미국 NGC^TM 배뇨자극요법 근거중심 가이드라인의 국내 적용가능성 평가

박명화,김명애,Park, Myonghwa,Kim, Myung Ae 한국성인간호학회 2005 성인간호학회지 Vol.17 No.4

Purpose: The purpose of this study was to evaluate the applicability of the evidence based guideline for prompted voiding by Lyons & Specht (2001) in National Guideline $Clearinghouse^{TM}$ for use in Korea based on the experts' opinions. Method: The target expert group consisted of 8 registered nurses, 6 physicians, and 5 nursing professors who are experts in urinary incontinence. This study used a questionnaire survey. The appropriateness, applicability, and the present application of each recommendation in the guideline were analyzed with descriptive statistics using the SPSS program, with content analysis based on the experts' opinions. Result: The scores on each recommendation's appropriateness showed the high degree of agreement among nurses, physicians, and nursing professors. However, the recommendation for 'use of oxybutinin' showed the lowest score as 5.89. It was notable that the most recommendations scored lower for applicability compared with appropriateness. The reasons for lower scores for applicability were the lack of clinicians' knowledge of assessment and management, and the lack of resources in clinical settings in Korea. Conclusion: This study will augment the understanding of the actual urinary incontinence management in Korean clinical settings and can be used as the baseline data for further study of tailoring international guidelines into local and national clinical settings.

중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발

박명화,Park, Myong-Hwa 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.2

Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

임상 치과위생사의 치과의료 서비스 과정에서 영어 의사소통 능력 관련 요인

박명화,박종태,장종화,Park, Myeong-Hwa,Park, Jong-Tae,Jang, Jong-Hwa 한국치위생학회 2022 한국치위생학회지 Vol.22 No.5

Objectives: This study analyzes factors related to English communication skills in the dental health services of clinical dental hygienists who provide dental medical services to foreigners. Methods: Surveys were conducted to measure students' English communication skills. Participants comprised 195 clinical dental hygienists working at dental English study cafes or who provided dental medical services to foreigners. After analyzing the differences in English communication skills, hierarchical multiple regression analysis was performed on the factors related to English communication skills. Results: English communication skill of dental hygienists was 1.96 points out of 5 points. The factors related to the English communication skill of the clinical dental hygienists were foreign patient care, language training experience, overseas living experience, and certified English proficiency. The adjusted explanatory power of this model was 53.0%. Conclusions: Dental hygienists in charge of foreign patients have experience in language training and overseas residence, have a language qualification certificate, and have higher English communication skills. It is necessary to develop English language learning programs based on metaverse to develop the English communication skills of dental hygienists who provide dental health services to foreign patients and to operate a creative educational environment to increase interest in learning English.

A Critical Literature Review: The Transition from In-Home Care to Institutional Care for the Elderly with Dementia in the US

박명화(Park Myong Hwa),박정숙(Park Jeong Sook),김정남(Kim Chung Nam),박경민(Park Kyung Min),권상민(Kwon Sang Min) 계명대학교 간호과학연구소 2004 계명간호과학 Vol.8 No.1

치매노인을 돌보는 가족의 간호 부담의 증가와 더불어 국내에서도 치매노인의 장기간호 시설 입원이 서구사회와 같이 증가하고 있는 실정이다. 노인을 돌보는 데 있어 가족의 역할을 중요시해온 한국의 전통적 가치관에 비추어 볼 때 최근의 사회적 변화로 인한 가족 간호의 역할 감소는 중요한 문제로 대두되고 있다. 본 연구의 목적은 일찍이 치매노인환자의 장기간호 시설로의 입원이 보편화된 미국의 치매환자 가족의 가정에서 시설로의 간호의 전환과 관련된 문헌을 고찰함으로써 한국 상황에서 의 관련 연구를 활성화시키기 위한 기초 자료로 활용하기 위함이다. 치매환자의 장기 간호시설 입원에 영향을 미치는 요인, 장기간호시설로의 입원결정과 관련된 가족의 경험, 시설 입원 후 가족이 경험하는 스트레스 및 만족도, 가족의 환자 간호에의 계속적인 참여경험 및 관련 질적 연구에 대한 문헌이 고찰 및 분석되었다. 문헌고찰의 결과로서 한국상황에서 다음과 같은 연구가 필요하다고 사료된다. 1) 한국 사회에서 치매환자의 실제 장기 간호 시설 입원률과 현황에 대한 조사가 이루어져야 한다. 2) 치매환자의 장기 시설 입원을 촉진시키는 요인에 대한 연구가 필요하다. 3) 치매환자를 장기 간호 시설로 입원시키는 가족이 경험하는 스트레스와 만족도에 대한 연구가 필요하다. 4) 가정에서 치매노인을 돌보는 가족과 시설 입원 가족의 부담감과 만족도에 대한 비교연구가 필요하다. 5) 시설로의 입원이 치매노인 본인에게 미치는 영향에 대한 연구가 필요하다.

공동주택의 하자담보책임관련 개선방안 연구(개정 주택법 부칙 3항의 위헌결정과 관련하여)

박명화 ( Myoung Hwa Park ) 한국지역사회발전학회 2009 地域社會開發硏究 Vol.34 No.2

유아의 정서.행동문제에 대한 개별차원의 긍정적 행동지원의 협력적 자문 효과

박명화(Park, Myong-Hwa) 한국행동분석학회 2021 행동분석․지원연구 Vol.8 No.1

본 연구는 유아의 정서․행동문제에 대한 개별 지원을 필요로 하는 유아를 대상으로 교사들이 정서․행동문제를 예방하고 바람직한 대체행동을 지도할 수 있도록 개별차원의 긍정적 행동지원의 협력적 자문을 제공하여 그 효과를 도출하는데 목적을 두고 있다. 본 연구는 Y시에 있는 유치원 1곳과 어린이집 23곳에 다니는 유아 48명과 담임교사 48명을 연구대상으로 하였다. 연구결과는 다음과 같다. 첫째, 유아의 정서․행동문제의 기능은 보상변인이 가장 높았고 외현화된 정서․행동문제로 표출되었다. 둘째, 교사들은 유아들의 외현화된 정서․행동문제에 대해 부정적 반응전략을 가장 빈번하게 사용하였는데 긍정적 행동지원 자문 이후 긍정적 반응전략을 가장 자주 사용하는 것으로 변화되었다. 유아들의 내재화된 정서․행동문제에 대해서는 긍정적 반응전략을 가장 빈번하게 사용하였는데 긍정적 행동지원 자문 이후 긍정적 예방전략Ⅰ을 가장 자주 사용하는 것으로 변화되었다. 본 연구는 유아의 정서․행동문제를 예방하고 관리하기 위해 개별차원의 긍정적 행동지원의 협력적 자문의 효과를 입증하고 그 필요성을 확인하였다는 점에서 의의가 있다. The purpose of this study was to provide cooperative advisory for individualized positive behavior support to help teachers prevent emotional and behavioral issues and guide desirable alternative actions for infants who need individual support for emotional and behavioral problems. This study involved 48 infants and 48 teachers attending one kindergarten and 23 daycare centers in Y city. The results of the study were as follows. First, the function of the infant s emotional and behavioral problems was expressed as an out-of-the-box emotional and behavioral problem with the highest compensation variable. Second, teachers most frequently used negative response strategies for the out-of-the-box emotional and behavioral problems of infants, which changed to the most frequent use of positive response strategies after positive behavior support advice. Positive response strategies were used most frequently for internalized emotional and behavioral problems in infants, and positive prevention strategies I were changed to the most frequent use after positive behavior support advice. This study was meaningful in that it demonstrated the effectiveness of cooperative advice on positive action support at individual levels and confirmed its need to prevent and manage emotional and behavioral problems in infants.

만성질환 노인을 돌보는 간호사의 공유적 의사결정 역할 인식: 질적 서술적 연구

박명화(Myonghwa Park),김진주(Jinju Kim),정지혜(Jihye Jung),Doan Thi Thu Thao 한국노인간호학회 2023 노인간호학회지 Vol.25 No.3

의사결정나무 분석법을 활용한 우울 노인의 특성 분석

박명화(Park, Myonghwa),최소라(Choi, Sora),신아미(Shin, A Mi),구철회(Koo, Chul Hoi) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.1

Purpose: The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method. Methods: A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs. Results: The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease. Conclusion: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.

들뢰즈의 어린이-되기와 장소 배움

박명화(Myung-Hwa Park),권정화(Jung-Hwa Kwon) 한국교원대학교 초등교육연구소 2023 초등교과교육연구 Vol.38 No.-

In Deleuze's discourse on learning, the concept of place is created between elements entangled in assemblage and has an affective nature that varies. Based on such place learning, geography education can be converted from acquiring knowledge to generating thought. If place learning can be viewed as the process of creating concepts, the perspective on children is also changed. In the light of Deleuze's discourse on body, all bodies are accidentally entangled and mutated, so the modern subject is dismantled and the subject is converted to mutating and creating, that is, becoming. Children can be seen as becoming-child subjects who meet places with various emotions in different assemblage. In this perspective child are not passive beings trapped in the striation of knowledge, but have the ability to sense places in various assemblage, change and mutate such assemblage.

노인 낙상 예방을 위한 국외 가이드라인의 국내 적용 가능성 평가

박명화(Myonghwa Park),신영희(Younghee Shin),이병숙(Byungsook Lee),구윤정(Yoonjung Goo) 계명대학교 간호과학연구소 2011 계명간호과학 Vol.15 No.1

Purpose: The purpose of this study was to evaluate the applicability of the internationally developed evidence based guideline for fall prevention for use in Korea based on the experts’ opinions. Method: The target expert group consisted of 8 registered nurses, 4 physicians, and 5 nursing professors who are experts in fall problem. This study used questionnaire survey. The appropriateness, applicability, and the present application of each recommendation in the guideline were analyzed with descriptive statistics using the SPSS program and content analysis for the experts’ opinions. Result: The scores on the appropriateness of each recommendation showed the relatively high scores among nurses, physicians, and nursing professors. It was notable that some recommendations were scored lower for applicability compared with appropriateness. The reasons for lower scores for applicability by expert group included the lack of clinicians’ knowledge of assessment and management, and the lack of resources in clinical settings in Korea. Conclusion: This study will augment the understanding of the actual fall prevention practice in Korean clinical settings and can be used as the baseline data for a further study of tailoring the international guidelines into local and national clinical settings.