병원중심 가정간호사업 관리대상범위 확대를 위한 기초연구

이숙자,이진경,유호신,Lee, Sook-Ja,Lee, Jin-Kyung,Ryu, Ho-Sihn 한국가정간호학회 1999 가정간호학회지 Vol.6 No.-

This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health ca

간호교육 성과 측정 도구의 탐색

이향련 ( Lee Hyang Yeon1 ),오가실 ( Oh Ka Sil2 ),안양희 ( Ahn Yang Heui3 ),이숙자 ( Lee Sook Ja4 ),김인자 ( Kim Inja5 ) 경희대학교 동서간호학연구소 2010 동서간호학연구지 Vol.16 No.1

Purpose: The purpose of this study was to identify and evaluate outcome measurement scales of nursing education such as communication, professionalism, leadership, and critical thinking. Methods: A methodological study design was used to evaluate the reliability and validity of the scales. Survey was done to the students (n=407) enrolled in baccalaureate nursing schools. Using convenience sampling method, we tried to include all grades of students. Internal consistency, convergent validity and group comparison were used to evaluate the reliability and validity of the scales. Results: All scales were reliable and valid. Only convergent validity of the scale to measure critical thinking was relatively low. It suggested that critical thinking skill and disposition might be measured separately. Also it was inefficient to measure the nursing education outcomes with separate scales. Conclusions: It is recommended to develop a new integrative scale to measure nursing education outcomes. Also it is necessary to set the norm of nursing students to evaluate nursing education outcomes for the quality control of nursing education.

고혈압 관리 교육이 생명보험 설계사의 고혈압 인지 능력 향상에 미치는 효과

이숙자 ( Sook Ja Lee ),박은숙 ( Eun Sook Park ),박영주 ( Young Joo Park ),한금선 ( Kuem Sun Han ),임지영 ( Ji Young Im ) 한국정신간호학회 2006 정신간호학회지 Vol.15 No.1

만성 질환자의 건강 증진 행위 구조모형 구축

이숙자 ( Lee Sook-ja ),김소인 ( Kim So-in ),이평숙 ( Lee Pyoung-sook ),김순용 ( Khim Soon-yong ),박은숙 ( Park Eun-sook ),박영주 ( Park Young-joo ),유호신 ( Ryu Ho-shin ),장성옥 ( Chang Sung-ok ),한금선 ( Han Kuem-sun ) 한국간호과학회 2002 Journal of Korean Academy of Nursing Vol.32 No.1

Purpose: This study was designed to construct a structural model for health promoting behavior of patients with chronic disease. The hypothetical model was developed based on the literature review and Pender's health promotion model. Method: Data was collected by questionnaires from 1748 patients with chronic disease in General Hospital from December 1999 to July 2000 in Seoul. The disease of subject were cardiac disease included hypertension peptic ulcer, pulmonary disease included COPD and asthma, DM, and chronic kidney disease. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 Program for Covariance structural analysis. Results: 1. The fit of the hypothetical model to the data was moderate, it was modified by excluding 4 path and including free parameters to it. The modified model with path showed a good fitness to the empirical data (χ²=591.83, p<.0001, GFI=0.97, AGFI= 0.94, NNFI=0.95, RMSR=0.01, RMSEA=0.05). 2. The perceived benefits, perceived barriers, self-efficacy, self- esteem, and the plan for action were found to have significant direct effect on health promoting behavior of chronic disease. 3. The health concept, health perception, emotional state, social support were found to have indirect effects on health promoting behavior of chronic disease. Conclusion: The derived model in this study is considered appropriate in explaining and predicting health promoting behavior of patients with chronic disease. Therefore, it can effectively be used as a reference model for further studies and suggested implication in nursing practice.

최근 북한의 경제특구 재추진: 나선경제특구를 중심으로

이숙자 ( Sook Ja Lee ) 포스코경영연구원 2010 POSRI경영경제연구 Vol.10 No.2

북한은 2010년 1월, 나선시를 특별시로 승격시키고 ``나선경제무역지대법``의 개정을 발표하는 등 경제특구 재추진 움직임을 보이고 있다. 본 논문은 최근 북한의 나선경제특구 재추진 움직임에 주목하면서, 그 배경이 무엇인지 분석하고 문제점과 과제를 제시하였다. 먼저, 경제특구 재추진 배경으로 ``북한의 지속적인 경제난``, ``남북관계의 악화``, ``북한과 중국의 경제적 이해의 공유`` 등을 제시하였다. 이어서 경제특구 추진과정의 문제점으로, 북한과 중국의 긴밀한 정치·경제적 유대관계 강화로 인한 북한의 대중국 의존심화 및 경제특구개발지역 이권에 대한 중국의 선점, 대북 영향력 증대 등을 지적하였다. 그리고 향후 북한이 경제특구의 성공을 위하여 해결해야 할 주요 과제와 우리에게 주는 시사점을 제시하였다. In January 2010, the North Korean Government designated Rason City as a special municipality and decreed a revised Rason Economic and Trade Zone Law in a renewed effort to spur the development of the zone. This paper aims to analyze the background of this renewed development and to suggest possible problems and solutions by scrutinizing a series of government moves. First, regarding the background of this project, I present three bases for North Korea`s continuing economic difficulties, which include continued economic difficulties in North Korea, strained inter-Korean relations and shared economic interests between China and North Korea. Taking into account the strengthened economic and political ties between China and North Korea, I propose possible problems in North Korea`s growing reliance on China, the privileged economic status of China in the FEZ and the subsequent increase in China`s influence on North Korea. Finally, I suggest the main tasks necessary for the FEZ to achieve success.

청년 취업성공패키지의 집행영향요인 분석

이숙자(Lee Sook-Ja) 한국지역사회학회 2019 지역사회연구 Vol.27 No.4

본 연구는 정책집행이론의 분석틀을 활용하여 취업성공패키지의 집행영향요인을 분석함으로써 집행영향요인이 정책의 성과와 서비스의 질에 미치는 영향을 설명하고자 하는데 있다. 우리나라의 대표적인 고용서비스라 할 수 있는 취업성공패키지 유형 중 청년 취업성공패키지를 사례로 분석하였다. 광주지역 운영기관의 대표 및 실무팀장을 대상으로 심층면담 방법을 사용하였다. 하향식 접근방법과 상향식 접근방법을 혼용한 통합적 접근방법을 활용하여 정책내용 요인, 정책집행 요인, 정책대상 요인을 중심으로 분석틀을 설정하였다. 분석결과 정책의 내용이 명확하고 일관성 있게 추진될 때, 정책집행현장의 인적자원인 업무담당자의 경력과 재계약 가능성이 있을 때, 정책대상자인 참여자의 특성과 태도는 취업성공패키지의 성과와 서비스의 질에 지대한 영향을 미칠 수 있다는 점을 확인하였다. 따라서 명확하고 일관성을 고려한 정책의 설계와, 인적자원인 업무담당자의 전문성을 높이기 위해 정부차원의 관리와 재계약 기간에 대한 검토의 필요성을, 정책참여자인 청년층에게 엄격한 의무조항과 지원금 지급요건을 부과하여야 함을 제언한다. This study aimed to analyse the factors affecting the implementation of employment success package using the analysis framework of the policy execution theory and explain their effects on results of the policy and service quality. For the purpose, this study analysed the youth employment success package as a representative employment service in Korea. The in-depth interview method was used for the representatives of the operation agencies in Gwangju and the team leader. This study set up the analysis framework focusing on policy content, policy implementation and policy targets using the integrated approach where top-down approach was combined with bottom-up approach and the results are presented as follows: As a result of the analysis, when the contents of the policy are promoted clearly and consistently, the characteristics and attitudes of the participants, which are the subjects of policy, depend on the performance and the quality of the service. It has been confirmed that this can have a great effect. Therefore, it is necessary to impose strict mandatory provisions and subsidy requirements for the policy participants and the need for review of the terms of government-level management and renewal contracts in order to design clear and coherent policies and to enhance the expertise of human resources. Suggest.

연구 : 사회적 지지: 측정과 도구 개발

이숙자 ( Sook Ja Lee ),박영주 ( Young Joo Park ),오가실 ( Ka Sil Oh ) 연세대학교 김모임간호학연구소 2005 간호학탐구 Vol.14 No.1

문명 견문기 : 인도문명 탐사 기행

이숙자(Sook Ja Lee) 한국문명학회 2001 문명연지 Vol.2 No.1

N/A

경력단절여성의 사회적 지지에 대한 인식이 진로준비행동에 미치는 영향 : 진로결정자기효능감의 매개효과를 중심으로

이숙자(Sook-Ja Lee) 한국컴퓨터정보학회 2019 한국컴퓨터정보학회논문지 Vol.24 No.12

This study analyzed the effects of social support and career decision self-efficacy that can have effects on career based on career-interrupted womens perception on career preparation behaviors and mediating effects of the career decision self-efficacy. This study surveyed 227 career-interrupted women who participated in job training or registered for job searching in woman employment support organizations using a self-reported type questionnaire. The results are presented: First, social support was found to have a significant correlation with career decision self-efficacy and career preparation behavior. Second, discovered that emotional support as sub-factors of social support had a significant effect on career preparation behaviors. Third, discovered that goal setting and job information as sub-factors of career decision self-efficacy had a significant effect on career preparation behaviors. Fourth, career decision self-efficacy, there was a partial mediating effect between social support and career preparation behaviors. The results presented above suggested that in respect to career guidance for career-interrupted women, a focus should be given to psychological aspects than technological.

미용 전문잡지에 나타난 헤어디자인 변화에 관한 연구 Ⅱ - 헤어바이나이트 스타일을 중심으로

이숙자(Lee Sook Ja),김윤(Kim Yun) 한국인체미용예술학회 2005 한국인체미용예술학회지 Vol.6 No.4

  The aim of this study was to understand the method of made "Hair By Night Style" about design principle and Make-up expressed beauty magazine of professional in 1985-2004. This study was result like this. A case was used for the purpose of changed of principle hair design, shape of curl or pieces decoration(accessory). Much volumed shape of rhombus wave of S wave was used in the front of side after 1990 of slightly line of cut designed like shape of triangle. By the position of place it was used J, S and C curl for design curl of S curl, and in case of heavy shape or attachment generally used curl of C.<BR>  From now characteristic of in front length was long and slightly for the purpose of naturally style that was used curl of J. Also Hair by Night style was different Consumer. It was used short hair style and designed for up style decoration of splendour. Number of piece, position or shape was one pieces in1980, two pieces used 1990. Three pieces were used with color of splendour decoration after 2000.<BR>  Big and small pieces were used nape in1980, bang, shape of fountain, shape of S, shape of circle were mixed use top and front. A bead, crystal, precious stone(cubic), net, molded of natural resource were used but these decoration were also used in hair and neckless. Make-up characteristic was like this. In 1980 color was main, in1990 point make-up was main, in 2000 splendour Make-up for point slightly line of cut and pieces, there were used decoration of brilliantly, color shadow mixed method of line. That was expressed artistic Make-up.<BR>  This research was analyzed method of "Hair By Night Style", fashion of change, characteristics. It needs to be researched minutely theory of basic and skill by the foundation of systemically, scientifically written. These were more easy to learn and understand. Hair dressers should be much more study and create for the purpose of made any kinds of fashion of changed style, diversity continuously.