간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

대학 e-러닝의 학습자 특성 및 교수자 특성 요인에 대한 한국과 중국의 인식도 차이

김희정(Hee jung Kim),장몽로(Zhang Meng Lu),조숙진(Sook jin Cho),이석준(Seog iun Lee) 건국대학교 경제경영연구소 2013 商經硏究 Vol.38 No.2

전통적인 면대면 교수-학습 환경에 대한 대안으로 인터넷을 통해 학습자의 학습 환경을 촉진하고 지원하며, 학습자가 자기 주도적(Self-Directed)으로 학습하도록 도와주는 e-러닝이 빠르게 확산되고 있다. e-러닝이 활성화 되면서 관련 분야의 연구도 활발하게 진행되고 있다. 한국과 마찬가지로 중국에서도 e-러닝 분야가 급속하게 성장하고 있으며 특히 대학 고등교육을 e-러닝으로 실시하려고 노력하고 있다. 그러나 중국 대학이 e-러닝을 효과적으로 실행하는 비율은 한국보다 낮고 e-러닝에 대한 연구도 충분히 이루어지지 않고 있다. 이에 본 연구는 한국과 중국 간의 대학 e-러닝의 학습 성과에 영향을 미치는 학습자 특성 및 교수자 특성 요인에 대한 인식도 차이를 알아보고자 한다. 이를 통해 e-러닝을 활용하고자 하는 중국 대학이나 기업에 국가별 특성에 적합한 e-러닝을 도입, 활용, 확산 등에 관련된 유용한 시사점을 제공하고자 하였다. 본 연구는 김희정･이석준･김종인(2011)의 연구에서 제시한 e-러닝의 학습자 특성 및 교수자 특성 요인을 도출하여 한국과 중국의 인식도 차이를 분석하고자 하였다. e-러닝 학습 경험이 있는 중국 대학생을 대상으로 설문지를 이용하여 자료를 수집하였으며 총 94부를 분석하였다. 간단한 기초통계를 비롯하여 신뢰도 분석과 한국과 중국 간 차이를 분석하기 위해 독립표본 T-검정 실시하였다. 분석 결과 한국과 중국 간 e-러닝의 학습자 특성과 교수자 특성의 인식에는 모두 차이가 있는 것으로 나타났는데 총 22개의 세부 요인 중 12개의 요인에서 한국과 중국 간 인식 차이가 있는 것으로 나타났다. E-learning is spreading rapidly as an alternative for traditional face-to-face ‘teaching-learning’ environment and as a tool for helping learners to study in a self-directed way by promoting and supporting their learning environment through the Internet. As e-learning is vitalized, its relevant researches are also proceeding briskly. China, like Korea, is enjoying swift growth of the e-learning sectors and especially trying to universities educations with e-learning. However, the rate of Chinese Universities’ effective use of e-learning is lower than that of Korea, and their e-learning related researches are not being achieved enough. Hence, this study will examine the perception differences in characteristic factors of learners and teachers, which influence the universities e-learning’s learning achievements in Korea and China. This will be able to help provide Chinese universities or companies with useful implications regarding the introduction, application, and diffusion of e-learnings suitable for the country’s characteristics. This study tries to analyze the perception differences between Korea and China, by deducting the characteristic factors of e-learning learners and teachers suggested in the study by Kim Hee-jung, Lee Seog-jun, and Kim Jong-in (2011). The data was collected by questionnaires targeting Chinese universities students who were having experience in e-learning use, and a total 94 of them were analyzed. Including the reliability analysis with simple basic statistics, the study conducted independent samples t-test in order to make analysis for differences between Korea and China. The analyses results indicate that the perception differences of learners and teachers exist there in all sectors between Korea and China. Out of a total of 22 detail factors, it was revealed that 12 of them show the perception differences between Korea and China.

Purge & Trap-GC를 이용한 의약품 필름코팅 정제 중 잔류용제에 관한 연구

장준식,이명자,소유섭,문춘선,이주헌,박희라,김진숙,강경모,이선옥,방성연,유미자,유문균,금오성,이병욱 식품의약품안전청 2000 식품의약품안전청 연보 Vol.4 No.-

의약품은 약물을 생체에 적풋하기 위하여 유효성분의 효과가 언제나 일정하게 확보되고 사응에 편리하도록 만들어지는 것이므로 유효썽분 이외에 약효에 영향을 주지 않는 성분이 첨가되는 경운가 많다. 이 때 사용되는 용매들은 제피의 광택 및 건쪼시간의 단축 등을 위하여 휘발점이 낮을 용매들이 주로 사용되어진다. 본 연구는 의약품 필름코팅정제 중 잔류용매 4종(chlorofonr benzen, trichloro ethylen, 1,4-dioxane)에 대한 변형된 pirge & trap-GC 장치를 이용한 동시분석방법을 개발하였으며, 각 표준품의 RSD 값은 chloroform 3.03%, benzen 3.17%, trichloroethylen 3.69% and 1,4-dioxane 3.41%였다. 또한 시중 유통중인 의약품 50종에 대하여 잔류웅매 양을 측정하였으며, 검출되는 잔류용매는 한 건도 없었다. This study nras carried out to develope the analytical method for the mixture of chlorefonn, benzen, trichloroethylen and 1,4-dioxane simultaneously and determine the remainingorgauic solvents in coating tablets by Purge & Trap-GC. The results were as follouFs ; 1. Chloroform, benzen, trio:tloroethylen and 1,4-dioxane separated by tenax #5 trap by HP-624GC column by terrlperature programming. The peaks were separated completely at retentiontime of 6.88min for chloroform, 8.21min for benzen, 10.38miu for trichloroethylen and 11.95minfor 1,4-dioxane. 2. Standard RSD were individually chloroform 3.03%, benzen 3.17%, trichloroethylen 3.69%and 1,4-diorane 3.41%. 3. 60 samples were not detrcted chloroform, benzen, trichloroethylen and 1,4-dioxane.

영재 학생들을 위한 과학사-CPS 수업 모형을 활용한 분자생물 영역 수업 프로그램의 개발 및 적용

이주현 ( Ju Hyun Lee ),이미숙 ( Mi Sook Lee ),주희영 ( Hee Young Ju ),이길재 ( Kil Jae Lee3 ) 경북대학교 과학교육연구소 2011 科學敎育硏究誌 Vol.35 No.2

This research was aimed to develop and apply the molecular genetics teaching program based on the history of science and creative problem solving model (HS-CPS model) for gifted students. Based on the strategies of creative problem solving and scientific theory development, the HS-CPS teaching program were developed. This program was applied to 8 first and second graders of the special class for invention activity in a high school. Creative problem solving ability in science and the understanding of DNA and gene concept were tested in pre and post of 12 lessons. The results were as follows: First, creative problem solving ability in science was improved meaningfully. Second, HS-CPS teaching program was effective in the understanding of DNA and gene concepts. Third, the students responded positively to the program evaluation questionnaire.

조선후기 천문학자 이덕성의 생애와 천문활동

안영숙,민병희,서윤경,이기원,AHN, YOUNG SOOK,MIHN, BYEONG-HEE,SEO, YOON KYEONG,LEE, KI-WON 한국천문학회 2017 天文學論叢 Vol.32 No.2

The life and astronomical activity of Lee Deok-Seong (李德星, 1720-1794) was studied using various historical sources, including the astronomical almanac, Seungjeongwon-Ilgi (Daily records of Royal Secretariat of Joseon dynasty), and the Gwansang-Gam's logbooks during Joseon dynasty (A.D. 1392-1910). We present the results of the study including the following main findings. First, from the investigation of Lee's family tree, we find that a number of his relatives were also astronomers, notably Samryeok-Gwan (三曆官, the post of calendrical calculation). Second, we find that he took part in the compilation of an annual astronomical almanac over a period of at least 16 years. His major achievements in the astronomy of the Joseon dynasty were to establish a new method of calendar-making calculation and to bring astronomical materials to the Joseon court through a visit to China. The Joseon dynasty enforced the Shixianli (時憲曆, a Chinese calendar made by Adam Shall) in 1654 without fully understanding the calendar. So an astronomer and an envoy were dispatched to China in order to master the intricacies of the calendar and to learn as much of Western science as was available in that time and place. Lee Deok-Seong worked at the Gwansang-Gam (觀象監, Royal Astronomical Bureau) during the reigns of King Yeongjo (英祖) and Jeongjo (正祖). As best as we can ascertain in relation with the calculations in the Shixian calendar, Lee visited China four times. During his trips and interactions, he learned a new method for calendar-making calculations, and introduced many Western-Chinese astronomical books to Joseon academia. Lee greatly improved the accuracy of calendrical calculations, even while simplifying the calculation process. With these achievements, he finally was promoted to the title of Sungrok-Daebu (崇祿大夫), the third highest grade of royal official. In conclusion, history demonstrates that Lee Deok-Seong was one of the most outstanding astronomers in the late-Joseon dynasty.

암 병동 간호사의 통증관리에 대한 지식과 태도

공성화,방찌야,서민숙,현신숙,김희정,이미애1,이미애2,유현희,허재경,김은애,박경숙 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. Method: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990). that was by Kim'(1997). Result: In terms of the nurses knowledge of pain management. the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids. 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016). years of experiences(p=.002), experience of cancer pain education(p= .001). Conclusion: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.

조혈모세포이식을 받은 급성 골수 백혈병 환자에서 발생한 cyclosporine에 의한 양측 시신경병증

정진권,김한조,박명진,하승주,최경식,이성진,박성희,이상철,이남수,박희숙,원종호 순천향대학교 의학연구소 2007 Journal of Soonchunhyang Medical Science Vol.13 No.2

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金泉市內 婦人의 姙娠中 입덧에 關한 一調査硏究

李淑姬 김천과학대학 1975 김천과학대학 논문집 Vol.3 No.-

A study of the phenomenon of morning sickness during pregnancy was conducted by the author in Gim Cheon City from August 9 to August 18, 1975. A total of 500 women were interviewed with the use of a questionnaire. Results of the survey are as follows: 1. General characteristics of the respondees. a) The largest group consisted of women in the 25-29 year age category (36.2%). b) The educational level of those interviewed was fairly evenly distributed between primary school, middle school, and high school graduates. Each group maintained a representation of 27-29% of the total. c) The economic status of the respondees was as follows: (1) lower class 41.2%, (2) middle class 37.0%, (3) upper class 21.8%. d) The overwhelming majority were housewives(73.0%). e) The first marriage for 70.2% occurred between the age of 20-24. f) Among 57.8% of the respondees birth of the first child occurred between the ages of 20-24, with 30.4% indicating a first delivery between 25-29 years of age. 2. Morning sickness was experienced by 90.6% during their first pregnancy. Of this number 80.6% reported good health before pregnancy, while 96.0% indicated no sickness during pregnancy. Among the 4.0% that reported illness, 75.0% experienced morning sickness. (p〉0.05). 3. Among the 86.4% who indicated that in the first pregnancy the child fulfilled their desires, only 6.3% experienced difficulty in morning sickness. Of those registered dissatisfaction with the first offspring (13.6%), 22.6% encountered difficulty in morning sickness. (p〈0.01). 4. Those interviewed were questioned about the extent of morning sickness and other symptoms during pregnancy. Of the 34.0% who responed to the question whether there were facial spots, 17.1% answered in the affirmative. Of the 30.6% who responded to the question whether there was leg swelling, 11.8% answered affirmatively. (P〈0.01). 5. Of the 96.2%(90.6% of the total number interviewed) who experienced morning sickness during the first three months, 30.9% reported that it lasted from three to four weeks, while 20.8% indicated that its duration was from one to two weeks. 6. With 80.4% of those interviewed responding, 54.6% reported that within the four weeks that they experienced morning sickness, they suffered nausea and vomiting as symptoms of this phenomenon. Of the remaining respondees(19.6%), 39.3% reported fatigue and dizziness during the four weeks period. (p〉0.05). 7. "Attacks" of nausea and vomiting(see 6 above) were precipitated by the following experiences: the smell of food(53.0% of the cases), exposure to stale air(17.6% of the cases), and funger(17.3% of the cases), In those cases where fatigue and dizziness occurred (see 6 above), the discomfort was triggered by the smell of food(34.8% of the cases), by stale air(14.6% of the cases), and hunger (13.5% of the cases).(p〈0. 01). 8. A majority(57.9%) of those interviewed reported that morning sickness was most pronounced in the morning. Of these who suffered fatigue and dizziness, 14.6% indicated that this occurred most often in the evening, while 11.2% stated that these symptoms occurred throughout the day. (p〉0.05). 9. To combat the effects of nausea and vomiting(the 80.4% described in 6 above), 49.5% ate some kind of fruit. To offset the ill effects of fatigue and dizziness 31.5% needed correction of fluid and electrolyte imbalances. 10. When morning sickness was being experienced the woman expressed a desire for the following food: a) fruit(49.0%) b) meat and fish(18.1%) c) fancy food(16.3%) 11. There was a significant difference in the actual intake of food desired during periods of morning sikness, based on differences in economic status. Of the upper class 45.4%(23.8% of the respondees) indicated that they had virtually what they wanted; of the middle class(39.3% of the respondees), 35.4% ate what was desired; and among the lower class(36.9% of the respondees), 25.2% ate what they wanted. (p〈0.01). 12. Of the 37.9% who went to the hospital as a result of morning sickness, it was reported that symptoms of this problem became more apparent in direct proportion to the number of hospital visits. The majority(52.6%) were simply instructed to "take it easy: " four were admitted to the hospital and stayed an average of 4.25 days. There were also four cases in which the doctor effected an abortion. 13. Among these who responded to the questionnaire, the overwhelming majority (87.5%) reported that they had no desire to pass the age of child bearing, simply because of the discomforts of morning sickness. Of the 53 wemen who were dissatisfied with their first offspring. 41.5% expressed an interest in no further child bearing. (p〉0.05). From among the women who were pleased with their first child, a mere 12.5% shown no interest in further child bearing. (p〈0.01).

The Music School에 나타난 결혼의 위기

이숙희 한국영어영문학회 경남지부 1989 현대영미어문학 Vol.6 No.-

The Music School collection holds a distinctive place in the Updike corpus because it contrains several stories that represent his radical departure in theme and mood. His themes no longer reflect boyhood recollections but adult concerns : the tensions of marriage, the process of aging, and the varied losses of "faith" -religious, political, sexual, Especially sexual conflicts create the perplexities which include various emotional elements and become the most prominent adult issue. The heros of this collection experience deep ennui and despair in their marriage and ponder over the cause of their problem. The Music School is the place of their meditation. It is remarkable that Updike's marriage has many dimensions. It includes not only ethical but religious and artistic suffering. Through their marriage, Updike's heros realize their inevitable situation as a Fallen Adam. Man took freedom and with it the piercing nostalgia toward the ideal world, the sense of loss, and the dread and anxiety about his existence. In this sense, the problems of Updike's heros are not individual and solvable but universal and insolvable ones. Updike's heros are much frigtened and perplexed in their adult lives. But they no longer try to dip into the innocent past but sustain their present and endure it. They accept the situation of the Fall as their natural fate and expect the perception of reality which will be given at the price of suffering. Considering that most of them are the artists, it is no wonder that the perception is taken the supreme moment of epiphany. Here is the union of sex, religion, and art, and Updike's adult hero has a new mode of life confidently as a realist