Nurse's Diary

주명순,Ju, Myeong-Sun 대한간호협회 2006 대한간호 Vol.45 No.3

간호대학생의 비판적 사고성향과 셀프리더십의 향상이 간호수행능력에 미치는 영향

주명순 한국자료분석학회 2016 Journal of the Korean Data Analysis Society Vol.18 No.4

This study was performed to investigate the effects of improvement of self-leadership and critical thinking disposition on nursing performance competency of nursing students. A descriptive design was used with 137 students when they were sophomore (pre-study) and senior (post-study) years at a nursing school in Korea. Critical thinking disposition positively affected the competency of performing basic nursing skills (F=2.98, p=.006), communication (F=3.05, p=.005), critical thinking (F=2.64, p=.014), education (F=2.30, p=.008), management (F=2.92, p=.007), and developing professional attitudes & practices (F=2.36, p=.003). The predictive powers are 13.9%, 14.2%, 12.5%, 11.1%, 13.7%, 11.4% respectively. in case of self-leadership, competency of data collection is positively affected by self-observation (β=0.21, p=.039) and negatively affected by focusing thoughts on natural rewards (β=-0.210, p=.031). Competency of critical thinking is positively affected by self-observation (β=0.226, p=.039) and negatively affected by focusing thoughts on natural rewards (β=-0.145, p=.046). Competency of leadership is negatively affected by self-cuing (β=.145, p=.046). We suggest that this study to be repeated in several institutions to observe and confirm the effect of improvement of self-leadership and critical thinking disposition on nursing performance. 본 연구는 간호대학생의 비판적사고성향과 셀프리더십의 향상이 간호수행능력에 미치는 효과를 파악하기 위하여 시도되었다. 연구대상은 일개 대학 2학년과 4학년 137명이었고 사전 자료수집은 2012년과 2013년 9월에, 사후는 2014년과 2015년 12월에 시행하였으며 자료분석은 SAS 9.12버전을 이용하였다. 연구결과, 비판적 사고성향과 부정적 의미인 자기처벌을 제외한 셀프리더십은 통계적으로 유의하게 증가하였다. 비판적 사고성향은 기본간호수행능력(F=2.98, p=.006), 의사소통능력(F=3.05, p=.005), 비판적사고능력(F=2.64, p=.014), 교육능력(F=2.30, p=.008) 관리능력(F=2.92, p=.007), 전문직 발전태도 및 실무능력(F=2.36, p=.0026)에 유의한 양의 영향을 미치며 각각 13.9%, 14.2%, 12.5%, 11.1%, 13.7%, 11.4%의 설명력을 보였다. 비판적사고성향의 하위영역 중 지적공정성(β=0.224, p=.042)은 의사소통능력에, 건전한 회의성(β=0.203, p=.044)과 지적공정성(β=0.224, p=.042)은 관리능력에, 지적공적성은 전문직 발전 태도 및 실무능력(β=0.260, p=.048)에 양의 영향을 미치는 것으로 나타났다. 셀프리더십의 경우 자기관찰영역은 자료수집능력(β=0.208, p=.039), 비판적사고능력(β=0.264, p=.013), 리더십능력(β=0.226, p=.032)에 양의 영향을 미치며, 자연적보상은 자료수집능력(β=-0.210, p=.031)에, 자기처벌은 리더십 능력(β=-0.145, p=.046)에 음의 영향을 미치는 것으로 나타났다. 추후 비판적 사고성향과 셀프리더십의 향상이 간호수행능력에 미치는 효과를 반복 측정하여 간호교육프로그램의 기초자료로 사용하기를 제안한다.

간호계 학생과 비간호계 학생의 정신건강에 대한 태도의 비교 연구

주명순 中央醫學社 1975 中央醫學 Vol.28 No.5

The main purpose of this study was to identify attitudes toward mental health of nursing students and non-nursing students. The instrument used in this study was a multiple choice association questionnaire introduced by Nunnally (1961) referred to as they Mental Health Opinion Questionnaire". The questionnaire was consisted of 20 items which yield six dimensions by this writer: Psychotic patient, neurotic .patient, mental health, mental disease, mental hospital, psychiatrist. The subjects of this study were 183 nursing students and 151 non, nursing students from 4 universities in Seoul. The subjects were females who enrolled in the second semester of 1974. The nursing students had not been exposed in the area of psychiatry and psychiatric nursing at that period. All students were tested,in a group setting in the classroom. The findings of Nunnally's study were viewed for comparison. The results of this study were as follows: 1) The selected nursing students and non-nursing students, in Korea revealed negative and rejecting attitudes toward mental health. 2) There were a lack of information and knowledge of mental health and mental illness among study population. 3) The negative attitudes of the mentally ill were- based -more on fears of patients. 4) The nursing students held feelings and conceptions on the stigma attached.

보호자 없는 병원에서의 간호사 근무경험

주명순 ( Myungsoon Joo ),장숙랑 ( Soongnang Jang ) 한국보건경제정책학회(구 한국보건경제학회) 2015 보건경제와 정책연구 Vol.21 No.4

본 논문은 2016년 전면 확대 예정인 보호자 없는 병원 제도를 긍정적으로 정착 운영하기 위해, 보호자 없는 병동의 입원환자를 돌보는 간호사의 주관적 경험의 의미를 파악하고자 시도한 현상학적 연구이다. 연구 질문은 “보호자 없는 병동의 환자를 돌보는 간호사의 경험은 어떠한가?” 이다. 보호자 없는 병원을 시범운영 중인 A종합병원의 입원환자를 돌본 경험이 3개월 이상 되는 총 10명의 간호사가 참여하였다. Giorgi의 기술적 현상학적 방법에 따라 탐색하여 분석한 결과 14개의 하위주제와 5개의 핵심주제를 도출하였다. 5개의 핵심주제는 ‘기대감과 부담감으로 시작함’ ‘달라지고 늘어난 업무로 인해 정체성 혼동의 두려움을 겪음’ ‘환자의 의존이 증가하고 간호사의 자존감이 저하됨’ ‘전문성 확대로 인해 자신감이 생김’ ‘보호자 없는 병동에 대한 재인식’ 이었다. 간호사에 의한 간호간병서비스는 필요한 제도이므로 보완하여 지속할 필요가 있었다. 그러나 과중한 업무량으로 인한 간호사 소진의 해결 및 환자와 보호자의 올바른 인식변화 등 근본 목적에 따른 정책수립 및 해결책을 만들고, 근거마련을 위한 장기, 단기의 지속적인 연구와 홍보, 교육, 간호사 지원책 제공 등이 보완되어야 할 것이다. This phenomenological study used in-depth interviews to clarify nurses’ subjective experiences of caring for inpatients in wards without guardians. Methods: The participants were 10 nurses with more than 3 months of experience in caring for inpatients in wards without guardians in “A” General Hospital, which has been in pilot operation as a hospital without guardians for more than 1 year. Results: Five themes and 14 sub-themes were derived. The 5 themes were “Starting with anticipation and pressure,” “Fear of identity confusion from changed and increased work,” “The increasing dependence of patients and lowered self-esteem of nurses,” “Confidence from expansion of professionalism,” and “New understanding of a ward without guardians.” Conclusions: Professional nursing care service provided by nurses is a good system that should be supplemented and continued. Both short- and long-term studies as well as supplementation of marketing, education, and nursing support are needed to establish the foundation for resolving the cycle of exhaustion in nurses due to excessive workload, proper perception changes in patients and guardians, and the establishment of solutions based on an underlying objective.

중환자실 신규간호사 교육과정에 관한 연구

유현숙,김복자,주명순,최선숙 병원간호사회 1996 임상간호연구 Vol.2 No.-

This study was to offer the basic data to formulate ICU Orientatin Program which was systemic and consistent. It also intended to improve newly graduated nurses's helping competency. The participants in the program were 63 ICU new nurses who were employed at a hospital in Seoul from January 1st 1995. The program was planned on the basis of Scales (1985) Nursing Curriculum and used from January 1st to March 31th 1995 for 3months. 1. The Program was as follow ; It was based on the philosophy of nursing depatment, hospital and country which was a philosopy of 'love'. The conceptural framework was based on the Waston's theory of Human Caring. It's optimal purpose was to foster nurses' professionalism that is to help their customers. Orientation period was 3 months ; composed by a week for hospital orientation in general, a week for lecturing and 10 weeks for practice training in intensive care unit. The program was divided into 3 sections ; In the levels, level 1 for the first 1 month, level 2 for the second month and the final stsge, level 3 for last month : the level 1, 2 were basic courses and the level 3 was advanced course. The reference book for the orientation was 'ICU Orientation Manual'. New nurses also had 'ICU Orientation Practice Guide Book' for their self study and were able to record contents of their learning in it. The recording helps them to organize their duties and responsibility. The educators for the new graduated nurses were nurse educators for lecturing, evaluating, the preceptor for practice training, the charge nurse for teaching about medical equipement and medical materials and the head nurse for managing about orientation. They had observation period of 5 weeks alongside their orientation and then were assigned one or two patients for the care. The evaluation of their competency was carried 3 times ; the diagnostic evaluation was applied before begining of the orientation(at January 31th), the formative evaluation was applied in the middle of their course (at Fefrary 13th) and the summative evaluation was applied after the completion of the orientation(at May 31th). The evaluation tool was based on Kim's study (1995) and Carol's reference (1991). The datas were analyzed using percentages, frequency method. 2. The participants responded to the questionareas follows ; 1) ICU lecture periods were insufficent as 49.0% and sufficent as 48.0%. 2) It was good that ICU lecture period was applied in the middle of ICU ward orientation. 3) The peer nurses(preceptor) were regarded as a good teachers as 59.0%. 4) In ICU ward orientation, A profer educator was a peer nurse(preceptor) as 35.0% and charge nurse as 32.0%. 5) Within the ICU lecture, the most helpful area was 'medicine nursing' as 15.4%. 6) The area which required a better organization was reported to be 'practice ventilator' as 23.2%, 'anatomy of heart and EKG' as 23.2% and 'ICU medical equipment'as 17.0%. 7) After the training, the performance of ICU new nurses was improved from 57.1% the 87.8% and there was no difference in competence among the trainees whereever ICU they were appointed. 8) ICU new nurses's performance were changed from lmonth to 3months. Fields of'patient education and care plan', 'physical assesment', 'EKG', 'mechanical ventilation' were decresed. Fields of 'structure of ICU', 'records', 'blood transfusion', 'management of C-line' and 'Arterial line' were increased. Fields of 'nursing administration', 'examination', 'using of medical equipment' were not changed, exactly were decresed continuously. ICU new nurses experienced the difficulties in appling their knowledge from lectures to the practice. Therfore, ICU Orientation Program should be organized after the consideration of the above fact. Also, I suggested that The preceptors who educated new nurse should be trained prior to their assignment of taking new nurses for helping them.

두경부 마사지가 중환자실 환자의 수면과 불안에 미치는 효과

김미용,전선영,송윤희,최은진,김재희,김미성,주명순,김남선 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: This study was to apply head and neck massage to patients in intensive care unit and to inventigate the effect of that massage on sleep and state anxiety. Method: The subjects in this study were 27 patients who were admitted in medical intensive care unit. The study was performed from June thru September of 2005 on the One-group pretest-posttest design and the sleep, state anxiety of the subjects were measured before and after head and neck massage. For data analysis, paired t-test and Pearson correlation coefficient were utilized. Result: The first hypothesis that the subjects might have a better sleep after being exposed to head and neck massage was accepted. The second hypothesis that the subjects might feel less state anxiety afrer being exposed to head and neck massage was accepted. The third hypothesis that the sleep of the ICU patients maight be correlated to their anxiety was accepted, as there appeared correlation between their sleep and anxiety. Conclusion: Head and neck massage is identified as one of independent nursing interwentions to improve the sleep of ICU patients and ease their anxiety, and it is necessary to apply it to clinical practices.

냉요법이 대장내시경 검사를 받은 환자의 항문 통증경감에 미치는 효과

최영순,이성미,권세웅,황인정,이상순,주명순,김남선 병원간호사회 2007 임상간호연구 Vol.13 No.2

항암요법을 받는 간암환자의 불안, 오심, 구토에 대한 발반사마사지 효과 : 간동맥화학색전술 중심으로

함정희,이중분,김복희,강종순,오윤주,권은자,진영경,성숙경,강유경,주명순 병원간호사회 2003 임상간호연구 Vol.8 No.2

The purpose of this study was to examine the effects of foot reflexology on anxiety, nausea and vomiting in patients with hepatocellular carcinoma transarterial chemoembolization. Sixty patients with hepatocellular carcinoma transarterial chemoembolization participated in the study. Two groups consisted of subjects assigned : one experimental group(30 patients), and the other the control group(30 patients). All subjects were admitted for inpatients transarterial chemoembolization at the A medical center between May 10 to July 20 in 2002. A research study in which a twenty- minutes foot reflexology was offered on three-consecutive to 30 patients with hepatocellular carcinoma chemotherapy as a anxiety, nausea and vomiting reduction in intervention described. A quasi-experimental control- group pretest- posttest design was used to collect data before and after the intervention. The method for assessing nausea and vomiting was the Index of Nausea and Vomiting by Rhodes et al and that for anxiety was State-Trait Anxiety Inventory by Spielberger. The objective physiologic measures of blood pressure and pulse rate were obtained before and after intervention. Analysis was done by a real number and percentage, chi-square test, Chronbach's α, t-test and peason's correlation coefficients. The results of this study were as follow : 1. Experimental group will reduce a state- trait anxiety the administration of foot reflexology than control group. The research hypothesis was supported(p=.000). Experimental group will be lower a VAS the administration of foot reflexology than control group. The research hypothesis was supported(p=.000). Experimental group will be lower a Systolic blood pressure the administration of foot reflexology than control group. The research hypothesis was supported(p=.004). Experimental group will be lower a diastolic blood pressure the administration of foot reflexology than control group. The research hypothesis was supported(p=.031). Experimental group will be lower a pulse rate the administration of foot reflexology than control group. The research hypothesis was supported(p=.050). All of the first research hypothesis was supported. 2. Experimental group will reduce a nausea and vomiting the administration of foot reflexology than control group. The second research hypothesis was supported(p=.000). In condition, foot reflexology is a effective intervention that reduces anxiety, nausea and vomiting in patients with hepatocellular carcinoma transarterial chemoembolization.

정맥으로 투여하는 발포성 항암제의 합병증

최은숙(Choi Eun Sook),김금순(Kim Keum Soon),주명순(Joo Myung Soon),김복자(Kim Bok Ja) 기본간호학회 2000 기본간호학회지 Vol.7 No.3

국내 간호사의 유전성 유방암에 대한 지식정도 조사연구

최경숙(Choi, Kyung-Sook),전명희(Jun, Myung-Hee),소향숙(So, Hyang-Sook),태영숙(Tae, Young-Sook),은영(Eun, Young),서순림(Suh, Soon-Rim),이우숙(Lee, Woo-Sook),정혜선(Chong, Hae-Sun),김연희(Kim, Yeon-Hee),주명순(Joo, Myung-Soon),이유미( 한국간호교육학회 2006 한국간호교육학회지 Vol.12 No.2