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서순림,이은남,박송자,양영희,이동숙,최은옥,구미옥,김인자,이인숙,김성재,박영임,이은옥 서울대학교 간호대학 간호과학연구소 1997 간호학 논문집 Vol.11 No.1
Today human needs for health promotion and maintenance are increasing. The nursing progression has a great responsibility for helping clients to practice good health behavior. self efficacy was found to be potent predictor in initiating and maintaining the health-related behavior. Therefore, the concept is important in nursig intervention for change of health behavior. The purpose of this paper was to analyze and clarify the meaning of the concept, self efficacy. This study used Walder & Avant's process of concept analysis. Critical attributes of self efficacy were : 1) positive perception of his won capability; 2) intrapersonal strength; 3) possibility of being learned; 4) individuality; 5) specificity; 6) generalizability. Antecedents of self efficacy consist of those facts that 1) new situation occurs; 2) individuals have needs to change the new situation; 3) there are some required actions in new situation. Consequences occurring as a result of self efficacy consist of those facts that 1) individual initiates the of failure; 5) cope with the situation; 6) controls the situation; 7) the level of self efficacy is enhanced; 8) the level of self-esteem is enhanced.
구미옥 ( Gu Mee Ock ),조용애 ( Cho Yong Ae ),은영 ( Eun Young ),정인숙 ( Jung Ihn Sook ),김현림 ( Kim Hyun Lim ),윤희숙 ( Yoon Hee Sook ),김은현 ( Kim Eun Hyun ),윤지현 ( Yoon Ji Hyun ),장희경 ( Chang Hee Kyung ) 병원간호사회 2017 임상간호연구 Vol.23 No.3
Purpose: This study was conducted to update the existing nursing practice guideline for intravenous infusion guidelines according to the evidence-based practice guideline in South Korea. Methods: Guideline update process was performed using 22 steps according to the manuals developed by NICE and SIGN. Results: Updated nursing practice guidelines for the intravenous infusion were consisted of 23 domains and 322 recommendations. The number of recommendations in each domain were 4 for general instruction, 12 for vascular access device selection, 20 for site selection, 9 for insertion, 54 for stabilization, 21 for maintaining patency, 4 for blood sampling, 33 for exchange and removal, 28 for add-on device selection, 28, 72 for infusion related complications, 56 for infusion therapies, 7 for education, and 2 for documentation and report. There were 15.9% of A, 30.2% of B, 53.9% of C in terms of grade recommendations. A total of 178 (51.6%) recommendations were newly developed and 24 previous recommendations have been deleted. Conclusion: Updated nursing practice guideline for intravenous infusion was expected to be an evidence-based practice guideline for intravenous infusion in South Korea. This guideline is suggested to be disseminated to clinical nursing settings nationwide to improve the efficiency of intravenous infusion practice.
김미옥,김주현,김증임,김희자,김현숙,오진주,은영,송미순 노인간호학회 2003 노인간호학회지 Vol.5 No.2
Purpose : This study was done to investigate the practice level of 14 health behaviors in 5 dimensions in elderly people in Korea and to examine the barriers and barriers scores for each health behavior. Method : Data were collected from 350 elderly people (60 years and older) living in metropolitan, urban, and rural areas. Descriptive statistics and Pearson correlation coefficients were used in data analysis. Results : 1) The mean score on performance of total health behavior in elderly people was 2.50 (range 1-4). Mean scores for each health behavior dimension were as follows : restriction on substance use 3.47, nutrition 2.58, disease prevention 2.30, exercise 2.05, stress management 2.03. 2) Health behaviors with higher barrier scores were restriction of smoking, 2.16 (range 1-3), restriction of alcohol consumption, 1.85, use of social support, 1.77, restriction of fat and cholesterol, 1.74. But regular meals, a balanced diet, and vaccination had relatively low barrier scores. 3) There were significant negative correlations between the performance level of health behavior and barrier scores in 11 of the 14 health behaviors' - 0.364 ~ - 0.121, P<0.05). Conclusion : Results suggest the necessity of encouraging the performance of health behaviors in elderly people, especially the dimensions of exercise and stress management. Strategies to reduce the main barriers of each health behavior are needed to increase health behaviors in elderly people.
구미옥,조명숙,조용애,정재심,은영,정인숙,박정숙,김혜정 병원간호사회 2012 임상간호연구 Vol.18 No.1
Purpose: This study was conducted with an aim to get a kind of priorities in developing the evidence-based nursing practice guidelines in fields. Methods: This study utilized a two-round Delphi surveys from November to December, 2010 with self-administered questionnaires which had a scale ranged from 0 to 9. A total of 95 head nurses working at the forty different general hospitals was asked to evaluate the priorities in four criteria; patient coverage, certainty, improvement in patient outcome and in nursing practice (first round) and 65 head nurses were asked to decide the importance of the criteria afterwards (second round). Results: The relative importance of 4 criteria was 22.3% in patient coverage, 26.5% in certainty, 23.5% in improvement of patient outcome, and 27.7% in improvement of nursing practice as the results of the 1st round and 20.6%, 26.6%, 24.8%, and 28.0% for the 2nd round, respectively. Top five nursing practices showed high scores after considering the relative importances of the 4 criteria were medication, intravenous therapy, checking vital sign, pain management, and diagnostic test or procedures care. Conclusion: It is recommended to take into account of the priorities that were found in this study when someone intends to develop a evidence-based nursing practice guideline.
Mee Ock Park,Myung Gu Moon,T. J. Kang 대한화학회 2013 Bulletin of the Korean Chemical Society Vol.34 No.5
We have investigated the complex forming behavior of cucurbit[6]urils(CB6) and cucurbit[7]urils(CB7) with 7-diethylamino-4-methylcoumarin(C460) in water. The electronic absorption maximum of C460 shows bathochromic shift with the addition of CB7 and fluorescence intensity is greatly increased, while CB6 has no noticeable effects on the spectroscopic properties of C460. It is noted that CB7 interacts more strongly with C460 than CB6 does. Fluorescence lifetime also significantly increased for the CB7 complex, which is attributed to reduced polarity surrounding C460 and/or C460 being in a restricted environment. The stoichiometry for the complex formation determined from the fluorescence titration measurement indicates that 2:1 complex in which two CB7 molecules bind to C460 is formed. Thus, two step equilibrium processes are suggested for the complex formation and the binding constants are estimated. The semi-empirical electronic structures calculations indicate that C460 is not included in the CB7 cavity but interacts noncovalently with the portal carbonyls of CB7.