한국간호교육의 현황과 전망 : 학사학위 특별과정(III)

서문자,Seo, Mun-Ja 대한간호협회 1998 대한간호 Vol.37 No.3

가정간호사의 실무체험 연구

서문자,김소선,신경림,강현숙,김금순,박호란,김혜숙 한국간호과학회 2000 Journal of Korean Academy of Nursing Vol.12 No.2

The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

간호학생의 문제해결 능력개발을 위한 교수법 탐색

서문자 한국간호교육학회 1998 한국간호교육학회 학술대회 Vol.1998 No.11

간호진단사례

서문자,Shu M J 대한간호협회 1987 대한간호 Vol.26 No.1

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

권두언

서문자 한국성인간호학회 1997 성인간호학회지 Vol.9 No.1

재가 관절염환자의 건강상태 장애정도에 관한 연구

서문자,김금순,이은옥,노국희,정성희,김은만 대한류마티스 건강전문학회 2001 근관절건강학회지 Vol.8 No.2

This study was carried out in order to examine the health status of arthritis patients living in K city of southern part of Korea The data were collected with AIMS2 instrument from 56 subjects who were asked to complete the questionnaire by the trained surveyer. The AIMS2 has been approved useful instrument for assessing the outcome of various treatments and programs in rheumatic diseases. The component variables of the AIMS2 are Mobility, Walking and Bending, Hand and finger function, Arm function, Self-care tasks, Household tasks, Social activity. Support from family and friends, Arthritis pain, Work, Mood, Level of tension, The total number of items of AIMS 2 are 78. The results are as follows : The average age of the subjects was 58 yearn old and no gender difference. The mean scores of the 12 sub-concepts of AIMS2 are 15.0 of mobility, 12.16 of walking and of bending, 9.32 of hand and finger function, 9.03 of arm function, 13.53 of self-care tasks, 10.19 of household tasks, 15.09 of social activity, 19.58 support from family and friends, 13.82 of arthritis pain, work, 14.85 of level of tension, 15.12 of mood. The Cronbach Cronbach α. is 0.72-91 for RA patients and 0.74-96 for OA patients. This results showed that the health status of Arthritis patients at home in K-city was almost not so serious, but the level of tension and mood were quire higher than the average score. Considering the results of this Particular subjects, an appropriate rehabilitation program should be developed and implemented .

수술실 간호원의 업무활동에 관한 조사 연구 : 본격적 조사를 위한 일 기초연구 As a Preparatory Study for Future Systemic Surveys

서문자 최신의학사 1976 最新醫學 Vol.19 No.3

A Study on Day Time Nursing Activities of Staff Nurse in Operating Room was carried out to analyze their activities by skill level and nursing area. The continuous time study method was applied to this study by observing and checking the activities performed by 12 nursing personnel at staff nurse level. 12 nursing students observed and recorded all the nursing activities during the day after certain process of training and the results were obtained as follows: 1. The average age of the observed personnel was 23.9 years and their active service period in operating room at Seoul National University Hospital was almost under 2 years (11 cases). The type of educational background were 10 cases in Diploma course, 2 cases in Degree course. 2. The observed nursing activities were classified into as follows: 1) According to two nursing areas, 59.98% of the staff nurse's activities were spent at scrubbing time, 40.02% at circulating time. 2) In the identification of the nursing activities by the skill level, 54.45% was for the assisting activities for surgical procedure (S21~25), 14.37% was for other activities (051-52), 10.89% was for the house keeping activities, and 10.88% was for the clerical activities. 3) In the reclassification of the assisting activities for surgical procedure (S21~25) by skill level, 49.76% was for the activities of implementing operative procedure, 34.47% was for the activities of observation and waiting for emergency situation (S24) and supplies of the sterile equipments and instruments (S25), 13.57% was for the immediate preoperative assistance and the last 1.94% was for the care of patient in surgery. 4) In the compar.ison of the activities with two nursing area according to skill level, the assisting activities for surgical procedure (S) were performed in the area of scrub nursing (60.55%) more than circulating nursing (45.35%), and the other activities (P.H.C.O) were performed in the area of circulating nursing more than scrub nursing. 3. Analysis of the activities according to their professionalism and the type of nursing service indicated as follows: 1) The percentage of the professional activities was 65.36% of all activities, non professional activities was 20.27% and the ratio was 3 : 1. In the comparison with nursing area, the professional activities were performed by scrub time (69.95%) more than circulating time (58.47%) and the non professional activities of the circulating (25.56%) were more than scrub activity (16.75%). 2) In the classification of the type of nursing services in operating room, the direct patient care activities were only 1.85% and the technical assisting activities were 83.78% which means that the majority of the nursing activity in operating room was the technical, assisting skill.

홍콩의 간호, 간호원

서문자 대한간호협회 1978 대한간호 Vol.17 No.2