최은숙 경북대학교 간호학과 교수·대구근로자건강센터장 : 기후·환경 위기와 옥외작업 노동자 건강관리

최은숙 주식회사 월간인물 2023 월간인물 Vol.100 No.-

소방대원의 출동충격스트레스와 소진에 관한 구조모형

최은숙 한국응급구조학회 2001 한국응급구조학회지 Vol.5 No.1

The purpose of this study was to examine the hypothetical model designed to explain the post-traumatic stress and burnout in firefighters Six exogenous variables such as career, control, impact mobilization frequency life event, work burden, social support, and four endogenous variables, eg., mobilization impact, coping, post-traumatic stress, burnout were considered for the study. The target population for the distribution of the questionnaire was 428 firefighters in Daejeon, Chungnam Province, Seoul and Kyonggi Province. The data was collected about five weeks. July 12-August 25, 1999. The survey instrument was 8 control items by Seo(1995), 10 life event items by Brugha and Cragg(1990), 20 work burden items by Choi(2000), 12 social support items by Park(1985), post-traumatic stress of 17 items by Foa et al.(1998) and 45 items by Kang(1997). The reliability of the survey instrument and the cronbach's alpha was .62 - .93 level. SAS PC Program and LISREL 8.12a program were used for descriptive statistics and linear structural relationship(LISREL) modeling. Based on the data collected, the following results were obtained. 1. The overall fit of the hypothetical model to the data was good (χ ²=54.65 [df=17, p=0.000007], RMSEA=0.07, standardized RMR=0.03, GFI=0.98, AGFI=0.91, NFI=0.90, NNFI=0.75). 2. After considering statistical significance and theoretical meaningfulness of paths of the model, a modified model was sought. Compared to the hypothetical model, the modified model has become parsimonious and had a better fit to the data(χ ²=55.90 [df=20, p=0.0003], RMSEA=0.06, standardized RMR=0.03, GFI=0.98, AGFI=0.93, NFI=0.90, NNFI=0.80). 2. The results of statistical testing of hypotheses were as follows: (1) Work burden, career had a significantly direct effect on mobilization impact. These variables explained 9% of the total variance of mobilization impact. (2) Control, social support, work burden, mobilization impact had a significantly direct effect on coping. These variables explained 15% of the total variance of coping. (3) Control, work burden, social support, coping had a significantly direct effect on post-traumatic stress. These variables explained 49% of the total variance of post-traumatic stress. (4) Coping, post-traumatic stress had a significantly direct effect on burnout. These variables explained 60% of the total variance of burnout.

응급구조(학)과 학생의 구급차동승실습 지도자 만족도에 영향을 미치는 요인

최은숙 한국응급구조학회 2013 한국응급구조학회지 Vol.17 No.3

구급차동승실습 시 프리셉터 제도의 도입에 관한 인식과 수용도

최은숙 한국응급구조학회 2014 한국응급구조학회지 Vol.18 No.1

치매노인 주부양자의 자기효능감에 영향을 미치는 요인

최은숙,김경숙 지역사회간호학회 2010 지역사회간호학회지 Vol.21 No.2

Purpose: The study evaluated the determinants of caregiving self-efficacy among dementia caregivers. Methods: Data were collected through a structured questionnaire survey from dementia sufferers and caregivers by nurses or social workers caring for dementia sufferers at health centers during July to September 2007. Multiple stepwise regression analysis using SAS Version 9.1 was performed to examine the determinants of caregiving selfefficacy. Results: Factors affecting caregiving self-efficacy were behavioral and psychological symptoms of dementia (BPSD), activities of daily living (ADL), and age of dementia sufferer. Conclusion: To increase dementia caregivers' self-efficacy, there is a need to reduce difficulties of dementia caregivers in caring BPSD and increasing the ADL level of dementia sufferers by providing guidelines of care and intervention programs for BPSD and ADL management.

간호사를 위한 호스피스 완화의료 교육과정 개발

최은숙,김현숙,이소우,유양숙,Choi, Eun-Sook,Kim, Hyun-Sook,Lee, So-Woo,Yoo, Yang-Sook 한국호스피스완화의료학회 2006 한국호스피스.완화의료학회지 Vol.9 No.2

Purpose: The purpose of this study is to develop the basic curriculum for the nurses who work at hospice and palliative care settings. Methods: Seven curricula of hospice and palliative care for the nurses in Korea and other countries were reviewed, and Education Need for hospice and palliative care was surveyed from 162 nurses by mailing the questionnaires to hospice palliative care settings. Results: 1. The curricula of hospice and palliative care for the nurses in Korea and other countries in common include 'understanding of hospice and palliative care', 'understanding of lift and death', 'pain and symptom management for person with terminal disease', 'on-the-spot study and practical training', 'management of hospice and palliative ward', 'hospice and palliative care at home', 'physical assessment', 'therapeutic communication skills', 'children's hospice', 'administration and management of hospice and palliative care', 'interdisciplinary team of hospice and palliative care', 'ethics and laws in hospice and palliative care', 'psychological, social and spiritual care', 'care of the dying', 'bereavement care', etc. 2. The scores above 3.3 were marked for 34 items in education Need Survey. The highest scores were given in the order for the items 'understanding of death and dying', 'attitude and response to death and dying', 'understanding and assessment of pain' etc. respondents marked that they have been trained for 'pain and symptom management', 'ethics and laws in hospice and palliative care', 'building the system for cooperation and publicity activities in hospice' etc. 3. The basic curriculum of hospice and palliative care for the nurses requires 78 studying hours for 17 subjects, comprising 48 hours of theory education and 30 hours of practical training. The education methods are lectures, discussions, and case studies. Conclusion: The efforts of developed basic curriculum should be evaluated after educating nurses. It is necessary to develop the standard curriculum and regularly update it based on the result of education Need Survey for actively working nurses in hospice and palliative care settings.

제조업 남자 근로자의 심혈관질환 위험요인에 대한 모형 구축

최은숙 지역사회간호학회 2006 지역사회간호학회지 Vol.17 No.2

Purpose: The purppose of this study was to develop and test a structural model on cardiovascular disease risk factors among male manufacturing workers. Methods: Data were collected through questionnaires and health exams from 201 workers in a local electronic company during September 2004. Data analysis was done with SAS 9.1 for descriptive statistics and PC-LISREL 8.54 for descriptive statistics analysis. Results: The overall fit of the hypothetical model to the data was moderate, it was modified by deleting five paths. The modified model had a better fit to the data(x2=504.23(p<.001, df=180), x2fdf=2.80, GFI=.95, RMR=.07, NFI=.90, PGFI=.64), Health behaviors and psychosocial distress were found to have significant direct effects on social support, Work environment had indirect effect on psychosocial distress. Social support had indirect effect on health behaviors. But work environment and work condition were found to have little direct effect on health behaviors, psychosocial distress or cardiovascular disease risk factors. Conclusion: Acardiovascular health promotion program should therefore include psycho-social factors as well as health behavioral determinants in worksites.

반복측정 자료를 분석하기 위한 통계패키지의 고찰

최은숙,박태성,문경미 한국통계학회 1998 Communications for statistical applications and me Vol.5 No.1

최근 들어 반복측정 자료에 대한 관심이 늘어나면서 이러한 자료를 분석하기 위한 통계패키지가 많이 개발되어 사용되고 있다. 본 논문에서는 연속형 반복측정 자료를 분석할 수 있는 통계모형들을 간단하게 개괄해보고 SAS, BMDP, S-PLUS, SPSS, MINITAB과 같은 통계 패키지 중에서 이러한 통계모형들을 다룰 수 있는 프로그램들을 정리해보고 그 특징들을 고찰해보았다. 그 중에서 특히 SAS의 PROC MIXED와 BMDP의 5V를 구체적으로 살펴보았다.

3년간 정맥주사용 포트 사용 경험

최은숙 대한간호협회 2000 대한간호 Vol.39 No.3

보건소의 자원봉사자 요구도 및 활용도에 대한 관련요인 분석

최은숙,Choi, Eun-Sook 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

Volunteers activities in Health Centers are strategically important for the efficient utilization of human resource and local people's health promotion in community. With these backgrounds. this study is conducted to examine significant factors in relation to demand and utilization of volunteers in Health Centers. and the factors are the characteristics of Health Centers. volunteer management factors and external environment factors. Subjects in this study were 245 Health Centers all chosen. Data were collected from April. 12. 1999 to May. 31. 1999. and the data for analyses were ones of 116 respondents. Then. the data coded and submitted to Fisher's exact test. NPAR1WAY ANOVA, Correlation analysis. multiple regression analysis, multiple logistic regression analysis with SAS program. The key results from this study can be epitomized as follows: 1. 43.1% of responding health centers answered that they 'utilize volunteers'. The average number of volunteers who were engaged in responding health centers was 43, out of which 7 were men and 36 were women. As for the adequacy of the number of the volunteers. 55.1% responded 'not enough' and 30.6% responded 'adequate'. The more the number of volunteers needed. the more the number of utilizing volunteers is. When asked about their views concerning the utilization of volunteers in Health Centers. 88.7% of all respondents answered in the affirmative. The accountable factor for the utilization of volunteers was the present utilization of volunteers. 2. Concerning the reasons for using volunteers. 'to induce local people's participation in health services' was the highest comprising 76% of the responding health centers. 3. Most of volunteers were housewives and independent enterprisers. The most type of volunteer activities was 'just simple labor'. 4. As for the action duration of volunteers. 69.4% answered 'under 6 months'. The factor was significant difference with the action duration of volunteers was 'to provide social meeting' in the middle of rewards for volunteers. 5. Asked about the problem in utilizing volunteers. 53.2% answered 'the difficulty of recruitment and education for volunteers'. and 42.6% answered 'lack of budget and manpower needed for the utilization of volunteers.' 6. Concerning the evaluation of the performance by volunteers. 88% answered 'satisfactory'. With regards to the reason for that. 29.3% answered 'volunteers can provide various kinds of services' 7. 88.7% of responding health centers answered that they will continuously or newly utilize volunteers in the future. 8. The main health program services which expect utilization of volunteers were visiting health services(63.2%). old people's health services (25.3%). These were not significant difference with any explanatory variable. 9. The average number of volunteer needed in responding health centers was 38. The more the average number of utilizing volunteers. the more the number of volunteers needed is. The more the degree of financial independence. the more the number of volunteers needed is. In conclusions. Health centers are necessary to promote their role of recruitment. education and training for volunteers. the development of volunteer activities programs.