• Journal of Audiology & Otology
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• 제23권1호
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• pp.1-7
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• 2019

Self-reported difficulties in speech-in-noise (SiN) recognition are common among tinnitus patients. Whereas hearing impairment that usually co-occurs with tinnitus can explain such difficulties, recent studies suggest that tinnitus patients with normal hearing sensitivity still show decreased SiN understanding, indicating that SiN difficulties cannot be solely attributed to changes in hearing sensitivity. In fact, cognitive control, which refers to a variety of top-down processes that human beings use to complete their daily tasks, has been shown to be critical for SiN recognition, as well as the key to understand cognitive inefficiencies caused by tinnitus. In this article, we review studies investigating the association between tinnitus and cognitive control using behavioral and brain imaging assessments, as well as those examining the effect of tinnitus on SiN recognition. In addition, three factors that can affect cognitive control in tinnitus patients, including hearing sensitivity, age, and severity of tinnitus, are discussed to elucidate the association among tinnitus, cognitive control, and SiN recognition. Although a possible central or cognitive involvement has always been postulated in the observed SiN impairments in tinnitus patients, there is as yet no direct evidence to underpin this assumption, as few studies have addressed both SiN performance and cognitive control in one tinnitus cohort. Future studies should aim at incorporating SiN tests with various subjective and objective methods that evaluate cognitive performance to better understand the relationship between SiN difficulties and cognitive control in tinnitus patients.

• 임상간호연구
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• 제20권3호
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• pp.359-371
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• 2014

Purpose: This study was done to identify the core concepts and structure of difficult experiences of charge nurses in general hospitals. Methods: Data were collected from August 1 to September 5, 2014. Participants were 10 nurses from general hospitals in D and S cities. Parse research method was applied to examine lived experiences of the participants. The procedure of study was based on dialogical engagement and data were analyzed by extraction-synthesis and interpreted heuristically. The research question was "Would you tell me about your difficult experiences as a charge nurse?" Results: Job-related difficulties of the charge nurses were conflicts due to ineffective communication, heavy workload, not feeling respected, role conflict, and struggling to overcome difficulties with sense of responsibility to the work. The conceptual integration was: to be in the process of being originated and transformed through connecting-separating and enabling-limiting with valuing. Conclusion: Structural conversion of these concepts reveals that charge nurses suffer from the job-related difficulties identified in this study, but they endure to proceed with a sense of mission. It is suggested that supportive interventions should be made to let charge nurses express their feelings, identify their needs, and develop self-care or coping skills for themselves.

• 한국보육지원학회지
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• 제9권6호
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• pp.267-288
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• 2013

본 연구는 쌍둥이 출산이 증가하는 시대의 흐름에 따라 쌍둥이 자녀를 양육하는 어머니의 육아고충과 어려움에 대한 심층적인 이해를 도모하고, 이에 따른 적절한 지원책을 모색하고자 하는데 목적이 있다. 이를 위해 P시에 거주하며 영아 쌍둥이를 양육하는 어머니 6명을 대상으로, 2012년 12월부터 2013년 8월까지 두 차례의 심층면담을 실시하였다. 연구결과 첫째, 영아 쌍둥이 육아경험에서 어머니가 인식하는 자녀가 겪는 어려움으로는 욕심도 사랑도 나누어야 하는 아이들, 환경의 제약을 받는 아이들, 태생 자체가 약한 아이들로 나타났다. 둘째, 영아 쌍둥이 육아경험에서 어머니가 인식하는 본인의 어려움은 아플 시간도 없는 엄마, 몸도 마음도 쓸쓸한 엄마, 경제적 부담을 힘들어 하는 엄마로 나타났다. 이를 위해 쌍둥이에 대한 사회적 인식의 변화와 정서적, 경제적 지원 시스템이 구축되어야 할 것을 제안한다. 본 연구의 결과는 향후 쌍둥이 육아지원의 활성화를 돕는 기초자료가 될 수 있을 것이다.

• 한국IT서비스학회지
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• 제14권2호
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• pp.289-314
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• 2015

Recently, Most of the companies and government offices are under consideration about the adoption of cloud office service to actualize the smart work policies. Comparing with traditional office software, a cloud office service have the advantage of the method of payment and coming over the physical limitations. Many cloud office service users tend to adopt an official evaluated the service without doubt. However after deciding to adopt cloud office service, many users are faced with a variety of problems and difficulties practically. In this study, researchers carried out interview about those problems and difficulties after adopting a cloud office service. Consequently, there are several problems and difficulties such as compatibility, document security, document lost and maladjusted to the new graphic user interface between traditional office software and a cloud office service. A cloud office service have still several advantages not only a competitive price but also ubiquitous attributes. Thus, researchers need to study about what kinds of reason variables can solve those problems and difficulties. In existing research, DeLone & McLean have suggested information system success model. They use three independent variables which are system quality, information quality, service quality. Parameters are user satisfaction, intention to use and use. Lastly, dependent variables are net benefits. However in this study, we need to change the scope of measurement. In other words, we have to replace parameters with dependent variables. Simply, user satisfaction, intention to use and use is going to be dependent variables. There are several reasons why we need changing variables. First, we aim at giving a some suggestions to a cloud service providers which independent variables do not work to satisfy for the users. Second, we need to find out how to maximize cloud office service user's satisfaction and intention to use. Third, we should firstly know that relationship between independent variables and dependent variables. Finally, those research results give for the cloud office service provider to solve the cloud office service adopting problems and difficulties.

• 한국병원경영학회지
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• 제21권3호
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• pp.11-21
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• 2016

The purpose of this study is to investigate the degree of difficulty and turnover of nurses working in the field and to derive clinical work activation and supply policy improvements. Data was collected from December, 2014 to January, 2015, from 23 hospitals, and participants were 3,887 nurses working in the field, Survey details : the difficulty of the clinical work of nurses working in hospitals, turnover intentions status and policy proposals for clinical research work enabled General characteristics, difficulties in clinical working, turnover intention and clinical work plan activation are frequency analysis. The difference between each of the variables in accordance with the general characteristics are one-way ANOVA analysis, Correlation analysis of the variables is also a Pearson correlation coefficients. 'difficulties in clinical working' was a statistically significant difference depending on the type of hospital, nursing class, number of beds, location, age, position, employment, gender, working form, working department, salary, career, and degree level. 'turnover intention' was a statistically significant difference depending on nursing rate, number of beds, region, age, position, sex, shifts, departments, annual income, and career. 'policy recommendation' was a statistically significant difference depending on type of hospital, nursing rate, age, position, employ, shifts, departments, annual income, degree level and career 'difficulties in clinical working' is 'turnover intention' (p<.001), 'policy recommendations' (p<.001) and had a significant positive correlation. and 'turnover intention' had a "policy recommendation" significant positive correlation with the relationship (p<.001) The most difficulties point of the nurses working in the field are the environment, such as shift, urgent and dangerous. Major policy proposals are improve treatment such as wages, and welfare.

• 한국보육지원학회지
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• 제12권1호
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• pp.103-121
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• 2016

본 연구의 목적은 영유아교사의 듣기능력이 교사-부모 의사소통의 어려움 및 교사-유아 상호작용에 미치는 영향을 살펴보는 것이었다. 이를 위해 경기도 소재 유아교육기관에 근무하는 교사 322명을 연구대상으로 선정하였고 설문조사를 통해 자료를 수집하였다. 그리고 수집된 자료는 기술통계, 상관관계분석, 다중회귀분석을 통해 분석하였다. 연구결과, 첫째, 영유아교사의 듣기능력이 교사-부모 의사소통의 어려움에 대해 낮은 설명력을 지니는 것으로 나타났지만, 통계적으로는 유의미한 부적 영향을 주는 것으로 나타났다. 둘째, 영유아교사의 듣기능력은 교사-유아 상호작용과 통계적으로 유의미한 정적 상관관계가 있는 것으로 나타나, 듣기능력이 높을수록 교사-유아 상호작용 수준도 높은 것으로 나타났다. 또한 듣기능력의 하위영역 중 반응, 이해와 해석, 분석과 평가가 교사-유아 상호작용에 통계적으로 유의미한 정적 영향을 주는 것으로 나타났고, 듣기능력이 교사-유아 상호작용에 대해 37%의 높은 설명력을 지니는 것으로 나타났다. 따라서 영유아교사의 듣기능력은 부모-교사 의사소통의 어려움 보다는 교사-유아 상호작용에 대한 영향력이 더 크다는 것을 알 수 있었다.

• 한국보육지원학회지
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• 제12권1호
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• pp.203-223
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• 2016

본 연구는 평가인증 운영과정에서 국공립 어린이집 보육교사의 직무수행 시간과 심리적 어려움을 드러냄으로서, 이를 해결하는 방안을 모색하는 데 목적을 두었다. 이를 위해 서울, 경기, 인천 지역의 291개소 국공립 어린이집 보육교사 413명을 대상으로 설문조사를 실시하였고, 보육교사 7명을 대상으로 심층면담을 실시하였다. 연구결과 평가인증 운영 과정에서 교사는 매일 11시간의 과중한 업무를 수행하고 있었고, '영유아와의 상호작용과 그 외 업무 사이', '자유로운 탐색과 안전 건강 사이', '우리 이야기와 외부 기준'사이에서 갈등하며 심리적 어려움을 겪고 있었다. 연구 결과를 바탕으로 평가인증 운영과정에서 다음과 같은 교사의 인식전환이 요구됨을 알 수 있다. 첫째, 평가지표 수행보다는 질 높은 보육에 관심을 두는 인식전환이 필요하다. 둘째, 부분 최적화가 아닌 전체 최적화에 관심을 두는 인식전환이 필요하다. 이상과 같이 본 논문은 교사의 심리적 어려움을 탐색함으로서, 평가인증 운영과정에서 놓쳐서는 안 될 기본 방향을 제시했다는 점에서 의의가 있다.

• 대한화학회지
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• 제58권6호
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• pp.638-648
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• 2014

이 연구에서는 과학교사 수업 전문성 향상을 위한 협력적 멘토링 프로그램 과정에서 멘토가 겪는 어려움을 알아보았다. 수업전문성 향상을 위한 멘토링 연수에 참가한 현직 중등과학교사 일곱 쌍(14명)을 선정하였다. 연구에 활용한 자료는 멘토링에 대한 전반적인 인식을 알아보기 위한 설문지, 멘토의 효능감을 알아보기 위한 설문지, 멘토링 관련 인터뷰 녹화본과 전사본, 멘토 협의회 녹화본 및 전사본, 멘토 저널 등을 수집하였다. 이러한 과정을 통해 협력적 멘토링 과정에서 멘토는 멘티와 전공이나 학교 급이 다른 경우, 학교에서 맡은 과다한 업무로 인하여 멘토링에 어려움을 나타냈다. 또한 멘토링 초반 멘토로서의 전문성 부족으로 인한 낮은 자신감을 나타냈으며, 일부 멘토는 멘티와 정서적 유대 관계를 형성하는 것에 어려움을 겪는 것으로 나타났다. 멘토와 멘티의 멘토링에 대한 관점에 차이가 있는 경우에도 멘토링 진행에 어려움이 있었다.

• Journal of Korean Biological Nursing Science
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• 제17권2호
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• pp.159-168
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• 2015

Purpose: The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, difficulties in daily life, negative feelings and autonomic nervous responses among college students. Methods: A Randomized Controlled Trial design was used. The treatment group A (n=12) receivedauricular acupressure therapy on the first or second day of their menstrual period. Treatment group B (n=18) regularly received an auricular acupressure therapy once a week for a month. The control group (n=19) received no auricular acupressure therapy. An independent t-test was used to examine pre-post test differences in the group. The ANOVA and Scheffe test were used to examine pre-post test differences among the group. Results: Subjects in treatment group A showed significantly less menstrual pain, difficulties in daily life, and negative feelings than the control group did. The participants in treatment group B also showed significantly less difficulties in daily life and negative feelings than the control group. Conclusion: The findings support that auricular acupressure therapy on menstrual periods is effective in controlling menstrual pain, difficulties in daily life, and negative feelings. As the method is simple, it would be useful for female students to learn to use this method to alleviate the symptoms related to menstruation through self care.

• 한국보육지원학회지
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• 제14권4호
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• pp.85-108
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• 2018

Objective: This study intended to analyze parenting characteristics, difficulties and support needs of multi-cultural families that had children under 3 years old, in order to develop their supporting resources. Methods: This study performed semi-structured interviews with 7 mothers from multi-cultural families that had their young children enrolled at child care and education centers in Gyeonggi Do. The interview data transcribed were analyzed using the successive contents analysis, and led to 4 themes and 12 sub-themes. Results: First, the mothers from multi-cultural families were married without understanding the Korean language and culture. Second, the multi-cultural mothers didn't properly respond to their children's needs in interaction and language aspects. As a result, the multi-cultural support centers and child care and education centers gave help to them. Third, in the view of the difficulties facing mothers, parenting problems caused by the lack of information concerning child education, the biased burden of parenting, and the different parenting values of Korean families were all expressed by the mothers. Fourth, regarding support needs, providing individual professional support for children and child-raising support for mothers, customized language and employment support for mothers and parenting education for fathers and family education on multi-culturalism are needed. Conclusion/Implications: Suggestions for decreasing the difficulties facing multi-cultural families that had children under 3 years old were discussed.