Type D 성격 유형에 따른 교대근무 간호사의 건강증진 행위와 주관적 건강상태 및 직무 만족

신나미(Shin, Nah-Mee),김영하(Kim, Young Ha) 한국간호행정학회 2021 간호행정학회지 Vol.27 No.1

Purpose: The purpose of this study was to explore the frequency of Type D Personality Pattern (TDPP) in shift work nurses who have irregular lifestyles and based on TDPP, to compare health promotion behavior (HPB), subjective health status (SHS), and job satisfaction. Methods: A descriptive cross-sectional design was used with data collected from a convenience sample of 139 shift work nurses. The self-report questionnaires included Personality Scale, Health Promoting Lifestyle Profile II, Health Self Rating Scale, and Job Satisfaction Scale. Results: Fifty three nurses (38.1%) were found to have TDPP. Although there were no significant differences between groups with TDPP and with no TDPP, nurses with TDPP tend to be younger, live alone, and have less years of clinical experience. Also, SHS, HPB and job satisfaction were significantly lower in the nurses with TDPP than those with no TDPP. SHS was positively correlated with HPB and job satisfaction. Also, job satisfaction was positively correlated with HPB. Conclusion: TDPP in shift work nurses should be considered as TDPP is not a trait but a pattern. Therefore for shift work nurses, modifiable strategies should be effective in reducing the risk of developing TDPP and enhancing the nurses’ SHS, HPB, and job satisfaction.

체외막산소화장치 (ECMO) 적용 중환자의 영양지표 비교

신나미(Nah-Mee Shin),하숙연(Suk Yeon Ha),조윤수(Yoon Soo Cho) 한국영양학회 2021 Journal of Nutrition and Health Vol.54 No.5

본 연구는 부적절한 영양지원이 ECMO 환자의 영양상태 뿐만 아니라 사망률 등에도 부정적인 영향을 미칠 수 있음을 보여주었다. 대부분의 ECMO 환자는 중환자실 입실 초기부터 영양상태가 이미 영양불량이거나 영양불량 위험군이었고, 재원기간이 경과하면서 악화되는 것을 관찰하였다. 이는 ECMO 환자들이 가장 위중할 때에 필요로 하는 칼로리와 단백질의 영양지원이 충분하지 않았음을 시사하는 것이며, 특히 PN과 EN의 개시 시점이 영양관리지침의 권고보다 지연되지 않도록 노력하는 개선이 시급하다. 또한, ECMO 환자의 영양상태 평가만 아니라 공급한 영양지원에 대한 환자의 반응까지 고려한 영양관리가 필요한데, 이를 위해서는 영양관리가 중환자 간호에서 우선시 되어야 하며, 영양사를 포함한 다학제간 접근이 반드시 포함되어야 한다. 점차 증가하는 ECMO 적용 사례를 고려한다면, 중환자실에서의 집중치료 과정에 영양관리도 비중있게 반영되어야 할 것이다. 차후에는 전향적 무작위통제 연구로 환자의 질환 유형이나 ECMO 배치형태에 따른 영양지원방법과 효과를 비교할 것을 제안한다. 더 많은 대상자 수 확보를 위하여 여러 병원의 자료를 취합하여 분석하거나 환자 상태에 따라 영양공급의 적정량을 평가하고 비교하는 연구를 제안한다. Purpose: This study aimed at investigating the nutritional status, nutritional support, and nutritional indicators of critically ill patients on extracorporeal membrane oxygen (ECMO) in intensive care units (ICU). Methods: This descriptive study obtained data from the medical records of 37 patients who were treated using ECMO at a university hospital in Korea. The patients were admitted to the Korea University Anam Hospital ICU with acute or serious damage to vital organs from January 1, 2014 to June 30, 2016. Results: Although 32 patients (86.5%) were at a high risk of malnutrition, 26 patients (70.3%) were considered normal in terms of nutritional status by the nutritionist at the beginning of their ICU stay. However, after two weeks, nine patients had passed away and only one patient maintained normal status. Parenteral nutrition was started first but took 4.25 ± 6.95 days till initiation. Only eight patients (21.6%) were able to meet their requirement for both calories and protein. The group provided with adequate calorie and protein showed significantly longer use of the ECMO and respirator and longer ICU and total hospital stay than their counterparts. Normal levels of serum albumin and protein of the group at low-risk for malnutrition on the day of initiation of ECMO, which were significantly higher than the high-risk group, declined by the last day of ECMO leading to a lack of significant differences between the two groups. Conclusion: Considering that the nutritional indicators of patients deteriorated as the days on ECMO increased, more aggressive nutritional management to ensure adequate nutritional support should be emphasized from the beginning and throughout the ICU stay.

다시 번역하기로서의 읽기: 번역의 스캔들을 통해 살펴본 테레사 학경 차의 <딕테>

신나미(Nami Shin) 한국외국어대학교 영미연구소 2018 영미연구 Vol.44 No.-

본 논문은 로렌스 베누티의 번역의 윤리에 대한 논의를 바탕으로 테레사 학경 차 (Theresa Hak Kyung Cha) 의 작품 『딕테』에서 드러나는 번역의 문제를 살펴보고자 한다. 『딕테』는 여러 가지 형태로 번역과 관련한 질문을 독자에게 던진다. 『딕 테』와 관련한 기존 비평은 작품 속에서 번역의 문제가 받아쓰기의 상황을 통하여 보여주고 있음에 주목하였다. 특히, 많은 비평가들은 작품이 소개하고 있는 받아쓰기 예문들이 언어 및 문화간 권력의 차이를 효과적으로 보여주고 있다는 사실에 집중하였 다. 받아쓰기가 새로운 언어를 습득하는 공부의 과정이라면, 작품 속 번역의 예문들은 이민자가 새로운 언어의 습득하는 과정에서 겪는 문화 및 언어간 권력 구조를 비판적 으로 바라보게 하는 의의를 가진다. 기존 비평이 『딕테』 작품 속 번역의 문제를 받아쓰기의 예문들을 통해서 주요하게 다뤄왔다면, 본 논문은 번역이 차학경의 작품 속에서 좀 더 다양한 형태의 해석 행위를 포괄하고 있다는 사실에 주목한다. 『딕테』 속 번역의 다양한 예시들을 살펴봄으로써 본 논문은 차학경이 번역의 문제를 통하여 한국의 식민 역사적 상황에 대한 비판적 고찰 및 재해석을 강조하고 있음을 주장한다. Theresa Hak Kyung Cha’s experimental text, Dictée, is a text that asks us to engage with problems of translation. Major criticism has particularly focused on how the text introduces sites of translation in the form of dictation and translation exercises. Moments of dictation and translation appearing in Dictée invite critical reflection upon the asymmetries of power relations informing processes of language learning and immigration. This essay examines how Cha’s writing in Dictée enlarges notions of translation by bringing attention to varied forms of interpretation and mediation that emerge in the context of Korea’s colonial and postcolonial condition. Drawing upon the insights of Venuti’s discussion of translation as a cultural practice that is informed by the asymmetries of power, this essay argues that Dictée calls for critical engagement with the Korean colonial and postcolonial condition by pointing to the failures of translation shaped by the legacies of various cultural and political forces. Far from being limiting and thus failing, the gaps and holes of translation in Cha’s writing not only speak to the scandals of translation, but also call for acts of re-translation.

정착 너머의 이민 서사 : 주노 디아스의 『드라운』을 통해 본 이주 새롭게 쓰기

신나미(Shin, Nami) 인천대학교 인문학연구소 2020 인문학연구 Vol.34 No.-

역사적으로 미국 문학 이민 서사에서 정착의 문제는 큰 비중을 차지해 왔다. 하지만 20 세기 후반에 들어서면서 이주의 경험은 정착 중심의 서사를 넘어 새롭게 쓰이기 시작하였다. 본 논문은 이민 서사의 새로운 양상을 도미니카계 미국 작가 주노 디아스의 단편 소설집 『드라운』에 대한 분석을 통하여 살펴보고자 한다. 『드라운』총 10 편의 짧은 소설로 이뤄진 단편 소설집으로 도미니카계 이주자들의 이야기를 도미니카 공화국 또는 미국을 배경으로 다양한 화자의 시각과 등장인물들을 통하여 보여주고 있다. 『드라운』이 가지는 중요한 특징은 작품을 이루는 단편 소설들이 독립된 이야기의 모음이라기 보다는 서로 느슨하게 연결된 이야기들로 읽힌다는 점이다.『드라운』에서 단편 소설 간의 연결성은 유니오르라는 이름을 가진 화자의 반복적 등장을 통하여 드러난다. 본 논문은 느슨하게 이어진 이야기 연결망 형태의 서술 방식이 가지는 확장성에 주목하고 있으며, 디아스가 작품 『드라운』에서 기존 정착 중심의 패러다임을 넘는 이주 서사를 제시함과 동시에 20세기 후반 도미니카계 이주자를 포함한 다양한 라틴 아메리카계 이주자들의 집단적 기억을 아우르는 열린 형태의 서사를 보여주고 있다고 논한다. Historically, problems related to settlement have deeply informed narratives of immigration in the U.S. However, as many critics have recently pointed out, an emphasis upon the teleology of settlement has undergone a stark change over the last two decades. This paper examines how Juno Diaz narrates migration in Drown (1996) which departs from the more traditional teleology of settlement. A striking feature of Drown’s collection of short stories is how they are far from being a group of disparate narratives and can be rather read as a network of loosely inter-connected stories. This essay shows how the collection’s loosely inter-connected structure allows Diaz to narrate migration beyond the teleology of settlement. It argues that such a departure is critically enabling. By enabling the narrative ambiguity invoked by Drown’s network-like form, the shape given to a collective memory of displacement and migration informing the Dominican and Latin American diaspora in the late twentieth century is clearly drawn.

COVID-19 팬데믹 상황에서 간호사 간 동료연대에 대한 개념분석

신나미(Shin, Nah-Mee),공문연(Kong, Moon Yeon) 한국간호행정학회 2021 간호행정학회지 Vol.27 No.5

Purpose: This study aimed to define and clarify the concept of colleague solidarity experienced by nurses during the COVID-19 pandemic. Methods: A hybrid model method was used to investigate the dimensions, attributes, and definitions of the concept. In the theoretical phase, 20 articles selected through literature review by including nursing and related disciplines were analyzed. For the fieldwork phase, in-depth interviews were conducted with nine nurses who took care of infected patients with COVID-19 at Infectious Diseases Specialized Hospital. Results: The dimensions identified were consistently observed in the field phase, however, more attributes were found newly from the fieldwork phase. In the final phase, the concept of colleague solidarity among the nurses was found to have three dimensions with nine attributes. The interaction dimension had four attributes as voluntary support, mutual respect, open communication, and virtuous circle. The motivation dimension had two attributes of sense of communion and calling. Lastly, the relationship dimension had three attributes of unity, mutually equal relationship, and comradeship. Conclusions: This study is meaningful in observing how the concept of colleague solidarity, which is relatively unfamiliar to domestic nurses, appears in the clinical field during a national crisis and analyzing the concept.

심장이식 수혜자의 사회적지지, 우울 및 건강상태

박병준,신나미,Park, Byung-Jun,Shin, Nah-Mee 한국중환자간호학회 2014 중환자간호학회지 Vol.7 No.1

Purpose: As the number of cases of heart transplantation (HT) and the survival rate have increased, concerns regarding post-HT life have grown. This study was conducted to explore the relationships of perceived social support to the depression and health status of HT recipients. Methods: This descriptive study targeted all recipients who had undergone HT at S University Hospital since 1994, and 32 recipients were recruited. Results: 90.6% of the recipients were men, and the average age at the time of surgery was $47.4{\pm}13.4$ years. The ejection fraction was increased from $18.47{\pm}5.63%$ to $63.25{\pm}7.57%$, and 31 cases of New York Heart Association (NYHA) class III and IV improved to class I or II after HT. The patients reported mild depression even with high perceived social support and improved health status after HT. Among those resource persons who offered support, they reported their spouse, doctors, and nurses as most meaningful to them. Conclusion: This study confirmed the positive effects of HT on the recipients' physical improvement. It also added the discovery that the importance of recipients' subjective perception of social support might be critical for their more successful recovery and adjustment to post-HT life. Focusing on a different approach to social support and types of social resources in the recovery phase is suggested for future studies on quality of life after HT.

임상간호사의 비판적 사고

장성옥,신나미,김순용,Chang, Sung-Ok,Shin, Nah-Mee,Khim, Soon-Yong 기본간호학회 2009 기본간호학회지 Vol.16 No.4

Introduction: Critical thinking involves identifying problem(s), assessing resources, and generating possible solutions and allows clinical nurses to decide which solution is the most reasonable under the given circumstances, taking into consideration the "hat ifs" and how they will affect the end result. This research was conducted to further understanding and identification of subjective factors in critical thinking in clinical nurses. Methods: The research design was a Q-Methodological Approach. Q-population was formulated from a non-structured questionnaire and interviews from 17 experienced clinical nurses. Thirty selected Q-statements were sorted by 30 experienced clinical nurses. Results: Four factors for critical thinking were identified: (1) Deductive reasoning based on causal relation, (2) Construction of an effective model based on patients' responses, (3) Formulating categories based on priorities for effective interventions, and (4) Judging validity of the situational significance on clinical performances. Conclusion: Critical thinking is an attitude and reasoning process. From this study, the frame of reference for clinical nurses in formulating critical thinking within the context of clinical settings is identified and indicates the way nurses utilize thinking skills when they care for patients and areas that need further exploration as nurses and faculty develop education systems to advance clinical performance competency.

서울시내 인문계 고등학생의 우울 실태 및 속박감의 매개효과

박영주(Park, Young-Joo),신나미(Shin, Nah-Mee),한금선(Han, Kuem Sun),강현철(Kang, Hyun Cheol),천숙희(Cheon, Sook-Hee),신현정(Shin, Hyunjeong) 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.5

소득수준에 따른 성인여성의 심혈관계 건강상태와 건강행위

박영주(Park, Young-Joo),신나미(Shin, Nah-Mee),윤지원(Yoon, Ji-Won),최지원(Choi, Jiwon),이숙자(Lee, Sook-Ja) 한국간호과학회 2010 Journal of Korean Academy of Nursing Vol.40 No.6

급성심근경색증 환자의 성별에 따른 치료추구지연과 관련 경험의 비교

원미숙(Won, Mi-Suk),신나미(Shin, Nah-Mee),김은숙(Kim, Eunsook) 한국성인간호학회 2016 성인간호학회지 Vol.28 No.4