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      • KCI등재

        학령전기 아동을 위한 음주예방프로그램 개발 및 효과

        김윤경(Kim, Younkyoung),이정미(Lee, Chong Mi),박종(Park, Jong) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.2

        Purpose: The purpose of this study was to identify the effects of the program to promote drinking knowledge, attitudes, and coping behavior in preschool children. Methods: A quasi-experimental with non-equivalent control group pretest-posttest design was conducted. The participants were 123 five year old children from G city. They were assigned to the experimental group (n=77) or the control group (n=46). A pretest and posttest were conducted to measure main variables. For the experimental group, the drinking prevention program was given for 6 weeks. Data were analyzed using χ<SUP>2</SUP>-test, t-test, and ANCOVA. Results: After the intervention, preschool children in the experimental group reported significant differences in drinking knowledge (F=9.25, p =.003), drinking attitudes (F=19.57, p <.001), and coping behavior (F=16.38, p <.001) compared to preschool children in the control group. Conclusion: The results of this study indicate that a drinking prevention program for preschool children is effective in increasing drinking knowledge, attitudes, and coping behavior. This drinking prevention program is recommended as an effective intervention for preschool age children to postpone an early introduction to drinking.

      • KCI등재

        초등학교 저학년 학생의 음주예방행위 예측변수 측정도구 개발 - Ajzen의 계획적 행위이론 기반 -

        김윤경(Kim, Younkyoung),이정미(Lee, Chong Mi),강서영(Kang, Seo Young) 한국간호과학회 2020 Journal of Korean Academy of Nursing Vol.50 No.2

        Purpose: This study aimed to develop a scale to measure variables related to alcohol drinking prevention behavior in early elementary school, based on the theory of planned behavior. Methods: A scale was developed to measure variables related to alcohol drinking prevention behavior. Initial items for direct evaluation were constructed through a literature review, and those for belief-based indirect measure were generated through interviews with 30 second- and third-grade elementary school students. The collected data from 286 third-grade elementary school students were then subjected to item analysis, exploratory and confirmative factor analysis, criterion-related validity testing, and internal consistency assessment. Results: The final scale consisted of 35 items. Intention, attitudes, subjective norms, and perceived behavioral control explained 82.7% of the variance; behavioral beliefs, normative beliefs, and control beliefs explained 65.6% of the variance; and evaluation of outcome, motivation to comply, and power of control beliefs explained 72.8% of the variance. The confirmatory factor analysis indicated that the theoretical models had a satisfactory goodness of fit. Criterion-related validity was confirmed between the direct evaluation variables and the indirect measure variables (attitudes r=.64, p <.001; subjective norms r=.39, p <.001; perceived behavioral control r=.62, p <.001). Cronbach’s α was .89 for the direct evaluation variables and .93 for the indirect measure variables. Conclusion: The scale developed in this study is valid and reliable. It could be used to measure and explain variables related to alcohol drinking prevention behavior in early elementary school.

      • KCI등재

        노인과 비노인 외상환자의 손상중증도에 따른 특성 비교

        김현주(Kim, Hyunju),김윤경(Kim, Younkyoung) 한국보건간호학회 2018 韓國保健看護學會誌 Vol.32 No.2

        Purpose: This study examined the characteristic of the Injury Severity Score (ISS) of Korean geriatric patients with a traumatic injury in a nationally representative sample to determine the optimal cutoff of ISS of mortality according to age. Methods: The subjects were 3,018 non-elderly patients and 1,584 elderly patients with an ISS and Korean Triage and Acuity Scale (KTAS) in 2016 from the data of the Health Insurance Review and Assessment Service. The traumatic characteristics of the elderly and non-elderly were compared by stratifying the ISS. Receiver Operating Characteristic (ROC) curve analysis was used to find the optimal cutoff of ISS of mortality according to age. Results: The elderly were more prone to severe trauma than the non-elderly were. The distribution of KTAS grades was lower, even though the severity of ISS was as high as that of the non-elderly. The optimal cutoff score of the ISS for mortality in the ROC curve was lower in elderly over 65 years than in the other age group. Conclusion: The elderly are more prone to severe trauma and death than non-elderly, even though their ISS is low. Therefore, a strategy to prevent elderly from experiencing serious trauma and managing their geriatric trauma actively is needed.

      • KCI등재

        표준화 환자를 활용한 통합시뮬레이션 실습 프로그램 개발 및 적용

        강광순(Gwang-Soon Kang),김윤경(Younkyoung Kim) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.8

        본 연구의 목적은 간호 대학생을 대상으로 표준화환자를 활용한 통합시뮬레이션실습프로그램을 개발 및 적용하여 그 효과를 평가하기 위함이다. 본 연구는 일 종합대학 간호학과 4학년 30명을 대상으로 한 단일군 사전사후설계로 지역사회 에 거주하는 당뇨를 동반한 만성알코올중독대상자 간호를 위한 시나리오를 개발하였다. 연구결과 통합시뮬레이션실습프로 그램 후 의사소통 능력은 프로그램 실시 전보다 유의하게 향상하였으나(t=4.24, p<.001) 전이동기와 학습 자기효능감은 프로 그램 전과 후를 비교하였을 때 통계적으로 유의한 향상을 나타내지 못하였다. 또한 의사소통능력과 학습자기효능감, 의사소 통능력과 전이동기 사이의 상관관계는 유의하지 않았으나, 학습효능감과 전이동기 사이에는 양적 상관관계가 측정되었다 (r=.758, p<.01). 이는 학생들의 학년과 실습경험을 바탕으로 한 적절한 사례를 개발하여 적용함으로서 전이동기를 높이고 문제해결을 통한 학습자기효능감을 증가시키는 것을 알 수 있었다. 본 연구를 통해 표준화환자를 활용한 시뮬레이션학습은 의사소통 능력과 같은 대상자중심의 간호능력을 향상시킬 수 있는 통합실습프로그램으로서 유용함을 확인하였으며, 향후 의사소통능력 뿐 아니라 학습 자기효능감과 전이동기의 향상을 위한 다양한 통합시뮬레이션학습 시나리오개발에 관한 연구가 필요하다. The purpose of this study was to develop an integrated-simulation practice program using standardized patients and to identify the effects of such program. The present study used a pretest-posttest design with a single group applied to 30 fourth-year nursing students in a university and developed a case scenario for alcoholism patients with diabetes mellitus in a community. As results showed, communication skills were significantly improved (t = 4.24, p < .001), but the learning of self-efficacy and motivation of transfer were insignificantly improved compared with the pretest. Moreover, motivation of transfer showed a positive correlation with the learning of self-efficacy (r = .758, p < .01). The purpose of utilizing an appropriate case development based on practical experience and hands-grade students was to improve the motivation of transfer and increase self-efficacy through problem solving. Therefore, we identified that an integrated-simulation practice program using standard patients was useful in the improvement of client centered nursing competence, such as communication skills. In addition, further studies would help develop various scenarios for the integrated-simulation practice program to improve not only communication skills but also increase self-efficacy and motivation of transfer.

      • KCI등재후보

        간호대학생의 대학생활 적응에 미치는 영향요인

        이정미(Lee Chong Mi),김윤경(Kim Younkyoung) 전남대학교 간호과학연구소 2019 Nursing and Health Issues(NHI) Vol.24 No.1

        Purpose: This study aimed to identify the factors influencing adjustment to college life by nursing students. Methods: The participants were 260 nursing students. Data were collected from May to July in 2015. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson s correlational coefficients, and multiple linear regression analysis with SPSS WIN 23.0 program. Results: The mean scores of adjustment to college life (60.36±9.53), clinical practice stress (69.15± 12.28), employment stress (51.03±14.74), stress coping style (62.05±9.39), major satisfaction (6.34±1.74), satisfaction with college life (6.07±1.78), and satisfaction with practice (5.97±1.83) were more than half of the measurement range. Among general and health-related characteristics, sex, religion, family’s economic status, personality, school records, and subjective health status showed significant differences in the score of adjustment to college life. Adjustment to college life was significantly higher when the stress coping style was problem-focused coping (Model 3 =.35, p <.001), participants were male (Model 2 female =−.14, p =.008), participants had a religion (Model 3 =.15, p =.002), personality was extroverted or general (Model 2 introverted =−.11, p =.038), and school record was higher (Model 3 middle =.23. p <.001; high =.28, p <.001). The combined explanatory power of these variables was 42% (F=14.44 , p <.001). Conclusion: Based on the findings of this study, we need to consider different approaches according to students’ school record and use of stress coping styles, especially emotion-focused coping style, for college nursing students to improve their adjustment to college life.

      • KCI등재후보

        온라인 수업 참여 간호대학생의 일반적 특성과 학습 특성에 따른 수업참여와 만족도 차이

        최신아(Choi, Sin),박진수(Park, Jin Soo),김윤경(Kim, Younkyoung) 전남대학교 간호과학연구소 2021 Nursing and Health Issues(NHI) Vol.26 No.1

        Purpose: To understand the differences in class participation and satisfaction according to the general and learning characteristics of nursing students participating in online classes. Methods: In this cross-sectional survey, Google Forms was used to survey 74 nursing students from August to September 2020. Results: For the majority of the participants (79.7%), usual bedtime was between 1 and 3 AM. Further, 52.7% of the participants woke up between 10 AM and 12 PM. Regarding learning style, more than half of students favored diffusion. Participation in and satisfaction with online classes did not significantly differ by general and learning characteristics. However, students who were able to preview the class content for over 10 minutes displayed significantly higher in class satisfaction than those with a usual preview time of less than 10 minutes. Conclusion: The findings demonstrate the significance of a fixed preview time not only to increase participation in and satisfaction with online classes but also to help nursing students establish regular life and learning habits.

      • KCI등재

        고충실도 시뮬레이션 기반 교육이 간호학생의 임상수행능력과 간호수행 자신감에 미치는 효과

        이정미(Chong-Mi Lee),소향숙(Hyang-Sook So),김윤경(Younkyoung Kim),김정이(Jeong-Ee Kim),안민정(Minjeong An) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.10

        본 연구는 국내 고충실도 시뮬레이터를 이용한 시뮬레이션 기반 교육 관련 선행연구들을 체계적으로 고찰하여 간호학생의 임상수행능력과 간호수행 자신감에 대한 효과를 분석하고, 이를 이용해 근거중심의 가이드라인 제공 및 향후 연구방향을 제시하고자 시도되었다. 데이터베이스인 한국교육학술정보원(RISS), 한국학술정보(KISS)와 Google Scholar에서 2005년부터 2014년까지의 문헌을 대상으로 키워드 ‘간호와 시뮬레이션’ 또는 ‘간호와 시뮬레이터’로 검색하였다. 총 183편의 연구 중 16편의 논문이 최종 선정되었고, Quality Assessment Tool for Quantitative Studies를 이용해 문헌의 질을 확인하였다. 연구결과, 시뮬레이션 기반 교육은 간호학생의 임상수행능력과 자신감 증진에 긍정적인 효과가 있었고, 간호학생들의 직접 간호수행이 힘든 중환자와 분만간호 분야에서 임상실습 교육의 효과적인 교수-학습전략이 될 수 있음을 확인하였다. 시뮬레이션 기반 교육의 효과를 극대화하기 위해 교육자와 시설 등의 적절한 지원이 필요하다. 향후 결과의 일반화를 높이기 위해 충분한 표본수를 고려한 무작위대조연구, 교육효과 평가를 위한 표준화된 도구 개발 및 시뮬레이션이후 제공되는 디브리핑의 효과를 분석하는 연구를 고려해 볼 것을 제언한다. The purpose of this review was to evaluate the effects of simulation-based education on clinical competence and confidence in nursing students and summarize the available evidence on the simulation-based intervention. A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was conducted. Studies published between 2005 and 2014 were reviewed using the following databases: RISS, KISS, and Google Scholar. The keywords used were nursing and either simulation or simulator. Selected studies were assessed for methodological quality using Quality Assessment Tool for Quantitative Studies. Seventeen studies were identified, including a total of 1,912 nursing students. All the 16 studies found simulation as a valid strategy on clinical competence and confidence in nursing education. This review provides updated evidence for simulation-based learning in nursing education. Further studies are needed to increase generalizability using randomized controlled trials, enough sample size, and longitudinal study design. In addition, valid measurements are needed to assess the main outcomes.

      • KCI등재

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