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체육수업 특성에 따른 체육수업의 만족도와 신체적 자기효능감의 비교 연구
하명남,박승하 이화여자대학교 동작과학연구소 2007 이화체육논집 Vol.10 No.-
The purpose of this study was to examine the differences of the satisfaction level and physical self efficiency for female students in high school as a function of the styles of P. E. class, specialized P. E. class and generalized P. E. class. The questionnaire used in this research consisted of 15 items for satisfaction and 17 items for physical self efficiency, based on those of D. Park(2005) and E. Chung's(2005) alternatively. Total 334 data (163 for specialized P. E. class & 171 for generalized P. E. class) were analyzed by using MANOVA. Results revealed that the specialized P. E. class showed higher satisfaction level and greater physical self efficiency than the generalized P. E. class. These suggest that the specialized P. E. class may be one of alternative methods for raising the satisfaction of P. E. class and for enhancing the physical self efficiency through P. E. class in current physical educational environment.
중환자실 간호사의 의사소통능력과 인문학적 소양이 전문직 삶의 질에 미치는 영향
조규영,하명남,서미경 한국중환자간호학회 2020 중환자간호학회지 Vol.13 No.2
Purpose : The purpose of this study was to identify relation of the communication skills, humanistic knowledge and professional quality of life and to investigate the enhancing ways of professional quality of life in intensive-care unit nurses. Methods : The study design was a descriptive survey from 152 intensive-care unit nurses, from December 1 to 30, 2019. The data analysis was with ANOVA, Scheffétest, Pearson’s correlation coefficient and Multiple regression using the SPSS/WIN 23.0 program. Results : The factors affecting compassion satisfaction were communication skills (β=0.42, p =.001), satisfaction for working (β=0.61, p =.001), marriage (β=0.23, p =.005), humanistic knowledge (β=0.47, p =.008) and these factors explained 35.6%. The factors affecting secondary traumatic stress were job stress (β=0.19, p =.011), number of patients per nurse (β=-0.36, p =.004) and these factors explained 9.4%. The factors affecting burnout were job stress (β=-0.25, p =.001), communication skills (β=-0.29, p =.001), working period(β=-0.18, p =.010), satisfaction for working (β=-0.31, p =.001), self care (β=-0.11, p =.033) and these factors explained 36%. Conclusion : Therefore, it is necessary to develop solution to improve professional quality of life in intensive-care unit nurses. It needs to develop programs to improve communication skills and humanistic knowledge in order to enhance compassion satisfaction and to improve communication skills to prevent burnout.
신경화,목정하,이상희,김은정,석나리,류선석,하명남,이광하 대한중환자의학회 2014 Acute and Critical Care Vol.29 No.3
Background: Many terminally ill patients die while receiving life‐sustaining treatment. Recently, the discussion of life‐sustaining treatment in intensive care units (ICUs) has increased. This study is aimed to evaluate the current status of medical decision-making for dying patients. Methods: The medical records of patients who had died in the medical ICU from March 2011 to February 2012 were reviewed retrospectively. Results: Eighty-nine patients were enrolled. Their mean age was 65.8 ± 13.3 years and 73.0% were male. The most common diagnosis was acute respiratory failure, and the most common comorbidity was hemato-oncologic malignancy. Withdrawing or withholding life-sustaining treatment including do-not-resuscitate (DNR) orders was discussed for 64 (71.9%) patients. In almost all cases, the discussion involved a physician and the patient's family. No patient wrote advance directives themselves before ICU admission. Of the patients for whom withdrawing or withholding life-sustaining treatment was discussed, the decisions were recorded in formal consent documents in 36 (56.3%) cases, while 28 (43.7%) cases involved verbal consent. In patients granting verbal consent, death within one day of the consent was more common than in those with formal document consent (85.7% vs. 61.1%, p < 0.05). The most common demand was a DNR order. Patients died 2.7 ± 1.0 days after the decision for removal of life-sustaining treatment. Conclusions: The decision-making for life-sustaining treatment of dying patients in the ICU very often involves conflict. There is a general need to heighten our sensitivity on the objective decision-making based on patient autonomy.