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      • KCI등재후보

        간호사의 임상 실무 경험

        서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

        purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

      • SCOPUSKCI등재

        간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

        서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

        As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

      • KCI등재

        근막 결손의 복원과 자궁천골인대 고정을 통한 전자궁적출술 후 질탈출의 성공적 교정

        문화숙(Hwa Sook Moon),최진국(Jin Koo Choi),김경서(Kyung Seo Kim),박근식(Kyun Sik Park),황지영(Ji Young Hwang),문성은(Sung Eun Moon),한지원(Ji Won Han),김상국(Sang Gook Kim),김상갑(Sang Gap Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

        목적 : 본 연구는 전자궁적출술 후 질탈출을 부위-특이적인 결함의 개념에 입각하여 치골경부 근막과 직장질 격막의 연결을 통한 골반내 근막의 복원과 자궁천골인대 고정술을 이용한 질탈출의 성공적인 수술적 교정의 방법과 결과를 보고하고자 한다. 연구 방법 : 1999년부터 2001년 8월까지 자궁적출술 후 질궁탈출 증상으로 문화병원 산부인과를 내원, 탈출된 질의 근막을 재건시킨 다음, 이를 자궁천골인대에 고정시킴으로써 질의 부위-특이적인 교정술을 받은 3명의 환자를 대상으로 하였다. 3명중 1명은 개복술을 하였고 2명은 내시경 수술을 하였다. 결과 : 환자의 연령 분포는 49-67세였으며, 수술시간은 평균 113분 (105-125)이었다. 세 환자 모두 수술 후 질의 상태가 해부학 및 기능적으로 정상이었으며, 9일째 특이사항 없이 퇴원하였다. 수술 후 HRT를 시행한 1명을 포함한 3명 모두 각각 24개월, 12개월, 7개월간의 추적 검사에서도 특이한 합병증이나 재발 없이 좋은 경과를 보였다. 결론 : 골반 근막 결손의 복원과 자궁천골인대 고정술은 전자궁적출술 후 질탈출의 교정에 매우 안전하고 효과적이며, 기능적인 방법으로 사료되며, 자궁천골인대를 질탈출 교정에 이용한 연구는 본 연구가 국내에서 처음이다. Objective : To report the method and efficacy of the site specific-defects repair in the endopelvic fascia and uterosacral ligament suspension for the correction of posthysterectomy vaginal vault prolapse. Methods : This study was performed in 3 patients with posthyterectomy vaginal vault prolapse who underwent the surgery for the reconstruction of endopelvic fascia and the correction of vault prolapsed vagina by using uterosacral ligament suspension at the department of Obstetrics and Gynecology in Moon-Hwa Hospital. Among them, 1 patient was treated by laparotomy, and 2 patients were treated by laparoscope. Results : The age of patients ranged from 49 to 67 years. The mean operation time was 111 minutes (105-120 minutes). The status of postoperative vagina was normal in all 3 patients, who were discharged 9 days after operation without symptoms. No complication or recurrence were found in them despite long-term follow-up for 24 months, 12 months, 7 months, respectively after operation. One patient has been treated with HRT therapy. Conclusion : The reconstruction of the defect of endopelvic fascia and uterosacral ligament fixation may be very safe, effective, and functional in the correction of vaginal vault prolapse. This study reports the treatment of vaginal vault prolapse using uterosacral ligament within Korea for the first time.

      • KCI등재

        신규간호사와 프리셉터가 인지하는 프리셉터의 교수효율성 비교

        김지양,김영선,김춘실,박현숙,신미영,윤연숙,조유숙,박미미,유문숙 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.2

        Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception (4.07±.44) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors (3.57±.37). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

      • KCI등재

        오방색과 청동은입사보상당초봉황문합의 전통문양을 응용한 창작 업스타일 제작

        전소리ㆍ문소희ㆍ이재숙(So Ri JeonㆍSo Hee MoonㆍJae Sook Lee) 한국인체미용예술학회 2016 한국인체미용예술학회지 Vol.17 No.1

        In hairstyling, a creative updo is a sector in which creativity, artistry, and originality are particularly important. Traditional Korean patterns have their own artistic and creative values. This study attempted to express effective artistic images through creative updos using obangsaek based on the traditional patterns in Korea’s national treasure ‘Bronze Lidded Bowl with Silver-inlaid Phoenix Design.’ The study results found that the most effective artistic cultural images were expressed through the recreation of creative updos using the five traditional colors of Korea based on the traditional patterns from the National Treasure No. 171 ‘Bronze Lidded Bowl with Silver-inlaid Phoenix Design.’ It is expected that this study would offer an opportunity to re-illuminate and utilize cultural heritage from diverse perspectives in all art and industrial sectors, including cosmetology and hairstyling sectors, after re-illuminating the beauty and value of traditional Korean patterns and reinterpreting and recreating them in a modern style.

      • 알타리무우김치 熟成過程中의 遊離아미노酸의 組成變化

        文淑任,趙鏞桂,方良仙 東亞大學校附設基礎科學硏究所 1985 基礎科學硏究論文集 Vol.2 No.1

        This study was carried out to compare the charge of free amino acid content in the radish Kimchi added with anchovy pickle sauce(sample A), with that added with 15% NaCl solution(sample B) during 30 days fermentation. The results were summarized as follows; 1. During the fermentation, the pH of both sample A and B showed the highest values of 7.3 and 7.1, respectively, and then both continually decreased to the lowest values of 4.2 at the 30th day. 2. The salininity in the juice of sample A was higher than that of sample B in all the steps during fermentation, accompanied with a slight decrease of salinity with time elapsed in both cases. 3. The free amino type nitrogen content of sample A was nearly doubled in the final step than in the initial one, while that of sample B showed no significant changes in all the processing period. 4. The free amino acids detected in both samples were aspartic acid, threonine, serine, proline, glutamic,acid,glycine,alanine, tyrosine, cysteien, lysine, methionine, isoleucine, leucine, phenylalanine, Υ-amino butyric acid(?), ornithine, histidine and arginine. 5. The amount of proline and/or arginine was the highest in all the free amino acid content, and tasty compounds derived from amino acids from radish Kimchi seemed to be ascribed to glutamic acid, alanine, isoleucine,leucine and phenylalanine. The amino acids (such as alanine, valine, phenylalanine and lysine.) of anchovy pickle sauce used, seemed to cause Kimchi A to be more tasteful than B.

      • 都市主婦의 家庭管理行動에 對한 意識과 實態調査

        文淑才 이화여자대학교 한국문화연구원 1981 韓國文化硏究院 論叢 Vol.37 No.-

        The purpose of the study is to survey home management behavior and concept of urban housewives living in the changing socio-cultural and techno-economic environment. The study aims at seeking solutions to the known problems of home management. The research method used was questionnaires. The population studied was housewives of various ages in the metropolitan Seoul area. The content of the survey the consisted of 1. General concept and status of home management behavior 2. Concept and status of home economics and field of functional labor (Home affairs) 3. Concept and status of field of marketing and distribution (Family finance) The result of the survey was computer processed with SPSS analysis. The study revealed many differences in concept and behavior in home management and positive ways of thinking resulting in rational behavior. Therefore, when housewives possess management. However, today's rapidly changing social environment forces housewives to seek for the best solution under the solution to achieve the goals. In order to support the goals, understanding of the changing environment and the proper knowledge would be necessary. This knowledge is derived not from tradition but from continuing education and home management. Thus continuing education in home management for housewives is essential.

      • 도시주부의 저축행동에 관한 연구

        문숙재 이화여자대학교 한국문화연구원 1985 韓國文化硏究院 論叢 Vol.46 No.-

        Household saving, when effectively funneled into investment for industrial capital formation, can make a big contribution not only to the financial stability of a household but also to development of national economy. In this context, the purposes of this paper are to identify the problems in household saving and then, on the basis of this, to figure out methods of enhancing the rate of economy wide domestic saving. For these purposes, saving motivations and saving behaviors of urban households were analysed by this study to find out the factors that determine household saving. The analytical method adopted in this study was mainly in the use of statistical techniques like percentage ratios, breakdown, and regression analysis to treat data collected from a questionnaire survey. The results of the study can be summarized as follows. First, the households sampled for the survey of this study show a positive perception on household saving, thinking that it plays an important role in the national economy. The reason most frequently given for saving is to prepare for the costs of children's education. in determining the mode of saving, the data in interest rates are most frequently taken into account. As for the kind of household saving, bank saving is preferred to others. All these findings seem to suggest that the saving behavior of urban household are quite rational. Secondly, the rate of saving in urban households, when viewed from a family life cycle, tends to show a decreasing trend through the period of family formation, birth of children, and their growth, which in followed by an upturn toward the period of old age: The rate tends to be higher in the households whose living standard in perceived to be on a lower level: It tends to be higher when the level of household income is irregular, rather than when it is regular. Thirdly, the saving motivation in urban housewives tends to grow stronger as marriage tears increase, up to 21 years of marriage, after which it tends to grow weaker. The motivation tends to be the weaker the more the housewives are educated, and the higher the income level. Also, it tends to be low in the households with their own house. Fourthly, the saving behavior of urban housewives turned out to be related more significantly to saving motivation than to socio-economic variables surrounding the household. The results of regression analysis on 8 variables reveal high significance levels in explaining saving behavior in terms of the necessity of saving, expectations for the future, income regularity, and possession of a house. All these findings seem to lead to the following conclusions: First, science the saving motivation is inversely related to the income and education level of housewives, successful motivation is inversely related to the income and education level of housewives, successful mobilization of the economy-wide domestic savings requires an increase in its portion accrued to household savings through education of the middle-and upper-class housewives for the importance of household savings. Secondly, since the main reason for saving is to prepare for children's education costs, unexpected accidents or illness, and post-retirement living costs, it is desirable to develop various saving items in these fields.

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