현직교육 패러다임의 전환

안은경 초등교육학회 1997 初等敎育學硏究 Vol.5 No.1

EHR System에서 개인정보보호를 위한 개선된 RBAC 모델에 관한 연구

안은경,김병훈,이동휘,김귀남 한국융합보안학회 2009 융합보안 논문지 Vol.9 No.2

의료기관에서 환자의 개인건강정보는 진료를 위해 의료진의 정보열람이 반드시 필요한 사항이다. 그러나 이러한 정보의 불필요한 노출은 개인정보보호와 관련이 있어 민감하게 취급되어야 하며, 의료기관에 종사하는 사용자들이라 할지라도 접근에 있어 역할에 따른 제한이 필요하다. 따라서 본 논문에서는 의료진과 그 이외의 직원들 간의 사용자 식별을 통한 개인건강정보의 접근 통제뿐만 아니라 업무에 따른 조건을 추가하여 사용자 직종 내에서도 상황에 따른 접근 통제에 대해 연구하였다. 응급상황, 담당과 여부에 따른 접근 통제, 그리고 환자가 정하는 본인의 개인정보에 대한 접근통제를 포함하여 확장된 개념의 역할기반 접근제어를 함으로써 의료기관 내에서 환자의 개인건강정보의 불필요한 접근이나 유출을 최소화 할 수 있다. In medical Institution, Electronic Health Record (EHR) is “must access information” to medical staff considering it as medical information. However, this unnecessary exploration of personal information must be treated confidentially because the information is highly related to other’s private concerns. It is necessary that medical workers should be also restricted to their access to EHR depending on their roles and duties. As the result, this article explains that “EHR access control will be executed by differentiating authorized medical staff from non medical-related staff as well as EHR access will be only permitted to authorized medical staff depending on their work status conditions. By using Advanced RBAC model in medical situation, we expect to minimize unnecessary leak of EHR information; especially, emergency medical care is needed, access control is highly required depending on a person in charge of the cases or not, and restricted medical information defined by the patient oneself is only allowed to be accessed.

간호학생의 심폐소생술에 대한 지식 및 태도

안은경,조미경 한국응급구조학회 2009 한국응급구조학회지 Vol.13 No.3

Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department

안은경,조수연,신다혜,박래웅 대한의료정보학회 2014 Healthcare Informatics Research Vol.20 No.4

Objectives: To reveal differences in drug-drug interaction (DDI) alerts and the reasons for alert overrides between admitting departments. Methods: A retrospective observational study was performed using longitudinal Electronic Health Record (EHR) data and information from an alert and logging system. Adult patients hospitalized in the emergency department (ED) and general ward (GW) during a 46-month period were included. For qualitative analyses, we manually reviewed all reasons for alert overrides, which were recorded as free text in the EHRs. Results: Among 14,780,519 prescriptions, 51,864 had alerts for DDIs (0.35%; 1.32% in the ED and 0.23% in the GW). The alert override rate was higher in the ED (94.0%) than in the GW (57.0%) (p < 0.001). In an analysis of the study population, including ED and GW patients, ‘clinically irrelevant alert’ (52.0%) was the most common reason for override, followed by ‘benefit assessed to be greater than the risk’ (31.1%) and ‘others’ (17.3%). The frequency of alert overrides was highest for anti-inflammatory and anti-rheumatic drugs (89%). In a sub-analysis of the population, ‘clinically irrelevant alert’ was the most common reason for alert overrides in the ED (69.3%), and ‘benefit assessed to be greater than the risk’ was the most common reason in the GW (61.4%). Conclusions: We confirmed that the DDI alerts and the reasons for alert overrides differed by admitting department. Different strategies may be efficient for each admitting department.

네트워크 시뮬레이션을 통한 군 통신 정보유통량의 효율적 예측 기법

안은경,이승종,An, Eun-Kyung,Lee, Seung-Jong 한국국방경영분석학회 2006 한국국방경영분석학회지 Vol.32 No.1

The change of information and communications technology affects into many parts of military battlefield as the future warfare will be information-oriented warfare, relying on information technology. The more IT-based military systems are deployed the more multimedia data traffic increase. To accommodate such user's requirements the bandwidth capacity of military communications network must be upgraded. The cost of upgrading network capacity is increasing as well. But there has no systematic estimation approach to analyze the amount of data traffic in the military network. In this paper we suggest an efficient data traffic estimation technique using network simulation with the respect of Input and output, scenario, toolset and technique, and experimental environments.

졸업학년 간호대학생의 간호전문직관과 진로결정 자기효능감이 취업스트레스에 미치는 영향 - 융합적 관점

안은경 한국융합학회 2018 한국융합학회논문지 Vol.9 No.6

본 연구는 졸업학년 간호대학생의 간호전문직관과 진로결정 자기효능감이 취업스트레스에 미치는 영향을 파악하기 위한 서술적 조사연구로, 일 대학 간호학과의 4학년 학생 225명을 대상으로 하였다. 수집된 자료는 SPSS/WIN 22.0을 이용 하여 기술통계, Pearson’s Correlation Coefficient, 다중회귀분석으로 분석하였다. 연구 결과, 간호전문직관과 진로결정 자기 효능감, 진로결정 자기효능감과 취업스트레스 간에는 유의한 상관관계가 있었다. 간호전문직관과 진로결정 자기효능감은 취업스트레스의 18%를 설명하였고, 진로결정 자기효능감은 취업스트레스에 유의한 영향을 미치는 것으로 나타났다. 따라서 졸업학년 간호대학생의 취업스트레스 조절을 위해서는 진로결정 자기효능감 향상에 초점을 둔 전략이 필요할 것으로 생각 된다. This study was conducted to investigate the influence of nursing professional value and career decision self efficacy on senior nursing students' job seeking stress. Subjects were 225 senior nursing students. Data were analyzed using descriptive statistics, Pearson’s Correlation Coefficient, multiple regression with SPSS/WIN 22.0. As a result, There was significant positive correlation between nursing professional value and career decision self efficacy and negative correlation between and job seeking stress. Career decision self efficacy was significant factor predicting job seeking stress and accounted for 18% of the variance. Therefore, it is necessary to develop strategies for enhancing career decision self efficacy in order to reduce job seeking stress in senior nursing students.

대상포진 환자에서 적외선 체열촬영 검사의 의의

안은경,양종윤,조정구,김진호,전성식,유은숙,박은영 대한마취통증의학회 2004 Korean Journal of Anesthesiology Vol.47 No.4

Background: Herpetic disorders cause pain and skin lesion. So, asymmetric temperature of both sides of the involving dermatome has been reported in thermogram. This study examined the usefulness of infrared thermography for a predictor of post-herpetic neuralgia (PHN). Methods: Patients with acute herpes zoster who underwent nerve block were randomly selected. Biographic data, including age, gender and times of onset of the skin lesions, development of PHN, combined diseases were recorded. Infrared thermography was performed and subjective pain severity, dysesthesia and allodynia, skin lesion size were assessed. Results: The temperature differences between the lesion site and the contralateral site at lateral and posterior were significantly correlated with lesion size (P < 0.01) and the temperature differences at anterior and lateral site were correlated with duration of disease (ant: P < 0.01, lat: P < 0.05). The temperature differences were not correlated with the pain severity, dysesthesia and allodynia (P > 0.05). PHN was correlated with skin lesion size and infrared thermal imaging (P < 0.01). Conclusions: Infrared thermal imaging cannot demonstrate subjective pain objectively in herpes zoster. Short duration showed high temperature on the lesion sites compared to the contralateral sites. The patients with big skin lesions developed PHN more. The PHN can be predicted by the infrared thermal imaging as low temperature on the lesion site compared to the contralateral site. (Korean J Anesthesiol 2004; 47: 505~15)

편측성 통증환자의 신경차단술 후에 통증정도와 체열 변화의 비교연구

안은경,이예철,우남식,강포순,김성협,박은영 대한마취통증의학회 2003 Korean Journal of Anesthesiology Vol.44 No.5

통증자가조절장치를 이용한 술 후 통증관리 시 Ropivacaine-Fentanyl 혹은 Bupivacaine-Fentanyl의 경막외 투여 효과 비교

안은경,김진호,전성식,이기문,김명옥,강상화,황인순 대한마취통증의학회 2002 Korean Journal of Anesthesiology Vol.42 No.5

=The Comparison of Ropivacaine and Bupivacaine in Epidural PatientControlled Analgesia (PCA)Eun Kyoung Ahn, M.D., Jinho Kim, M.D.*, Sungsik Chon, M.D., Geemoon Lee, M.D.Myoung Ok Kim, M.D., Sang Hwa Kang, M.D., and In-soon Hwang, M.D.*

간호학생 회복탄력성(Resilience) 연구의 동향 - 융합적 관점

안은경 한국융합학회 2019 한국융합학회논문지 Vol.10 No.5

본 연구는 간호대학생을 대상으로 시행된 회복탄력성 연구의 동향을 융합적 관점에서 파악하고자 시도되었다. 2010년 1월부터 2017년 12월 까지 국내 학술지에 게재된 87편의 논문을 대상으로 분석을 실시하였다. 그 결과, 회복 탄력성 개념은 6가지 용어로 서로 다르게 정의되어 사용되고 있었고, 양적 연구의 비중(99%)이 매우 높았다. 또한 개인 과 대학 차원에서 다양한 보호요인, 변화요인, 위험요인이 분류되었다. 이러한 결과를 바탕으로 회복탄력성이 미래의 간호사인 간호대학생들의 전공 적응에 매우 중요한 요인임을 확인할 수 있었으나, 향후 연구 시 명료한 용어 정의와 적절한 측정 도구의 선택이 강조되어야 하며 다양한 설계를 적용한 연구가 필요할 것으로 사료된다. This study was conducted to analyze the research trends of 87 published studies in domestic journals on resilience of nursing students and propose some directions for future research. The main findings are as follows; First, the concepts of resilience were used in 6 different ways. Second, the number of quantitative research was overwhelmingly bigger(99%) than the ones of the qualitative and mixed research. Third, the protective, risk and changing factors were found in most studies around individual and university level. Throughout this study, it is confirmed that resilience is a very important factor that play a significant role in nursing students’ adaptation. But it is required to clarify the concept of resilience and choose appropriate measurement scale. Also it is needed to conduct research with various designs in the future.