• 한국임상약학회지
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• 제19권1호
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• pp.37-42
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• 2009

The purpose of this study was to evaluate barriers to pharmacists' routine work in community setting. A survey was given to 281 pharmacists who enrolled in 16-week clinical pharmacy educating program in continuous education center for advanced pharmacy at Seoul National University. Three main questions that pharmacists were asked to answer were: (1) difficulties on dispensing prescription, (2) difficulties on communicating with doctors, (3) most difficult disease on patients counseling. The response rates for the survey were more than 60 % for each three questions (62.63 %, 63.7 %, and 64.41 %, respectively). The top three barriers to dispensing prescription were lack of professional knowledge about medications, prescription error and its solving ability and patient counseling. The top three barriers to communicating with doctors were lacking of opportunity to discuss about patients' medication due to unavailability of doctors, doctors' attitude using authoritative manner, and a pharmacist's lack of knowledge. The top 4 most difficult diseases on patients counseling were cardiovascular disorders, dermatologic disorders, endocrinologic disorders, and psychiatric disorders.

• 직업교육연구
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• 제29권3호
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• pp.209-230
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• 2010

본 연구는 여대생들을 대상으로 진로장벽탐색 집단 상담을 실시하여 여대생들의 진로장벽인식을 완화하고 진로준비행동을 높이기 위해 진로장벽 집단상담의 효과를 검증하고자 하였다. 본 연구에서 사용된 프로그램은 국내에서 연구된 진로상담 프로그램들을 참고하고, 한국 여성개발원 및 직업능력 개발원의 진로자료를 참고하여 개발되었다. 또한 진로장벽과 진로준비행동의 관련 변인들을 연구한 선행연구 및 진로상담 관련 문헌들을 참고하였는데, 무엇보다 Gottfredson(1981)의 진로발달이론을 참고하여 프로그램의 내용을 재구성하였다. 프로그램의 효과를 검증하기 위하여 실험집단과 통제집단 각각 여대생 10명을 대상으로 사전검사를 실시하였으며 프로그램 종료 직후 사후검사를 실시하였다. 본 연구의 자료를 분석하기 위하여 실험집단과 통제집단의 사후 검사 점수에 대한 차이를 확인하는 공분산 분석(ANCOVA)을 실시하였다. 연구결과 실험 집단은 통제집단에 비해 진로장벽 인식 전체에서 사후 검사 점수가 현저히 낮은 것을 볼 수 있었고, 진로준비행동은 통제집단에 비해 실험 집단이 사후 검사 점수가 현저히 높은 것을 볼 수 있었다. 따라서 본 연구에서 실시된 진로장벽탐색 집단상담은 여대생의 진로장벽수준을 완화하고, 진로준비행동 수준은 높이는데 효과가 있는 것으로 밝혀졌다.

• Journal of Hospice and Palliative Care
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• 제23권3호
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• pp.126-138
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• 2020

Purpose: In Korea, since the Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life was implemented in February 2018, advance directives (ADs) have become legally effective and should be documented after sufficient explanation by a registered counselor. However, little is known regarding the adequacy of current AD counseling. This qualitative study aimed to explore the barriers to AD counseling based on counselors' experiences. Methods: We conducted focus group interviews using purposive sampling. Seven counselors working at hospitals, community health institutions, and non-profit organizations participated in this study. They were asked about the challenges and problems they encountered during AD counseling. Results: Three themes emerged from this study; 1) issues regarding consistency in AD counseling, 2) issues regarding AD counselors' competency and work environment, and 3) issues regarding the adequacy of the service system. The interviewees stated that the lack of a manual for standardized service made AD counseling inconsistent. The limited competency and poor work environment of counselors were pointed out as major barriers. The interviewees also stated that a proper service system considering individual circumstances is absent. Conclusion: The goals of AD counseling should be clarified and guidance should be implemented for providing standardized services. Further efforts to enhance the competency of AD counselors and to improve their working conditions are needed. Establishing an integrated framework for an adequate service system is also essential to overcome systematic barriers to AD counseling.

• 대한지역사회영양학회지
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• 제28권5호
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• pp.376-391
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• 2023

Objectives: Our previously published study showed that a workplace nutrition intervention program with personalized goal setting and smartphone-based nutrition counseling improved dietary habits and physical activity in city bus drivers who were overweight/obese. This study explored the facilitators and barriers that participants faced in achieving their dietary and physical activity goals six months after the intervention. Methods: The study included bus drivers and dietitians who participated in the intervention program. Three focus group interviews were conducted with 10 bus drivers (divided by two groups based on their achievement of set goals) and five dietitians who had provided nutrition counseling. Results: Willpower was the most important intrapersonal facilitator for drivers to achieve their goals. Other factors that promoted behavioral changes were nutrition counseling by dietitians, trackable physical activity using smartwatches, and setting of practical and achievable goals. Meanwhile, the most important barriers identified were occupational factors such as long driving hours, short breaks, and shift work. Other barriers were environmental factors such as availability of snackable food, accessibility to convenience stores, and cold weather. Family and colleagues were perceived as both facilitators and barriers. In addition, dietitians identified a lack of knowledge about healthy diet as one of the barriers. Conclusions: Our results suggested that the workplace environment should be improved and that nutrition intervention programs at the workplace could encourage bus drivers to practice healthy eating habits. The facilitators and barriers identified in this study should be considered when planning a nutrition intervention program for bus drivers.

• Human Ecology Research
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• 제61권1호
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• pp.39-51
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• 2023

This study utilized qualitative research to understand the changes taking place in adolescent dietary behaviors during the COVID-19 pandemic and the current status of school-provided nutrition counseling. These, along with barriers and strategies for improvement, were derived from focus group interviews with 10 nutrition teachers. Throughout the pandemic, adolescents experienced various dietary problems, including frequent meal skipping, unbalanced diets, increased obesity, and difficulties building positive attitudes towards food. To resolve these dietary problems, nutrition teachers recognized the need for school-provided nutrition counseling. However, nutrition teachers faced various barriers, such as a lack of time for nutrition counseling among students, lack of support from parents, and insufficient space and resources. To revitalize school-provided nutrition counseling, strategies such as home-connected nutrition counseling, the development of standardized guidelines, manuals for school-provided nutrition counseling, software support for nutrition diagnosis, and implementation of nutrition counseling in connection with cooking activities were proposed. This is important as school-provided nutrition counseling can help develop the foundation for healthy dietary behaviors and health promotion in adolescents.

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.485-493
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• 2014

본 연구는 여고생을 대상으로 진로장벽 탐색 집단상담의 효과를 검증하고자 하였다. 진로장벽을 인식하고 극복하는 과정에서 진로목표 설정과 달성을 위한 학업 집중과 학교생활 적응을 돕고자 한 것이다. 진로장벽은 자기이해의 부족, 자신감 부족, 성역할 갈등과 성차별, 중요한 타인과의 갈등, 미래에 대한 불확실성, 경제적 어려움에 대한 편견의 7가지 하위요인으로 구성된다. 연구대상은 고등학교 1학년 중 자발적으로 참여를 희망하는 32명의 여학생들을 대상으로 실험을 실시하였다. 연구결과, 진로장벽 탐색 집단상담 프로그램을 실시한 학생들은 통제집단 학생들보다 진로장벽에 대한 인식이 완화된 것으로 나타났다. 이는 진로발달을 어렵게 만드는 진로장벽에 대한 인식정도가 변화 불가능한 것이 아니라, 적절한 개입에 의하여 극복이 가능하다는 교육적 시사점을 제공한다.

• 한국산학기술학회논문지
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• 제18권6호
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• pp.90-102
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• 2017

최근 들어 학교 밖 청소년들의 수가 증가하고 있으며 이들의 진로문제가 중요한 청소년 문제로 대두되고 있다. 본 연구의 목적은 고졸검정고시를 준비하는 학교 밖 청소년들이 지각한 진로장벽과 사회적 지지의 유형 및 사회적 지지원 간의 관계를 밝히고, 이들의 지각한 사회적 지지가 소외감을 매개로 하여 진로장벽에 영향을 미치는지를 알아보는 것이다. 이를 위해 전국 5개 권역의 청소년지원센터 꿈드림(학교 밖 청소년지원센터)과 검정고시 학원의 학교 밖 청소년 207명을 대상으로 사회적지지, 진로장벽, 소외감에 대한 설문을 실시하였다. 또한 상관분석과 회귀분석과 Sobel test를 활용하여 변인간의 관계와 소외감의 매개효과를 분석하였다. 그 결과, 지각된 사회적 지지는 진로장벽, 소외감과 유의한 부적상관이 있었으며, 소외감과 진로장벽은 유의한 정적상관이 있는 것으로 나타났다. 진로장벽과 소외감은 사회적지지 중에서도 부모의 지지와 평가적 지지와 가장 높은 부적상관을 보였다. 또한 소외감은 부모지지 및 교사 지지와 진로장벽 간의 관계를 완전매개 하였으며, 친구지지와 진로장벽 간의 관계를 부분매개 하였다. 소외감은 정보적, 물질적, 평가적, 정서적 사회적 지지의 모든 유형과 진로장벽 간의 관계를 완전매개 하였다. 이는 고졸 검정고시를 준비하는 학교 밖 청소년들의 경우 부모 및 교사, 친구들이 제공하는 여러 유형의 사회적 지지를 향상하여 소외감을 낮춰줌으로써 진로장벽을 낮춰갈 수 있다는 것을 시사한다.

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.369-384
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• 2020

본 연구는 상담에 대한 지각 및 상담 서비스를 이용하는데 있어서의 장벽, 상담에 대한 기대를 노인들의 직접적인 보고를 통해 탐색하고자 하였다. 이를 위해 경기도 내에 거주하고 있는 56명의 노인들을 대상으로 면담을 통하여 자료를 수집하였다. 수집된 자료는 합의적 질적 연구 수정본(CQR-M)을 사용하여 분석하였다. 분석 결과 고민거리에 대한 대처 방법, 상담에 대한 느낌이나 생각, 상담에 대한 동기, 상담이 꺼려지는 이유, 상담자에 대한 기대, 상담효과에 대한 기대라는 6개의 영역이 도출되었다. 본 연구결과를 통해, 사례관리 및 상담영역의 확대, 진정성 있는 인간적 관계 형성, 활동을 병행한 상담 방식 고려, 전문성 강화 등 노인의 상담 숙고 및 참여도를 높이기 위한 노인상담 방안에 대해 제시하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.1707-1713
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• 2013

Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen-positive pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods: Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.

• Journal of Preventive Medicine and Public Health
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• 제56권3호
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• pp.238-247
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• 2023

Objectives: Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers' knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services. Methods: This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants. Results: Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs' side effects; and the quality of health workers and HIV services. Conclusions: There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.