의료인을 위한 구강점막욕창 시각적 감별도구의 신뢰도

엄주연,김명수 한국융합학회 2020 한국융합학회논문지 Vol.11 No.11

The purpose of this study was to examine the inter-rater and intra-rater reliability of the oral mucosa pressure ulcer classification system based on the photographs. The study consisted of two stages; development and evaluation. In the developmental stage, 9 photographs of 82 were selected. In the evaluation stage, a total of 49 participants were invited web-based survey by e-mail. Cohen's weighted kappa and Krippendorff's alpha were used to define the inter-rater reliability. Nine photographs consisted of two, three, three, and one in normal, stage 1, stage 2, and stomatitis, respectively. The inter-rater reliabilities of wound care nurse specialist, intensive care nurse specialist, and dentist groups were 0.75, 0.70, and 0.78, respectively. The intra-rater reliability was 0.73. The inter-rater and intra-rater reliabilities of the oral mucosa pressure ulcer classification system showed substantially good agreement. 본 연구는 구강점막욕창의 시각적 감별도구에 대한 신뢰성을 평가하기 위한 연구이다. 연구의 절차는 개발단계와 평가단계로, 개발단계에서는 자료수집, 자문단의 타당도와 신뢰도 평가, 최종도구개발이 수행되었으며, 평가단계에서 대상자들에게 9장의 사진도구를 평가하게 하였다. 세 군에서 측정자 간 신뢰도를 구한 결과, 상처 전문간호사군에서는 Krippendorff’s alpha 가 .75이었고, 중환자 전문간호사군에서는 .70이었다. 치과의사군에서의 Cohen’s weighted kappa값은 .78 로 나타났다. 측정자 내 신뢰도를 살펴본 결과, 중환자실 일반간호사군들의 intra-rater reliability 는 .73으로 나타났다. 신뢰도가 입증된 9장의 사진은 실제 중환자실과 같은 구강점막욕창 위험을 가진 환자를 돌보는 임상환경에서 교육용으로 활용될 수 있을 것으로 보인다.

스키장 서비스 품질과 만족도의 관계

엄주연,이우재 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

The purpose of this study was to identify the influence of ski resorts' service quality On skier satisfaction according to form of ski participation, [n order to achieve this objective, skiers of the Sung Woo Ski Resorts Were selected as the subjects by applying the convenience sampling method. Total of 300 copies were given to skiers and only 298 copies return. Among them screening out incomplete or incorrectly responded data, a total of 291(97%) participants were analyzed. The instrument was a questionnaire. The Cronbach's alpha values ranged from .782 to .876. The reliability of questionnaire Conformed with professional panels consists of the sport marketing analyst, ski results staff and skier each two of then. Data were analyzed using the window statistical package program (version 11.0), and descriptive analyses, one-way ANOVA followed by Scheffe post hoc test, and standard multiple regression were employed, In turn, the results were as follows: First, from of participation, ability of sking and from of using differed according to age and occupation: form of participation and from of Using differed according to marriage ability of sking and form of using differed according to income but not differed to time. Second, the Following influence of service quality differed staff according to age, occupation and marriage; event according to marriage Main facilities according gender, occupation and Marriage; subsidiary facilities according to age and occupation; and price according to age and price. Third, satisfactions differed according to age, occupation and marriage. Fourth, main facilities differed according to ability of sling, form of using and time price differed according to ability of sling and form of using subsidiary facilities differed according to Form of using; form of using differed according to event and subsidiary Facilities but not differed according to form of participation. Fifth, satisfactions did not differ according to form of ski participation. Sixth, events have influenced on satisfaction.

이슬람은 어떤 종교인가?

엄주연 Torch Trinity Center for Islamic Studies Journal 2013 Muslim - Christian Encounter Vol.6 No.2

만성질환을 가진 학령기 아동 ․ 청소년의 학교 건강관리에 대한 인식: 통합적 문헌고찰

엄주연,최미영 한국아동간호학회 2020 Child Health Nursing Research Vol.26 No.2

Purpose: The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases. Methods: This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles. Results: Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment. Conclusion: It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

School Nursee-Parent Partnership in School Health Care for Children with Type 1 Diabetes: A Hybrid Method Concept Analysis

엄주연,최미영 한국간호과학회 2022 Asian Nursing Research Vol.16 No.5

Purpose: To define school nurseeparent partnerships in school health care for children with type 1 diabetes (T1D) and determine its attributes using a hybrid model. Methods: This method involves a three-phase process: theoretical, fieldwork, and analytical. A literature review was conducted during the theoretical phase. A literature search of articles from January 1991 to February 2020 was conducted using relevant electronic databases. Eighty-three articles that met the inclusion criteria were completely read. Fieldwork data were collected through individual interviews from February to July 2019 in South Korea. In the fieldwork phase, interviews were conducted individually with 22 mothers of students with T1D and 20 school nurses recruited by purposeful sampling. Inductive content analysis was conducted. The findings from the theoretical phase were integrated with those from the fieldwork phase, and the final concept was derived. Results: School nurseeparent partnership in school health care for children with T1D has been defined as an interactive process of maintaining a balanced responsibility and providing tailored care to meet needs by establishing trusting relationships and communicating transparently and openly. This analysis yielded four attributes: trusting relationships, transparent and open communication, balanced responsibility, and providing tailored care to meet needsdthis entails providing nursing actions by advocating for students and performing a negotiated role together or individually for student and family. Conclusion: The findings of this study add to the importance of an attribute of balancing responsibility for partnership in school health care. The results show that this partnership could contribute to the development of a scale, theory, and nursing intervention in school health care for children with T1D.

1형 당뇨가 있는 아동, 청소년 어머니의 삶의 질 영향요인

엄주연,김명수 한국간호과학회 2020 한국간호과학회 학술대회 Vol.2020 No.10

소아심장외과 중환자실 장관영양 프로토콜 개발 및 효과평가

엄주연,이효진 한국아동간호학회 2016 Child Health Nursing Research Vol.22 No.4

Purpose: It is crucial to provide adequate enteral nutrition for postoperative recovery, wound healing and normal growth in infants in pediatric cardiac ICUs. This study was done to develop a feeding protocol using the vaso-active inotropic (VAI) score and to evaluate the impact of nutritional outcomes following the new feeding protocol for infants who underwent cardiac surgery. Methods: This study consisted of three phases. First, a feeding protocol was developed based on a literature review. Second, ten experts rated the content validity. Third, a comparison study was conducted to evaluate the impact of the new feeding protocol. Data were analyzed using SPSS Version 20. Results: Twenty-nine infants were enrolled in the pre-protocol group, and 22 infants in the post-protocol group. Patients in the 2 groups were similar. Time to reach feeding goal was significantly decreased from 56.0 (27-210) hours to 28.5 (10-496) hours in the post-protocol group (Z=-4.22, p<.001). Level of enteral feeding knowledge among nurses increased significantly after implementation of the protocol.. Conclusion: The feeding protocol using VAI score facilitates the achievement feeding goal to decrease feeding interruptions and help nurses in their practice. Larger studies are necessary to examine clinical outcomes following the implementation of this feeding protocol.

가족-보건교사 간 학교건강관리 파트너십에 관한 통합적 문헌고찰

엄주연(Uhm, Ju-Yeon) 한국보건간호학회 2020 韓國保健看護學會誌 Vol.34 No.2

Purpose: This study is an integrative review of previous research conducted on family-school nurse partnership in school health care, as perceived by school nurses, children, and families. Method: The study was conducted according to the five stages of integrative review suggested by Whittemore and Knafl (2005), which involved problem identification, literature search, data evaluation, data analysis, and presentation of results. Suitable literature was found using portals such as PubMed, CINAHL, Embase, and Web of Science. Key words such as school nurses, family, parents, children, and partnership were used to narrow the search results. Studies published in peer-review journals between 2006-2018 were selected. The quality of studies was appraised using critical appraisal tools provided by the Joanna Briggs Institute (2020). Result: Thirteen studies (5 quantitative and 8 qualitative) were finalized for the final review process. After an extensive review, four key themes of school nurse-family partnership in school health care were identified: partnership components, partnership barriers, partnership facilitators, and strategies to promote partnership. Conclusion: Partnership and its components, barriers, and facilitators, along with strategies for its promotion should be considered in school health care. Further studies are needed on the perceptions held by parents and children regarding school health care partnership.

유기성 폐수로부터 바이오전기화학적 과산화수소생산을 위한 탄소기반 전극성능개선 연구

엄현지(Yunji Eom),남주연(Joo-Youn Nam),좌은진(Eunjin Jwa),목영선(Young-Sun Mok) 대한환경공학회 2021 대한환경공학회 학술발표논문집 Vol.2021 No.11

고효율 전력 생산을 위한 캐스케이드형 역전기투석 스택

남주연(Nam Jooyoun),좌은진(Eunjin Jwa),엄현지(Hyunji Eom),김한기(Hanki Kim),황교식(Kyosik Hwang),정남조(Namjo Jeong),정윤철(Yooncheol Jeung) 대한환경공학회 2021 대한환경공학회 학술발표논문집 Vol.2021 No.11