were delayed one minute, the possibility of the delayed stay in the emergency medical center is 1.36 times higher. As the stay for decision of admission is delayed one minute, the possibility of the delayed stay in the emergency medical center is 1.16 times higher. The most . frequent reason for the delayed stay was the shortage of hospital rooms (11.8%). Conclusion: The results showed the length of stay from the physician's response, from the decision for admission and total length of stay in a regional emergency medical center were considerably delayed. The predictable factors for the total length of stay were the stay from the physician's response and from the decision for admission.