표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구

김경옥,김희경,안효자,신헌태,Kim, Kyeong-Ok,Kim, Hee-Kyung,An, Hyo-Ja,Shin, Heon-Tae 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1

Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

환자 분류에 기초하여 입원병동의 적정 간호인력을 산정하는 모델

김경옥,박미정,이인광,박경순,손호선,김경아,서창진,차은종,Kim, Kyoung-Ok,Park, Mi-Jung,Lee, In-Kwang,Park, Kyung-Soon,Shon, Ho-Sun,Kim, Kyung-Ah,Seo, Chang-Jin,Cha, Eun-Jong 대한의용생체공학회 2016 의공학회지 Vol.37 No.2

Nursing staffing is of major interest in hospital management, however, no practical method has been developed. The present study proposed a mathematical model based on the patient classification system for nursing staffing optimization. A few characteristic parameters possibly determined experimentally and/or empirically were introduced followed by systematic calculation of the required number of nurses. An essential concept of the model is the unit work load defined as the amount of nursing work performed on single patient per unit time, where the work load is defined as the number of nursing staffs multiplied by the working hours. The unit work load was considered to vary with the patient classification level as well as the working time during a day, both of which were represented by corresponding parameter values. The number of patients for each class and the number of working hours were multiplied to the unit work load, and added up to obtain the total required work load. As the next step, the averaged number of hours that a nurse could provide per day was formulated considering the degree of nursing practice experience into 3 levels. Finally, the appropriate number of nursing staffs was calculated as the total work load divided by the average working hours per nurse. The present technique has a great advantage that the number of nursing staffs to fulfill the required work load is systematically calculated once the characteristic parameters are appropriately determined, leading to instant and fast evaluation. A practical PC program was also developed to apply the present model to nursing practice.

호스피스 자원봉사자의 감성지능, 소진탄력성 및 생의 의미 간의 관계

김경옥,유명숙,Kim, Kyung Ok,Yoo, Myung Sook 한국가정간호학회 2018 가정간호학회지 Vol.25 No.1

Purpose: The purpose of this study was to identify the relationships among emotional intelligence, resilience to burnout, and meaning in life of hospice volunteers. Methods: Data were collected through structured questionnaires from 200 hospice volunteers who were working at hospitals for six months or longer. Data were collected from March 7 to March 31, 2016, and analyzed using descriptive statistics, independent t-tests, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SPSS WIN 22.0. Results: There was a statistically significant correlation between emotional intelligence, resilience to burnout and meaning in life. The significant predictors of hospice volunteers' meaning in life were resilience to burnout(${\beta}=.47$), emotional intelligence(${\beta}=.15$), educational level(college, ${\beta}=.11$), religion(protestant, ${\beta}=.12$; buddhism, ${\beta}=-.15$), and motivation for neighborhood service(${\beta}=.16$). These variables explained meaning in life up to 50.2%. Resilience to burnout was the greatest effective factor on meaning in life. Conclusion: These results suggest a need to develop programs that improve hospice volunteers' emotional intelligence and resilience to burnout. Also, educational level, religion, and service motivation of hospice volunteers should be considered.

외톨이 여중생의 학교 생활 탐색

김경옥 ( Kyung Ok Kim ) 경북대학교 중등교육연구소 2012 중등교육연구 Vol.60 No.2

인간은 사회적 동물이므로 태어나면서부터 다양한 인간관계를 맺으며 살게 되며, 관계 맺기에 어려움을 겪거나 실패하게 되면 행복한 삶을 영위할 수 없게 된다. 이 연구는 친구가 없이 외톨이로 지내는 여중생들을 대상으로 그들이 가지는 외톨이로서의 특징, 학교 생활, 외톨이의 삶에서 선택한 전략에 대해 살펴보고 이를 바탕으로 이들을 도와줄 구체적인 방안을 모색하고자 한다. 이를 위해 여중생 3명을 대상으로 심층 면접과 공식, 비공식 관찰을 포함하는 문화기술지적(Ethnography) 연구 방법을 사용하였다. 연구를 수행한 결과 외톨이의 특성으로 ‘독특한 외모, 부정적 성격, 대인기술 부족, 낮은 자존감, 낮은 인지능력’ 등의 5개 주제를 발견하였으며, 외톨이의 학교 생활로 ‘물과 기름, 유령인물, 방관자, 척하기, 동네북’ 등의 5개 주제, 그리고 외톨이들이 그들 삶에서 선택한 전략으로 ‘숨구멍, 비빌 언덕’의 2개 주제를 발견하였다. 이들을 도울 수 있는 전략으로는 자존감을 높여주기 위한 훈련, 감정 훈련이나 대화 기법, 배려하기 연습 등을 포함하는 사회기술 훈련과 심리적 안정에 도움이 되는 멘토 되어주기가 있다. 또한 학교 문화에서 외톨이를 줄이고 새로운 외톨이가 생겨나지 않게 하기 위한 예방적 교육과 이들을 도울 수 있는 학급용 생활지도 프로그램의 개발이 필요하다. The purpose of this study is to investigate a group of middle school girl students who considered as being Oiettolie: Oiettolie means withdrawn adolescents without peers. It searches their characteristics, school-life and survival-techniques used by them. On the basis of this search, this study tries to find specific solutions to help the Oiettolie. For this purpose, three middle school girl students were involved in an ethnographic study by conducting an in-depth interviews and performing formal and informal observations. The research has shown that there are five common characteristics which Oiettolie share: “unique appearance, negative personality, lack of interpersonal skills, low self-esteem, and low cognitive ability”. also five theme of “water and oil, invisibility, bystander, faking and easily marked” have been found in respect to their school-life. Finally, this study indicates that there are two “survival-techniques” used by the Oiettolie: “breathing hole and rubbing hill”. It is necessary to develop educational programs in order to prevent students becoming or being treated as Oiettolie.

위장된 역사와 불확실성: 필립 K. 딕의 『높은 성에 사는 사나이』를 중심으로

김경옥 ( Kim Kyung Ok ) 대한영어영문학회 2012 영어영문학연구 Vol.38 No.2

This paper aims to explore the theme of historical uncertainty through a study of Philip K. Dick’s The Man in the High Castle (hereafter, High Castle). The novel, which remains work in the genre of alternate history, creates a world in which the Axis powers have won World War II. Alternate history is a genre that is fundamentally concerned with history. However, High Castle goes beyond the genre and alters historical reality by posit a new reality. In the alternate history of High Castle, Germany and Japan have won World War II and occupied the United States. When the novel begins, Hitler, now allegedly insane, is confined to a mental institution, and Martin Borman is the Chancellor. Through the novel, Dick warns us that a fixed view of history and reality is illusory. I argue that High Castle explores not only the concept of historical contingency, but also the nature of history. While time travel and parallel worlds are the mainstay of alternate history, High Castle explores issues about history itself and the uncertainty of historicity through an alternate colonial history of America. (Sookmyung Women’s University)

인간존재에 대한 근본적 물음

김경옥(Kim Kyung Ok) 새한영어영문학회 2011 새한영어영문학 Vol.53 No.2

Unlike conventional science fiction, Philip K. Dick’s novels contain creative ideas and an experimental mind. In particular, Do Androids Dream of Electric Sheep?, one of Dick’s most important and beautifully written science fiction novels, published in 1968, has a philosophical and metaphysical dimension. Central to this novel is the question of what it means to be a human being. The question “What is human?” haunted Dick throughout his life. Dick explores human beings through human and android. Despite the need to posit empathy as the defining characteristic of human beings in order to distinguish humans from androids in the novel, the actions of most of the characters suggest that subjectivities are still dominated by the rational, calculating logic of the cogito. This irony is manifested in the actions of the protagonist, Rick Deckard. In Do Androids Dream of Electric Sheep?, it is not easy to distinguish humans from androids; boundary between them has become blurred. Dick portrays androids as ambiguous and unstable beings, and he defines human beings not as privileged organic entities but as living individuals who can communicate with the world around them. Dick lends a unique religious undertone to Do Androids Dream of Electric Sheep? through the character of Wilbur Mercer, the Sisyphean religious leader of a highly technological world. Mercer is represented in this religious iconography of the future in the act of ascending a hill while unknown assassins hurl rocks at him and drive him inexorably back to the bottom-an analogue of Christ climbing Golgotha. However, at the end of the novel, Mercer is exposed as a fake by Buster Friendly, although Mercerism as a religion continues to remain viable. Dick uses Mercerism to deconstruct conventional religious values. Deckard survives not to fulfill an impossible redemption but to accept the true essence of life. That is, Mercerism is a new religious vision that emphasizes communication and sharing of experiences. Do Androids Dream of Electric Sheep? hints at the existence of the other world, composed of a new community-a vision of the recovery of humanity not a result of advanced technology. Do Androids Dream of Electric Sheep? is an important milestone in humanity’s journey toward this ideal world.

브라이언 프리엘의 The Communication Cord

김경옥(Kim, Kyung-ok) 한국현대영미드라마학회 2005 현대영미드라마 Vol.18 No.2

한국 암 환자 투병의지에 대한 개념분석

김경옥(Kim, Kyung Ok),김정아(Kim, Jung A) 한국성인간호학회 2019 성인간호학회지 Vol.31 No.1

노인 암 환자의 불확실성과 사회적 지지가 삶의 질에 미치는 영향

김경옥(Kim, Kyung Ok),김정아(Kim, Jung A) 대한종양간호학회 2017 Asian Oncology Nursing Vol.17 No.3

Purpose: The purpose of this study was to determine the influences of uncertainty and social support on the quality of life among elderly cancer patients. Methods: A descriptive correlational study was conducted with 128 patients aged over 65 who were diagnosed with cancer from either the cancer center or the university hospital. Data were collected from October 8<SUP>th</SUP>, to November 6<SUP>th</SUP>, 2013 and analyzed using descriptive statistics, t-test, ANOVA, Pearson`s correlation coefficients and stepwise multiple regression with the SPSS/WIN 18.0 program. Results: Uncertainty and quality of life showed significant negative correlation(r=-.48, p〈.001). The predictors of quality of life were ambiguity as subunit of uncertainty, severeness of pain and primary caregiver. These explained 41% of the variance(F=4.47, p=.037) and the most influential factor was ambiguity. Conclusion: This study demonstrated that the quality of life was influenced by ambiguity and personal characteristics. The result suggests that intervention programs to reduce the level of uncertainty and pain of patients could improve the quality of life among elderly cancer patients.

배지조성 및 광조건이 날개하늘나리의 기내 자구생산에 미치는 영향

김경옥(Kyung Ok Kim),김학현(Hag Hyun Kim),이철희(Cheol Hee Lee) 한국원예학회 2000 원예과학기술지 Vol.18 No.2