• 대한간호
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• 제29권2호
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• pp.48-65
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• 1990

The government has adopted a policy to introduce Home Health Care Program, and has established a three stage plan to implement it. The three stage plan is : First, to amend Article 54 (Nurses for Different Types of Services) of the Regulations for Implementing the Law of Medical Services; Second, to tryout the new system through pilot projects established in public hospitals and clinics; and third, to implement at all hospitals and equivalent medical institutions. In accordance with the plan, the Regulation has been amend and it was promulgated on January 9,1990, thus establishing a legal ground for implementing the policy. Subsequently, however, the Medical Association raised its objection to the policy, causing a delay in moving into the second stage of the plan. Under these circumstances, a study was conducted by collecting and evaluating the opinions of physicians, nurses, non-medical personnel and patients on the need and expected result from the home health care for the purpose of help facilitating the implementation of the new system. As a result of this study, it was revealed that: 1. Except the physicians, absolute majority of all other three groups - nurses, non-medical personnel and patients -gave positive answers to all 11 items related to the need for establishing a program for Home Health Care. Among the physicians, the opinions on the need for the new services were different depending on their field of specialty, and those who have been treating long term patients were more positive in supporting the new system. 2. The respondents in all four groups held very positive view for the effectiveness and the expected result of the program. The composite total of scores for all of 17 items, however, re-veals that the physicians were least positive for the- effectiveness of the new system. The people in all four groups held high expectation on the system on the ground that: it will help continued medical care after the discharge from hospitals; that it will alleviate physical and economic burden of patient's family; that it will offer nursing services at home for the patients who are suffering from chronic disease, for those early discharge from hospital, or those who are without family members to look after the patients at home. 3. Opinions were different between patients( who will receive services) and nurses (who will provide services) on the types of services home visiting nurses should offer. The patients wanted "education on how to take care patients at home", "making arrangement to be admitted into hospital when need arises", "IV injection", "checking blood pressure", and "administering medications." On the other hand, nurses believed that they can offer all 16 types of services except "Controlling pain of patients", 4. For the question of "what types of patients are suitable for Home Health Care Program; " the physicians, the nurses and non-medical personnel all gave high score on the cases of "patients of chronic disease", "patients of old age", "terminal cases", and the "patients who require long-term stay in hospital". 5. On the question of who should control Home Health Care Program, only physicians proposed that it should be done through hospitals, while remaining three groups recommended that it should be done through public institutions such as public health center. 6. On the question of home health care fee, the respondents in all four groups believed that the most desireable way is to charge a fixed amount of visiting fee plus treatment service fee and cost of material. 7. In the case when the Home Health Care Program is to be operated through hospitals, it is recommended that a new section be created in the out-patient department for an exclusive handling of the services, instead of assigning it to an existing section. 8. For the qualification of the nurses for-home visiting, the majority of respondents recommended that they should be "registered nurses who have had clinical experiences and who have attended training courses for home health care". 9. On the question of if the program should be implemented; 74.0% of physicians, 87.5% of non-medical personnel, and 93.0% of nurses surveyed expressed positive support. 10. Among the respondents, 74.5% of -physicians, 81.3% of non-medical personnel and 90.9% of nurses said that they would refer patients' to home health care. 11. To the question addressed to patients if they would take advantage of home health care; 82.7% said they would if the fee is applicable to the Health Insurance, and 86.9% said they would follow advises of physicians in case they were decided for early discharge from hospitals. 12. While 93.5% of nurses surveyed had heard about the Home Health Care Program, only 38.6% of physicians surveyed, 50.9% of non-medical personnel, and 35.7% of patients surveyed had heard about the program. In view of above findings, the following measures are deemed prerequisite for an effective implementation of Home Health Care Program. 1. The fee for home health care to be included in the public health insurance. 2. Clearly define the types and scope of services to be offered in the Home Health Care Program. 3. Develop special programs for training nurses who will be assigned to the Home Health Care Program. 4. Train those nurses by consigning them at hospitals and educational institutions. 5. Government conducts publicity campaign toward the public and the hospitals so that the hospitals support the program and patients take advantage of them. 6. Systematic and effective publicity and educational programs for home heath care must be developed and exercises for the people of medical professions in hospitals as well as patients and their families. 7. Establish and operate pilot projects for home health care, to evaluate and refine their programs.

• 대한간호
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• 제32권5호
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• pp.66-77
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• 1994

The purpose of this study was to develop a new nursing unit which can meet changing health care needs, enhance patients' satisfaction and nurses' job satisfaction, and finally guarantee quality nursing care with present manpower. For this, one medical unit was selected as a unit for quality care. And one medical unit which is similar in staffing and patients' characteristics was selected as a control unit. To assess present problems and identify the remedies to the problems a hospital-wide survey and a workshop were performed. According to the survey results, educational programs and improvement of the facilities and equipment supply system, managereal support for interdepartmental cooperation and intensification of bed-side nursing care were adopted as main principles for operating model unit, This model unit was operated for 3 months from Sep. 1, 1992 to Nov. 30, 1992. To evaluate the effectiveness of the model unit, derect/indirect nursing care hours, patients' satisfaction to nursing care, nurses' job satisfaction, and quality care index were measured. Direct/indirect nursing care hours were compared with that of the control unit, and patients' and nurses' satisfaction and quality care index were measured before and after operating model unit and compared with each other. The results of the study were as follows; 1. In the model unit mean direct nursing care hours per cach shift was 146.88 minutes and indirect nursing care hours was 354.72 minutes. The ratio of the direct nursing care hour to indirect nursing hour was 29.6 ; 70.4 and that of the control unit was 26.9 : 73.1. Direct nursing care hour in model unit was longer than that of the control unit. But, the difference was not significant. In subcategories of direct nursing care, the time spent in mobility and exercise, conservation of body temperature, hygiene, and communication and health education were longer than that of the con" trol unit. 2. Indirect nursing care hour in model unit was shorter than that of the control unit. But, the difference was not significant. In subcategories of indirect nursing care, the time spent in drug management and ward arrangement was shorter than that of the control unit. 3. Patients' satisfaction to nursing care was increased significantly after operating the model unit (T=-3.48, P=-0.002) and satisfaction to subcategories of physical comfort measure, psychological cate, and unit management components were significantly higher than before. 4. In the model unit, nurses' total job satisfaction was increased significantly after operating the model unit(Z=2.1004, P=.0357) and satisfaction to subcategory of satisfaction to administration was significantly higher than before (Z=-2.0732, P=.0382). 5. After operating the model unit, quality care index was increased from 89 to 93. With this results, it can be summarized that all the measures tried for quality care, such as educational programs, managereal support for interdepartmental cooperation, and improvement of the equipment and facility provision resulted in partial increase in direct nursing care hours, nurses satisfaction to their job and patients' satisfaction to nursing care. In can be postulated that managereal support and motivation without proper staff supplementation is not enough for increasing direct nursing care hours. And for the enhancement of the level in clinical nursing, and staff supplement must be considered sincerely and the measures for reducing indirect nursing care hours, such as computerization of nursing care activities, improvement of facilities and equipment and facilities supply system, must be instituted in addition.

• 의료커뮤니케이션
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• 제12권1호
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• pp.97-110
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• 2017

Purpose: This study is an overview of the experiences of nurses who have participated in a communication education program which was designed to develop proper change-of-shift dialogues. The goal of this program was to improve the communication competencies of outgoing and incoming nurses during handover and takeover of their shifts. Methods: The materials used in this study to analyze the experiences qualitatively were transcripts from narrative interviews with seven nurse participants. The education program consisted of two rounds of change-of-shift simulations by pairs of nurses, planning of a forthcoming change-of-shift, three lectures on ideal dialogue patterns, and time for video feedback. Afterwards the participants' experiences of the program were evaluated generally, highlighting the positive and the negative aspects, and how this educational experiences might affect their future change-of-shift activities. Results: High practicability, originality, professionalism, and effectiveness were some of the positive assessments made by the nurse participants. In addition, they pointed out that the sample video in which two professors performed an ideal handover and takeover and the paper kardex were both quite unrealistic. The location of the change-of-shift simulation was also unfamiliar so it needed to be supplemented. However, most of the nurses took for granted that such a communication education program is necessary and that it will provide a substantial help in their future job performance. In this regard they recommended the program to all related hospitals and nursing schools. Conclusion: The results of this study could be applied to other forms of communication education programs regardless of the specific area where communication takes place.

• 항공우주정책ㆍ법학회지
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• 제29권1호
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• pp.97-126
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• 2014

October 4, 1957 the Soviet Sputnik 1 was launched into space the first time in the history of mankind. After launching, the realm of humankind was expanded to space. Today all countries of the world wage a fierce competition in order to utilize space for various purposes. World powers of space such as United States, Russia, China, and Japan, put reconnaissance satellites and ocean surveillance satellites into orbit, being able to easily see equipment and troops movement on earth. Each country makes efforts to occupy space assets through the militarization of space and expand national interests. Recently private companies or individuals involved in commercial space activities are becoming more prevalent. Thus, in addition to space activities for military purposes, commercial space activities become widespread. Individuals and private companies as well as nations are also involved in space activities. Outer space is not the monopoly of space powers such as the United States and Russia. The whole human race can benefit from free access to space, being the common heritage of mankind. In particular, outer space becomes an indispensable element of military activities and human life. Many countries are now entering space development, putting a lot of budget into new development programs. Republic of Korea also built the Narodo Space Center, starting its space development with budget and manpower. We have to find out ways to use space not only for military purposes but also for commercial space activities that can contribute to the national economy. In addition, through the joint efforts of the international community, we have to make efforts for preservation and peaceful use of space. Various issues relating to space activities and research should be studies in order to contribute to the progress of humanity. Those issues include the definition of outer space, space debris reduction and environmental conservation issues, non-bind measure cooperation - European International Code of Conduct, space law and national legislation related empowerment issues, arms control measures in space, and restrictions on the use of nuclear fuel. We also need to be involved in the discussion of those issues as one of responsible space countries. In addition, we try to find out regional cooperation schemes such as the ESA in the Europe actively. Currently in the Northeast Asia, cooperation bodies led by Japan and China respectively, are operated in the confrontational way. To avoid such confrontation, a new cooperative body needs to be established for cooperation on space exploration and information. The system to allow the exchange of satellite information for early warning of natural disasters needs to be built as well. In addition, efforts to enhance the effectiveness of the relevant international treaties on space, and fill in the blanks in international space laws should be made at the same time. To this end, we have to do a leading role in the establishment of standards such as non-binding measures (resolution) - Code of Conduct, being discussed in the UN and other organizations, and compliance with those standards. Courses in aerospace should be requires in law schools and educational institutes, and professional manpower need to be nurtured. In addition, the space-related technology and policy needs to be jointly studied among the private, public, and military groups, and the cross exchange among them should be encouraged.

• 성인간호학회지
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• 제13권3호
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• pp.397-408
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• 2001

Currently, breast cancer ranks third among women' s cancers, and as its incidence is increasing, the incidence age is also becoming lower. Therefore it is necessary to address breast cancer for women in their twenties. As there is no way presently to prevent breast cancer, it is imperative that women take available interventions against predisposing factors. It is thus advisable that women acquire the necessary skills to recognize their own health status. The purposes of this study were to identify the effects of education on breast self-examination (BSE) through supportive education among college women during the period from August 2000 to February 2001, and to attempt to design an effective BSE educational program. The first class was implemented through lectures, pamphlets, videotapes, breast palpation on cloths, demonstration and practice for identification of breast masses through palpation using breast model. Supportive education was implemented bimonthly to the experimental group, and effects of the education between experimental and control groups were compared 6 months later. The results of this study are summarized as follows: 1. The effects on supportive education of college women in BSE 1) The mean score of retained knowledge about breast cancer and BSE was 30.88 in the experimental group, and 29.66 in the control group and significantly greater in the experimental group than in the control group (t= -2.062, p= 0.041). 2) Frequency of BSE practice was significantly greater in the experimental group than in the control group($\chi^2=0.045$, p=0,012). 3) The mean accuracy score in BSE practice was 19.10 in the experimental group, and 18.29 in the control group; accuracy was higher in the experimental group than in the control(t= -2.035, p= 0.444). 4) The mean score of self-efficacy was 35.05 in the experimental group, and 31.22 in the control group. The experimental group mean score was higher(t=-3.016, p=0.003). 2. There was a statistically significant correlation between self-efficacy and accuracy of BSE(r=0.447, p=0.000), knowledge of breast cancer and BSE(r= 0.306, p=0.000) and frequency of BSE(r=0,259, p=0,002) but no significant correlation between knowledge of breast cancer and BSE and frequency of BSE (r=0.071, p=0.403). On the basis of this study, periodic supportive education can increase knowledge of breast cancer and BSE, frequency of BSE, accuracy of BSE and self-efficacy. Suggestions: 1. There is a need to compare the effects of individual programs to acquire BSE behaviors in the young. 2. Further research is needed to test the continuity of the effects of BSE education.

• 농촌지도와개발
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• 제10권2호
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• pp.267-283
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• 2003

The purposes of the study were to; 1) examine the diffusion and adoption of new agricultural technology in rice farming, 2) survey the status of agricultural education institutions on technology transfer, and 3) explore the linkages between agricultural education and extension for more effective reinforcement strategies to further the diffusion and adoption of new agricultural technology in Korea. Literature review, field survey and panel discussions were employed to strengthen the linkages among agricultural education, research and extension in Korea. As the results of analysis of the diffusion and adoption of new agricultural technology in rice farming following recommendations were offered; 1. Extension services have helped Korean farmers in achieving self-sufficiency in rice and year-round supply of green vegetables as well as upbringing rural youth, however, government changed the status of extension educators from central government staff to county/city government staff since 1997. This brought about various problems such as: decreased morale and number of extension educators, thus weakening the extension education function, weakened linkages between national and local extension offices, less opportunity for in-service education of extension educators, and weakened linkages between agricultural research and extension, etc. 2. In order to insure that extension educators are high caliber professional individuals, it is crucial to establish a system that nationally recognizes these individuals as such, and that provides a professional development path. It is important to restore the morale of extension educators to continually achieve the national goals of food production, balanced national development and preservation of environment, at the same time to meet increasing needs of farmers. 3. Because of the critical importance of diffusing innovations to agricultural producers in order to ensure quality and steady food supply, it is crucial that these issues be addressed before the extension service further deteriorates. Further research activities on agricultural extension should be conducted for more effective agricultural extension system in Korea to achieve a greater rural, national and regional development. 4. Research and implementation activities should be emphasized and encouraged to improve the cooperation and collaboration among agricultural education research and extension to better serve farmers' educational and information needs. National level research activities should be encouraged to improve the effectiveness of agricultural technology transfer including internet education programs for farmers in Korea.

• 재활치료과학
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• 제9권4호
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• pp.107-120
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• 2020

목적 : 척수손상환자를 대상으로 한 무작위 대조군 연구의 체계적 고찰과 메타분석을 통해 척수손상환자의 재활 중재의 효과성과 근거를 알아보고자 한다. 연구방법 : 국외 논문데이터베이스에서 검색어를 사용하여 학술지에 게재된 연구를 2명의 연구자가 독립적으로 검색하여 선정하였다. 선정기준에 부합한 연구는 총 21편이었고, PEDro Scale을 사용하여 연구의 질적 평가를 실시하였다. 메타분석은 Comprehensive Meta-Analysis 3.0 프로그램을 사용하였다. 결과 : 분석된 연구에 참여한 연구대상자는 총 713명이었고, 메타분석을 실시한 결과 신체활동을 이용한 중재는 0.406(95.0% 신뢰구간: 0.221~0.591), 전기 자극 치료중재는 0.505(95.0% 신뢰구간: 0.449~1.528)로 중간크기(Medium)의 효과를 보이는 것으로 나타났고 교육적 방법 중재는 0.248(95.0% 신뢰구간: 0.033~0.464), 복합 중재는 0.280(95.0% 신뢰구간: 0.122~0.438)로 작은 크기(Small)의 효과를 보이는 것으로 나타났다. 통계적 이질성 검정에서 유의미한 이질성이 있어 연구결과 통합 시 랜덤효과 모형을 선택하여 분석하였고, 출판편견은 유의미하지 않아 신뢰할만한 연구결과였다. 결론 : 분석된 결과 척수손상환자를 대상으로한 재활 중재는 효과적임을 알 수 있었다. 척수손상환자를 대상으로한 재활분야에서 임상가들이 대상자의 라이프 스타일을 개선하기 위한 프로그램을 구성할 때 기여할 것으로 사료된다.

• 정보교육학회논문지
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• 제25권5호
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• pp.847-857
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• 2021

최근 국내 학교에서는 코로나-19와 심각한 기후 위기와 관련 환경교육과 빠르게 우리에게 다가온 4차산업혁명 관련 인공지능교육에 대한 관심도가 날로 높아지고 있다. 특히 인공지능교육은 초등학교 5~6학년에 적용될 가능성이 높아 1~4학년과의 연계성 관련 대책이 필요한 실정이다. 또한, 초등학교 저학년은 컴퓨터에 능숙하지 않은 학생들이 많아 현재 사용되는 교구를 사용하기에 많은 제한이 따를 수 있다. 따라서 이 연구에서는 인공지능교육의 연계성 확보를 위해 초등학교 저학년 대상 인공지능교육 프로그램을 개발하고자 하였다. 프로그램의 주제는 최근 관심도가 높아지고 있는 환경교육 주제를 바탕으로 개발하였다. 교육방법은 초등학교 저학년 학생 발달단계를 고려하여 컴퓨터 없이 놀이와 게임을 활용한 언플러그드와 여러 교과와 융합하여 교육하는 STEAM 교육방법을 활용하였다. 프로그램의 타당성 검증을 위해서 Lawshe(1975)의 내용타당도 비율(Content Validity Ratio: CVR) 계산 공식을 활용하였다. 검증 결과는 전체 프로그램 모두 개발 취지에 적합한 것으로 분석되었다. 향후 이 연구에서 제안한 프로그램을 초등학교 저학년 학생에게 적용하여 효과성 정도를 측정할 필요가 있겠다.

• 한국방사선학회논문지
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• 제15권3호
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• pp.371-379
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• 2021

기존 대학의 인성교육은 주로 직업윤리 교육이나 기초교양에 초점을 맞추어 이루어지고 있지만, 최근 4차 산업에 대비하여 인성교육 프로그램의 목적 및 방식이 변화되며 이와 관련된 직업인성교육 프로그램이 필요하다. 그러나 국내에서는 아직까지 보건의료종사자가 갖추어야 할 직업인성에 대한 교육 프로그램 개발에 대한 연구가 부족한 실정이다. 따라서, 본 연구에서는 사례기반학습을 기초로 하여 4차 산업혁명에 요구되는 맞춤형 직업인성교육을 위한 프로그램을 개발하고 적용하여 효과를 확인하고자 한다. 본 연구에서는 일반 사례 및 직업 현장에서의 사례를 개발하고 직업인성교육 프로그램 효능 검증을 위해 연구 도구를 개발하였다. 본 연구에서 개발 된 4차 산업혁명에 요구되는 맞춤형 직업인성교육을 위한 프로그램은 1회(120분), 4회차 프로그램으로 제공되었으며, 단일집단 사전사후 설계로 2019년 11월 26일부터 2020년 01월 05일까지 대구시 소재의 방사선과 및 임상병리과 2, 3학년 학생 52명을 대상으로 수행되었다. 자료 분석은 평균과 표준편차, Paired t-test로 분석하였다. 본 연구에서 개발된 4차 산업혁명에 요구되는 직업인성교육을 위한 프로그램 적용을 통해 보건의료종사자의 핵심직업인성 영역인 책임, 정직, 배려, 협업, 소통, 역량에 대해 향상된 것으로 확인되며, 직업인성교육의 긍정적인 효과를 확인하였다.

• 한국수학교육학회지시리즈E:수학교육논문집
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• 제31권4호
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• pp.389-407
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• 2017

우리나라의 창의성교육과 관련하여 학생들의 종합적 사고력과 논리력을 키우기 위해 융합(STEAM)교육에 대한 연구가 활발하다. STEAM의 각 요소들은 서로 연결되어 종합적으로 문제해결 할 수 있는 능력으로서 창의적 사고를 필요로 한다. 또한 이런 활동과 경험은 교실을 벗어난 다양한 현장에서 이루어져야 한다. 초 중고등 학생들에게 다양한 수학 창의활동 교육이 강조되기는 하였으나 학교 현장에서는 교과 학습에 편중되는 경향이 있어 창의적인 융합적 사고를 키우기 어려운 실정이다. 이 연구는 초 중고등 학생들의 흥미를 극대화하고 수학을 바탕으로 창의적인 사고를 할 수 있는 STEAM의 요소들을 기반으로 학교의 장을 벗어나서 경험할 수 있는 아웃리치 교육 프로그램을 개발하는 과정과 그 효과성을 분석하는 데 그 목적이 있다. 그 결과, 흥미나 만족도가 높은 수준이었으며 STEAM 역량 전체점수 및 융합교육 인식은 초, 중, 고 모든 학생들에게 의미 있게 증가하였으며 학교급 별로 하위요인은 약간씩 다른 결과를 나타내었다. 이 연구에서 개발된 STEAM 아웃리치 프로그램은, 학생들이 수학 교과에 대한 흥미를 높임과 동시에 수학 관련 분야의 진로를 정할 때 도움이 되는 활동을 제공하고 있으며, 학교 현장에서 쉽게 접할 수 없는 다양한 활동들을 활용한 흥미있는 창의적 STEAM교육 자료로 활용될 수 있을 것이다.