• Title/Summary/Keyword: 사례관리효능감

Search Result 13, Processing Time 0.019 seconds

Effect of Case Management Program on Self-Efficacy, Self-Care Behaviors and Glycometabolic Control in Patient with Diabetes (당뇨병 환자의 자기효능감, 자가간호행위 및 혈당조절에 미치는 사례관리 프로그램의 효과)

  • Kim, Soon-Young;Cho, Bok-Hee;Nam, Hae-Sung
    • Journal of agricultural medicine and community health
    • /
    • v.33 no.2
    • /
    • pp.232-242
    • /
    • 2008
  • - Abstract - Objectives: We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea. Methods: One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control. Results: The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively. Conclusions: The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.

A Study on the Empowerment Experience of Parents in Poverty -An Example of Parents Participating in the We Start Program- (빈곤부모의 역량강화 경험 연구 -위스타트 사례관리 대상 부모를 중심으로-)

  • Nam, Soo-Huh;Heo, So-Young;Koh, Yun-Soon;Lee, Gyeong-uk
    • Journal of the Korean Society of Child Welfare
    • /
    • no.40
    • /
    • pp.167-199
    • /
    • 2012
  • This study intends to investigate the empowerment experience of parents in poverty with a specific focus on those who participated in the We Start case management program. Focus group and individual interviews were conducted to collect the data. Study results are as follows. First, the empowerment stages were found to be 'being isolated and powerless at a dead-end', 'solving the problem together while receiving attention and respect', 'raising children with hope', and 'actively engaging with the world'. Second, the meaning of empowerment for parents in poverty was 'actively engaging with the world by raising children with hope'. Third, the results of empowerment were improved self-efficacy, improved relationships with children, improved cooperative relationship with the service provider, and participation in self-help groups and volunteer activities in the community. Fourth, empowerment process started through the 'development of trust relationship with service provider and getting help', and 'change in children.' Fifth, active formation of relationships with help professionals and provision of correct information facilitated parents' empowerment. Based on the study results, several suggestions were made for practitioners to empower parents in poverty.

Violations of Information Security Policy in a Financial Firm: The Difference between the Own Employees and Outsourced Contractors (금융회사의 정보보안정책 위반요인에 관한 연구: 내부직원과 외주직원의 차이)

  • Jeong-Ha Lee;Sang-Yong Tom Lee
    • Information Systems Review
    • /
    • v.18 no.4
    • /
    • pp.17-42
    • /
    • 2016
  • Information security incidents caused by authorized insiders are increasing in financial firms, and this increase is particularly increased by outsourced contractors. With the increase in outsourcing in financial firms, outsourced contractors having authorized right has become a threat and could violate an organization's information security policy. This study aims to analyze the differences between own employees and outsourced contractors and to determine the factors affecting the violation of information security policy to mitigate information security incidents. This study examines the factors driving employees to violate information security policy in financial firms based on the theory of planned behavior, general deterrence theory, and information security awareness, and the moderating effects of employee type between own employees and outsourced contractors. We used 363 samples that were collected through both online and offline surveys and conducted partial least square-structural equation modeling and multiple group analysis to determine the differences between own employees (246 samples, 68%) and outsourced contractors (117 samples, 32%). We found that the perceived sanction and information security awareness support the information security policy violation attitude and subjective norm, and the perceived sanction does not support the information security policy behavior control. The moderating effects of employee type in the research model were also supported. According to the t-test result between own employees and outsourced contractors, outsourced contractors' behavior control supported information security violation intention but not subject norms. The academic implications of this study is expected to be the basis for future research on outsourced contractors' violation of information security policy and a guide to develop information security awareness programs for outsourced contractors to control these incidents. Financial firms need to develop an information security awareness program for outsourced contractors to increase the knowledge and understanding of information security policy. Moreover, this program is effective for outsourced contractors.