일개 종합병원 간호사의 다제내성균 감염관리 지식과 조직문화가 수행에 미치는 영향

조무용,한유진 보건의료산업학회 2020 보건의료산업학회지 Vol.14 No.3

Objectives: This study was conducted to identify factors influencing the performance of multidrug-resistant organism (MDROs) infection control in general hospital nurses. Methods: Data were collected from August 5 to August 16, 2019. Participants were made up of 179 nurses. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression were used to analyze the data. Results: Multiple regression analysis showed that performance with Methcillin resistant staphylococcus aureus(MRSA) infection control was significantly affected by organizational culture(β=.255, p= .001), and performance with Vancomycin resistant enterococcus(VRE) and Carbapenem Resistant gram-negative bacteria(CRGNB) infection control were significantly affected by knowledge((β=0.327, p<.001, β=0.183, p<.019) and, organizational culture(β=0.313, p<.001, β=0.293, p<.001). Conclusions: The results of this study indicate that the organizational culture and knowledge were highly influential factors affecting compliance of MDROs infection control in general hospital nurses. Therefore, in order to improve the nurses’ performance for the MDROs infection control, it was necessary to create positive organizational culture and develop practical ongoing training or education programs.

성평등의식과 성차별주의가 스토킹통념 지각에 미치는 영향

조무용,김정인 한국여성심리학회 2016 한국심리학회지 여성 Vol.21 No.1

The purpose of this study is to identify male and femal’s general attitudes of stalikng, and to investigate the effect of gender egalitarianism and sexism on the acceptance of stalking myths. The participants were 287 (201 females, 86 males). Frequency, t-test and correlation were used for the analysis of data collected from participants. In this study, the participants considered stalking as an events to occur in romantic or intimate relationship. They perceived the motive of stalking as a control and dominance of others. Female participants were higher than male on gender egalitarianism, and male were higher than female on stalking myths and ambivalent sexism. There were significant positive or negative correlations among these variables, and the participants to have high gender egalitarianism less accepted stalking myths. In contrast, the participants to have high sexism had a higher stalking myths acceptance than participants to have low. These finding showed that the acceptance of stalking myths could be changed according to gender egalitarianism and sexism. There for, to prevent stalking, it should be corrected wrong myths of stalking, on the other hand, it will be increased the gender egalitarianism, and needed education correcting the sexism.

신규간호사를 위한 홀 브레인 모델 기반 교육프로그램 개발 및 효과검증

조무용 한국간호교육학회 2020 한국간호교육학회지 Vol.26 No.1

Purpose: This study was conducted to develop and implement an education program based on the Whole Brain Model for novice nurses, and to evaluate its effects on work performance, interpersonal skills and self-efficacy. Methods: A pretest-posttest quasi-experimental design was used with an experimental group (n=20) and a control group (n=21). The experimental group participated in an education program based on the Whole Brain Model for seven sessions over 4 weeks. An independent t-test, χ2-test, and Mann-Whitney U test were performed to analyze the data. Results: There were statistically significant differences in work performance (p=.015), interpersonal skills (p=.014) and self-efficacy (p=.021) between the experimental and the control group. Conclusion: This program was an effective learning strategy to enhance nursing competence for novice nurses. The novice nurses who participated this program were able to reflect deeply on themselves, improve interpersonal skills, and induce whole-brain integrated thinking in learning how to solve the problems caused by changes in patient conditions that can be experienced in clinical practice. Therefore, this program can be recommended for regular continuing education for novice nurses. 본 연구에서는 다양한 직종의 사람들과 수시로 상태가 변화하는 환자들을 대면해야 하는 신규간호사의 간호역량을 강화하기 위해 뇌의 4분면 즉 총체적, 자발적, 조직화, 평가하는 전뇌(whole brain)의 사고과정을 활용하도록 홀 브레인 모델을 적용하였다. 본 연구에서 개발한 홀 브레인 모델 기반 간호역량 강화 프로그램은 신규간호사의 업무수행능력, 대인관계능력, 자기효능감에 긍정적인 효과가 있는 중재임이 확인되었으며, 신규간호사들의 간호역량 향상에 도움이 되는 학습전략임을 알 수 있었다. 본 연구는 병원 내 신규간호사를 위한 교육 방향을 제시하고 신규간호사 교육과정 개발을 위한 기초자료를 제공한 것에 의의가 있다. 이상의 연구결과를 토대로 다음과 같이 제언하고자 한다. 첫째, 본 연구는 교육종료 직후의 효과만을 평가하였으므로 장기간의 효과를 확인할 필요가 있다. 둘째, 본 연구는 일개 종합병원 신규간호사만을 대상으로 하였으므로 다양한 지역과 조직에 확대하여 연구할 필요가 있다. 셋째, 신규간호사의 역할적응 기간에는 개별적이고 조직적이며 지속적인 교육과 지지전략이 필요하므로 의료기관 입사 초기의 오리엔테이션과 실무교육 이후에도 신규간호사들을 위한 지속적이고 정례화된 교육에 본 연구에서 개발한 프로그램을 활용할 것을 제언한다.

대학생들의 스토킹에 대한 태도와두려움 지각 간의 관계

조무용,김정인 한국청소년학회 2016 청소년학연구 Vol.23 No.3

This study was investigated the relationships between college students’ perceived attitude and fear of stalking. Participants were 388 college students(male 146, female 242) in 4 universities in Seoul and Gyoung-Gi province. The data were analyzed using frequency, correlation, t-test and multiple regression. The maine results of this study were as follows: 1) The major motive of the stalking was 'because of dellusion loving victim'. Usually 29.6% participants were felt fear of stalking. 2) Participants answered that the most representative type of stalking behavior was ’continuously sending pornography or aversive letters, objects, etc.’, and the most fearful behavior was the ‘To violence against them in order to ensure that they could not leave one another’. Also the result showed difference on intensity of fear of stalking depending on gender. 3) In attitude investigation based on stalking myths, there were significant differences in attitudes of stalking by gender. There were significant negative correlations between perceived fear and attitudes of stalking. The fear of stalking was regressed on 4 factors(attitudes on stalking). It was found that minimizing stalking and the attribution of responsibility explained 20.7% of variance of fear. This study identified attitude of stalking of college students and it will help development of stalking prevent program. 본 연구는 스토킹 방지교육을 위한 기초자료를 제공하고자 하는 목적으로, 대학생들의 스토킹에 대한 태도와 두려움 지각 간의 관계를 알아보고자 하였다. 조사는 서울 경기지역 4개 대학교 학생 388명(남:146, 여:242)을 대상으로 이루어졌으며, 자료 분석은 빈도분석, 상관분석, 차이검증 및 중다회귀분석을 실시하였다. 연구결과를 요약하면 다음과 같다. 첫째, 전체 388명의 학생들 중 30명(7.7%: 이중 27명이 여학생)이 스토킹 피해를 경험하였으며, 스토킹의 주된 동기는 ‘피해자를 사랑한다는 착각 때문에’라고 생각하는 것으로 나타났다. 평소에 스토킹으로 인해 보통 이상의 두려움을 느끼는 학생들은 전체 29.6%였다. 둘째, 가장 대표적인 스토킹 행위는 ‘음란물 또는 혐오스러운 문서, 물건 등을 계속해서 보내는 행위’라고 응답하였으며, 가장 두려움을 유발하는 행위는 ‘상대방이 떠나지 못하도록 지속적으로 폭력을 행사함’인 것으로 밝혀졌다. 또한 두려움의 강도는 성별로 차이가 있는 것으로 나타났다. 셋째, 스토킹 통념을 기반으로 한 태도조사에서는 남녀 간에 유의미한 인식의 차이를 보였다. 그리고 스토킹 태도와 두려움 지각 간에는 유의미한 부적 상관이 있었으며, 스토킹 태도 하위요인들이 두려움 지각에 미치는 영향을 확인한 결과 사건축소화와 책임귀인이 유의미한 설명력을 갖는 것으로 나타났다. 본 연구를 통해 스토킹에 대한 대학생들의 인식 및 태도를 확인할 수 있었고, 이는 향후 대학생 대상 스토킹 예방교육에 기초자료를 제공할 것으로 본다.

지역사회 여성 독거노인을 위한 ‘스스로 관절관리’ 프로그램의 적용 효과

조무용(Cho, Moo Yong),김대숙(Kim, Dae Sook) 대한근관절건강학회 2024 근관절건강학회지 Vol.31 No.1

Purpose: This study aimed to evaluate the effects of an arthritis self-management program on elderly women living alone in the community. Methods: This study recruited 36 individuals, who participated in the program once a week for six weeks at two community centers. The program consisted of muscle strengthening and flexibility exercises, health education on muscles and joints, and joint dance for aerobic exercise. The data collected were analyzed using the paired t-test and Wilcoxon rank test. Results: After six weeks, participants showed significant improvements in pain (t=3.03, p=.005), difficulties in activities of daily living (t=2.77, p=.010), health-related quality of life (t=-2.63, p=.014), flexibility of right shoulder (z=-2.42, p=.015), and balance (right leg, t=-2.63, p=.036; left leg, z=-2.36, p=.018). Conclusion: The results showed that the arthritis self-management program effectively improved outcomes for elderly women living alone. Thus, this program could be incorporated into various programs for elderly people living alone.

뇌수술 환자의 심부정맥혈전증 예방과 피부반응에 미치는 실험연구

조무용(Moo-Yong Cho),김분한(Boon-Han Kim),김기숙(Ki-Sook Kim) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.5

본 연구는 뇌수술 후 부동 환자에게 부츠형 또는 무릎형 간헐적 공기 압박기 적용 후 심부정맥 혈전증 예방과 피부 반응에 미치는 영향을 평가하기 위한 실험연구이다. 연구대상은 2015년 5월 부터 11월 까지 뇌수술 후 외과계 중환자실에 입실한 60명을 대상으로 하였다. 심부정맥 혈전증 평가는 7일 동안 대퇴정맥 혈류속도의 변화를 매일 측정하였고 피부 반응 정도도 매일 규칙적으로 관찰하였다. 그 결과 부츠형 간헐적 공기 압박기 적용군이 무릎형 간헐적 공기압박기 적용군보다 시간이 경과함에 따라 대퇴정맥 혈류속도가 증가함을 확인하였다. 즉, 7일 동안 측정한 평균 대퇴정맥 혈류속도는 시간경과 에 따른 측정시기 오른쪽(F=64.41, p <.001), 왼쪽(F=58.21, p <.001)모두 통계적으로 유의한 차이를 나타내었다. 두 군 간의 발등 둘레는 측정시기와 집단 간의 상호작용에서 오른쪽(F=9.13, p <.001), 왼쪽(F=9.29, p<.001) 모두 통계적으로 유의한 차 이를 보였다. 또한 부츠형 간혈적 공기 압박기 적용군은 피부 합병증도 발생하지 않았다. 이러한 결과는 뇌수술 후 부동환자 에게 부츠형 간헐적 공기 압박기 적용이 심부정맥 혈전증을 예방하는데 보다 효과적임을 알 수 있다. This study examined the prevention of deep vein thrombosis and skin response after the application of boots or calf intermittent pneumatic compression (IPC) devices in immobile patients with intracranial surgery. The subjects of this study included 60 patients in a surgical intensive care unit after receiving intracranial surgery from May to November in 2015. The blood flow velocity was measured daily to assess the deep vein thrombosis for 7 days, and the skin response of the legs was observed regularly. As a result, the boots IPC group showed an increased blood flow velocity over time compared to the calf IPC group. A significant statistical difference was observed in both the boots IPC group and calf IPC group over time (Right side; F=64.41, p<.001, Left side; F=58.21, p<.001). The dorsum circumference over time and the correlations between two groups (Right side; F=9.13, p <.001, left side; F=9.29, p<.001) also showed a significant difference. In addition, the boots IPC group showed no skin complications. In conclusion, the boots type IPC is a more effective method for preventing deep vein thrombosis for immobile patients with intracranial surgery.

노인환자의 무력감과 사회적 지지에 관한 관계 연구

조무용(Moo Yong Cho) 이화간호과학연구소 1995 Health & Nursing Vol.7 No.-

N/A

코로나-19 상황에서 간호대학생의 문제해결능력, 간호전문직관이 임상수행능력에 미치는 영향

문길제,조무용 한국문화융합학회 2022 문화와 융합 Vol.44 No.12

The purpose of this study is to confirm the degree of problem-solving ability, nursing professionalism, and clinical competency of nursing students who conducted clinical practice and untact clinical practice in the COVID-19 situation, and to identify the influencing factors of clinical competency. As for the research method, a survey was conducted on 213 nursing students who had experienced clinical practice and untact clinical practice among senior nursing students at three universities in Seoul and Gyeonggi-do. The data was analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS 21.0. The factors influencing clinical competency ability were problem-solving ability(β=.669, p=<.001), nursing professionalism(β=.166, p=.002), voluntary selection of nursing science(β=.092, p=.029), and the explanatory power was 64.0%.

신규졸업간호사의 전환충격 영향요인

문길제,조무용 한국간호교육학회 2022 한국간호교육학회지 Vol.28 No.2

Purpose: The purpose of this study was to identify factors that can affect transition shock in newly-graduated nurses. Methods: The first descriptive written survey was conducted on 450 graduate students from five nursing colleges. After their employment, the second survey was conducted on 316 participants who had responded to the first survey. A total of 158 respondents were used for the final analysis. Data were analyzed using an independent t-test, ANOVA, Tukey test, Pearson’s correlation coefficient, and hierarchical multiple regression analysis with the SPSS Win 25.0 Program. Results: The average age of the participants was 24.25±4.47. Of the participants, 126 (79.8%) were satisfied that they had majored in nursing. The average score for transition shock was 2.61±0.55 points. Factors influencing the transition shock of newly-graduated nurses were the working department, working period, and working environment. The more positively the newly-graduated nurses perceived the nursing work environment, the less of a transition shock they experienced. Grade point average, clinical competence, confidence in performing core nursing skills, and nursing professionalism did not affect their transition shock. It could be confirmed that there is a gap between college nursing education and the clinical field. Conclusion: In order to reduce the transition shock of newly-graduated nurses, it is necessary to improve the nursing work environment and apply educational and emotional support strategies according to the characteristics of each work department and the period of work.

코로나-19 상황에서 간호대학생의 성인간호학 온라인실습 경험

유선영(You, Sun-Young),조무용(Cho, Moo-Yong) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.10

목적 본 연구의 목적은 코로나19 상황에서 간호대학생의 성인간호학 임상대체 온라인실습 경험의 의미와 그 구조를 심층적으로 이해하기 위함이다.방법 참여자는 온라인 실습에 참여한 간호대학 3학년 학생 101명이며, 참여자들이 제출한 실습성찰일지 501부와 구조화된 질문에 대한 서술적 자료 51부를 분석 대상으로 하였다. 수집된 자료는 Hsieh와 Shannon(2005)의 질적 연구 분석 방법 중 전통적 내용분석 방법을 사용하여 분석하였다.결과 성인간호학 임상대체 온라인 실습 경험의 의미를 분석한 결과 5개의 범주로 구조화 되었다: “아쉬움 속에 시작한 온라인실습”, “간호지식의 통합과 확장으로 느끼는 기쁨”, “간호술기 능력이 향상됨”, “미래 간호사로서의 마음가짐이 변화됨”, “온라인실습으로 성장한 나”이다. 본 연구의 결과는 간호대학생들의 임상대체 온라인실습 경험에 대한 이해를 제공하였다는 점에서 의의가 있다.결론 본 연구결과를 바탕으로 비대면 온라인 임상실습 프로그램 개발에 기초자료를 제공할 수 있을 것이며, 양적 연구 및 다양한 분석 방법을 적용한 연구를 제안한다. Objectives This study was conducted to explore the experiences of online adult nursing practicum in the COVID-19 situation. Methods Data were collected through reflective journals written by 101 undergraduate nursing students and 51 descriptive documents on structured questions. Data were analyzed by Hsieh and Shannon’s conventional content analysis. Results The participants’ experiences were structured into 5 categories: “online practicum that began with regret”, “joy from the integration and expansion of nursing knowledge”, “improved nursing skills”, “changed mindset as a future nurse”, and “grown up myself with online practice”. The results of this study are significant in that it provided an understanding of the online adult nursing practicum experience of undergraduate nursing students. Conclusions Based on the result of this study, it is able to provide basic data for the development of untact clinical practice programs, and suggest quantitative study and a study of various analysis methods.