간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

NSIP와 BOOP의 고해상전산화단층촬영 소견과 비교

백상현,박재성,차장규,홍현숙,김대호,박성진,조준희,이혜경,최진수 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.2

Purpose: BOOP and NSIP also share similar clinical features such as subacute flu-like illness, the finding of bronchoalveolar lavage, the result of pulmonary function test and more favourable outcome than usual interstitial pneumonia(UIP). The author try to compare the HRCT findings of NSIP with BOOP by pattern and distribution of diseases. Materials and Methods: HRCT findings of histopathologically proven NSIP(Group Ⅰ; 6, Group Ⅱ; 7, Group Ⅲ; 2) in 15 patients(5 male, 10 female, age range, 39-69 years; mean age, 53 years), BOOP in 15 patients(6 male, 9 female, age range, 26-76 years; mean age, 52 years) were reviewed retrospectively. Results: The common pattern of the two diseases was admixed consolidation, ground glass attenuation & reticular densities with/without architectural distortion(NSIP; 53.3%, BOOP; 46.7%). The main component of the pattern wan predominantly consolidation(NSIP; 46.7%, BOOP; 73.3%) and ground glass attenuation(NSIP; 40.0%, BOOP;20.0%). Architectural distotion was more provinent finding with NSIP(mild ; 3, moderate ; 4, severe; 2) compared with BOOP(mild; 7, moderate; 2, severe; 0). The predominant overall distribution was lower lung, peribronchovascular & peripheral lung field in both of the two entities(NSIP;73.3%, BOOP; 73.3%). Peribronchovascular involvement was more common with NSIP(100%) than BOOP(80%), whereas peripheral involvement was more common with BOOP(93.3%) than NSIP(80%). Conclusion: The HRCT findings of NSIP and BOOP were similar in pattern and distribution. But NIP manifested more frequently ground-glass attenuation, whereas BOOP showed more frequently consolidation. Architectural distortion was more severe with NSIP than BOOP. NSIP invoved more frequently peribronchovascular space and BOOP were more common in peripheral lung field.

소규모사업장 보건관리기술지원사업 지원여부에 따른 사업장내 의사소통 비교

정최경희,박혜숙,김정연,이경용,현성민,오지영,김수근,김현주,하은희 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

목적: 소규모사업장 보건관리기술지원사업 지원여부에 따라 사업장내 위험의사소통채널이 마련되었는지와 이 채널이 기능을 하는지, 그리고 의사소통채널마련과 사업장내 위험의사소통 활성화의 기본적이고 중요한 배경이 되는 사업주의 산업보건에 대한 관심이 차이가 있는지에 대해 살펴보고자 하였다. 방법: 서울, 안산, 대전, 광주, 포항 지역에서 보건관리기술지원사업을 받은 사업장과 받지 않은 사업장을 대상으로 비례층화무작위표본추출법을 사용하여 추출한 후 1991년 12월 6일부터 10일간 우편설문조사를 실시하였다. 설문대상은 각 사업장의 남녀 각 1명, 보건업무담당자, 사업주였으며, 설문내용은 사업장 및 응답자의 일반적 특성 및 사업장내 위험의사소통이었다. 설문에 응답이 온 463개 사업장의 자료를 자료처리하여 총 228개 사업장(단해년도지원 사업장 189개, 연속2년지원 사업장 13개, 비지원사업장 26개)을 대상으로 분석하였다. 결과: 사업장내 의사소통에 대한 단변량분석에서는 보건업무 담당자의 선정여부만이 통계적으로 유의한 차이가 있었다. 소규모사업장 보건관리기술지원사업을 지원받지 않은 사업장과 지원받은 사업장의 사업장내 위험의사소통을 비교하기 위한 로지스틱회귀분석 결과, 모든 항목에서 통계적으로는 유의한 차이를 보여주지 않았다. 그러나 사업주의 관심(OR ; 1.63, 95% CI ; 0.38~7.01)과 보건업무담당자의 선정(OR ; 3.67, 95% CI ; 1.00~13.44) 및 결정권한(OR ; 1.48, 95% CI ; 0.25~8.91), 사업주의 산업보건문제 소통(OR ; 3.07, 95% CI ; 0.81~11.71), 보건업무담당자의 정보요청경험(OR; 4.48, 95% CI ; 0.97~20.57)에서는 지원받지 않은 사업장에 비해 지원받은 사업장에서 교차비가 증가하는 양상을 보여주었다. 반면 노동자의 산업보건문제 소통가능성여부는 오히려 교차비가 0.53(95% CI ; 0.11~2.44)로 감소하는 경향을 보여주었다. 결론: 소규모사업장 보건관리기술지원사업을 의사소통의 측면에서 평가해보면, 사업주나 보건업무담당자에게는 다소 효과가 있었지만 노동자가 지속적으로 참여할 수 있도록 의사소통문화를 바꾸어내는 데에는 한계가 있었다. 개선을 위해서는 노동자 중심의 접근 프로그램의 개발 및 시행이 시급하다 할 수 있다. Objectives :This study was to evaluate the effectiveness of the government-funded subsidized occupational health program for small-scale enterprises(GSOHP_SSE) by occupational health com-munication in workplace. Methods : We sampled the 1,835 enterprises of study by proportional stratified random sampling among industries of supported and not supported by GSOHP_SSE in Seoul, Ansan, Daejeon, Kwang-joo and Pohang. Information on the general characteristics of enterprises and respondants and occupational health communication in the workplace was collected on self-reported questionnaires by post-survey between December 6 and 15 in 2001. We received answers from 463 enterprises and analyzed 228 enterprises through data-cleaning by logistic regression to evaluate effectiveness of GSOHP-SSE about occupational health communication in the workplace. Results : By multiple logistic regression analysis, GSOHP_SSE turned out not to be statistically significant factor in all dependent variables about occupational health communication in the work-place. The concern of owner(odds ratio (below OR) ; 1.63, 95% confidence interval(below 95% CI) ; 0.38-7.01), formation(OR ; 3.67, 95% CI ; 1.00-13.44) and empowerment(OR ; 1.48, 95% CI ; 0.25-8.91) of health manager, request about occupational health problem of health manager(OR ;4.48, 95% CI ; 0.97-20.57) and occupational health communication of owner (OR ; 3.07, 95% CI ; 0.81-11.71) had the trend increasing OR in the industries supported GS-OHP_SSE relative to the industries not supported. But in recognition of possibility on occupational health communication of laborers, OR of GSOHP_SSE was decreased in 0.53(95% CI ; 0.11-2.44). Conclusions: This study found that the GSOHP_SSE was some effective to the side of employer and health manager, but had a limitation about change of communication culture useful to the laborers. We suggested the laborer-centered health training programs or the empowerment-based health training programs for effective occupational health management in the workplace.

소아 급성 부비동염의 진단에 Water's view촬영이 충분한가?

홍현숙,이혜경,박재옥 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

The purpose of this study was to examine the utility of the Water's view in the diagnosis of acute sinusitis in children. The records of all pediatric patients who underwent sinus radiography for suspected acute sinusitis between Oct. 1995 and Apr.1996 was reviewed. All radiographs were reviewed by an attending radiologist and the interpretation of the Water's(occipitomental) view alone was compared to that of a 3 view PNS series(AP Caldwell, lateral, Water's view). 86 PNS series were obtained on 76 pediatric patients during the study period. When compared to 3 view series, the single Water's view had a sensitivity of 84%, specificity is 79%, positive predictive value of 87%, negative predictive value of 84%, overall accuracy of the Water's view in diagnosing childhood acute sinusitis was 85%. The authors conclude that the Water's view is usually sufficient in the evaluation of suspected acute sinusitis in children.

일부 소방공무원의 음주와 직무스트레스와의 관련성

강경화,이강숙,김석일,맹광호,홍현숙,정춘화 大韓産業醫學會 2001 대한직업환경의학회지 Vol.13 No.4

목적 : 소방공무원의 음주량과 직종별 직무 스트레스에 대해 알아보고 보다 나은 스트레스 관리방안과 문제성 음주예방을 위한 프로그램을 모색하기 위해 시도되었다. 대상 : 2000년 7월부터 8월까지 소방공무원 중 구조대원 97명, 구급대원 97명, 화재진압대원 179명,행정대원 116명, 기타대원 49명을 대상으로 설문지를 이용하여 수집된 자료를 분석하였다. 결과 : 소방공무원은 모든 직종에서 승진 및 임금제도의 스트레스 요인 점수가 가장 높았다. 직종별로 직무 내적 요인, 조직에서의 역할, 대인관계, 조직과 풍토, 직장환경과 스트레스 결과 점수에 있어 유의한 차이를 보였다 과음 주자인 경우 직무 내적요인, 직무 스트레스 수준, 개인적 특성, 대처방식의 점수가 높았으나 유의하지 알았다. 음주량은 직무내적 요인 중 업무 피드백과 음의 관련성을, 직무 스트레스 요인 중 역할 갈등은 음주량을 증가시키는 것으로 나타났다. 결론 소방공무원의 가장 높은 직무 스트레스 요인으로는 승진 및 임금제도인 것으로 나타났다. 음주량은 역할 갈등과 같은 직무 스트레스 요인과 관련이 있었으며, 향후 전향적인 음주행태조사를 통해 직무 스트레스 요인이 음주에 미치는 영향을 파악하기 위한 연구가 필요하다고 생각된다. 따라서 본 연구결과를 기초로 소방공무원의 직무 스트레스 요인에 대한 적절한 관리와 정책이 필요한 것으로 사료된다. Objectives : To establish the relationship between alcohol use and job stress among firemen, and to develop a comprehensive health promotion program including stress management and the prevention of problem drinking. Methods : Data was collected from July to August, 2000. Study subjects included 97 rescue workers, 97 emergency medical personnel, 179 fire extinguishers, 116 administrators and 49 others. Results : The firemen displayed higher scores of stress due to promotion-related pres-sures and salary. We found significant differences in job internal factors, job role, inter-personal relationship, organizational norm, work environment and stress outcome among the various jobs. Job internal factors, job stress factors, personal characteristics, coping skills, and stress outcome were higher in heavy drinkers compared with the light and moderate drinkers. Job internal factors and smoking habit showed a positive correlation with the amount of drinking, although coping skill, exercise frequency and monthly income showed a negative relation with the amount consumed. Conclusion : This study suggested that alcohol drinking is associated with job stress. This suggests that a comprehensive health promotion program including stress management and problem drinking prevention and control should be developed.

게르마늄 내성효모의 성분분석

김경신,김덕숙,이명환,김종현,박원봉 서울여자대학교 자연과학연구소 1995 자연과학연구논문집 Vol.6 No.-

1. 게르마늄 내성효모는 64.0%의 높은 단백질을 함유하고 있었으며 일반효모보다 단백질의 함량이 증가하였으며, 지질, 총당, 환원당, 조다당의 함량도 감소, 또는 증가하는 등 차이가 있는 것으로 나타났다. 2. 게르마늄 내성효모의 총 지방산의 함량은 0.31㎍/g으로 일반효모보다 감소한 것을 알 수 있었으며 특히 포화 지방산의 함량은 현저히 감소하였다. 3. 내성효모균은 asparagine, glutamin acid, leucine의 함량 등의 아미노산 함량이 일반효모보다 증가하였으며, 일반효모균에 있던 cystein이 포함되지 않는 반면, 일반효모균에는 없었던 tyrosine이 포함되어 있는 것으로 나타났다. 4. 내성효모균 단백질의 Sephdex G-75 column과 DEAE-cellulose ion exchange column에 의한 분리 pattern을 일반효모균 단백질과 비교하여 보면, 큰 차이가 있는 것으로 나타났다. 이와같이 게르마늄 함유배지에 적응시킨 내성효모의 성분이 일반효모균의 성분과 차이가 있는 것은 게르마늄이 효모세포내에 흡착되어 유기 게르마늄을 생합성하는 과정에서 효모세포내의 다른 성분들의 생합성과정에 영향을 미치는 것으로 추측된다. A germanium-tolerant yeast was derived by a series of subcultures in the media containing increasing Ge0_2 concentrations and incubated in the medium containing GeO_2(80ppm). The proximate compositions, polysaccharides, fatty acids and amino acids of germanium-tolerant yeast were analyzed and compared with those of wild-type yeast. The protein of germanium-tolerant yeast was also fractionated by Sephadex G-75 column chromatography and DEAE-cellose ion exchange chromatography and compared with those of wild-type yeast.

Ⅲ급 부정교합자의 두개안면골의 특성

백현숙,경희문,성재현 慶北大學校 齒科大學 1991 慶北齒大論文集 Vol.8 No.2

The study was desinged to investigate the difference of craniofacial structures between normal occlusion and Angle's Class Ⅲ malocclusion. The lateral cephalograms were obtained from 36 males and 39 females with class Ⅲ malocclusion, and 39 males and 35 females with normal occlusion. The results obtained were as follows: · The maxilla of Class Ⅲ malocclusion sample was more retruded than that of normal occlusion sample. · A wide variation was observed in the measured position of the maxilla relative to SN plane and FH plane. · Thirty percent of Class Ⅲ sample had retruded maxilla(SNA<79.4°) The measurement of the distance from point A to the nasion perp. line exhibited quited different findings with 58% of the Class Ⅲ sample exhibiting a retrusive maxilla(A to Na perp. line < -1.0). · The mandible of Class Ⅲ malocclusion sample was more protruded than that of normal occlusion sample. · Fifty to seventy percent of Class Ⅲ molocclusion sample showed mandibular protrusion. · No Significant difference was observed in maxillary base inclination between Class Ⅲ malocclusion sample and normal occlusion sample, but mandibular base inclination(FMA) was larger in Class Ⅲ molocclusion sample. · Anterior cranial base length of Class Ⅲ malocclusion sample was shorter in male than that of normal occlusion sample, but posterior cranial base was shorter in female. · Mandibular body length of Class Ⅲ molocclusion sample was significantly larger than that of normal occlusion sample. · Maxillary body length of Class Ⅲ malocclusion sample was shorter than that of normal occlusion sample. · No differences were observed in saddle angle between both sample. · Gonial angle was significantly larger in Class Ⅲ malocclusion sample. · Basal reference planes(SN plane, FH plane) were considerably influenced on the evaluation of facial structures. · According to finding above, Charateristics of craniofacial structures in Class Ⅲ malocclusion were retruded maxilla, protruded mandible, short maxillary length, large mandibular length, high mandibular plane angle and large gonial angle

도시가계의 교통·통신비 소비지출구조 분석 (1990~1999년)

김영숙,이경옥,김지현 경성대학교 2001 論文集 Vol.22 No.1

This paper analyzes the structure of Transportation and Communication Expenditure and Communication of urban salary and wage-earner's households from 1990 to 1999 by employing Time-series. Data was based on "Annual Report on the Family Income and Expenditure Surrey" of the National Bureau of Statistic Planning Board, Republic of Korea. Percentile, maginal-propensity to consume(MPC) and income elasticity of consumption expenditure are estimated by their socio-economic and demographic variables. The results are as follows; 1. The proportion of the expenditure for communication has increased with the increased of income in urban salary and wage-earner's households. 2. Engel Function by family size ; The highest MPC in transportation and Communication is associated with 2 persons. The highest MPC in Communication is associated with 6 persons. The income elasticity of transportation and Communication is less than 1 in all group. The income elasticity of Communication is less than 1 in all group. 3. Engel Function by age of household head ; The highest MPC in transportation and Communication is associated with under 24 Ages. The highest MPC in Communication is associated with under 24 Ages. The income elasticity of transportation and Communication is less than 1 In all group but, in under 24 ages more than 1. The income elasticity of Communication is less than 1 in all group but, in under 24 ages more than 1. 4. Engel Function by income group ; The highest MPC in transportation and Communication is associated with middle income group. The highest MPC in Communication is associated with middle income group. The income elasticity of transportation and Communication is less than 1 in all group. The income elasticity of Communication is less than 1 in al1 group. 5. Engel Function by occupation of household head ; The highest MPC in transportation and Communication is associated with professionals. The highest MPC in Communication is associated with clerk. The income elasticity of transportation and Communication is less than 1 in all group. The income elasticity of Communication is less than 1 in al1 group. 6. Engel Function by Type of House ; The highest MPC in transportation and Communication is associated with issued. The highest MPC in Communication is associated with issued. The income elasticity of transportation and Communication is less than 1 in all group. The income elasticity of Communication is less than 1 in all group. 7, Engel Function by educational attainment of Household Head ; The highest MPC in transportation and Communication is associated with graduate school. The highest MPC in Communication is associated with primary school. The income elasticity of transportation and Communication is less than 1 in all group. The income elasticity of Communication is less than 1 al1 group.

상징놀이와 인지발달의 관계에 대한 Piaget와 Vygotsky의 관점 비교 : A Piagetian Framework Vs A Vygotskyian Framework

김현경,이정숙 기전여자대학 2000 論文集 Vol.20 No.-

This article suggests new directions for application of symbolic play and cognitive development based on Piaget's paradigm and Vygotsky's paradigm. Children's symbolic play has focused on the way early childhood curriculum formation process differently as historical and philosophical background. This study emphasize the meaning of relationships between symbolic play and cognitive development. Piaget's framework and Vygotsky's framework are multual negotiation and collaboration. Central to the role of teachers is conceiving of Piagetian framework and Vygotskyian framework about cognitive development. And then they have to do various intervention as a scaffolder.