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일 가정간호 교육기관 교육생의 임상수행능력 평가에 관한 연구
강규숙,김조자,이원희,오의금,박희옥,Kang, Kyu-Sook,Kim, Cho-Ja,Lee, Won-Hee,Oh, Eui-Geum,Park, Hee-Ok 한국가정간호학회 2004 가정간호학회지 Vol.11 No.1
This study was conducted to investigate the evaluation of students on a practical performance of the home health care and to provide data for practical education on the home care nurse institution. Research was performed from March to December. 2002. 40 Respondents participated in the evaluation four times. The data were analysed by using the SPSS/PC + version 10. 0. The results of this study were as followings: 1. The average age of the subjects was 32. Majority of the subjects were interested in home health care. Majority of the subjects were staff nurse(57.5%) and workers at general hospitals(50%). 2. According to the result of the comparison of practical performances. performance evaluations of 20 items were higher when they admitted special practice than when they admitted any other practice. There was an positive increase in the evaluation of health assessment. nursing documentation. explanation. coping with emergency status. coordination and self assertion. In addition to health assessment. CPR. oxygenation. education & consultation. developmental assessment of child. nursing documentation. mastering nursing practice and consideration of client were significantly different. 3. The subjects were useful for practical circumference where they are working at. From these research findings. the following suggestions have been drawn: it is needed to manage practical curriculum variously and to include not only clinical aspect but also organic or administrational aspect and to reflect on students' needs and to choose to be reasonable items and to develop instruments for evaluation capability of home care nurse.
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소아환자에서 수술 및 회복기 동안의 체온변화에 관한 연구 : - Patients with abdominal surgery -
강규숙 연세대학교 교육대학원 1992 연세교육과학 Vol.41 No.-
This study was done to identify changes in temperature during surgery and the recovery phase and also to identify the incidence of shivering in the recovery room. Eleven pediatric patients who were scheduled for abdominal surgery and who were admitted to one university hospital were selected by a purposive sampling technique according to an established criteria. Rectal temperatures were recorded, at ten minute intervals using a telethermometer, from the time immediately prior to induction of the anesthesia up to the time of discharge from the recovery room. Incidence of shivering during the recovery phase were assessed at five minute intervals using a palpatory method with the palmar side of the fingers. The data collection period was from August 1991 to April 1992. The data were analyzed with descriptive statistics, paired t-test and Spearman correlation using the SPSS-PC program. The results are summarized as follows. 1. The difference in the mean rectal temperature of 37.13℃ prior to surgery and of 37.12℃ at the beginning of surgery was not statistically significant. 2. The difference in the mean rectal temperature of 37.13℃ prior to surgery and of 36.51℃, the minimal temperature during surgery was statistically significant(t=5.16. p<.01). 3. The difference in the mean rectal temperature of 37.13℃ prior to surgery and of 36.75℃ at the end of surgery was statistically significant(t=3.15, p<.05). 4. Incidences of hypothermia at the minimal temperature during surgery and at the end of surgery were 3(27.3%), and 3(27.3%) respectively. 5. The mean rectal temperatures of 36.75℃ at the end of surgery and of 36.28℃ at the time of admission to the recovery room were significantly different(t=4.49, p< .01). 6. The mean rectal temperatures of 36.28℃ at the time of admission to recovery room and of 37.02℃ at the time of discharge from the recovery room were significantly different(t=-4.19, p< .01). 7. The mean rectal temperatures of 37.13℃ prior to surgery and of 37.02℃ at the time of discharge from the recovery room were not statistically significant. 8. Incidences of hypothermia at the of admission to the recovery room were 3(27.3%), but at the time of discharge from recovery room they were absent. 9. Incidenses of shivering during the recovery phase were 3(27.3%) 10. There was a high degree of negative correlation between the temperature at the admission to the recovery room and shivering incidence, and it was statistically significant(t=-0.74, p< .01). In conclusion, hypothermia occurs during surgery and has a tendency to continue to the end of surgery although the intensity is decreased. Further the lower the temperature was at the time of admission, the greater the incidence of shivering was.
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중학생의 학습동기와 자아존중감 강화를 위한해결중심 집단프로그램의 효과
강규숙,어주경 한국생애학회 2012 생애학회지 Vol.2 No.1
This study examined the improvement the middle school students made in respect to learning motivation and self-esteem after participating in the group program of solution focused brief therapy. This program consisted of six sessions, each providing several activities founded on the virtue and philosophy of solution focused brief therapy. Participants were 62 middle school students residing in Kangseo-gu and Yangcheon-gu areas. Half of them was randomly assigned to the experimental group and the rest to the control group. The measurements utilized were Learning Motivational Scale (Kim, 1996) and the Korean version of Rosenberg(1965)'s self-esteem scale (Won, Lee, & Hoon-Jin, 1995). As a general means to analyze the data, frequencies and percentages were calculated. Then, paired t-test yielded the comparisons of pre-and post-test scores. The Results conclude that the solution focused brief therapy group program is effective on improving middle school students' learning motivation and self-esteem.
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강규숙,김조자,서미혜,백희정,Kang, Kyu-Sook,Kim, Cho-Ja,Seo, Mi-Hye,Baek, Hee-Chong,Margaret, Storey 한국가정간호학회 1999 가정간호학회지 Vol.6 No.-
From 1990 to 1997 Home Care Education Programs have been offered at 11 Home Care Education Institutes. But there have been no revisions in the program. Especially in the clinical practicum, the Ministry of Health and Welfare proposed 248 hours as 'Family Nursing and Practice'. But each of institutes has developed their own program, and the clinical practicum is very different. Institutions for home care practice have been very limited and even now only 40 hospitals started home care in the second demonstration project. A few community-based institutions have also been offering home care services. This study was conducted to analyze home care clinical practicum offered at Y university, and plan for a revised home care clinical practicum. Y university clinical practicum was revised to include 'visits to community institutions', 'laboratory practice', 'hospital practice', 'discharge planning and home care practice', and 'home care specialty practice'. The results of the evaluation and plan for a revision are as follows: 'Visits to community institutions' is a practice that helps the students understand community resources which are available to home care nurses, and as an orientation to institutions for practice. 'Laboratory practice' is to used to improve nursing skills that are applicable to home care. Problems that the students identified in the laboratory practice were 'lack of opportunity for individual practice', and 'inadequate theoretical preparation for practice'. To address these problems the basic nursing skills laboratory was open and could be used freely by the home care students, and practice could be done after the theoretical lectures. 'Hospital practice' is a practicum in which the students apply nursing skills to patients and to obtain assessment skills for discharge planning. Using a preceptorship, five days for hospital practice should be offered. 'Discharge planning and home care practice' was done at Wonju Christian Hospital. This institute is too far away that this practice should be provided at different institutions as soon as it is possible to contract with home care institutions. Patients groups in different home care institutions are very different, so the 'Home care specialty practice' should be done after analyzing patient groups and choosing specialty areas. These areas are' care of patients with respiratory dysfunction', 'care of patients with neurologic dysfunction', 'care of cancer patients', 'care of patients on dialysis', and 'wound care'. This practice should be offered with a preceptorship, so preceptors, clinical directors, and students should meet for home visit orientation.
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