간호대학생의 학업탄력성과 대인관계유능성이 행복감에 미치는 영향

신수진,황은희,Shin, Sujin,Hwang, Eunhee 연세대학교 의과대학 2018 의학교육논단 Vol.20 No.3

The purpose of this study was to investigate the effects of academic resilience and interpersonal competence on the happiness of nursing students. A descriptive design was used to study 158 nursing students in nursing school through convenience sampling. IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA) was used to analyze data for descriptive statistics, t-test, analysis of variance, Tukey post hoc test, Pearson's correlations, and multiple regressions. The results showed that the level of nursing students' happiness was lower than that of college students in other majors, but academic resilience and interpersonal competence among nursing students were relatively high. Nursing students' happiness was positively correlated with academic resilience and interpersonal competence. The factors affecting happiness were academic resilience (${\beta}=0.459$, p<0.001), satisfaction with major (${\beta}=0.272$, p=0.006), perceived subjective health status (${\beta}=0.223$, p=0.013), and interpersonal competence (${\beta}=0.185$, p=0.003). Explained variance for happiness was 56.4%, and academic resilience was the most influential factor in the happiness of nursing students. Nursing students are caring human beings and should be able to pursue a happy life; therefore, it is necessary to improve satisfaction levels with the nursing major, guide students to excel in their academic achievement, prepare health education programs, and design curriculum that inspires confidence in interpersonal relationships.

문제 해결 과정에서 규칙을 찾는 초등학생들의 사고 과정 분석

신수진,강정기,노은환,Shin, Su-Jin,Kang, Jeong-Gi,Roh, Eun-Hwan 영남수학회 2012 East Asian mathematical journal Vol.28 No.2

The purpose of this study is to help for an in-depth understanding of their thinking process by observing and analyzing the response found by two elementary school students, Through this study, the following findings could be obtained. First, two students have a tendency trying to solve the complex situation at first. Second, we could know that it is an important factor in discovering the pattern to predict it. Third, we could know that the activity of reconstructing the data meaningfully is an important factor in discovering the pattern. Fourth, it is an important factor in finding the pattern to work organically the activity of predicting it with the activity of reconstructing the data meaningfully. We hope that this study offers the help for an in-depth understanding of students's thinking process.

말속도가 인공와우 청각장애인의 문장지각에 미치는 영향

신수진,신지철,윤미선,김덕용,Shin, Su-Jin,Shin, Ji-Cheol,Yoon, Mi-Sun,Kim, Duk-Young 한국음성학회 2006 음성과학 Vol.13 No.2

People tend to control their speech rate to help those with listening problems such as hearing impaired people. The aim of this study was to investigate effects of speech rate on the sentence perception by 10 adults with cochlear implantation. The sample speech included 42 sentences at normal, slow, and very slow speed focusing on the overall duration, vowel or pause duration. The subjects listened to the speech and wrote down what they heard. Each correct syllable of the content words in the sentence was counted to obtain the score. Partial points were given to the incomplete syllables. Results of this study were as follows: 1. The changes of speech rate had some influence on the sentence perception score by the cochlear implanted people. 2. In slow pause condition, the controlled speech rate had a positive effect on the perception score.

한국인에서 Neuregulin 3(NRG3) 유전자와 조현병의 연합 연구

신수진,최종택,김지원,노양호,박병래,배준설,신형두,최인근,한상우,황재욱,우성일,Shin, Su-Jin,Choi, Jong-Taek,Kim, Ji-Won,Roh, Yang-Ho,Park, Byung-Lae,Bae, Joon-Seol,Shin, Hyoung-Doo,Choi, Ihn-Geun,Han, Sang-Woo,Hwang, Jae-Uk,Woo, Sung-I 대한생물정신의학회 2012 생물정신의학 Vol.19 No.3

Objectives : Located on chromosome 10q22-q23, the human neuregulin 3 (NRG3) is suggested as a strong positional and functional candidate gene involved in the pathogenesis of schizophrenia. Several case-control studies examining the association between polymorphisms on NRG3 gene with schizophrenia and/or its traits (such as delusion) have been reported recently in cohorts of Han Chinese, Ashkenazi Jews, Australians, white Americans of Western European ancestry and Koreans. Thus, this study aimed to investigate the association of one SNP in exon 9 (rs2295933) of NRG3 gene with the risk of schizophrenia in a Korean population. Methods : Using TaqMan assay, rs2295933 in the exon 9 of NRG3 was genotyped in 435 patients with schizophrenia as cases and 393 unrelated healthy individuals as controls. Differences in frequency distributions were analyzed using logistic regression models following various modes of genetic inheritance and controlling for age and sex as covariates. Results : Subsequent analysis revealed that the frequency distribution of rs2295933 of NRG3 was not different between schizophrenia patients and healthy controls of Korean ethnicity. Conclusions : This study does not support the role of NRG3 in schizophrenia in a Korean population.

임상적 비판적 사고능력 검사도구 개발 및 평가

신수진,양은배,공병혜,정덕유,Shin, Su-Jin,Yang, Eunbae,Kong, Byunghea,Jung, Dukyoo 연세대학교 의과대학 2012 의학교육논단 Vol.14 No.2

This study developed a test entitled Clinical Critical Thinking Skills (CCTS) by using item response theory (IRT) and examined its validity. In the development stage, data obtained from a convenience sample of 627 undergraduate nursing students were analyzed using a discrimination and difficulty index with the TestAn 1.0 program. In the evaluation stage, data from a convenience sample of 284 nursing and non-nursing students were analyzed using a discrimination and difficulty index with the BILOG-MG program. Criterion validity was verified by the group comparison method. Five items received low discrimination index scores according to the IRT results. In terms of the criterion validity, CCTS scores differed according to major (t=2.21, p=0.028), location of high school (F=4.35, p=0.014), clinical experience (t=5.66, p=0.004), and grade point average (F=7.17, p< 0.001). The CCTS can be used to measure critical thinking skills in the clinical setting.

신규간호사 교육체계에 대한 실태조사: 프리셉터십 운영을 중심으로

신수진,박영우,김미정,김정현,이인영,Shin, Sujin,Park, Young Woo,Kim, Mijung,Kim, Jeonghyun,Lee, Inyoung 연세대학교 의과대학 2019 의학교육논단 Vol.21 No.2

The purpose of this study was to identify the current status of the new graduate nurses' education system, to establish guidelines for the education of new graduate nurses, and to provide dates for the improvement of the education system. Eighty-nine hospitals participated in the survey from July to August 2018. The questionnaires consisted of 24 items including general characteristics, new graduate nurses' education system, operation of nursing education teams, and preceptorship programs. The average duration of education/training for new graduate nurses was 57.3 days, and 26.6%-58.5% of general hospitals, hospitals, and long-term care hospitals had less than 30 days of new graduate nurses education/training, which is shorter than the education/training period of tertiary hospitals. There were new nursing education guidelines in 88.8% of all medical institutions and 58.6% of them had nursing education teams. Most of the personnel in charge of nursing education were not dedicated to education. A total of 87.6% of the all participating medical institutions had preceptorship programs, while 23.1%-33.3% of hospitals and long-term care hospitals did not. The breakdown of preceptorship programs showed 68.4% as "preceptor and preceptee are in charge of one team, and preceptor is teaching preceptee," and 19.7% were "preceptor and preceptee are in charge of each team, and preceptor is teaching preceptee at the same time." These results show that standardization and management of new graduate nurses' education programs is necessary. For the standardization and management of new graduate nurses' education programs, joint efforts of nurses' associations and support from the government should be encouraged.

간호학 임상실습교육의 현황과 발전방안

신수진,양은배,황은희,김건희,김윤주,정덕유,Shin, Sujin,Yang, Eunbae B.,Hwang, Eunhee,Kim, Konhee,Kim, Yunju,Jung, Dukyoo 연세대학교 의과대학 2017 의학교육논단 Vol.19 No.2

The quantitative expansion of nursing schools has necessitated the qualitative improvement of nursing education, which requires the development of nursing education for clinical practice. To identify strategies for strengthening the educational capacity of clinical fields and nursing schools, this study first examined the current status of nursing education for clinical practice, and then proposed several prospective directions for education. Nursing clinical practice-related studies from several Korean and international electronic databases were reviewed. Insufficient training hospitals and lack of qualified clinical training instructors were the main problems found within nursing educational resources for clinical practice, while the simple practice contents based on observation and inadequate evaluations were the main problems found in nursing educational management for clinical practice. This study suggests better standards and educational accountability for training hospitals and programs to nurture human resources for clinical practice, as well as a variety of training methods to integrate practical training courses and the expansion of formation evaluation. Based on these results, it is necessary to establish governance for nursing education for clinical practice and clarify the role and standards of each practitioner, strengthen the educational role of the hospital, and improve the system. In addition, introducing various types of education methods and strengthening evaluation standards are needed in order to enhance nursing education for clinical practice.

정신건강복지법 개정 전후 응급입원 환자의 특성, 입원유지율 및형태, 재입원율 비교

신수진(Sujin Shin),고상현(Sang Hyun Koh) 대한사회정신의학회 2020 사회정신의학 Vol.25 No.2

목 적 : 2017년 개정된 ‘정신건강증진 및 정신질환자 복지서비스 지원에 관한 법률’ 시행 전후 응급입원 환자군의 특성, 입원유지비율, 입원 형태, 재입원율의 변화를 알아보고자 연구를 수행하였다. 방 법 : 2016년, 2018년 각 6개월 동안 서울특별시 은평병원에 응급입원한 환자를 대상으로 445건의 의무기록을 후향적으로 검토하였으며, 2016년에 입원한 224명과 2018년에 입원한 221명의 특성, 입원유지율 및 형태, 재입원율을 통계적으로 비교하였다. 결 과 : 정신건강복지법 개정 전후 두 군간 사회인구학적, 임상적 변인은 차이가 없었다. 응급입원에 이어 입원이 유지된 비율에는 두 군간 차이가 없었으나, 물질 사용 장애군을 제외 시 입원유지율이 감소하였다. 입원이 유지된 군에서 자의 입원의 비율은 증가하였다. 또한 응급입원 후 퇴원한 환자 중 1개월 및 3개월 이내의 재입원율은 증가하였다. 결 론 : 응급입원에 이어 입원을 지속하는 환자 중 자발적 입원의 비율이 늘었으며, 이는 정신건강복지법의 개정 목적에 부합하는 변화라고 할 수 있겠다. 하지만 일부 환자 집단에서는 입원을 지속적으로 유지하는 것이 어려워졌으며, 응급입원 퇴원 후 단시일 내의 재입 원율이 증가는 변화도 관찰되었다. 이러한 사항을 고려하여 정신건강복지법의 보완과 개선이 고려되어야 할 것이다. Objectives : The research was conducted to compare the characteristics, rate and types of admission continuation, and rate of readmission in psychiatric emergency hospitalization patients before and after the revision of Mental Health Promotion and Welfare Act. Methods : The medical records of the 445 patients who underwent psychiatric emergency hospitalization at Seoul Metropolitan City Eunpyeong Hospital in 2016 and 2018 were reviewed retrospectively. The clinical and sociodemograhpic characteristics, rate and types of admission continuation, and rate of readmission were compared between 224 patients who admitted in 2016 and 221 patients who admitted in 2018. To compare the characteristics of the two groups, t-test and chi-square test were performed. Results : There is no difference in clinical and sociodemographic characteristics between 2016 and 2018 group. There was no difference in the rate of admission continuation before and after the revision of act, while the rate significantly decreased from 61.9% to 50.0% when patients with substance use disorder were excluded from overall group. Among those who maintained hospitalization, the proportion of voluntary admission increased from 5.5% to 13.1%. The rate of readmission after discharge from the emergency hospitalization within 1 and 3 month period increased after the revision of the act. Conclusion : This study showed that the proportion of voluntary admission increased in admission continuation, and this change is in accordance with the purpose of the revision of the Mental Health Promotion and Welfare Act. On the other hand, the rate of admission continuation decreased in a subgroup of patients, and the readmission rate after discharge from the emergency hospitalization increased. Current findings suggest that the Mental Health Promotion and Welfare Act needs further complementation and improvement.

자폐 범주성 장애 유아를 위한 종합적인 중재 모델 탐색 : 통합교육 환경에서 실행한 국외 연구 중심으로

신수진(SooJin Shin),남보람(Boram Nam),이소현(SoHyun Lee) 한국자폐학회 2021 자폐성 장애연구 Vol.21 No.1

종합적인 중재 모델(Comprehensive Treatment Models: CTMs)은 자폐 범주성 장애의핵심 결함 영역에 대하여 학습 및 발달에 영향을 미치기 위해 고안된 일련의 방법론적 실제로 구성된 프로그램으로, 체계적인 서비스를 통해 제공된다. 이러한 종합적인 중재 모델이 실제 실행을 통한 성과가 입증됨에 따라 자폐 범주성 장애 학생을 위한 증거 기반의 실제로 추천되고 있다. 따라서 본 연구에서는 자폐 범주성 장애 유아가 통합된 유아 교육 기관에서 실행된 종합적인 중재 모델에 대한 국외 연구를 분석하여 연구의 동향, 중재의 특성, 중재자 훈련 특성을 알아보았다. 분석 결과 종합적인 중재 모델은 자연적 중재와 응용행동분석 접근에 기반한 개별 교수전략들을 공통 요소로 포함하고 있었으며, 중재자 훈련으로는 초기교육과 지속적인 추수지도가 이루어졌다. 분석 결과를 근거로 국내 자폐 범주성장애 유아를 위한 종합적인 중재 모델 연구의 향후 과제에 대하여 논의하였으며, 우리나라교육현장에 시사하는 바를 제언하였다. Comprehensive treatment models(CTMs) are methodological and practical programs designed to influence learning and development for core defict areas related to autism spectrum disorders (ASD). With proven outcomes through practical implementation, CTMs are recommended as evidence-based practices for children with ASD. The purpose of this review was to analyze CTMs in inclusive settings for preschoolers with ASD. We investigated the trends of studies, the features of interventions, and teacher training. The analysis showed that CTMs generally included multiple focused interventons based on natural interventions and applied behavior analysis approach. Teacher training consisted of initial training and follow-up. We discuss the future directions of CTMs for preschoolers with ASD and suggest practical implications for the special education field in Korea.

일 대학 여대생의 건강증진 생활양식, 스트레스, 우울증상에 관한 연구

신수진 ( Su Jin Shin ),신경림 ( Kyung Rim Shin ),김은하 ( Eun Ha Kim ) 이화여자대학교 간호과학연구소 2005 Health & Nursing Vol.17 No.1