청년층과 노년층의 처리 부담에 따른 작업기억 특성

전효빈 단국대학교 대학원 2018 국내석사

The current study investigated whether aging affects verbal working memory ability depending on the manipulation of processing load. For this purpose, the subjects were given with the sentence span task and judgment sentence span task to two groups (healthy elderly vs. young adults) with 15 subjects each. The statistics or Two-Way mixed ANOVA was adopted to test statistically significant difference. The sentence span tasks were divided into a single-load condition and a dual-load condition to examine verbal working memory. A single-load condition is called a sentence span task and both groups recalled last words as many as possible. A dual-load condition is called a judgment sentence span task and both groups recalled last words as many as possible after judged whether the meaning of the sentence was correct or not. In the sentence span task, both groups were asked to recall them. The results were as follows. There were significant differences among the two groups on sentence span task and judgment sentence span task, showing that healthy elderly had lower word recall performance than young adults group. And a group of healthy elderly showed lower judgment performance than young adults group. It means that deficit of sentence comprehension ability is due to aging process. Interaction effects were significant differences between groups and processing load. As results of this study, healthy elderly showed defects in sentence comprehension not only verbal working memory compared to young adults. Thus, as the age increases, the efficiency of working memory deteriorates as the processing load increases. 본 연구는 노화가 구어작업기억 능력에 영향을 미치는지 알아보고 또한 처리부담에 따라 문장 폭 과제 수행에서 차이를 보이는지 알아보았다. 이에 본 연구에서는 만 65세 이상 일반 노년층 15명, 만 20세 이상 일반 청년층 15명을 대상으로 연구를 실시하였다. 문장 폭 과제는 처리부담에 따라 단일 처리부담 조건, 이중 처리부담 조건으로 나누어 살펴보았으며 단어회상만 수행하는 문장 폭 과제, 정오판단과 단어회상을 수행하는 정오판단 문장 폭 과제로 구분하였다. 단어회상은 한 폭의 문장들의 마지막 단어를 최대한 많이 기억해서 말하는 과제이며 정오판단은 문장을 듣고 문장의 의미가 맞는지, 틀린지 판단하는 과제이다. 연구의 결과는 다음과 같다. 첫째, 단일 처리부담 조건인 문장 폭 과제의 단어회상 수행에서 두 집단 간 유의미한 수행 차이가 나타났다. 또한 이중 처리부담 조건인 정오판단 문장 폭 과제의 정오판단, 단어회상 모두 두 집단 간 유의미한 수행 차이가 나타났다. 즉, 일반 노년층이 일반 청년층에 비해 두 가지의 구어작업기억 과제에서 모두 낮은 수행을 보였다. 둘째, 집단과 처리부담 간에 상호작용이 통계적으로 유의미하게 나타났다. 처리부담에 따라 두 과제의 단어회상 수행을 비교하였을 때 문장 폭 과제의 단어회상보다 정오판단 문장 폭 과제 단어회상에서 낮은 수행을 보였다. 특히 일반 노년층은 노화로 인해 이중 처리부담 조건의 단어회상에서 현저하게 낮은 수행을 보였다. 이러한 결과들을 종합해 볼 때, 일반 노년층은 일반 청년층에 비해 구어작업기억 뿐만 아니라 언어처리에서도 수행이 저조한 것으로 나타났으며, 제한된 작업기억 용량으로 인지적인 처리부담이 증가할수록 작업기억의 처리 효율성이 크게 낮아지는 것을 확인할 수 있었다. 따라서 일반 노년층의 구어작업기억 능력을 효과적으로 개선시키기 위해서 문장 폭 과제를 활용하는 것이 도움이 될 수 있다는 것을 시사한다.

중년여성의 폐경 단계별 수면의 질 영향요인 비교

김보람 경상국립대학교 대학원 2025 국내석사

Purpose: This study aims to identify differences in Perceived Health Status, Health-Promoting Behaviors, Resilience, and Quality of Sleep by menopausal stage in middle-aged women and to determine the factors affecting Quality of Sleep for each stage. Method: The subjects included 410 middle-aged women aged 40–64 who resided in J and S cities, G province. The researchers collected data from January 8 to February 6, 2025, after receiving approval from the Institutional Review Board of G University (GIRB-A25-NY-0004). The researchers analyzed data using the SPSS/WIN Statistics 27.0 program. They analyzed general characteristics using frequency, percentage, mean, and standard deviation. The researchers used the Chi-square test, Fisher’s exact test, and ANOVA to analyze differences by menopausal stage according to general characteristics, and they used Scheffe’s test for post-hoc analysis. They analyzed differences in the study variables by menopausal stage using ANOVA and the Chi-square test, with Scheffe's test for post-hoc analysis. The researchers performed binary logistic regression to analyze differences by menopausal stage according to sleep quality classification. They analyzed differences in Quality of Sleep according to general characteristics for each menopausal stage using t-tests and ANOVA, with Scheffe’s test for post-hoc analysis. The researchers conducted a logistic regression analysis to identify factors affecting Quality of Sleep for each menopausal stage. Results: The results of this study are summarized as follows. 1) The subjects' average age was 50.76 ± 6.37 years. More subjects were married (91%) than unmarried or other (9%). The most common living arrangement was with a spouse and children or parents (72.8%). The most common education level was a college degree or higher (41.8%). More subjects had no religion (55.6%) than had a religion (44.4%). More subjects were economically active (68.2%) than not economically active (31.8%). The most frequent monthly household income was 4 million KRW or more (63.6%). More subjects were non-smokers (97.4%) than smokers (2.6%). More subjects consumed alcohol (55.9%). The most common obesity level was normal (68%). More subjects had no diagnosed diseases (66.9%) than had at least one diagnosed disease (33.1%). The most common level of physical activity was "irregular" (45.4%). 2) The subjects' mean score for Perceived Health Status was 9.61±2.12 out of 15. The pre-menopausal group scored 9.81±1.99, the peri-menopausal group scored 8.61±2.07, and the post-menopausal group scored 10.35±1.94. The mean score for Health-Promoting Behaviors was 131.61±27.19 out of 200. The pre-menopausal group scored 129.95±21.02, the peri-menopausal group scored 124.59±31.05, and the post-menopausal group scored 139.86±26.97. The mean score for Resilience was 87.85±19.56 out of 100. The pre-menopausal group scored 89.48±15.13, the peri-menopausal group scored 79.55±22.71, and the post-menopausal group scored 93.92±17.80. The mean score for Quality of Sleep was 6.33±3.64 out of 21. The pre-menopausal group scored 5.22±2.64, the peri-menopausal group scored 8.45±4.28, and the post-menopausal group scored 5.50±3.02. Overall, 61.3% of subjects were classified in the poor sleep quality group (score > 5). There were significant differences among the menopausal stages: 55.6% in the pre-menopausal group, 78.9% in the peri-menopausal group, and 50.8% in the post-menopausal group (F = 24.05, p < .001). Peri-menopausal women had significantly higher odds of being in the poor sleep quality group compared to post-menopausal women (OR = 3.62, p < .001, 95% CI: 2.09–6.28). 3) Statistically significant differences in Quality of Sleep according to general characteristics were found by stage: in the pre-menopausal group, by age (F = 5.70, p = .004); in the peri-menopausal group, by age (F = 5.80, p = .004), marital status (t = 2.29, p = .047), presence of religion (t = 2.27, p = .025), and presence of disease (t = -2.37, p = .019); and in the post-menopausal group, by monthly income (F = 3.16, p = .046) and presence of disease (t = -3.00, p = .003). 4) In the pre-menopausal group, a one-point increase in Resilience was associated with 3.33 times higher odds of being in the good sleep quality group (OR = 3.33, 95% CI: 1.72–6.25). In the peri-menopausal group, a one-point increase in Perceived Health Status was associated with 2.44 times higher odds of being in the good sleep quality group (OR = 2.44, 95% CI: 1.27–4.76). In the post-menopausal group, the presence of a diagnosed disease was associated with 2.60 times higher odds of being in the poor sleep quality group compared to those without a disease (OR = 2.60, 95% CI: 1.25–5.41). In addition, in the post-menopausal group, a one-point increase in Resilience was associated with 2.27 times higher odds of being in the good sleep quality group (OR = 2.27, 95% CI: 1.30–4.007). Conclusion: Resilience was a significant factor for Quality of Sleep in pre-menopausal women. Perceived Health Status was significant for peri-menopausal women. Resilience and the presence of diagnosed diseases were significant for post-menopausal women. These evidence-based findings suggest the need for interventions tailored to each stage. For pre- and peri-menopausal women, positive psychology training and emotional regulation programs should be developed to enhance Resilience. For peri-menopausal women, health awareness programs that strengthen a positive perception of health status are required to improve Quality of Sleep. For post-menopausal women, providing accurate health information regarding underlying diseases is essential to improve Quality of Sleep. This tailored approach for each menopausal stage is expected to contribute to the effective management of sleep problems in middle-aged women.

신규간호사의 죽음불안, 임종간호역량, 공감역량이 임종간호스트레스에 미치는 영향

김리나 경상국립대학교 대학원 2023 국내석사

정수의 합동과 그 응용에 관한 연구

이수진 동국대학교 2011 국내석사

계획된 행위이론을 기반으로 한 미혼여성의 생식건강증진행위 구조모형

지은미 경상대학교 대학원 2016 국내박사

This study analyzes a structural model which investigates causality among factors. Using a hypothetical model on the reproductive health behavior of single women with sexual experience, the model’s suitability was assessed based on Ajzen’s (1991) Theory of Planned Behavior (TPB). The factors used in this study include attitude based on the TPB, subjective norm, perceived behavioral control, intention and reproductive health behavior. Based on these factors, a hypothetical model was developed, and its suitability and significance of both direct and indirect paths were verified. In terms of data collection, data were collected and analyzed after getting consent from a total of 250 single women (aged 20-29) with sexual experience selected by a domestic online research firm from August 26 to September 10, 2015. For data analysis, SPSS 18.0 and AMOS 18.0 were used. The study results found the following: 1) In terms of model suitability, absolute fit measures (RMR, RMSEA, GFI), incremental fit measures (TLI, CFI, IFI) and parsimonious fit measures revealed a good goodness-of-fit, satisfying the related requirements. Therefore, the hypothetical model was chosen as a final model without corrections. 2) In terms of a factor having a direct effect on the behavior of single women with sexual experience, “attitude” was observed, and it had the biggest effect on productive health behavior. In terms of factors having a direct effect on intention, “attitude,” “subjective norm” and “perceived behavioral control” were found. Among them, “perceived behavioral control” revealed the largest influence. 3) Among a total of eight paths set in a hypothetical model, statistical significance was detected in seven paths. In terms of intention, 77.2% was explained in “attitude,” “subjective norm” and “perceived behavioral control”. In terms of reproductive health behavior, 27.8% was stated in “attitude”, “subjective norm”, “perceived behavioral control” and “intention”. The results confirmed that the TPB is a suitable model in explaining the reproductive health behavior of single women with sexual experience. It is expected that they would be available as basic data in searching for a strategic plan for educational and intervention programs aimed to encourage single women to engage in reproductive health behavior.

예비부부를 위한 웹 기반 수태 전 건강증진 프로그램 개발 및 평가

제남주 경상대학교 대학원 2016 국내박사

This study attempted to develop and apply a web-based preconception health promotion program for couple to be married and test its effects. The research design used a random sample and a control-group. A pre/post-test designed to verify the effects of the program was used. The data were collected from July 1 thru 31, 2015. After a preliminary survey, the program was implemented for four weeks from August 1 to 31, 2015. After an intervention, the first follow-up was conducted. Four weeks after the end of the intervention, the second follow-up was carried out. The research subjects were couple to be married who were asked to join the membership of the target website under the same username. Among them, a total of 102 people (experimental group: 26 couples, control group: 25 couples) were chosen as the final subjects for this study. A web-based preconception health promotion program comprised of a six hour web-based lecture was given to an experimental group for four weeks. In the control group, the program was provided to those who wanted it after intervention. For data analysis, SPSS 21.0 was used. The homogeneity on the subjects’ general characteristics was estimated with mean, standard deviation and frequency. In terms of a pre-homogeneity test on the two groups, an independent t-test was conducted. For a hypothesis test, significance was tested using an independent t-test and repeated measures ANOVA. 1) Development and application of a web-based preconception health promotion program for couple to be married A web-based preconception health promotion program for couple to be married was developed with the variables affecting health-promoting behavior in Dr. Nola Pender’s health-promoting model through literature review and analysis on previous studies and websites. The content validity was verified by obstetricians, urologists, pediatricians and nursing faculty. The web-based preconception health promotion program was divided into four sessions (six hours). The goal of the intervention in the experimental group was to increase the perceived benefits of reproductive health behavior, reduce perceived barriers and improve preconception health promotion awareness. For the improvement of perceived self-efficacy, in addition, four web-based lectures (preparation for pregnancy, preconception health, planned pregnancy and pre-parents) were provided. In order to improve communication skills between spouses an experimental group participated in “Communication Guidelines for couple to be married (Appendix 8)” and “Write a Letter to Your Spouse (Appendix 9).” To improve perceived self-efficacy, furthermore, self-efficacy VODs in addition to web-based lectures were used. Moreover, self-efficacy documents were prepared (Appendix 10), and an internet simulation game, the “MAPA Game”, which covers pregnancy, prenatal care and childcare was played. In addition, weekly health management journals were prepared (“Health Management Goal Setting and Health Promise” [Appendix 11], and “Implementation of Health Promise and Achievement of Health Management Goals” [Appendix 12]). To support a health management provider, this study introduced each web lecture and provided Q&As and one-on-one telephone counseling services. For smooth learning, in addition, SMS and mail services were provided. 2) Testing of the web-based preconception health promotion program’s effects (1) Hypothesis I Researchers hypothesized that an experimental group taking part in a web-based preconception health promotion program would be more informed than a control group not participating in the program. According to repeated measures ANOVA on changes in preconception health promotion awareness in men revealed a significant difference between the groups (F=36.15, p<.001). In addition, a significant difference was observed over time (F=31.72, p<.001). Furthermore, a statistically significant difference was detected in interaction between the groups and lapse of time (F=18.49, p<.001). As a result, hypothesis I was supported. According to repeated measures ANOVA on changes in preconception health promotion awareness in women as well, a significant difference between the groups was found (F=35.41, p<.001). In addition, a significant difference was observed over time (F=54.70, p<.001) and in interaction between the groups and lapse of time (F=36.93, p<.001). Therefore, hypothesis I was supported. (2) Hypothesis II Researchers also hypothesized that an experimental group taking part in a web-based preconception health promotion program would have higher perceived benefits than a control group not participating in the program. According to repeated measures ANOVA on changes in perceived benefits in men a significant difference between the groups exists (F=21.94, p<.001). In addition, a significant difference was observed over time (F=10.79, p<.001). Furthermore, a statistically significant difference was detected in interaction between the groups and lapse of time (F=6.24, p=.003). As a result, hypothesis II was supported. According to repeated measures ANOVA on changes in perceived benefits in women as well, a significant difference between the groups was found (F=4.96, p=.030). In addition, a significant difference was observed over time (F=7.02, p=.003) and in interaction between the groups and lapse of time (F=6.38, p=.004). Therefore, hypothesis II was supported. (3) Hypothesis III Hypothesis III states that an experimental group taking part in a web-based preconception health promotion program would be higher than a control group not participating in the program in terms of perceived barriers. According to repeated measures ANOVA on changes in perceived barriers in men there is a significant difference between the groups (F=7.98, p=.007). In addition, a significant difference was observed over time (F=10.96, p<.001). Furthermore, a statistically significant difference was detected in interaction between the groups and lapse of time (F=3.64, p=.030). As a result, hypothesis III was supported. According to repeated measures ANOVA on changes in perceived barriers in women as well, a significant difference between the groups was found (F=6.52, p=.014). In addition, a significant difference was observed over time (F=7.86, p=.001) and in interaction between the groups and lapse of time (F=11.36, p<.001). Therefore, hypothesis III was supported. (4) Hypothesis IV Hypothesis IV states that an experimental group taking part in a web-based preconception health promotion program would be higher than a control group not participating in the program in terms of perceived self-efficacy. According to repeated measures ANOVA on changes in perceived self-efficacy in men there is a significant difference between the groups (F=18.71, p<.001). In addition, a significant difference was observed over time (F=12.13, p<.001). Furthermore, a statistically significant difference was detected in interaction between the groups and lapse of time (F=12.16, p<.001). As a result, hypothesis IV was supported. According to repeated measures ANOVA on changes in perceived self-efficacy in women as well, a significant difference between the groups was found (F=4.42, p=.041). In addition, a significant difference was observed over time (F=6.82, p=.006). In interaction between the groups and lapse of time, however, no significant difference was detected (F=1.93, p=.166). Even so, hypothesis IV was supported. (5) Hypothesis V Hypothesis V states that an experimental group taking part in a web-based preconception health promotion program would be greater than a control group not participating in the program in terms of rooting for spouse-to-be. According to repeated measures ANOVA on changes in rooting for spouse-to-be in men revealed a significant difference between the groups (F=4.56, p=.038). In addition, a significant difference was observed over time (F=24.28, p<.001). Furthermore, a statistically significant difference was detected in interaction between the groups and lapse of time (F=28.89, p<.001). As a result, hypothesis V was supported. According to repeated measures ANOVA on changes in rooting for spouse-to-be in women as well, a significant difference between the groups was found (F=18.66, p<.001). In addition, a significant difference was observed over time (F=6.73 p=.005) and in interaction between the groups and lapse of time (F=5.37, p=.013). Therefore, hypothesis V was supported. (6) Hypothesis VI Hypothesis VI states that an experimental group taking part in a web-based preconception health promotion program would be greater than a control group not participating in the program in terms of health-promoting behavior. According to repeated measures ANOVA on changes in health-promoting behavior in men there is a significant difference between the groups (F=17.01, p<.001). In addition, a significant difference was observed over time (F=15.24, p<.001). Furthermore, a statistically significant difference was detected in interaction between the groups and lapse of time (F=16.31, p<.001). As a result, hypothesis VI was supported. According to repeated measures ANOVA on changes in health-promoting behavior in women as well, a significant difference between the groups was found (F=20.01, p<.001). In addition, a significant difference was observed over time (F=6.85 p=.006) and in interaction between the groups and lapse of time (F=10.99, p=.001). Therefore, hypothesis VI was supported. The said study results found that a web-based preconception health promotion program is effective in improving preconception health promotion awareness, perceived benefits to action, perceived self-efficacy, rooting for spouse-to-be and health-promoting behavior for couple to be married and reducing perceived barriers to action. It appears that these results were obtained because the preconception health promotion program used in this study is an integrated intervention program structured in sequence to increase health-promoting behavior with general web-based lectures and through self-efficacy, rooting for spouse-to-be and commitment to a plan of action. It is expected that they would be useful in encouraging couple to be married’ health-promoting behavior.

초보간호사의 자기조절력, 대인관계 능력, 내재적 동기가 임상현장적응에 미치는 영향

김다솔 경상국립대학교 대학원 2025 국내석사

연구목적: 본 연구의 목적은 초보간호사를 대상으로 자기조절력, 대인관계능력, 내재적 동기 및 임상현장적응의 정도를 파악하고, 이들 간의 상관관계와 임상현장적응에 미치는 영향을 확인하기 위함이다. 연구방법: 본 연구는 G도 J시 소재의 상급종합병원과 G도 C시 소재의 종합병원에서 근무하는 임상경력 3개월 이상 36개월 이하의 초보간호사 175명을 대상으로 수집되었다. G도 J시의 G상급종합병원의 기관생명윤리심의위원회(Institutional Review Board)의 승인(승인번호 : GNUH 2024-08-022) 및 G도 C시의 G종합병원의 기관생명윤리심의위원회(Institutional Review Board)의 승인(승인번호 : GNUCH 2024-10-012)을 받은 후 연구를 진행하였다. 자료 분석은 SPSS/WIN Statistics 27.0 프로그램을 이용하였다. 대상자의 일반적 특성은 빈도와 백분율, 평균, 표준편차로, 일반적 특성에 따른 자기조절력, 대인관계능력, 내재적 동기, 임상현장적응은 independent t-test, ANOVA로 확인하고, 사후검정은 Scheffe test로 분석하였다. 연구 변수들의 상관관계는 Pearson Correlation Coefficient로 분석하였으며, 임상현장적응에 영향을 미치는 요인을 확인하기 위해 위계적 회귀분석(Hierarchial regression analysis)을 실시하였다. 연구결과: 본 연구결과를 요약하면 다음과 같다. 1) 본 연구 대상자의 연령은 평균 25.02±1.79세이었고, 성별은 여자 161명(92%), 종교는 무 146명(83.4%), 결혼상태는 미혼 167명(95.4%), 학력은 학사 이상 175명(100%), 근무형태로는 교대근무 162명(92.6%)으로 가장 많았다. 총 임상경력은 평균 1.91±0.80년이었으며, 현 부서경력은 평균 1.56±0.86년으로 나타났다. 2) 본 연구 대상자의 자기조절력은 5점 만점에 3.36±0.45점, 대인관계능력은 5점 만점에 3.63±0.42점, 내재적 동기는 5점 만점에 2.72±0.44점, 임상현장적응은 5점 만점에 3.04±0.34점이었다. 3) 본 연구 대상자의 자기조절력에 차이를 보이는 일반적 특성은 연령(t=-2.35, p=.020)이었다. 내재적 동기에 차이를 보이는 일반적 특성은 연령(F=-2.59, p=.010), 성별(t=2.45, p=.015)에서 통계적으로 유의한 차이가 있었으며, 임상현장적응에 차이를 보이는 일반적 특성으로는 성별(t=2.07, p=.040), 총 임상경력(F=3.61, p=.029), 근무 부서(t=-2.50, p=.013)에서 통계적으로 유의한 차이가 있었다. 대인관계능력은 연구대상자의 일반적 특성에 통계적으로 차이를 보이지 않았다. 4) 본 연구대상자의 임상현장적응은 자기조절력(r=.56, p<.001), 대인관계능력(r=.33, p<.001), 내재적 동기(r=.61, p<.001)과 정적상관이 있었으며, 자기조절력, 대인관계능력, 내재적 동기간에도 서로 정적상관이 나타났다. 5) 본 연구대상자의 임상현장적응에 가장 큰 영향을 미치는 요인은 내재적 동기(β=.45, p<.001)이었고, 다음으로 자기조절력(β=.28, p<.001), 근무부서(β=.14, p=.020)인 것으로 나타났다. 요인들에 의한 설명력은 50.0%인 것으로 나타났다. 결론: 내재적 동기, 자기조절력 및 근무부서는 초보간호사의 임상현장적응에 영향을 미치는 유의한 요인이었다. 따라서 초보간호사의 원활한 임상현장적응을 위해서는 자기조절력과 내재적 동기를 향상시키는 것이 필요하며, 근무부서의 환경을 고려해야한다. 내재적 동기를 부여하기 위하여 초보간호사의 역량에 맞는 적절한 난이도의 목표를 설정하고 달성함으로써 자율성과 성취감을 경험할 수 있도록 하는 환경의 조성이 필요하다. 또한 관계성을 증진시키기 위한 멘토링 프로그램을 적용하고, 긍정적인 피드백의 제공이 필요하다. 이에 더하여 자기조절력을 향상시키기 위해 목표중심 자기조절 프로그램과 자기조절 코칭전략을 활용할 필요가 있다. 아울러, 근무부서의 상황을 고려한 체계적인 교육프로그램이 필요하다. Purpose: This study was intended to identify the levels of Self-Regulation, Interpersonal Skills, Intrinsic Motivation, and Clinical Adaptation among novice nurses, and to determine the correlations between these variables and their effects on Clinical Adaptation. Methods: Data for this study were collected from 175 novice nurses who had between 3 and 36 months of clinical experience working at a tertiary general hospital in J city, G province, and a general hospital in C city, G province. The study was conducted after approval was received from the Institutional Review Board of G Tertiary General Hospital in J city, G province (Approval No.: GNUH 2024-08-022) and the Institutional Review Board of G General Hospital in C city, G province (Approval No.: GNUCH 2024-10-012). Data were analyzed using the SPSS/WIN Statistics 27.0 program. The subjects’ general characteristics were analyzed using frequency, percentage, mean, and standard deviation; differences in Self-Regulation, Interpersonal Skills, Intrinsic Motivation, and Clinical Adaptation according to these characteristics were analyzed using independent t-tests and ANOVA, with the Scheffé test for post-hoc analysis. The correlations between study variables were analyzed using the Pearson Correlation Coefficient, and a hierarchical regression analysis was performed to identify factors affecting Clinical Adaptation. Results: The results of this study are summarized as follows. 1) The subjects’ average age was 25.02±1.79 years; the majority were female (n=161, 92.0%), non-religious (n=146, 83.4%), and unmarried (n=167, 95.4%). All subjects (n=175, 100%) held a bachelor’s degree or higher, and most (n=162, 92.6%) worked in shifts. The average total clinical experience was 1.91±0.80 years, and the average experience in the current department was 1.56±0.86 years. 2) The subjects’ mean scores out of 5 were as follows: 3.36±0.45 for Self-Regulation, 3.63±0.42 for Interpersonal Skills, 2.72±0.44 for Intrinsic Motivation, and 3.04±0.34 for Clinical Adaptation. 3) One general characteristic that was associated with a significant difference in Self-Regulation was age (t=−2.35, p=.020). For Intrinsic Motivation, statistically significant differences were observed by age (F=−2.59, p=.010) and gender (t=2.45, p=.015). For Clinical Adaptation, statistically significant differences were observed by gender (t=2.07, p=.040), total clinical experience (F=3.61, p=.029), and current department (t=−2.50, p=.013). No statistically significant differences were observed in Interpersonal Skills based on the subjects’ general characteristics. 4) Clinical Adaptation was positively correlated with Self-Regulation (r=.56, p<.001), Interpersonal Skills (r=.33, p<.001), and Intrinsic Motivation (r=.61, p<.001); furthermore, these three variables were also positively correlated with each other. 5) The factor with the greatest effect on Clinical Adaptation was Intrinsic Motivation (β=.45, p<.001), followed by Self-Regulation (β=.28, p<.001), and current department (β=.14, p=.020). Together, these factors accounted for 50.0% of the variance in Clinical Adaptation. Conclusion: Intrinsic Motivation, Self-Regulation, and the work department were significant factors affecting the Clinical Adaptation of novice nurses. Therefore, these findings suggest that to facilitate the smooth Clinical Adaptation of novice nurses, it is necessary to enhance their Self-Regulation and Intrinsic Motivation, while also considering the work department environment. The results highlight the need to foster Intrinsic Motivation by creating an environment where novice nurses can experience autonomy and achievement through setting and accomplishing goals appropriate to their competency levels. In addition, to enhance relatedness, mentoring programs should be implemented, and positive feedback should be provided. Furthermore, to improve Self-Regulation, goal-oriented self-regulation programs and self-regulation coaching strategies should be used. Moreover, systematic educational programs are needed that consider the specific conditions of each work department.

종합병원 간호사의 감성지능과 직무배태성이 이직의도에 미치는 영향

송민정 경상대학교 대학원 2016 국내석사

Purpose: The study purposes are to understand general hospital nurses and their emotional intelligence, job embeddedness, and turnover intention, and to identify the factors that influence turnover intention. Methods: A total of 110 general hospital nurses who had visited S University Hospital, located in C City, Gyeongsangnam-do, South Korea, were recruited for the study. The nurses were notified of the study purpose, benefits, data collection methods, time required, and confidentially. It was explained to them that they could choose whether to participate in the study and cease involvement at any time. Only those who understood the study purpose and agreed to their voluntary participation were selected. Written consent was received from the participants and structured questionnaires were distributed to them. Approval for the study was obtained from the Institutional Review Board of S University Hospital (2015-SCMC-036-00). Data were collected between July 1 and October 1, 2015. Emotional intelligence was evaluated using a tool developed by Wong and Low (2002) and revised by Yoon (2012); job embeddedness, a tool developed by Mitchell et al. (2001) and revised by Kim (2010); and, for turnover intention, a tool developed by Yun and Kim (2013). The collected data were analyzed using descriptive statistics, independent t-test, analysis of variance, Scheffé's test, Pearson's product-moment correlation coefficient, and stepwise regression analysis using IBM SPSS Statistics 21.0 for Windows. The study results are as follows: 1) The mean emotional intelligence score was 3.51 ± 0.40 (range 1–5) mean job embeddedness score, 3.09 ± 0.43 (range 1–5) and mean turnover intention score 3.61 ± 0.61(range 1–5). 2) Emotional intelligence according to general participant characteristics showed statistically significant differences for age (F=6.497, p< .001), marital status (t=-2.758, p=.007), religion (t =2.374, p=.019), education (F=7.877, p< .001), income (F=11.162, p<.001), and total career (F=7.426, p<.001). Job embed dedness according to general participant characteristics showed statistically significant differences for age (F=5.346, p=.001), education (F=3.643, p=.015), in come (F=3.731, p=.027), and total career (F=4.285,p=.007). Turnover intention according to general participant characteristics showed statistically significant differences for age (F=4.195, p=.003), marital status (t=2.263, p=.027), education (F=3.880, p=.011), and total career (F=4.597, p=.005). 3) Emotional intelligence and turnover intention had a negative correlation (r =-0.314, p<.001) job embeddedness and turnover intention, a negative correlation (r=-0.450,p<.001) and emotional intelligence and job embeddedness, a positive correlation (r=.443, p< 0.01). 4) The factor with the largest effect on turnover intention was job embeddedness (β=-.298,p< .001). The explanatory power of job embeddedness on turnover intention was 21.0%. Conclusion: The higher a nurse’s job embeddedness, the lower the turnover intention. Thus, we propose the implementation of a study to develop and apply nursing intervention programs to improve emotional intelligence and job embeddedness. Keywords: Job embeddedness, Turnover intention, Emotional intelligence

종합병원 임상간호사의 윤리적 민감성, 긍정 간호조직문화, 돌봄효능감이 인간중심돌봄에 미치는 영향

김수정 경상국립대학교 대학원 2025 국내석사

목적: 본 연구의 목적은 종합병원 임상간호사를 대상으로 윤리적 민감성, 긍정 간호조직문화, 돌봄효능감, 인간중심돌봄의 정도를 파악하고, 이들 간의 상관관계와 인간중심돌봄에 미치는 영향을 확인하기 위함이다. 방법: 연구 대상은 G도 J시, C시 소재의 종합병원에서 근무하는 임상간호사 181명이며, G도 J시 G대학교 기관생명윤리위원회(Institutional Review Board, IRB)의 승인(GIRB -A24-NY-0124)을 받은 후 2024년 12월 17일부터 2025년 1월 25일까지 자료를 수집하였다. 자료 분석은 SPSS/WIN Statistics 27.0 프로그램을 이용하였으며, 대상자의 일반적 특성은 빈도와 백분율, 평균, 표준편차로, 일반적 특성에 따른 윤리적 민감성, 긍정 간호조직문화, 돌봄효능감, 인간중심돌봄의 차이는 independent t-test, one-way ANOVA로 확인하고, 사후검정은 Scheffe test로 분석하였다. 연구 변수들의 상관관계는 Pearson Correlation Coefficient로 분석하였으며, 인간중심돌봄에 영향을 미치는 요인을 확인하기 위해 다중회귀분석(multiple regression analysis)을 실시하였다. 결과: 본 연구 결과를 요약하면 다음과 같다. 1) 본 연구대상자의 연령 분포는 평균 31.52±6.17세였으며, 성별은 여성(92.8%)이 남성(7.2%)보다 더 많았다. 결혼은 미혼(66.3%)이 기혼(33.7%)보다, 종교는 없는 경우(75.7%)가 있는 경우(24.3%)보다 더 많았으며, 학력 분포는 학사 (4년제)가 79.0%로 가장 많았다. 총 임상 경력은 평균 6.93±3.48년이었으며, 현 부서 경력은 평균 4.25±2.96년이었다. 직위는 일반간호사가 85.6%로 가장 많았고, 근무 부서는 병동 70.7%, 특수부서 29.3%이었으며, 근무 형태는 3교대 근무가 73.5%로 가장 많았다. 인간중심돌봄 교육 경험은 교육 경험이 없는 대상자가 76.2%로, 교육 경험이 있는 대상자(23.8%)보다 더 많았다. 2) 본 연구대상자의 윤리적 민감성은 평균 평점 5점 만점에 4.16±0.42점 이었으며, 긍정 간호조직문화는 평균 평점 5점 만점에 3.76±0.64점이었다. 돌봄효능감은 평균 평점 6점 만점에 4.23±0.67점이었으며, 인간중심돌봄은 평균 평점 5점 만점에 3.90±0.50점이었다. 3) 본 연구대상자의 일반적 특성에 따른 변수들의 차이는 윤리적 민감성은 성별(t=2.15, p=.033), 종교(t=2.05, p=.041), 긍정 간호조직문화는 성별(t=2.73, p=.007), 돌봄효능감은 학력(t=3.45, p=.034)에 따라 통계적으로 유의한 차이가 있었다. 다만, 인간중심돌봄에 차이를 보이는 일반적 특성은 없었다. 4) 본 연구대상자의 인간중심돌봄은 윤리적 민감성(r=.49, p<.001), 긍정 간호조직문화 (r=.54, p<.001), 돌봄효능감(r=.58, p<.001)과 양의 상관관계가 있었다. 5) 본 연구대상자의 인간중심돌봄에 가장 큰 영향을 미치는 요인은 돌봄 효능감 (β=.41, p<.001)이었고, 다음으로 긍정 간호조직문화(β=.30, p<.001), 윤리적 민감성(β=.19, p=.005) 순으로 나타났으며, 이들의 총 설명력은 48.6%이었다. 결론: 돌봄효능감, 긍정 간호조직문화, 윤리적 민감성은 종합병원 임상간호사의 인간중심돌봄에 유의한 영향을 미치는 요인이었다. 따라서 인간중심돌봄 실천을 강화하기 위해 간호사의 돌봄효능감을 향상시킬 수 있는 맞춤형 교육 프로그램이 마련될 필요가 있다. 또한, 긍정 간호조직문화를 정착시키기 위해 구성원 간의 신뢰와 존중을 바탕으로 한 관계를 형성하고, 개방적인 의사소통을 장려하는 조직 운영이 요구된다. 아울러, 간호사의 윤리적 민감성을 높일 수 있도록 윤리적 의사결정을 지원하는 환경을 조성하고 지속적인 교육을 제공해야 한다. 이러한 노력을 통해 보다 효과적인 인간중심돌봄이 실현될 것으로 기대된다. 키워드: 인간중심돌봄, 윤리적 민감성, 긍정 간호조직문화, 돌봄효능감, 종합병원, 임상간호사 Purpose: This study aimed to identify the levels of ethical sensitivity, positive nursing organizational culture, caring efficacy, and person-centered care among clinical nurses in general hospitals and to determine the correlations between these variables and their effects on person-centered care Methods: The participants were 181 clinical nurses working in general hospitals located in J and C cities, G province. Data were collected from December 17, 2024 to January 25, 2025, after receiving approval from the Institutional Review Board (IRB) of G University in J city, G province (GIRB-A24-NY-0124). The data were analyzed using SPSS/WIN Statistics 27.0. The general characteristics of the participants were analyzed using frequency, percentage, mean, and standard deviation. Differences in ethical sensitivity, positive nursing organizational culture, caring efficacy, and person-centered care according to the participants’ general characteristics were analyzed by conducting independent t-tests and one-way ANOVA, with the Scheffe test conducted for post-hoc analysis. The correlations between the study variables were analyzed using the Pearson correlation coefficient, and a multiple regression analysis was conducted to identify the factors affecting person-centered care. Results: The results were as follows. 1) The average age of the participants was 31.52±6.17 years, with a higher proportion of female (92.8%) compared to male (7.2%) participants. More participants were unmarried (66.3%) than married (33.7%), and a greater proportion reported having no religion (75.7%) compared to those who did (24.3%). The most common level of education was a bachelor's degree (79.0%). The average total clinical experience was 6.93±3.48 years, and the average experience in the current department was 4.25±2.96 years. Most participants were staff nurses (85.6%). By department, 70.7% worked in general wards and 29.3% in special units, with the most common work pattern being three-shift work (73.5%). Regarding education in person-centered care, the majority of the participants reported having no educational experience (76.2%) compared to those who did (23.8%). 2) The participants’ mean score out of 5 was 4.16±0.42 for ethical sensitivity and 3.76±0.64 for positive nursing organizational culture. Their mean score out of 6 was 4.23±0.67 for caring efficacy and 3.90±0.50 for person-centered care. 3) Statistically significant differences were observed in the variables according to general characteristics. Ethical sensitivity differed by sex (t=2.15, p=.033) and religion (t=2.05, p=.041); positive nursing organizational culture differed by sex (t=2.73, p=.007); and caring efficacy differed by education level (t=3.45, p=.034). However, no significant differences in person-centered care were observed based on general characteristics. 4) Person-centered care showed a significant positive correlation with ethical sensitivity (r=.49, p<.001), positive nursing organizational culture (r=.54, p<.001), and caring efficacy (r=.58, p<.001). 5) Caring efficacy had the most significant effect on person-centered care (β=.41, p<.001), followed by positive nursing organizational culture (β=.30, p<.001), and ethical sensitivity (β=.19, p=.005). These variables accounted for 48.6% of the variance in person-centered care. Conclusion: Caring efficacy, positive nursing organizational culture, and ethical sensitivity were identified as significant factors affecting person-centered care among the clinical nurses working in general hospitals. These findings highlight the need to develop customized educational programs to improve nurses' caring efficacy and thereby promote person-centered care. Furthermore, establishing a positive nursing organizational culture requires organizational management that fosters relationships based on trust and respect and encourages open communication. To increase nurses' ethical sensitivity, creating an environment that supports ethical decision-making and providing continuous education are essential. These efforts can help realize more effective person-centered care. Keywords: Person-Centered Care, Caring Efficacy, Positive Nursing Organizational Culture, Ethical Sensitivity, Clinical Nurses, General Hospitals

여대생 대상 유튜브 플랫폼 기반 자궁경부암 예방 교육프로그램의 개발 및 효과

송보경 경상국립대학교 대학원 2025 국내박사

Purpose: The purpose of this study was to develop the YouTube platform-based cervical cancer prevention education program for female university students and to determine its effectiveness. The program is based on the Health Belief Model. Method: This is an experimental study using a randomized control group pre-post design. The study population was 48 female college students who met all inclusion criteria and agreed to participate in the study and were randomly assigned to the experimental and control groups using block randomization method. Data collection was conducted from June to September 2024. The YouTube-based cervical cancer prevention education program intervention was delivered once a week for four weeks. For data collection, cervical cancer knowledge, cervical cancer health beliefs, cervical cancer prevention behavioral intention, and cervical cancer prevention behavior were measured at different time points: pre-education, immediately after education, 8 weeks after education, and 12 weeks after education. The collected data were analyzed using independent t-test, paired t-test, and repeated measures analysis of variance (ANOVA). Results: The results of this study were as follows: 1) The hypothesis 1 that ‘The experimental group who participated in the cervical cancer prevention education programme will have higher cervical cancer knowledge than the control group who did not participate’ was tested and the interaction between time and group was significant (F=2.97, p=.044), indicating that the experimental group had significantly higher cervical cancer knowledge over time than the control group, thus supporting Hypothesis 1. 2) The hypothesis 2 that ‘The experimental group that participated in the cervical cancer prevention education program will have increased cervical cancer health beliefs compared to the control group that did not participate’ 2-1) The hypothesis 2-1 that ‘The experimental group who participated in the cervical cancer prevention education programme will have higher perceived sensitivity than the control group who did not participate’ was tested and the interaction between time and group was not significant (F=1.99, p=.132), so there was no significant difference in perceived sensitivity between the experimental and control groups over time, so sub-hypothesis 2-1 was rejected. 2-2) The hypothesis 2-2 that ‘The experimental group who participated in the cervical cancer prevention education programme will have higher perceived severity than the control group who did not participate’ The interaction between time and group was not significant (F=0.10, p=.999), so the perceived severity of the experimental group and the control group did not significantly change over time, so the secondary hypothesis 2-2was rejected. 2-3) The hypothesis 2-3 that ‘The experimental group who participated in the cervical cancer prevention education programme will have higher perceived beneficialness than the control group who did not participate’ The interaction between time and group was not significant (F=1.04, p=.379), so the perceived beneficialness of the experimental group and the control group did not significantly change over time, so secondary hypothesis 2-3 was rejected. 2-4) The hypothesis 2-4 that ‘The experimental group who participated in the cervical cancer prevention education programme will have lower perceived barriers than the control group who did not participate’ The interaction between time and group was not significant (F=2.69, p=.050), indicating that the experimental and control groups’ perceived barriers did not differ significantly over time, and Hypotheses 2-4 were rejected. 2-5) The hypothesis 2-5 that ‘The experimental group who participated in the cervical cancer prevention education programme will have higher self-efficacy than the control group who did not participate’ The interaction between time and group was significant (F=5.22, p=.002), and the experimental group had significantly higher self-efficacy over time than the control group, so secondary hypotheses 2-5 were supported. 3) The hypothesis 3 that ‘The experimental group who participated in the cervical cancer cervical cancer prevention education programme will increase their cervical cancer prevention behavioral intentions compared to the control group who did not participate’ The interaction between time and group was significant (F=7.25, p<.001), indicating that the experimental group significantly increased their cervical cancer prevention behaviour over time than the control group, so Hypothesis 3 was supported. 4) The hypothesis 4 that ‘The experimental group who participated in the cervical cancer prevention education programme will have better cervical cancer prevention behaviour than the control group who did not participate in the cervical cancer prevention education programme’ The results showed that the HPV vaccination rate of the experimental group was 33% compared to 19% of the control group, but the difference was not statistically significant (p=.484), and the cervical cancer screening rate of the experimental group was 80% compared to 30% of the control group, but there was no significant difference (p=.119), so hypothesis 4 was rejected. Conclusion: In conclusion, the YouTube platform-based cervical cancer prevention education programme was found to be an effective intervention to promote cervical cancer prevention behaviour by increasing cervical cancer knowledge, self-efficacy and cervical cancer prevention behaviour among female college students. Therefore, it is recommended that the educational programme developed in this study be actively used in cervical cancer prevention education for female college students