• 한국산학기술학회논문지
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• 제17권8호
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• pp.662-672
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• 2016

본 연구의 목적은 간호 대학생을 대상으로 표준화환자를 활용한 통합시뮬레이션실습프로그램을 개발 및 적용하여 그 효과를 평가하기 위함이다. 본 연구는 일 종합대학 간호학과 4학년 30명을 대상으로 한 단일군 사전사후설계로 지역사회에 거주하는 당뇨를 동반한 만성알코올중독대상자 간호를 위한 시나리오를 개발하였다. 연구결과 통합시뮬레이션실습프로그램 후 의사소통 능력은 프로그램 실시 전보다 유의하게 향상하였으나(t=4.24, p<.001) 전이동기와 학습 자기효능감은 프로그램 전과 후를 비교하였을 때 통계적으로 유의한 향상을 나타내지 못하였다. 또한 의사소통능력과 학습자기효능감, 의사소통능력과 전이동기 사이의 상관관계는 유의하지 않았으나, 학습효능감과 전이동기 사이에는 양적 상관관계가 측정되었다(r=.758, p<.01). 이는 학생들의 학년과 실습경험을 바탕으로 한 적절한 사례를 개발하여 적용함으로서 전이동기를 높이고 문제해결을 통한 학습자기효능감을 증가시키는 것을 알 수 있었다. 본 연구를 통해 표준화환자를 활용한 시뮬레이션학습은 의사소통 능력과 같은 대상자중심의 간호능력을 향상시킬 수 있는 통합실습프로그램으로서 유용함을 확인하였으며, 향후 의사소통능력 뿐 아니라 학습 자기효능감과 전이동기의 향상을 위한 다양한 통합시뮬레이션학습 시나리오개발에 관한 연구가 필요하다.

• 농촌의학ㆍ지역보건
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• 제49권2호
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• pp.132-145
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• 2024

본 연구는 국내 의료기관 중심 보건의료·복지통합 서비스 활성 방안을 모색하기위하여 대구의료원 달구벌건강주치의사업, 삼척의료원 301 네트워크 사업, 부산의료원 3 for 1 사업 을 프로그램 논리모형을 적용하여 사례 비교하였다. 상황적 측면에서 세 사업 모두 보건의료·복지 서비스의 분절과 의료사각지대 문제를 해결하기 위해 고안되었으며, 투입 요소 중 인력은 모두 다학제 팀 구성 현황은 유사하였으나 구체적인 구성 분야, 채용 규모, 고용 형태, 에서는 기관별 차이가 있었다. 예산을 지원받는 재원 출처의 차이로 각 사업은 지역사회와 협력하고 지원하는 방식과 향후 방향성에서의 차별성도 확인할 수 있었다. 산출은 수혜대상자 수와 진료 건수에 차이가 있었으며, 투입인력 또는 운영비 대비실인원 수, 수혜대상 1인당 사업비 비교시 다른 결과를 확인하였다. 의료기관 중심의 보건의료·복지 통합제공체계의 설계 시 우선적으로 권고하는 상황은 안정적인 기금마련 기전을 확보하고 이에 합당한 대상자와 서비스 전달체계를 구축하라는 것이다. 또한, 의료기관 내 사례관리 전담기구로서 각 부문의 활동을 연계할 수 있도록 위탁이 아닌 전담부서 설치, 적정 규모의 채용, 안정적 고용 체계가 필요하며, 민·관 협력 및 경증부터 중증까지 제공할 수 있는 포괄적 제공체계 구축을 제안한다. 이를 통해 의료기관 중심보건의료복지 통합 서비스 제공 사업은 지역사회에서 풀리지 않는 난제였던 보건의료 서비스 강화와 촘촘한 연계를 가능하게 함으로 궁극적인 지역사회 건강안전망 역할 강화를 기대한다.

• 한국학교보건학회지
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• 제29권3호
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• pp.286-298
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• 2016

Purpose: The aim of this study was to identify the effects of community mapping based on volunteered Geographic Information System on smoking prevention among female middle school students. Methods: This study used a triangulation method which integrated quantitative data from a "pre-post" study on a nonequivalent control group and qualitative data from focus group interviews. Data was collected from 4 August 2015 to 10 January 2016. The experimental group (n=24) participated in community mapping along with education on smoking prevention and the control group (n=28) participated only in routine education. Both groups were measured on their knowledge and attitude related to smoking prevention through self-report questionnaires. The quantitative data was analyzed by descriptive statistics, $x^2$ analysis, and t-test using SPSS 23.0. The qualitative data was collected through focus group interviews to investigate the social-environmental effect of smoking prevention. Results: Knowledge related to smoking prevention was significantly higher (t=2.591, p=.013) in the experimental group than the control group. But attitude related to smoking prevention did not show significant differences between the two groups. When asked about their experiences of the community mapping program, it turned out to be a process where they could learn practical knowledge related to smoking prevention and experience their individual practices manifested as collective intelligence while working together with community members. The study found that community mapping had an effect on smoking prevention from a social and environmental aspect. Conclusion: To be more effective, school education on smoking prevention should be provided in connection with the community. It is also desirable to provide an opportunity where adolescents can experience discovering and solving practical problems along with their own community.

• 디지털융복합연구
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• 제15권5호
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• pp.517-522
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• 2017

본 연구는 대구시 소재 기억의 주간보호시설을 활용하여 경증치매 노인대상의 인지활동을 중심으로 한 인지재활 프로그램을 개발하여, 지역사회 경증 치매노인에게 유용한 복지서비스를 제공함을 연구목적이다. 현재 우리나라에서는 아직 현 실정에 맞는 치매 환자에 대한 지역사회기반의 통합적 중재 프로그램에 대한 개발이 많이 이루어지지 않아 이에 대한 프로그램 개발이 절실히 필요하다. 본 연구의 경증치매노인 인지재활사업은 주로 지역사회 기반의 보호시설 등의 집단시설에서 적용하기에 적합한 경증치매환자 관리에 근간이 될 수 있다고 본다. 하지만 경증치매환자는 개인적 차로 인해 환자 모두가 동일하지 않고 인지재활방법과 그 효과는 분명히 차이가 있다. 결과적으로 개별적으로 적합한 전략에 의해 그 효과를 높일 수 있을 것으로 기대되며 이전 보다 특성이 있고 개별화된 노인요양 케어 프로그램의 개발도 연계될 것으로 사료된다.

• 근관절건강학회지
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• 제18권2호
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• pp.169-181
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• 2011

Purpose: This paper presents the development process and the final contents of the sellf- management education program integrated with exercise training (Healthy Aging Happy Aging, HAHA program) for community residing older adults with chronic diseases. Methods: The program evaluation methodology was applied which is an interactive program development process based on needs assessment, formative evaluation, process evaluation and outcome evaluation. The program was developed and revised while the program was implementing to 22 hypertension (HT) and 32 diabetic (DM) participants. Results: The final program has two sub-programs for HT and DM participants utilizing self-efficacy resources. They share four common components; 1) health screening of exercise risks, 2) weekly 1-hour group self-management education classes, 3) biweekly 1-hour group exercise training and 4) a mid-term individual counseling. Both sub-programs were 12-weeks long but have different education and exercise contents. Participants-rated mean satisfaction scores were 3.47/4 and 3.61/4 for HT and DM program respectively. Attendance rate were 83.1% ~ 92.3% for the classes. Conclusion: The HAHA program developed by multidisciplinary team which reflected participants needs was accepted well by participants evidenced by high attendance rate and perceived satisfaction level.

• Educational Technology International
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• 제17권1호
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• pp.87-116
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• 2016

In this research, we designed a teacher professional development (PD) program where a small group of mathematics teachers could share, reflect on, and discuss their pedagogical knowledge and practices of ICT-integrated lessons, using a video annotation tool called DIVER. The main purposes of this paper are both micro and macro: to examine how the teachers were engaged in the meaning-making process in a video-based PD (micro); and to derive implications about how to design effective video-based teacher PD programs toward a teacher community of practices (macro). To examine teachers' meaning-making in the PD sessions, discourse data from a series of 10 meetings was segmented into idea units and coded to identify discourse patterns, focusing on (a) participation levels, (b) conversation topics, and (c) conversation depth. Regarding the affordance of DIVER, discourse patterns of two meetings, before and after individual annotation with DIVER were compared through qualitative vignette analysis. Overall, we found that the teacher discourse shifted the focus from surface features to deeper pedagogical issues as the PD sessions progressed. In particular, the annotation function in DIVER afforded the teachers to exercise descriptive analyses of video clips in a flexible manner, thereby helping them cognitively prepared to take interpretative and evaluative stances in face-to-face discussions with colleagues. In conclusion, deriving from our research experiences, we discuss the possibilities and challenges of designing video-based teacher PD in a school context.

• 한국물환경학회지
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• 제36권6호
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• pp.636-650
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• 2020

A modeling system that can consider the overall water environment and be used to integrate hydrology, water quality, and aquatic ecosystem on a watershed scale is essential to support decision-making in integrated water resources management (IWRM). In adapting imported models for evaluating the unique water environment in Korea, a platform perspective is becoming increasingly important. In this study, a modeling platform is defined as an ecosystem that continuously grows and provides sustainable values through voluntary participation- and interaction-of all stakeholders- not only experts related to model development, but also model users and decision-makers. We assessed the conceptual values provided by the IWRM modeling platform in terms of openness, transparency, scalability, and sustainability. I We also reviewed the technical aspects of functional and spatial integrations in terms of socio-economic factors and user-centered multi-scale climate-forecast information. Based on those conceptual and technical aspects, we evaluated potential modeling platforms such as Source, FREEWAT, Object Modeling System (OMS), OpenMI, Community Surface-Dynamics Modeling System (CSDMS), and HydroShare. Among them, CSDMS most closely approached the values suggested in model development and offered a basic standard for easy integration of existing models using different program languages. HydroShare showed potential for sharing modeling results with the transparency expected by model user-s. Therefore, we believe that can be used as a reference in development of a modeling platform appropriate for managing the unique integrated water environment in Korea.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2889-2894
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• 2016

This study aimed to modify behavior regarding liver fluke and cholangiocarcinoma prevention in Chumphuang district, Nakhon Ratchasima province, Thailand through integrated learning. A total of 180 participants were included through purposive selection of high-risk scores on verbal screening. Participants attended the health education program which applied the health belief model included family based, knowledge station based, academic merit based and community based learning. Data were collected using a questionnaire composed of 4 parts: 1) personal information, 2) knowledge, 3) perceived susceptibility, severity, benefits, and barriers, 4) practice regarding liver fluke and cholangiocarcinoma prevention. The result revealed that the majority were female (79.9%), age ${\geq}60$ years old (33.2%), primary school educational level (76.1%), and agricultural occupation (70.1%). The mean scores of knowledge, perception, and practice to liver fluke and cholangiocarcinoma prevention, before participated the integrative learning were low, moderate, and low, respectively. Meanwhile, the mean score of knowledge, perceived susceptibility, severity, benefits, and barriers, and practice regarding liver fluke and cholangiocarcinoma prevention, were higher with statistical significance after participation in the integrated learning. This finding indicates that health education programs may successfully modify health behavior in the rural communities. Therefore they may useful for further work behavior modification in other epidemic areas.

• 농촌지도와개발
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• 제8권1호
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• pp.73-83
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• 2001

North Dakota State University (NDSU) Extension Service's purpose was to create a learning partnership that helped adults and youth enhance their lives and communities. NDSU Extension Service has maintained a strong blend of county, regional and state staff to support their program delivery. Experiment Station and Extension Service were integrated both in their job duties and at the administrative level. While researchers at the campus and center carried out both research and outreach activities with producers, Extension staff both at county and center carried out some research activities as well as outreach activities. The strong county-based Extension network was the main avenue for program delivery. Extension agents also provide programs on a multi-country basis. Program planning includes county advisory councils, multi-county advisory councils, support groups, and commodity groups, such as farmers and business people. Planning was used to shape their long-range plan of work along with adjustments to their annual activities. Funding of the NDSU Extension Service has been a blend of federal, state, and county dollars. In the past few years, grant dollars and agency partnerships have increased. Local input into extension programs, combined with support and funding from state and federal partners, enabled the extension service to truly meet the needs of people.

• 한국디지털건축인테리어학회논문집
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• 제9권1호
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• pp.5-10
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• 2009

Recently, the public offices are going to be an important role of CIP(City Identity Program) and be a center of citizen's community activities. So, the aspect of the universal design (UD), the space performance assessment for a disable user is invaluable to designing the public office spaces. Purpose of this paper is to provide basic data for better design of public office space based on UD(universal design) principle. Conclusion based on the finding are as follows; First, checklist of environmental assessment for public space was composed of 7 basic principles of UD and 3 additional principles(aesthetic appreciation, maintenance and eco-design). Second, as the result of assessment, accessible and inclusive design is more necessary. Third, local characteristics should be developed and managed deliberately as to public space design. As the result of that, public office space design should an important part of reducing the isolation that was caused by physical and social disability. From now on, in public office space design, the integrated and continuous design program that is based on UD principle and eco-design will be necessary.