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The purpose of this study was to review the literature on patient safety education for Korean nursing students and nurses. Articles published in the Republic of Korea from 2009 to July 2019 were identified from the Korean electronic databases, RISS, KISS, DBpia, and National Assembly Digital Library, using keywords of safety and nursing. According to the PICO of this study, nine studies met the inclusion criteria for analysis. Among the nine studies, six were for the nurses and three were for the nursing students. There were various educational subjects about patient safety using multiple educational methods. Patient safety education in nursing had effects on 1) reaction, 2) learning of cognitive, affective, and psychomotor domains and 3) behavior level according to the Kirkpatrick model. There was no effect on the result level. Patient safety education is an effective way to enhance patient safety competencies for nursing students as well as nurses.
This study was performed to evaluate the way in which nursing student made clinical judgment in the preeclampsia simulation using high fidelity simulator. The data were collected November 10 to 19, 2014. The student's clinical judgement skills were analyzed using clinical performance indicators of 20 simulation teams and the reflective narratives of 84 nursing students according to noticing, interpreting, responding, and reflection. The data were analyzed descriptive statistics based on Tanner's clinical judgement model. The most of students were performed well focus observation to find cues that implied the patient condition. However, some students had difficult in interpreting the meaning of the data and determining appropriate action. To develop clinical judgement for nursing students, the nursing educators need to consider repeated simulation training that enhance interpreting and responding process using Tanner's model.
This study was performed to review intervention study on simulation debriefing for undergraduate nursing students in Korea. In this study, an integrative review method was used. The existing literature was searched in electronic database in RISS, KISS, DBpia, and NSDL using key words of ‘simulation' and ‘debriefing'. 91 studies were identified through searching. 13 studies, which were related to the purpose of this study, were included for analysis. Among 13 studies, 11 were two groups, nonrandomized studies. All of the studies were conducted since 2012. The main themes of debriefing intervention were type of debriefer, structured debriefing based on theoretical model, and video debriefing. Debriefing duration ranged from 15 to 60 minutes. Debriefing was conducted by the instructor, peer group, and oneself. In most studies, debriefing had effects on knowledge, clinical judgment, and problem solving in cognitive domain, and clinical performance competency in psychomotor domain. But, the effects on affective domain were controversial.
This study was performed to compare the effects of health behaviors, dietary habits, and psychological health on metabolic syndrome (MS) between young adults living in one-person households (OPHs) and multiple-person households (MPHs). The data from the Korean National Health and Nutrition Examination Survey (KNHANES), which was conducted in 2014 and 2016 were used. The subjects were 2,682, who were 20 to 39 years old. The data were analyzed using complex sample Rao-Scott χ2-tests, t-tests, and multiple logistic regression using SPSS 23.0 software. Sex, age, obesity, and subjective health status were associated with MS in young adults living in either OPHs or MPHs. Breakfast consumption frequency, eating alone, food label use, stress, and depression were associated with MS only in young adults living in OPHs. Thus, these differentiated risk factors of MS should be considered, when health promotion strategies and interventions are planned for young adults living in OPHs. Also, further studies are needed to evaluate the effectiveness of the strategies or interventions. 본 연구는 국민건강영양조사 제6기 2차년도(2014년)와 제7기 1차년도(2016년) 원시자료를 분석하여 1인가구와 다인가구 청년의 건강행태, 식습관 및 심리적 건강상태를 비교하고, 이들 요인이 대사증후군에 미치는 영향을 파악하기 위해 실시되었다. 연구 대상자는 20-39세 남녀 2,682명(1인가구 173명, 다인가구 2,509명)이었고, 복합표본 교차분석, 일반선형모형 t-검정, 다중 로지스틱 회귀분석을 시행하였다. 1인가구와 다인가구 청년에게 공통적으로 유의하게 나타난 대사증후군 영향요인은 성별, 연령, 비만, 주관적 건강상태였고, 1인가구 청년에게만 유의한 요인은 아침식사 빈도, 매 끼니 혼밥 여부, 식품표시 이용 여부, 스트레스 인지, 우울 정도였으며, 다인가구 청년에게만 유의한 요인은 음주였다. 본 연구는 1인가구와 다인가구 청년의 대사증후군 영향요인에 차이가 있음을 보여주었고, 이는 1인가구를 위한 대사증후군 예방 중재를 계획할 때 차별화된 전략이 필요함을 나타낸다.
The purpose of this study was to investigate social networks, loneliness, and sleep quality related to health-related quality of life in older adults living alone. Data were collected from 111 community-dwelling elderly. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regressions with IBM SPSS 26.0 program. In multiple regression analysis, physical component summary (PCS) was predicted by the level of education (β=.20, p=.020), social networks (β=.31, p=.012), and sleep quality (β=-.23, p=.011). The model including these variables accounted for 25.7% of the variance in the PCS. Mental component summary (MCS) was predicted by loneliness (β=-.37, p=.004). Loneliness accounted for 31.7% of the variance in the MCS. In order to enhance the health-related quality of life of the older adults living alone, the intervention program to resolve social isolation should be provided for them. 본 연구의 목적은 독거노인의 사회적 관계망, 외로움, 수면의 질이 건강관련 삶의 질에 미치는 영향을 파악하는 것이다. 지역사회에 거주하는 독거노인 111명을 대상으로 설문지를 이용하여 자료수집을 하였다. SPSS Statistics 26.0 프로그램을 이용하여 기술통계, independent t-test, one-way ANOVA, Pearson's correlation coefficients, multiple linear regressions로 통계분석하였다. 다중회귀분석 결과, 교육 수준(β=.20, p=.020), 사회적 관계망(β=.31, p=.012) 및 수면의 질(β=-.23, p=.011)은 신체적 건강관련 삶의 질을 예측하는 요인으로 나타났고, 설명력은 25.7%이었다. 외로움(β=-.37, p=.004)은 정신적 건강관련 삶의 질을 예측하는 요인으로 나타났고, 설명력은 31.7%이었다. 독거노인의 건강관련 삶의 질 향상을 위해 사회적 고립을 해소하는 중재를 제공할 필요가 있다.