시간제 간호사 및 인턴간호사의 직무만족도에 관한 비교연구

최숙자,Choi, Sook-Ja 한국지역사회간호학회 1999 지역사회간호학회지 Vol.10 No.1

Recently, Korean health care industry managers are paying more attention to customer oriented service, the rationalization of business administration, and quality control of service to adjust their business to outer environment since IMF bailout program. They are focusing on the cost reduction through remodeling the size and structure of man power, viz. labor flexibility. Nurses are not free from this juncture and contingent nurses are increasing fast. This article intends to verify the actual condition of two types of contingent nurses -part-time nurses and internship nurses-and to compare their job satisfaction to provide basic resource for efficient management of nurse man power. The concrete goals of this article are; Firstly, to verify the actual condition of their employment. Secondly, to compare their job satisfaction. And Thirdly, to the relation between employment condition and job satisfaction. To accomplish these research goals, a statistical survey was executed, in which 384 questionnaires - 66 for manager nurses, 318 for contingent nurses-were given to nurses working at 66 general hospitals-which have at least 100 beds-in Seoul. Among them, 121 questionnaires-of 28 general hospitals-were returned. Then, the data coded and submitted to mean, standard deviation, T-test, variance analysis (ANOVA), correlation analysis, multiple regression analysis with SAS program. The research results of the contingent nurses are followings: 1. Two types of contingent nurses shows similar age spans: they are mostly 21 - 30 years old and unmarried. But internship nurses have high level of educational career. Part - time nurses spread at general beds, out -patient part, intensive care part, operation part, etc, but internship nurses work mostly at general beds. 2. Two groups shows difference in actual employment condition: average employment career of part -time nurses is 7.0 months but internship nurses' is 2.0 months: average duty-on days per month of part - time nurses are 23.7 days but internship nurses' are 24.8 days. But there are little difference in average working time per day: 7.7 hours for part -time nurses and 0 hours for internship nurses. 3. The average wage per month for part -time nurses is 836,026 won but for internship nurses is 557,428 won-66.7% of part-time nurses'. Both groups are enjoying little additional pay. 4. Both groups are getting job not so much through advertisement of newspaper or hospitals as through acquainted person or college. 5. Both groups show very high level of job satisfaction: 3.2195 for part -time nurses and 3.2881 for internship nurses. But they show very low satisfaction on payment level compared with other categories and two groups show meaningful difference(P<.0001). 6. The multiple regression test reveals the factors related with job satisfaction: wage level, working part(OR or ICU), age, job career, and motive of contingent job-taking('because I can take care of family duties at the same time') influence positively: motive of contingent job-taking('because I can work regularly without alternation') influences negatively.

등마사지 시간에 따른 직장인의 혈액성상 및 뇌기능, 스트레스 변화에 미치는 효과

최숙자 ( Suk Ja Choi ),김주연 ( Ju Youn Kim ) 한국미용학회 2009 한국미용학회지 Vol.15 No.1

This study aims at examining the effect of back massage on office workers` stress relaxation in 30~40s and tests were conducted totally 16 times by 1 times a week for 8 weeks to understand difference of changes before and after the experiment of back massage after selecting office workers in their 30∼40s living in Seoul and Kyunggi-province in order to analyze density change in blood component profile(basic blood, stress hormone), blood pressure, pulse, analysis of brain function(attention index, anti-stress index), change in stress and fatigue level, and satisfaction level after back massage. The experiment of back massage on workers` stress relaxation is proved to be effective after as a result of research of changes in density of basic blood and cortisol, blood pressure and pulse, changes in index of brain function, mental stress and fatigue level and satisfaction level before and after the experiment. Especially, back massage is considered to affect change of body by taking into consideration alleviation in drooping of neck and pain of shoulders due to physical stress, reduction of fatigue level, and increase of attention index out of brain function index and anti-stress index. Back massage worked stably to changes in blood pressure and pulse change, density change of basic blood and reduction change of cortisol of stress hormone by helping blood circulation and relaxation of the nerve, and as satisfaction level appeared highly, it is concluded that back massage is very effective for stress relaxation.

『당신 좋으실 대로』의 로잘린드의 변장

최숙자(Sook-Ja Choi) 신영어영문학회 2009 신영어영문학 Vol.42 No.-

Although Disguise May be traced back to Greek and Rome Comedy, and romantic plays, in none of these does to the play’s central vision come to be embodied in the heroine and her disguise in Shakespeare. In opposition to the strong Puritan critics of the day for sexual disguise, Shakespeare has used this female sexual disguise and according to the dramatic custom, the Boy actor has played the disguised heroin in his comedies. However It is simply not imitated but adjusted to match with Shakespeare’s unique organic structure. This suggests that Shakespeare deliberately came to realize the literal embodiments of two-in-one in the heroin’s disguise. So the purpose of this paper is to investigate how to embody “two-in-one” through Rosalind’s disguise as Ganymedy, Jove’s own page in As You Like It. In no other play by Shakespeare does a woman stand so centrally as Rosalind does in and her sexual disguise as Ganymedy represents the transformed otherness of the lover even as it liberates her to be more truly herself. And Rosalind may be beyond the boundaries of her femininity and masculinity in the play through the disguise, as other Shakespeare’s disguised women in Comedy.

한국 대학생들의 영어독해에 대한 메타인지 인식과 독해전략 사용에 관한 연구

최숙자(Choi, Sookja),장선미(Chang, Sunmee) 한국영어어문교육학회 2013 영어어문교육 Vol.19 No.4

The present study reports an investigation into Korean EFL university students' metacogntive awareness and reading strategy use according to their English reading proficiency levels. With the use of reading comprehension scores of TOEIC, the students grouped into three levels: low, intermediate, and high. A total of 202 college students responded to a metacognitive awareness questionnaire and an actual reading strategy use questionnaire. The results showed that the students' metacognitive awareness in confidence as a reader, reading difficulties, effective reading strategies, and problem-solving strategies in perceived reading strategy use(problem-solving strategies, global reading strategies, support , reading strategies and local reading strategies) were significantly related to their reading proficiency. The higher level readers showed more confidence as readers and tended to be top-down in their perceptions of effective reading strategies. On the contrary, the lower level readers seemed to struggle more with reading difficulties and tended to be bottom-up in their perceptions of effective reading strategies. And, in terms of awareness of reading strategy use, the high level readers perceived to use problem-solving strategies more frequently than the medium level and the low level readers. The students' metacognitive awareness of reading strategy use appeared to be significantly different from their actual use of the reading strategies. Readers tended to have higher awareness of their readillg strategy use than their actual use of those reading strategies. The results of the study imply that teachers should provide students with an opportunity to raise metacognitive awareness of their reading and reading strategies so that they can be more responsible, strategic and efficient readers for their own reading.

셰익스피어 희극에 나타난 여주인공들의 변장

최숙자 ( Sook Ja Choi ) 한국현대영어영문학회 2010 현대영어영문학 Vol.54 No.1

Shakespeare clearly uses the art of disguise, in his comedies, in order to show dramatic irony, where the audience are aware of the fact that characters are not what they are shown outward. The disguise, of course, creates tension in a play and excites the audience; The actions are known to the audience, but the characters on the stage do not know the situation. The disguise also creates a setting for a great deal of irony where characters make double meaning comments. This disguise may be traced back to Greek and Rome comedy, and romantic plays of France, it has been embodied in the Shakespeare`s heroines as central vision in comedies. The boy actors have played the disguised heroines in Shakespeare`s comedies. The disguised heroines not only show the change of the outer aspects but also show the inner change, metamprphosis The disguises are used to match Shakespeare`s unique organic structures with the theme of the comedy which can be defined as metamprphosis. (Hannam University)

간호사의 비정규직 고용실태 및 관련요인에 관한 연구

최숙자(Sook Ja Choi) 한국간호행정학회 1999 간호행정학회지 Vol.5 No.3

준실험적 방법을 이용한 DRG지불제도 참여효과

최숙자 ( Sookja Choi ),권순만 ( Soonman Kwon ) 한국보건경제정책학회(구 한국보건경제학회) 2016 보건경제와 정책연구 Vol.22 No.3

DRG지불제도는 1997년부터 2001년까지 5년간 시범사업을 실시하였고, 이후 2002년부터 (자발적)선택제 방식으로 10년 동안 지속되었으나, 도입이후 DRG지불제도에 대한 평가는 드물다. 이에 본 연구는 DRG지불제도의 정책 효과를 좀 더 정확하고 엄밀하게 평가해 보고자 선택편의(selection bias)에 의한 내생성(endogeneity) 문제를 통제할 수 있는 대표적인 두 가지의 계량적 방법론을 시도하였고, 연구대상자 역시 각 진료과마다 효과가 다를 것으로 판단되어 현재 DRG지불제도를 시행하고 있는 4개 진료과의 대표 질병군(수정체수술, 편도 및 아데노이드 수술, 항문수술, 제왕절개수술)을 선정하여 그 효과를 추정하였다. 포괄수가제가 재원일수에 어떠한 영향을 미쳤는지 혹은 포괄수가제 시행이 우리나라에서는 효과가 있었는지를 확인하기 위해 준실험적방법론으로 헤크만처치효과분석과 ‘시범사업참여여부’와 ‘병의원 개설연한’을 도구변수로 활용한 이단계추정분석을 시행하였다. 그 결과 지불제도 선택변수를 외생변수 및 내생변수로 각각 간주하고 구한 각 추정모형에서 산출된 지불제도의 계수값은 분석방법에 따라 대부분 통계적으로 유의하고 방향도 일관성이 있었으나, 전반적으로 이단계추정모형에 의한 계수값이 외생변수 추정모형에 의한 계수값에 비해 절대값이 커지는 것을 확인할 수 있었다. 이러한 결과는 내생성의 문제가 크게 작용하고 있고, 그로 인해 DRG의 효과가 제대로 측정되지 못하였다는 것을 증명하는 결과이기도 하다. 계량적 방법을 이용한 재원일수의 효과 분석에서는 의원에서 행해지는 편도수술과 병원에서 행해지는 제왕절개수술을 제외하고는 모든 질병군에서 DRG지불제도의 효과가 입증되었고, 그 크기와 영향요인은 질병군마다 다소 상이하였다. The aim of this study was to examine the impact of the participation in the DRG-based payment system on the length of stay (LOS). As the participation was voluntary, this study controlled for endogeneity and selection bias. Using data from the longitudinal claims database from 2002 to 2007 for Cesarean Section (370DRG), Cataract (039DRG), Tonsillectomy/Adenoidectomy (059DRG), and Hemorrhoid procedures (157DRG), this study examined the LOS based on the Heckman`s treatment effect model and Instrumental Variable regression model. Empirical results show that the DRG-based payment reduced the LOS, regardless of whether endogeneity is controlled for in the model. However, the magnitude of the impact of the DRG-based payment on the LOS is greater when the endogeneity is controlled for. This study shows that the DRG-based Prospective Payment system had positive impact on cost containment by reducing LOS. However, further study is necessary to examine the effect of DRG-based payment on total expenditure, mortality, quality of care, patient satisfaction etc.

중소규모 사업장의 의약품 관리실태 및 의약분업에 대한 근로자의 인식도

김영임,지주옥,윤순녕,정혜선,최숙자,이정옥,이현정,Kim, Young-Im,Jee, Ju-Ok,Yun, Soon-Nyung,Jung, Hye-Sun,Choi, Sook-Ja,Lee, Jung-Ok,Lee, Hyun-Jung 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.2

This study was to investigate medication management and the level of awareness about separation of prescribing and dispending at small-to-medium sized workplaces which have less than 300 employees in Korea. The data were collected by questionnaires from May to June in 2000. The number of subjects were 127 workplaces and 130 employees. The SAS PC Program was used for the descriptive statistics. The results are as follows; 1. The over the counter(OTC) drug was provided sufficiently(91.1 %). but medication management was not performed systematically. 2. On drug-providing rate and drug-using rate, the latter was high in the workplace and Health care management's nurses consume all of the over the counter drug provided. 3. When the separation of prescribing and dispending starts, employees shall be medically examined, treated and prescribed by physicians and drugs shall be dispended by pharmacists. It is necessary to make it possible to visit health care institutions whenever they want to. (eg. lunch time or after work) They should change their drug-dependent behaviour. We should focus on strengthening Health Promotion Program to prevent disease by making habitual of health promotion behaviour.

가계 의료비지출의 소득탄력성과 소득수준에 따른 차이 분석

허순임 ( Soon Im Huh ),최숙자 ( Sook Ja Choi ),김창엽 ( Chang Yup Kim ) 한국보건행정학회 2007 보건행정학회지 Vol.17 No.3

This study investigated income elasticity of household health expenditures and differ-ences by income level from 1998 through 2003. Data from Korean Labor and Income Panel Study was used for empirical analyses. To estimate the income effects on health expenditure, the two-part model was employed: a logistic regression for any health expenditure-first part-and a Ordinary Least Square regression for health expenditure conditional on any spending-second part. To estimate income elasticity, both health expenditure and income were log transformed in the second part. In addition, the random effects(RE) model was used for a longitudinal panel which was continuously followed from 1998 through 2003 to estimate income effects on health expenditures controlling for within and between unobservable household characteristics. Furthermore, difference in income effects on health expenditure across income level was investigated. Although income slightly increased odds of any health expenditure, there was not no-table differences across income level. Income significantly increased health expenditures during study period(overall income elasticity: about 0.2) and the highest 20% income group presented higher income elasticity than the lowest 20% income group.

요양병원, 노인요양시설의 환자 안전 관리와 의약품 사용

박은자(Eunja Park),이나경(Nagyeong Lee),최숙자(Sookja Choi) 대한약학회 2020 약학회지 Vol.64 No.3

As Korea became aged society, more and more older adults utilized long-term care hospitals or nursing homes. The objective of this study was to examine the priority of policy measures for the improvement of patient (resident) safety of long-term care services in terms of medication use. We conducted an expert survey on September 2017 by e-mail, and analyzed answered questionnaires from 21 experts for long-term care hospitals and 21 experts for nursing homes. About nineteen percent of experts assessed the probability of medication error very high for long-term care hospitals and 38.1% did for nursing homes. The most important and urgent medicine management policy was to manage potentially inappropriate drug for the elderly in both long-term care hospitals and nursing homes. The second important policy was to intensify the monitoring for the patients with polypharmacy for long-term care hospitals and to collect medication information when the elderly were admitted to the nursing facilities for nursing homes. It was necessary to develop more detailed programs and policy measures to reduce the use of potentially inappropriate drug for the elderly in long-term care hospitals or nursing homes.