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노인장기요양기관 요양보호사의 환자안전문화와 낙상에 대한 태도 및 예방활동
박빈희,홍은영,임선옥,이경숙 한국노인간호학회 2015 노인간호학회지 Vol.17 No.3
Purpose: The aim of this study was to provide basic data for the improvement of patient safety by investigating the relationship among patient safety culture, attitude toward falls, and fall prevention activities of care workers in long-term care facilities. Methods: This study was a descriptive correlational research. Data were collected between August 9 and October 2, 2014 from 190 care workers in long-term care facilities in G, S, and W cities. A structured questionnaire which included patient safety culture, attitude toward falls, and fall prevention activities was used for data collection. Results: There were positive correlations between patient safety culture and attitude toward falls, and between patient safety culture and fall prevention activities. There was a statistically significant positive correlation between attitude toward falls and fall prevention activities. A more positive evaluation of level of safety management correlated with a positive attitude toward falls and high practice of fall prevention activities. Conclusion: Findings indicate that considering care workers’ careers, nurses should enhance patient safety education and establish a system that objectively evaluates patient safety management activity including fall prevention activities.
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박빈희(Park, Bin-Hee),이경숙(Lee, Kyung-Sook) 한국기초간호학회 2020 Journal of korean biological nursing science Vol.22 No.2
Purpose: The purpose of this study was to build and verify a structural model that could predict the severity of irritable bowel syndrome in university students. Methods: Participants were 205 students enrolled in college with irritable bowel syndrome using the irritable bowel syndrome module of the ROME IV Adult Questionnaire. The data were collected using online questionnaires in April- May 2019. The data were analyzed using the SPSS WIN 25.0 and AMOS 20.0 programs. Results: 1) The symptom severity that participants experienced were mild (14.6%), moderate (45.4%), and severe (40%). 2) Fit indices of the model were x2=79.66 (df=52, p=.009), CFI=.94, TLI=.96, RMSEA=.05, RMR=1.59, GFI=.94, and TLI=.96.3). The severity of irritable bowel syndrome was influenced directly by anxiety and sleep, and indirectly by family history, perfectionism, social support, coping, and stress. The severity of irritable bowel syndrome was indirectly affected by the following: family history through anxiety; perfectionism through stress, anxiety, and sleep; social support through coping, stress, anxiety, and sleep; coping through stress and anxiety; and stress through anxiety and sleep. Conclusion: Based on the results of this study, a nursing intervention is needed to reduce the anxiety and stress and improve the quality of sleep to improve the health of the college students and manage the symptoms of patients with irritable bowel syndrome.
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김근면 ( Geun Myun Kim ),박빈희 ( Park Bin Hee ),전은주 ( Jeon Eun Ju ),홍유미 ( Hong You Mee ) 한국주관성연구학회 2017 주관성연구 Vol.- No.37
본 연구는 장기요양시설 요양보호사의 연명의료중단에 대한 태도를 탐색함으로써 임종기 노인을 대상으로 돌봄을 제공하는 요양보호사의 역할을 강화하기 위한 교육 프로그램 구성에 기초자료를 제공하기 위해 시도되었다. 본 연구는 Q 방법론을 활용하였다. 9명의 요양보호사와 심층면담을 실시하고 관련문헌을 참고로 하여 총 152개 Q 모집단을 구성하고 40개의 Q 표본을 추출한 후 총 30명의 대상자에게 Q 분류를 실시하였다. 연구결과, `자기결정 존중형`, `현실적 판단형`, `가족 중심 의사결정형`, `삶의 의지 중시형`, `자연 순응형`의 5개 유형이 확인되었다. 5개의 다양한 특성을 지닌 유형의 발견은 가치판단의 주체와 찬반의 의견뿐 아니라 노인 돌봄상황에서 인식하는 다양한 주관성이 반영된 결과라 볼 수 있다. 이러한 다양한 유형을 통한 주관적 인식의 이해를 통해 환자의 `웰다잉`에 긍정적인 영향을 줄 수 있도록 요양보호사를 위한 교육프로그램에 반영되어야 할 것이다. Purpose: This study was to identify on the attitudes toward the withdrawal of life sustaining treatment among long-term care worker using Q methodology. Methods: Thirty long-term care worker classified 40 selected Q-statements into 9 points standard. The obtained data were analyzed by using a QUANL-pc program. Results: Principal Component Analysis identified 5 types of the attitudes toward the withdrawal of life sustaining treatment and named by researcher. Type Ⅰ is `self-decisions-type`, type Ⅱ is `realistic judgment`, type III is `family-centered decision-making`, type IV is `Importance of life`s will and type V is `natural adaptation.` The findings of the five different types of characteristics are significant in the context of a variety of subjective representations recognized under the care of older adults. Conclusion: The results suggest that attitudes toward withdrawal the life sustaining treatment among long-term care worker should be considered for long-term care worker in education program.
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대학생의 건강 관련 삶의 질 예측모형: 건강관리역량을 중심으로
홍은영,이은희,김근면,전은주,박빈희 한국재활간호학회 2017 재활간호학회지 Vol.20 No.2
Purpose: This research was conducted to construct a model explaining the quality of life (QOL) related to undergraduate students’ health. Social support, self-efficacy and self-esteem were used as exogenous variables while health promotion lifestyles, personal health care competency were endogenous variables. Methods: A survey was conducted with a structured questionnaire including QOL, health promotion lifestyles, personal health care competency, social support, self-efficacy, and self-esteem. Data were collected from 269 undergraduate students with random sampling and then analyzed using structural equation modeling. Results: Personal health care competency, health promotion lifestyles, social support, self-esteem had both direct and indirect effects while self-efficacy had indirect effects on the QOL of undergraduate students. Especially, social support, self-efficacy and self-esteem influenced positively to the QOL while greater health promotion lifestyles and personal health care competency improved QOL. Thus, personal health care competency and health promotion lifestyles were important mediator for positive QOL in undergraduate students. Conclusion: Interventions aiming to enhance health promotion lifestyles and personal health care competency, based on the results of this study, are required to help positive QOL in undergraduate students. Our results can serve as basic data for designing such interventions.
KCI
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