플립러닝을 활용한 기본간호학 수업이 간호대학생의 자기주도적 학습능력, 문제해결능력, 수업만족도에 미치는 효과

김묘경(Myo Gyeong, Kim),박서현(Seo Hyun, Park),김혜원(Hye Won, Kim) 한국간호연구학회 2022 한국간호연구학회지 Vol.6 No.1

Purpose : This study seeks to examine the effects of using flipped learning in fundamentals of nursing classes on self-directed learning ability, problem-solving ability, and class satisfaction among nursing students. Methods : A one-group pretest-posttest design was utilized with the participants, involving 62 nursing students. The data were analyzed using descriptive statistics and paired t-test using SPSS/WIN 24.0. Results : The scores on self-directed learning and problem-solving abilities significantly increased after flipped learning classes (t=6.93, p<.001; t= 16.49, p<.001, respectively). Students’ class satisfaction was lower than 3.5 at 3.38 points. Conclusion : The findings indicate that flipped learning is an effective intervention for improving self-directed learning and problem-solving abilities in nursing education. It is imperative to enhance the faculty s competency to apply various teaching methods to increase students’ class satisfaction.

외국인 환자의 의료서비스 만족도, 재방문 의사, 추천 의사에 영향을 미치는 요인

김묘경 ( Myo-gyeong Kim ),최윤경 ( Yun-kyoung Choi ),안정원 ( Jung-won Ahn ),김금순 ( Keum Soon Kim ) 한국보건행정학회 2017 보건행정학회지 Vol.27 No.1

Background: This study aims to analyze quality of and satisfaction with Korea medical services and identify factors affecting medical service satisfaction, revisit, and recommendation intention among international patients. Methods: Secondary analysis of survey data conducted by Korea Health Industry Development Institute from June 10th to July 17th in 2013 was done using multiple regression and logistic regression analysis. The 191 international patients from 9 medical institutions in Seoul were enrolled. Results: The results showed that international patients were satisfied with 85.6 points out of 100.0 points. International patients appraised higher in staff service rather than other services. Factors influencing medical service satisfaction were gender, religion, medical specialty, length of stay, and quality of medical services. Quality of medical service explained 29.8% of medical service satisfaction and especially, `doctor`s care` and `communication and patient respect` were significantly related to medical service satisfaction. Medical specialty had a significant influence on revisit intention. There were no statistically significant influencing factors of recommendation intention. Additionally, more satisfied patients were associated with higher revisit and recommendation intention. Conclusion: This study implies that quality of medical services is a critical factor for patient satisfaction and that satisfaction with medical services is an important factor for increasing revisit and recommendation intention among international patients. In addition, health care providers should consider cultural differences to enhance satisfaction with medical services for international patients. Therefore, multidimensional strategy is required to strengthen the cultural competency of healthcare providers.

간호사 확보수준이 수술한 암환자의 원내 사망 및 감염에 미치는 영향

김묘경(Myo-Gyeong Kim) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.4

본 연구의 목적은 의료기관 간호사 확보수준이 수술한 암환자의 원내 사망과 원내 감염에 어떠한 영향을 미치는지 알아보고자 하였다. 이차자료를 이용하였으며, 2012년 상반기에 260개 의료기관에서 수술 후 사망률이 높은 6개 암으로 수술받은 암환자 24,510명을 대상으로 하였다. 단순 로지스틱 회귀분석과 일반화추정방정식(GEE) 모형을 이용하여 분석하였다. 환자 및 의료기관 특성(기관 종별 유형, 소재지, 수술건수)을 보정 후, 사망 가능성은 간호사 확보수준 0-1등급에 비해 2-3등급 군(odds ratio [OR], 1.46; 95% confidence interval [CI], 1.00-2.11), 6-7등급 군(OR, 3.28; 95% CI, 1.87-5.74)에서 더 높은 것으로 나타났다. 병원 감염이 발생할 가능성은 간호사 1인당 침상수가 하나씩 증가할 때마다 증가하여, 0-1등급 군에 비해 2-3등급 군은 6.63배(95% CI, 3.00-14.62), 4-5등급 군은 5.79배(95% CI, 1.88-17.78), 6-7등급 군은 8.4배(95% CI, 1.82-38.84) 높은 것으로 나타났다. 낮은 간호사 확보수준은 환자안전과 의료의 질을 반영하는 지표인 높은 수술 후 원내 사망과 감염발생과 관련이 있었다. 이는 적절한 간호사 확보 수준은 수술 후 암 환자 결과와 관련 있음을 보여준다. 수술한 암환자의 의료의 질 향상과 환자 안전을 위해서는 적절한 간호사 수가 확보되어야 하며, 이를 위한 정책 유지가 필요하다. This study was conducted to examine the influence of the nurse staffing level on the level of in-hospital death and infection in cancer patients who received surgery. Secondary data were used and the subjects of this study were 24,510 patients who received surgery for six types of cancer with a high postoperative mortality rate in the first half of 2012 at 260 hospitals. Simple logistic and GEE multiple logistic regression analyses were used. After adjusting for the patient and hospital characteristics, a greater likelihood of dying was found in the nurse staffing level 2-3 group (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.00-2.11) and in the level 6-7 group (OR, 3.28; 95% CI, 1.87-5.74) compared to the level 0-1 group. The likelihood of in-hospital infection increased with each additional bed per nurse, being 6.63 times higher (95% CI, 3.00-14.62) in the level 2-3 group, 5.79 times higher (95% CI, 1.88-17.78) in the level 4-5 group, and 8.4 times higher (95% CI, 1.82-38.84) in the level 6-7 group, as compared to the level 0-1 group. A lower nurse staffing level was associated with higher in-hospital death and infection levels. This shows that an appropriate nurse staffing level is associated with superior postoperative cancer patient outcomes. Policies for providing adequate nurse staffing should be maintained for the sake of ensuring improved care quality and patient safety.

폐암 환자의 의료 이용에 영향을 미치는 요인

김묘경 ( Myo Gyeong Kim ),김금순 ( Keum Soon Kim ) 서울대학교 간호과학연구소 2013 간호학의 지평 Vol.10 No.1

The purpose of this study was to explore the utilization of health care of patients with lung cancer in Korea and identify determinants of these patients` health care utilization. Methods: This was a descriptive analytical study. The national medical fees claims data of patients with lung cancer were used. Using SPSS Statistics 20, the x2-test and logistic regression were performed to determine the factors influencing health care utilization. Results: There were significant differences by sex, age, disease type, stage, comorbidity index, region of institutions, and type of institutions in the utilization of surgical procedures; by age, disease type, stage, comorbidity index, region of institutions, and type of institutions in the utilization of chemotherapy; and by age, stage, comorbidity index, region of institutions, and type of institutions in the utilization of radiotherapy. Conclusion: The findings of this study suggest that democratic and clinical characteristics of patients as well as institutional characteristics affect health care utilization of patients with lung cancer. Additional research is needed to determine the factors influencing health care utilization of patients with lung cancer.

아동기 외상과 성인기 데이트폭력 피해의 관계에서 용서의 매개효과

서묘경(Myo-Gyeong Seo),현명호(Myoung-Ho Hyun) 대한스트레스학회 2019 스트레스硏究 Vol.27 No.4

본 연구는 용서가 친밀한 관계에서 반복되는 폭력의 재피해에 어떤 영향을 미치는지 알아보고자, 아동기 외상과 성인기 데이트 폭력 피해의 관계에서 자기용서, 타인용서, 상황용서의 매개효과를 검증하였다. 만20~39세의 미혼 여성 중 교제 경험이 있는 286명 대상으로 아동기 외상(CTQ), 성인기 데이트 폭력 피해(CTS-Ⅱ), 그리고 자기, 타인, 상황 용서(HFS)를 측정하였다. 분석 결과, 아동기 외상과 성인기 데이트폭력 피해의 관계에서 자기용서의 부분 매개효과가 있었고, 타인용서와 상황용서의 매개효과는 유의하지 않았다. 이러한 결과는 아동기 외상 경험이 자기용서 수준을 낮춰 성인기 데이트 폭력 피해의 위험을 높일 수 있음을 시사한다. 마지막으로 본 연구의 함의점과 한계가 제언과 함께 논의되었다. Background: Childhood trauma is frequently associated with dating violence or intimate partner violence victimization in adulthood. To investigated the role of forgiveness on revictimization in close relationship, We tested the mediating effects with the three components of dispositional forgiveness-self, other, situation on the relationship between childhood trauma and adulthood dating violence victimization. Methods: We measured childhood trauma experience (CTQ), dating violence victimization in adulthood (CTS-Ⅱ), and self, other, situation forgiveness (HFS), among unmarried women in their 20~30s who have been dating at least once. Results: The results showed that self-forgiveness partially mediated the relationship between childhood trauma and adulthood dating violence victimization. However, there was no significant mediating effect of other and situation forgiveness. Conclusions: These findings suggest that the experience of childhood trauma can lower the level of self-forgiveness, and then increase the risk of dating violence victimization in adulthood. So, the interventions to facilitate self-forgiveness can help overcome interpersonal trauma and prevent revictimization in close relationships. Finally, the implications and limitations were discussed with suggestions for further research.

병원환경에 대한 가상현실을 활용한 수업이 간호대학생의 병원환경 지식, 학업적 자기효능감, 학습몰입, 교육만족도, 학업성취도에 미치는 효과

김묘경(Kim, Myo-Gyeong),김혜원(Kim, Hye-Won) 기본간호학회 2021 기본간호학회지 Vol.28 No.4

Purpose: This study examined the effects of virtual reality (VR)-based fundamental nursing education on nursing students’ knowledge of the hospital environment, academic self-efficacy, learning flow, educational satisfaction, and academic achievement. Methods: In total, 137 nursing students participated in this non-equivalent control group pretest-posttest study, with 69 and 68 in the experimental and control groups, respectively. Differences in the dependent variables between the two groups before and after the intervention were compared using the independent-sample t-test and Mann-Whitney U test. Results: The VR intervention group showed significantly higher knowledge of the hospital environment (t=3.88, p<.001), educational satisfaction (z=-3.82, p<.001), and academic achievement (z=-2.54, p=.011) than the control group. Conclusion: These findings indicate that VR-based education is an effective intervention for improving knowledge of the hospital environment, educational satisfaction, and academic achievement in nursing education.

휴대폰 동영상 촬영을 활용한 교육이 간호학생의 핵심기본간호술 수행 자신감, 성취도, 실습 만족도에 미치는 효과

김묘경(Kim, Myo-Gyeong),이형숙(Lee, Hyeong Suk) 기본간호학회 2017 기본간호학회지 Vol.24 No.2

Purpose: This study was conducted to investigate the effects of core basic nursing education using cellular phone video recordings on self-confidence in performance, achievement, and practice satisfaction. Methods: The research design was a nonequivalent control group modified and non-synchronized design. The participants were assigned to either the experimental (n=60) or control group (n=67). During one semester, the experimental group received training for 10 selected core basic nursing skills using cellular phone video recording. The control group, also for one semester, received training with traditional practices. Self-confidence in performance and practice satisfaction were measured using a questionnaire, and achievement was evaluated by professors at the conclusion of the semester. Collected data were analyzed using t-test and Pearson correlation coefficients. Results: Self-confidence in performance increased significantly after training in the experimental group (t=7.94, p<.001). The experimental group showed significantly higher self-confidence in performance (t=2.39, p=.018) and achievement (t=2.40, p=.018) compared to the control group. However, the difference in practice satisfaction was not statistically significant. Conclusion: The results indicate that cellular phone video recording is effective in improving self-confidence in performance and achievement of core basic nursing skills.

장애인활동지원사의 돌봄 경험: 혼합연구방법의 적용

김묘경(Kim, Myo-Gyeong),유선주(You, Sun-Ju),전경숙(Jeon, Gyeong-Suk),김유미(Kim, Yoo-Mi) 한국성인간호학회 2019 성인간호학회지 Vol.31 No.5

액션러닝 기반 건강사정 수업 운영의 간호대학생의 건강사정에 대한 자신감, 건강사정 지식, 비판적 사고능력, 수업 만족도에 대한 효과

김묘경(Kim, Myo-Gyeong) 기본간호학회 2018 기본간호학회지 Vol.25 No.4

Purpose: The purpose of this study was to identify the effects of the action learning approach on the self-confidence and knowledge of health assessment, critical thinking ability and class satisfaction in students taking health assessment courses. Methods: This non-equivalent control group pretest-posttest study enrolled 127 nursing students as participants, with 64 and 63 in the experimental and control group, respectively. These two groups attended 33 hours (2 or 4 hours per week for 11 weeks) of action learning and traditional classes, respectively. Differences in the dependent variables between the two groups were compared before and after the intervention using independent t-test. Results: The action learning group reported significantly greater self-confidence in health assessment (t=5.10, p<.001) and critical thinking ability (t=2.23, p=.027) than the control group. There was no significant difference in knowledge of health assessment or class satisfaction between two groups (p>.05). Conclusion: These findings indicate that action learning is an effective intervention for enhancing self-confidence and critical thinking ability in nursing education.

Depression and Health-promoting Lifestyle of Women with Breast Cancer in Korea

Myungsun Yi,Myo-Gyeong Kim 한국간호과학회 2007 한국간호과학회 학술대회 Vol.2007 No.11