혈액투석환자의 피로와 수면장애에 관한 연구

장금성,이현미,김은아 성인간호학회 2008 성인간호학회 학술대회 Vol.2008 No.6

2007-2018년 보건의료산업학회지에 게재된 간호연구 동향 분석

장금성,문정은 보건의료산업학회 2019 보건의료산업학회지 Vol.13 No.4

Objectives: This study aimed to analyze the papers on nursing in the KJHSM (Korean Journal of Health Service Management) (2007-2018), to identify the research trends and to help the future development of nursing research. Methods: The data collection was carried out from September 1, 2019 to September 30, 2019. The 78 copies of the original text were provided by the KSHSM website, DBpia, and NDSL (National Digital Science Library) electronic database. Results: Forty-seven studies had a non-experimental design, with most having a descriptive research design (89.3%). The most common participants were nurses (55.7%) and nursing college students (26.1%). A questionnaire was the most commonly used research tools (96.2%) and data collection methods (95.0%). The major keywords were the terms included in the environmental domain among the meta-paradigms of nursing (43.6%). Conclusions: In order to expand the quantity and quality of nursing science in the KSHSM, efforts are needed to improve the quality of research participants, research tools, and sampling methods.

방사선 치료를 받는 암환자의 가족지지와 성격이 삶의 질에 미치는 영향

장금성,홍미순,김영숙 中央醫學社 1995 中央醫學 Vol.60 No.1

This descriptive-correlational study was undertaken in order to investigate the relationship of family support and personality with quality of life in patients receiving radiotherapy for cancer and to provide basic data to help them improve a better quality of life. The subjects of this study were 110 out-patients experiencing a radiotherapy at C University Hospital in K-city, from April to October, 1992. The data were obtained using a convenience sampling technique. The tools used for this study were Ro's Quality of Life scale, Kang's Family Support scale and Wallston & others Health Locus of Control scale. The collected data were analyzed by the SAS program using ANOVA, Pearson's Correlation Coefficients and stepwise multiple regression. The results were as follows : 1. The average total score of the quality of life of the subjects was 139.65(minimum score 121-maximum score 164), item mean score(range 1-5) was 2.97. The average total score of the family support of the subjects was 38.44(minimum score 16-maximum score 47), item mean score(range 1-5) was 3.49. The average total score of the Health Locus of Control of the subjects was 38.34(minimum score 24-maximum score 49), item mean score(range 1-6) was 3.49. 2. Among characters related to the disease, variables linked with the quality of life were as follows ; Experience of hospitalization (F=5.09, p=.0260), experience of surgery (F=5.51, p=.0207), diagnosis name(F=3.87, p=.0009), experience of chemotherapy(F=12.74, p=.0005), number of experienced symptoms(F=3.26, p=.0243). 3. There was a significant positive correlation between the family support and the quality of life(r=.3687, p=.0001). There was no relationship between the health locus of control and the quality of life. 4. By using stepwise multiple regression analysis, it was determined that the main influencing factors on the quality of life were age (16 %), family support (12 %), monthly income (? %), and gender(5 %). These four main variables explained 40 % of the variance in quality of life.

허혈성 뇌졸중 환자의 근거기반 표준진료지침 개발

장금성,정경희,최자윤,양진주,류세앙,김남영,김윤희 성인간호학회 2010 성인간호학회 학술대회 Vol.2010 No.5

간호학과 졸업예정자의 비판적 사고성향과 자기주도적 학습능력의 관계에서 정보활용능력의 매개효과

장금성,김은아,김남영 한국자료분석학회 2015 Journal of the Korean Data Analysis Society Vol.17 No.5

The purpose of this study was to investigate the mediating effect of information literacy in the relationship between critical thinking disposition and self-directed learning ability among senior nursing students. Data were collected from convenient sample of 311 students at 8 nursing colleges in G city and J province through self-evaluation questionnaires. The data were analyzed with descriptive statistics, the Pearson correlation coefficient, and multiple regression using the SPSS/WIN 21.0 program. Self-directed learning ability was positively correlated with critical thinking disposition and information literacy. Information literacy showed mediating effects between the senior nursing student’s critical thinking disposition and self-directed learning ability. For the effective improvement of student’s self-directed learning ability, educational program including information literacy-increasing strategies should be established. 본 연구는 간호학과 졸업예정자를 대상으로 비판적 사고성향과 자기주도적 학습능력의 관계에 있어서 정보활용능력이 인과경로 사이에 놓여 두 변수의 관계에 어떻게 영향을 주는지 그 매개효과를 규명하는 서술적 조사연구이다. G광역시와 J도에 소재한 8개 간호학과 졸업예정자 311명을 대상으로 질문지를 이용하여 비판적 사고성향, 정보활용능력, 자기주도적 학습능력에 대해 자료를 수집하였고, 수집된 자료는 SPSS WIN 21.0 program을 이용하여 기술통계, Pearson 상관계수, 3단계 회귀분석으로 분석하였다. 본 연구변수들 간의 상관관계를 분석한 결과, 모든 변수들 간에 서로 유의한 순 상관관계를 보였다(p<.001). 자기주도적 학습능력은 정보활용능력(r=.637), 비판적 사고성향(r=.614)과 각각 순 상관관계를 보였으며, 정보활용능력과 비판적 사고성향(r=.555)도 순 상관관계가 있는 것으로 나타났다. 또한 비판적 사고성향과 자기주도적 학습능력과의 관계에서 정보활용능력은 통계적으로 유의미한 부분매개 역할을 하는 것으로 검증되었다. 본 연구의 실증분석 결과를 근거로 할 때, 간호대학이 비판적 사고성향을 향상시킬 수 있는 전략을 수립하고, 정보활용능력을 개발할 수 있는 체계적 교과과정을 구축한다면 궁극적으로 간호대학생의 자기주도적 학습능력에 긍정적 영향을 줄 수 있을 것이다.

임상간호현장에서의 실행연구 여정

장금성,김희영,김은아,김윤민,문정은,박현영,송미옥,백명 한국간호과학회 간호행정학회 2013 간호행정학회지 Vol.19 No.1

Purpose: The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing. Methods: Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis. Results: During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations. Conclusion: The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.

의료기관의 성과관리와 질 향상 연계체계 구축을 위한 임상적 성과지표 개발

장금성,이삼용,김윤민,황선영,김남영,류세앙,박순주,최자윤 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.8

Purpose: This study aimed at developing integrated clinical performance indicators(CPIs) through the analysis of quality improvement(QI) activities of a hospital and literature review about performance measures. Method: The CPIs were developed through the following three stages; 1)Identifying preliminary CPIs 2)A staff validity test in preliminary CPIs 3)Developing final CPIs. Result: One hundred twenty-three preliminary CPIs were developed through QI activities of the target hospital for 8 years and literature review. The results of the validity test for the preliminary CPIs supported ninety-one items. Sixty-two CPIs were selected through integration, reclassification and renaming. Then, eighteen items were deleted on account of an imprecise calculation method. Finally, forty-four CPIs were confirmed. They consisted of twenty-six items at the hospital level and eighteen items at the department level. Conclusion: CPIs can be used as criteria to evaluate the performance of healthcare organizations, and to decide the quality of healthcare for customers. This study may contribute to establishing an integrated system between QI activities and performance measurement of healthcare organizations.

간호관리학 임상실습에서 협력학습이 메타인지 수준에 따라 문제해결과정에 미치는 영향

장금성,김남영,류세앙,김윤민,정경희 대한간호행정학회 2007 간호행정학회지 Vol.13 No.2

Purpose: The aim of this study was to find the effect of collaborative learning on problem-solving processes according to the level of metacognition, after adopting collaborative learning to clinical practice of nursing management. Method: Senior college students participated in this study. 90 students who was involveled in high level metacognitive group and another 88 students in low level metacognitive group. The data was collected from 2003 to 2005. The process of collaborative learning was categorised in 4 steps. The data were analyzed using t-test, ANCOVA, paired t-test. Results: 'There will be a distinction between the low and high metacognition groups after application of collaborative learning' was rejected, 'In the high level metacognitive group, the problem-solving ability will also increase after application of collaborative learning than before application' was supported. 'In the low level metacognitive group, the problem-solving ability will increase after application of collaborative learning than before application' was supported. Conclusion: The results showed that with collaborative learning, the problem-solving ability of learners with different levels of metacognition is improved.

인사고과에 관한 국내 간호연구 동향분석

장금성,김윤민,김남영,정경희 대한간호행정학회 2005 간호행정학회지 Vol.11 No.1

The authors reviewed researches related to performance appraisal(32 researches), in order to identify the direction for future research and to establish a credible performance appraisal system. Method: Almost all of the theses and research published in 9 major journals of nursing in korea were reviewed. Results: Most of research(84.4%) were theses and all researches were used to non-experimental design; survey 81.3%, methodological research 15.6%, review 3.1%. The major subjects of study were appraisees and appraisers. Psychosocial data collection which only used questionnaire were 81.3% and carried out interview(12.5%) and delphi-method(3.1%). Data analysis methods were used frequency 78.1%, t-test 62.5%, mean/SD 59.4%, Pearson's correlation 50%, and Cronbach α 50%. Appraisal tool used or developed in studies was graphic rating scales in nine studies and ran parallel with forced distribution in 2. Also, MBO and BSC were developed. Total number of korean terms in performance measurement were 11, and english terms 15. The tendency of the terms was toward performance appraisal or evaluation. Conclusion: In the light of results, we expect development of corporate appraisal tool that can evaluate nurse competence and performance. Total performance management system also should be established.

방사선 요법을 받는 암환자의 삶의 질에 관한 연구

장금성,노영희,Jang Keum-Seong,Noh Young Hee 대한방사선치료학회 1994 大韓放射線治療技術學會誌 Vol.6 No.1

The Purpose of this study was to determine the degree and contents composing the qualify of life and to analyze the relationships among the demographic characteristics, the degree of pain and the quality of life of the cancer patients experiencing a radiation therapy. The subjects for this study were 110 out-patients experiencing a radation therapy at C University Hospital in K-city, from April to October, 1992. The data were obtained using a convenience sampling technique. The tool of this study was the quality of life scale developed by Ro, You-Ja and the data were analyzed using a SAS program for percentages, mean & standard deviation. ANOVA and Scheffe test. The results were as follows : 1. the average total score of the quality of life of the subjects was 139.65(minimum score 121-maximum score 164), item mean score grange 1-5) was 2.97. For each factor in the quality of life scale, the mean scores (range 1-5) were 3.29 in emotional state, 3.14 in relationship with neighbors. 3.04 in physical state and function. 2.92 in self-esteem, 2.81 in economic life and 2.65 in relationship with family. 2. The incidence of physical symptoms was seen fatigue ($84.5\%$). anorexia ($65.5\%$) and weight loss ($47.3\%$) in order. The 50.9 percentage of the subjects complained of moderate or severe pain. 3. The results of the analysis of the relationships between the demographic variables and the quality of life were as follows : Gender (F=8.45, P=0.0044), age (F=6.29, P=0.0001). educational level (F=5.67, P=0.0046), marital status (F=6.82. P=0.0016), occupation (F=2.86, P=0.009), monthly income (F=6.90, P=0.0003), family living together (F=3.95, P=0.0494) and person paying a medical fee (F=5.14, P=0.0023). 4. The relationship between the degree of pain and the quality of life was significant difference (F=3.12, P=0.0482).