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      • KCI등재

        집착의 잠재계층과 정신건강

        김은희 한국상담심리학회 2008 한국심리학회지 상담 및 심리치료 Vol.20 No.3

        본 연구는 집착척도(김은희, 2006)를 기초로 하여 집착의 잠재계층을 분류하고 집착의 잠재계층과 정신건강과의 관계를 살펴보기 위해 이루어졌다. 연구 결과 집착의 5가지 잠재계층 모형이 검증되었고, 5개 잠재계층 각각은 다음과 같다. 첫째, 집착척도 6요인 모두에서 평균 이상의 점수를 보이는 ‘고 집착 계층’, 둘째, 과거중심성과 시각고정성에서 평균 이상의 점수를 보이는 ‘과거 지향적 집착 계층’, 셋째, 현재성결여와 상황경직성에서 평균 이상의 점수를 보이는 ‘현재 회피적 집착 계층’, 넷째, 미래중심성과 욕구집착성에서 평균 이상의 점수를 보이는 ‘미래 지향적 집착 계층’, 마지막으로, 집착척도 6요인 모두에서 평균 이하의 점수를 보이는 ‘저 집착 계층’ 이었다. 집착의 잠재계층과 정신건강과의 관계를 살펴본 결과, 잠계계층에 따라 정신건강 지표들에서 집단 간 유의미한 차이가 있는 것으로 나타났다. 특히 모든 요인에서 평균 이상의 점수를 보인 고 집착 계층의 사람들이 부정적인 정신건강 지표들에서 일관되게 높은 점수를, 긍정적인 정신건강 지표들에서 일관되게 낮은 점수를 보임으로써, 특정 잠재계층에서 평균 이상의 점수를 보이는 사람들에 비해 정신건강 상의 어려움을 수반할 가능성이 높은 것으로 나타났다. The present study was conducted to identify different types of clinging and to examine the relationship between the various types of clinging and mental health. Based on a Latent Class Analysis on the Clinging Scale, subjects were classified into five different classes; ‘high clinging class’, ‘past-oriented clinging class’, ‘present-avoidance clinging class’, ‘future-oriented clinging class’ and ‘low clinging class’. The ‘high clinging class’ scored highly in each of the six factors of the Clinging Scale and the ‘low clinging class’ attained low scores in each of the six factors of the Clinging Scale, while other clinging classes showed high scores only in specific factors of the Clinging Scale. Significant differences in mental health indices were found among the different clinging classes. In particular, people classified into the ‘high clinging class’ showed consistently high scores on negative mental health indices and consistently low scores on positive mental health indices. This implies that the ‘high clinging class’ is more prone to deterioration of mental health compared to people in other clinging classifications.

      • KCI등재
      • KCI등재

        개정판 집착척도 개발 및 타당화

        김은희 한국상담심리학회 2007 한국심리학회지 상담 및 심리치료 Vol.19 No.1

        We conducted this study to develop and validate the new Clinging Scale. This scale was based on the previously developed Jipchak Scale (Eun Hee Kim, 2002). Study 1 resulted in developing the final Revised Clinging Scale of 36 items, which were derived from 6 different factors (past fixation, lack of nowness, future fixation, fixed opinion, situational inflexibility, and desire obsession). Study 2 was conducted to validate (construct and criterion-related validity) the Revised Clinging Scale. The validity of the Revised Clinging Scale was supported by findings from various groups classified by their psychological or mental health and ability to adapt. 본 연구는 이미 개발된 바 있는 집착척도(김은희, 2002)의 문제점을 수정 및 보완하여 새로운 집착척도를 개발하고 타당화하기 위해 이루어졌다. 연구 1은 예비 연구와 본 연구로써, 집착의 구성개념을 새롭게 설정하여 문항을 개발하고, 요인분석과 문항분석을 통해 최종 집착척도를 확정한 후, 신뢰도와 구성개념 타당도를 확인하는 과정이었다. 연구 1의 결과 6요인(과거 중심성/현재성 결여/미래 중심성/시각 고정성/상황 경직성/욕구 집착성) 총 36문항으로 구성된 개정판 집착척도가 개발되었다. 연구 2는 개정판 집착척도의 타당화 과정으로, 집착척도의 구성개념 타당도와 준거관련 타당도를 확인하였다. 연구 2의 결과 개정판 집착척도는 구성개념 타당도와 준거관련 타당도 면에서 적절한 척도인 것으로 나타났고, 심리적․정신적 적응과 부적응을 기준으로 한 다양한 집단에서 그 타당성이 일반화되어 나타났다.

      • KCI등재

        사회적 구성주의 패러다임의 학습 공동체 실천을 통한 기관수준의 유아교육과정 변형에 관한 연구

        김은희 한국유아교육학회 2004 유아교육연구 Vol.24 No.4

        본 연구의 목적은 레지오 접근법에 기초한 사회적 구성주의 패러다임의 학습공동체 실천을 통한 기관수준의 유아교육과정 변형 과정 및 내용을 탐색하는데 있다. 김은희(2001)의 연구에 참여하였던 기관들과 기관내 학습공동체, 인터넷 커뮤니티, 다학문적 학습공동체를 적용하면서 참여 실천 연구(particitory action research)방법으로 이루어졌다. 기관내 학습공동체, 다학문적 학습공동체에서 도출된 실천사례, 토의, 교사·부모 집단면담, 저널, 교사·부모 조사지를 관찰, 면담, 내용분석, 현장 조사지의 연구방법으로 질적 분석하였다. 연구 결과, 기관수준의 교육과정 적용이 기계적에서 일상적, 창의적 적용으로 변화되었으며, 긍정적인 교육과정 변형 과정과 내용을 분석하였다. 이를 토대로 지속적인 학습공동체, 포스트 모던이즘 반성적 탐구, 가르침의 예술, 관계의 교육학, 실천연구, 교사교육에 대해 제언하였다.

      • KCI등재
      • KCI등재

        자유주의 성윤리의 수정 : 쾌락 중심에서 자율성 중심으로

        김은희 한국여성철학회 2013 한국여성철학 Vol.19 No.-

        이 논문에서는 자유주의 성윤리로서 제시되어온 기존의 입장들이 검토되 고, 그 안에서 발견되는 긴장, 혼란, 그리고 한계들이 지적된다. 그리고 최종적으로 이런 문제점들을 제거할 수 있는 이론적 자원을 갖춘 자유주의 성윤리가 새롭게 제 안될 것이다. 이렇게 제안된 새로운 자유주의는 자유주의 담론이 가진 본래 취지를 더 선명히 드러내며, 자유주의 성윤리에 대한 혼란과 오해를 줄일 수 있다. 첫째, 나는 자유주의가 비판의 대상으로 삼았던 보수주의 성윤리를 검토한다. 나는 여기서 보수주의 성윤리의 대표적인 네 가지 이론적 원천들을 검토하며 그 한 계를 지적하지만, 그것들을 완전히 폐기하지는 않는다. 이것은 충분히 자유주의 성 윤리 담론을 새롭게 구성할 좋은 이론적 자원을 보유하고 있기 때문이다. 둘째, 나 는 자유주의 성윤리의 등장과 그 내적 혼란에 대해 검토한다. 기존의 자유주의 성 윤리는 쾌락의 어법과 자율성의 어법을 동시에 포함하며 등장한다. 나는 이 두 어 법이 친화적으로 보이지만 늘 상호 일관적으로 공존하지는 않는다는 점을 지적할 것이다. 기존의 자유주의 성윤리는 쾌락의 어법에 좀 더 기울면서 자율성의 많은 측면들을 훼손하기에 이른다. 나는 기존의 자유주의 성윤리가, 보수주의가 지닌 본 질론들을 비판하면서도 그 스스로 또 다른 본질론을 견지하고 있고 그로 인해 몇 가지 문제점이 발생하게 됨을 지적할 것이다. 그리고 더 나아가 나는 기존의 자유 주의 성윤리가 성관계 당사자들만의 미시적 관계에 집중하고 그들을 둘러싼 사회 구조적, 맥락적 성격에 대해서 고려하지 않는다는 점을 지적할 것이다. 마지막으로 나는 새로운 자유주의 성윤리를 제안한다. 그것은 기존의 자유주의 성윤리가 견지하였던 본질론과 변태론을 거부하고 ‘개인적 목적론’의 정립을 제시 한다. 단, 여기서 ‘개인적 목적론’은 정의(justice) 담론과 함께 제시되어야 한다. 정 의 담론이 ‘개인적 목적론’들의 한계를 설정하는 역할을 하기 때문이다. 이 때 가장그럴듯한 정의 담론은 어떤 성격을 지녀야 하는지도 밝혀질 것이다. 이렇게 정립된 새로운 자유주의 성윤리는 쾌락 중심적이고 남성 중심적이고 미시적 관계 중심적 인 내용을 벗어나 자율성 중심적이고 여성적 관점을 고려하고 거시적 관점을 고려 한 내용들을 제시한다. Liberalist sexual ethics seems to include two key elements. One is sexual pleasure, and the other is sexual autonomy. They appear to be compatible with each other in liberalist sexual ethics, but in fact, they are not. Pleasure-based liberalism has essentialist implications that the essence of sexuality is sexual pleasure. Pleasure-based liberalism cannot appreciate various ways of sexuality which do not aim to sexual pleasure but are adopted autonomously by many people for many various reasons. Such burdensome implications of pleasure-based liberalism are not acceptable by many peoples who aims to sexual act, for example, only to reproduce or to earn money and so on. So, I need to look to autonomy-based liberalism in order to delineate a sexual ethics acceptable by various people with various ways of sexuality. Autonomy-based liberalism does not refuse all of conservative sexual ethics, which include teleological ethics, asceticism and Kantian sexual ethics or so. These conservative elements can develop into liberalist one. And autonomy-based one does not take any particular way of sexuality as the essential as such. Only each person can determine his or her essential way of sexuality so far as that it can be compatible with other ways of sexuality. Moreover, autonomy-based one has Rawlsian idea of reciprocity, not Nozickian one. It means that we must consider social dimensions of sexual agreements thathappen between men and women, which feminists would consider as gender problems. Autonomy-based liberalism can and must include feminist consideration in order to be more persuasive one to us who cannot ignore the difficulties from sexual and social inequalities. In conclusion, autonomy-base liberalism of sexual ethics that I suggest in this paper is more plausible and persuasive than pleasure-based and Nozickian one.

      • KCI등재

        서울지역 國民學校 養護敎師의 學校看護業務 遂行程度에 關한 硏究

        김은희 韓國學校保健學會 1988 韓國學校保健學會誌 Vol.1 No.2

        This study was conducted in order to grasp the condition of about the school nurse's service and to offer the basic materials of improving the school health service. The objects were comprised of 98 volunteered school nurses who take service in the elementary school. The material of this study was the questionaire suited to the purpose of this research which has been made through studying references and this questionaire has been corrected and revised three times. All the questionaire written by school-nurses. The results are as follows; 1. General features of the objects of study Average age was 35.9 and average career was 9.2 years. Except working as school-nurse, the past career was that average clinical-field was 3.4 years and health service was 4 months. Their educational level was as high as 72.4% of the objects were graduated from above 3 years college and 89.8% were married. 76.5% have religions and 94.8% were working at with national and public schools. 99.0% were doing only nursing service. 2. The conditions of the school health resources. The ratio of school-nurse to students was one to 2630. School-nurse to classes, one to 49.3, and school-nurse to teachers, one to 54. For total amount of a year budget of school health, from three hundred thousands to fifty nine hundred thousands won was most common. Expenses for purchasing medicine were used most. 58.2% of school-nurses hasn't known a year budget. There was an organization for school health in 74.2% of schools. 42.9% of nursing rooms were in the center of school and 88.8% were on first floor. Nursing room were used alone without being used by another purpose and the room size of 71.6% was below 10 pyong. 3. The conditions of school health service Average users of nursing room were 413 a month. The most of them had digestive trouble. Sending letters to home was 15.9 times a year. The most contents of letters was about health education. Object spent much time managing nursing room. 4. The degree of school health service When 2 points was given to "perform" and 1 point was to "not perform" the total average was 1.75, health education 1.89, environmental management 1.86, plan of project and evaluation 1.83, management of nursing room 1.82, health management 1.78, run of school health organization 1.32. 5. Correlation between the school health services and variables (1) The part of project plan and evaluation of school health service has relationship to existence or none-existence of school health organization (P<0.01), past health service career (P<0.05), number of classes (P<0.01), number of students (P<0.01), sending letters to home about health education (P<0.01) and number of users (P<0.05). (2) The part of nursing room management has relationship to ages (P<0.05) past clinical career (P<0.05), number of classes(P<0.05), number of students (P<0.05) and sending letters to home about health education (P<0.01). (3) The part of health education has relationship to existence or none-existence of school health organization (P<0.05), past clinical career (P<0.05), the ratio of health management to school nurse's all work (P<0.05) and the ratio of health education to school nurse's all work (P<0.01). (4) The part of environmental management to ages (P<0.01), career as a school-nurse (P<0.01), sending letters to home about health education (P<0.01), sending all letters to home (P<0.001), the ratio of health education to school nurse's all work (P<0.05) and area of school-nurse's room to be used. (5) The part of school health organization management to number of classes (P<0.05). (6) The part of health management to number of classes (P<0.05), sending letters to home about health education (P<0.001), sending all of letters to home (P<0.01) and the ratio of health management to school nurse's all work (P<0.05). (7) The part of health service to ages (P<0.05), past clinical career (P<0.05), past clinical career (P<0.05), past health clinical (P<0.01), sending letters to home about health education (P<0.05), sending all letters to home (P<0.05), the ratio of health management to school nurse's all work (P<0.01) and area of school-nurse's room to be used (P<0.05). ## Suggestion for further studies are as follows. 1. School-nurse should exert herself to advance a quality to take care of school population's health. 2. It is necessary that systematic support required to keep school population's health. 3. Home, school and community should make efforts cooperatively and the proper roles of students, teachers, health team members and parents must be achieved.

      • KCI등재

        초임유아교사를 위한 디지털 스토리텔링 기반 공감 지원이 교직적응에 미치는 변화 탐색 : 졸업생을 위한 「처음교사 모임」을 기초로

        김은희,고경희 인하대학교 교육연구소 2021 교육문화연구 Vol.27 No.6

        This study was conducted to identify measures to support teaching adaptation by exploring the process and change revolving around the experience of participating in the digital storytelling-based empathy support “First-Time Teachers' Meeting” geared toward first-time teachers. To this end, two instructors implemented a contactless digital storytelling-based empathy support meeting from March to July 2021, targeting five first-time teachers who graduated from Seoul's College M. and questionnaires, which were then qualitatively analyzed to explore the process and changes in adaptation. The results reveal that first-time preschool teachers exhibited confusion due to unfamiliarity at the beginning of the semester, difficulties in managing problematic behaviors, class burden, and physical burnout. However, a sense of balance and confidence was gradually restored, and they finally adapted to teaching. Additionally, it was also noted that first-time preschool teachers showed changes in their views "from unfamiliar to us," changes in thoughts such as "let's do it again,” that is, from self-blame and frustration," changes in emotions from "negative to positive energy," and small growth from being a "novice teacher to a fully-fledged teacher." Based on the results, it was suggested that it is necessary to continuously run a follow-up program to support teacher adaptation even after graduation from teacher training schools. 본 연구는 졸업생 초임유아교사를 대상으로 디지털 스토리텔링 기반 공감 지원 「처음교사 모임」에 참여한 경험의 과정 및 변화 탐색을 통해 교직적응 지원방안을 모색하기 위해 실시되었다. 이를 위해 M전문대학을 졸업한 초임교사 5명을 대상으로, 교수자 2인이 3월부터 7월까지 비대면으로 디지털 스토리텔링 기반 공감 지원「처음교사 모임」을 실시하였다. 자료 수집은 다양한 디지털 스토리텔링 자료들과 초임교사 저널, 개별면담, 설문지 등을 포함하였고 적응의 과정 및 변화를 탐색하고자 수집된 자료를 질적 분석하였다. 연구결과 첫째, 초임유아교사들은 학기 초 낯설음으로 인한 혼란, 문제행동 지도의 어려움, 수업 부담 및 체력적 지침 등을 보였으나 점차 편안함 및 자신감을 회복하고 교직에 적응하는 모습을 보였다. 둘째, 초임유아교사들은 ‘혼자에서 우리로’ 시선의 변화, ‘자책과 좌절에서 다시 해보자’ 와 같은 생각의 변화, ‘부정적 감정에서 긍정에너지로’ 감정의 변화, ‘처음교사에서 교사다움으로’ 작은 성장을 해나가는 변화를 보였다. 본 연구결과를 토대로 교원양성기관 졸업 후 지속적인 교직적응 지원 추수프로그램 운영이 필요함을 제안하였다.

      • KCI등재후보

        위절제술 환자의 표준진료지침 개발 및 적용 효과

        김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

        Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

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