• 제목/요약/키워드: Goal setting

검색결과 482건 처리시간 0.029초

희망의 개념 분석 -항암화학요법을 받는 암환자를 대상으로- (The Concept Analysis of Hope : Among Cancer Patients Undergoing Chemotherapy)

  • 송미순;이은옥;박영숙;하양숙;심영숙;유수정
    • 대한간호학회지
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    • 제30권5호
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    • pp.1279-1291
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    • 2000
  • The main objectives of this study were to analyze the concept of hope, so to provide basic data to develop a valid instrument to measure hope, and to develop hope enhancing nursing intervention a program for cancer patients. The hybrid model approach was applied in three phases, the theoretical phase, the empirical phase, and the analytic phase. The study was developed on universal attributes explaining generalized hope and specific hope, which were revealed in a comprehensive review of the literature. In the empirical phase, eight cancer patients undergoing chemotherapy were interviewed to reveal causes, motivation, and their resource of hope according to The Hope Assessment Guide (Farren, Herth, & Popovich, 1995). In the analytical phase, the results of the two previous stages of the study were compared. The results were as follows : In the theoretical phase, six dimensions of hope emerged; affective, cognitive, behavioral, affiliative, temporal and contextual dimension. The antecedent of hope was loss, crisis, uncertainity, and stress. The consequences were renewal, development of new methods, safety, peace and transcendental competence. In the empirical phase, these six dimensions emerged as theoretical phases were verified and specified as these descriptive terms: feeling, intention, expectation, activity, relation, future- orientation, reality and goal-setting. The antecedent factor of hope was occurrence or recurrence of cancer. The consequence of hope was ability to cope with real condition, feeling of safety and comfort, peace, development of new strategy and recovery of disease. The major content of hope in this phase was related to specific hope, but it was also influenced on by general hope. In the analytic phase, general and specific hope was renamed as trait and state hope. All attributes emerged at the empirical phases, and also emerged at the theoretical phase. However, cognitive and contextual dimensions were revised and specified. In conclusion, the concept of hope is divided into trait hope and state hope, and state hope is an anticipatory expectation that occurs at the time of a stressful stimulus, such as being diagnosed with cancer. Hope is a multidimensional dynamic energized mental state which has the dimensions of affective, cognitive, behavioral, affiliative, temporal and contextual. There should be further studies to develope the state and trait hope scale according to definition and attributes of hope investigated in this study. In addition, considering results of the empirical phase, the family is very a important factor as a resource of hope, so it is necessary to consider family in implementing a nursing intervention program to enhance hope.

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초등학교 아동의 구강보건에 관한 지식과 행동의 상관관계 연구 (Interrelation Research of the Knowledge Regarding the Oral Health of the Elementary School Child and Behavior)

  • 이혜경;박정순;김미정
    • 치위생과학회지
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    • 제8권3호
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    • pp.155-161
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    • 2008
  • 본 연구는 초등학교 학생들에게 필요한 구강보건교육목표를 설정하는 데에 기초 자료를 수집할 목적으로 전라북도 익산시에 소재하고 있는 초등학교 1개교 4학년, 6학년 513명을 대상으로 하여 초등학교 학생의 구강보건에 관한 지식과 행동의 상관관계를 조사한 결과 다음과 같은 결론을 얻었다. 1. 조사대상자들의 구강보건지식 정도는 14점 만점에 8.77로 높지 않았으며, 여학생이 남학생보다 구강보건지식 정도가 높았고 유의한 차이를 보였다(p < .05). 2. 학교구강보건교육 경험이 있는 학생일수록 구강보건지식 정도도 높게 나타났으며, 통계적으로 유의한 차이를 보였다(r = 0.105, p < .05). 3. 구강보건행동 정도는 5점 Likert 척도로 조사한 결과, 전체 평균이 3.13으로 높지 않았으며, 학년에 따른 유의한 차이를 보였다(p < .05). 4. 구강보건지식이 높은 학생일수록 구강보건행동 정도가 높게 나타나, 구강보건지식과 행동의 유의한 차이를 보였다(p < .001). 5. 구강보건지식과 구강보건행동 및 학교구강보건교육 경험은 정(+)의 선형 상관이 있어 구강보건지식 정도가 높으면 구강보건행동도 높아짐을 알 수 있었다(r = 0.345, p < .001, p < .05). 6. 성별과 학년에 관계없이 학교구강보건실의 필요성과 구강건강담당 교사의 필요성은 인식하고 있었다(p < .05).

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지역아동센터 이용 어린이의 비만관리의 한계점과 모바일폰의 잠재적인 활용 가능성: 어린이와 보호자 대상의 질적 연구 (Current Barriers of Obesity Management of Children Using Community Child Care Centers and Potential Possibility of Utilizing Mobile Phones: A Qualitative Study for Children and Caregivers)

  • 이보영;박미영;김기랑;심재은;황지윤
    • 대한지역사회영양학회지
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    • 제25권3호
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    • pp.189-203
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    • 2020
  • Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

플루오레신나트륨의 농도 범위 분석 (Analysis for Concentration Range of Fluorescein Sodium)

  • 이다애;김용재;윤기철;김광기
    • 대한의용생체공학회:의공학회지
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    • 제41권2호
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    • pp.67-74
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    • 2020
  • Brain tumors or gliomas are fatal cancer species with high recurrence rates due to their strong invasiveness. Therefore, the goal of surgery is complete tumor resection. However, the surgery is difficult to distinguish the border because tumors and blood vessels have the same color tone and shape. The fluorescein sodium is used as a fluorescence contrast agent for boundary separation. When the external light source is irradiated, yellow fluorescence is expressed in the tumor, which helps distinguish between blood vessels and tumor boundaries. But, the fluorescence expression of fluorescence sodium depends on the concentration of fluorescein sodium and such analytical data is insufficient. The unclear fluorescence can obscure the boundaries between blood vessels and tumors. In addition, reduce the efficiency of fluorescence sodium use. This paper proposes a protocol of concentration range for fluorescence expression conditions. Fluorescent expression was observed using a near-infrared (NIR) color camera with corresponding dilution using normal saline in 1 ml microtube. The flunoresence emission density range is 1.00 mM to 0.15 mM. The fluorescence emission begin to 1.00 mM and the 0.15 mM discolor. The discolor is difficult to fluorescence emission condition obserbation. Thus, the maximum density range of the bright fluoresecein is 0.15 mM to 0.30 mM. When the concentration range of fluorescein sodium is analyzed based on the gradient of fluorescence expression and the power measurement, the brightest fluorescence is expected to facilitate the complete resection of the tumor. For the concentration range protocol, setting concentration ranges and analyzing fluorescence expression image according to saturation and brightness to find optimal fluorescence concentration are important. Concentration range protocols for fluorescence expression conditions can be used to find optimal concentrations of substances whose expression pattern varies with concentration ranges. This study is expected to be helpful in the boundary classification and resection of brain tumors and glioma.

국토조사 체계 개선 방안 연구 (A Study on the Improvement of National Land Survey System)

  • 양성철
    • 지적과 국토정보
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    • 제45권2호
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    • pp.1-13
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    • 2015
  • 국토조사는 국토의 물리적 사회적 현황과 시대적 사회적 요구사항에 대한 면밀한 조사를 통해 국토의 효율적 운용이라는 기본적인 목표를 달성하기 위한 목적으로 시행되고 있다. 하지만, 직접조사가 아닌 지방자치단체나 타 정부부처에서 구축한 자료를 취합하여 국토지표로 가공 및 제공이 되기 때문에 다른 자료와의 차별성이 크지 않고, 국토지표 항목들이 국내외 상황과 변화에 따라 수시로 변경되어 동일한 지표에 대해 장기적으로 축적된 자료가 없어 활용도가 높지 않은 실정이다. 최근, 통계 데이터와 지도 데이터에 대한 중요성 부각에 따라 대다수 공공기관과 지방자치단체에서 각자의 고유한 필요성에 따른 조사를 수행하고 그에 따른 결과를 공간데이터가 포함된 데이터베이스 형태로 구축하고 있는 것을 고려하면 국토교통부 고유의 업무라는 국토조사의 한계를 벗어나서 국가단위 국토에 대한 현황조사라는 측면으로 새로운 접근을 할 필요성이 있다. 이에 본 연구에서는 통일시대를 대비하고 국토의 효율적 개발과 가치 보전을 위한 정책수립에 필요한 의사결정자료 제공이라는 제 역할을 다 할 수 있도록 새로운 국토조사 체계를 제안하였다.

과학 영재들의 과제집착력 특성 탐색 (Exploring the Characteristics of Science Gifted Students' Task Commitment)

  • 장정은;정윤숙;최양희;김성원
    • 한국과학교육학회지
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    • 제33권1호
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    • pp.1-16
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    • 2013
  • 본 연구에서는 과학 영재들이 과제집착력을 보이며 활동한 경험을 분석하여 과제집착력을 나타내는 영재들의 특성을 알아보고자 하였다. 이를 위해 과학 영재들이 자기 소개서에 원인이나 원리를 깊이 있게 탐구했던 경험을 구체적으로 서술해보게 하였다. 학생들의 응답으로부터 과제집착력을 나타낸 것으로 보이는 특징만을 코드로 추출하고 분석하여 과제 집착력을 나타내는 과학 영재의 특성을 귀납적으로 탐색하였다. 결과적으로 영재들이 기술한 내용에서 반복적으로 나타나는 특징들을 바탕으로 자신감, 도전적 목표설정, 과제해결을 위한 도전적 접근, 통제감, 자의식 상실, 시간 개념의 변형, 고된 작업의 감수, 주도성, 계속성(끈기, 인내)의 9가지 특성들을 분류하였다. 영재교육 경력이 있는 3명의 전문가 합의 과정을 통해 9가지 특성을 다시 도전성, 몰입, 적극성의 세 가지 특성으로 범주화 시킬 수 있었다. 도전성, 몰입, 적극성의 세 가지 특성은 과제집착력의 정의를 잘 표현해주는 것으로 영재들의 과제집착력을 설명해줄 수 있다. 본 연구 결과로 얻어진 과제집착력을 나타내는 영재들의 특성을 기반으로 하여 학생들의 과제집착력 판별을 위한 준거 틀 및 도구 개발이 가능하다.

문화역사적 활동이론을 통한 학부생 연구지원 프로그램 참여자의 과학연구 수행과정의 분석 (Analysis of the Scientific Research Process of a Participant in Undergraduate Research Program by Cultural Historical Activity Theory)

  • 이지원
    • 한국과학교육학회지
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    • 제38권3호
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    • pp.343-354
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    • 2018
  • 이 연구에서는 학부생 연구지원 프로그램(Undergraduate Research Program: 이하 URP)에 참여한 물리교육과 3학년인 한 초심자(학생 A)의 연구과정을 질적으로 분석하였다. 자료는 참여관찰, 심층인터뷰, 문서분석을 통해 수집되었고, 분석을 위한 이론적 틀로서 문화역사적 활동이론이 사용되었다. 먼저, 초심자의 연구를 위한 활동체계가 어떻게 구성되었는지를 살펴보았다. 연구 초기에 멘토가 대략적인 연구목표와 목표달성을 위한 매개체를 초심자에게 제공하였다. 연구주체인 학생 A는 동료 두 명을 모아, 자신이 이끄는 수직적 관계로 연구팀을 구성하였다. 이러한 역할분담은 과제특정지식, 연차, 그리고 참여율이 높을수록 의사결정권이 크다는 암묵적 규칙에 근거한 것이다. 다음으로, 활동체계의 변화 과정을 살펴보면, 크게 두 가지 모순이 변화의 원천이 되었다. 먼저 연구 초기에 멘토의 교육철학과 멘티의 교육적 요구 간의 모순이 발생하였다. 학생 A는 멘토의 인적 네트워크를 이용하여 외부의 활동체계에서 필요한 지식을 얻는 방식으로 모순에 의한 갈등을 극복하였다. 이렇게 획득한 지식을 이용하여 활동체계의 매개물(실험도구과 이론)을 정교화하였다. 두 번째 모순은 수평적 역할분담을 요구하는 팀 구성원들과 기존 역할분담을 고수하는 학생 A 간에 발생하였다. 학생 A가 팀 구성원들의 의견을 받아들인 후, 활동체계의 노동 분담 방식은 협력적으로 변화하였다. 마지막으로, 학생 A의 변화를 살펴보면, 학생 A는 연구 경험을 통해 교사의 길을 포기하고 과학자가 되기로 결심하였다. 또 학계 내의인적 네트워크를 생성하고 확장하게 되었으며, 협업에 대한 부정적인 마음가짐이 긍정적으로 바뀌게 되었다. 연구 초심자의 연구과정에 대한 활동체계의 구성과 변화의 분석을 통하여 사사교육의 지도 방식과 지원체계에 대한 시사점을 얻을 수 있다.

공동주택 마감공사 공사주체별 작업지연 요인 분석 (Analysis of Delay Factors Based on Importance of Construction Subject-classified in Apartment Finishing Works)

  • 이승훈;김용만;김주형;김재준
    • 한국건축시공학회지
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    • 제11권1호
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    • pp.73-81
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    • 2011
  • 건설 공사의 궁극적인 목표는 주어진 공사를 요구된 공사기간내에 설계도서에 명시된 품질 기준을 만족시키면서 가장 경제적이고 안전하게 완성하는데 있다. 마감공사는 공종이 세분화되어 매우 다양하고 복잡한 구조를 가지고 있으며 적정 투입 시점에 대한 세부 공종별 기준이 없고, 선후행 작업간의 우선 순위의 정립의 필요성이 약한 것이 특징이다. 본 연구는 마감공사 작업지연을 최소화하기 위하여 마감공사 세부 공종별 작업지연 우선 순위를 선정하여 소요 공기에 맞추어 프로젝트를 완료할 수 있는 정보를 제공하는 것이 목적이다. 본 연구에서 마감공사를 습식공사와 기타 마감공사로 나누어 각 공종별 내역을 기반으로 중요도를 분류하고, 설문을 통해 설계자, 시공자, 협력업체의 작업지연 요인을 분석하여 최종 작업지연 우선 순위를 선정하여 계획 공사기간 내에 공동주택 프로젝트를 완료할 수 있는 정보를 제공하는데 목적이 있다.

균형성과표(BSC)개념을 적응한 학교급식 운영성과 측정지표 개발 (Development of Performance Indicators Based on Balanced Score Card for School Food Service Facilities)

  • 곽동경;장혜자;송지영
    • 대한지역사회영양학회지
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    • 제10권6호
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    • pp.905-919
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    • 2005
  • This study raised the necessity of developing performance indicators for measuring the management efficiency and effectiveness of school food service, and as a means of helping its implementation, a balanced score card (BSC) approach developed by Norton and Kaplan was adopted. This study established BSC in seven phases through literature: Phase 1 Defining a school food service and the scope of working activities, Phase 2 Establishing the vision of a school food service, Phase 3 Setting strategic goals, Phase 4 Identifying critical success factors (CSFs), Phase 5 Developing Key Performance Indicators (KPIs), Phase 6 Extracting cause and effect relationship, and Phase 7 Completing a preliminary BSC. The preliminary BSC was fumed into a survey, which was administered to food service related people working at the Office of Education and School Food Service including 16 offices,209 dietitians, 48 school administrators both from self-operated and contract-managed, and 9 experts in areas related to school food service. They were asked questions about strategies from 4 different perspectives,12 CSFs, 39 KPls, and the cause and effect relationships among them. As a result, among the CSFs based on 4 different perspectives, all factors other than ' zero sum on profit/loss ' from the financial perspective turned out to be valid. In terms of KPIs, manufacturing cost percentages, casualty loss count/reduction rates, school foodervice participation rates, and sales goal achievement rates were found to be valid from the financial perspective, while student satisfaction index, faculty satisfaction index, leftover ratio, nutrition educational performance count, index of evaluating nutrition education, customer claim count/reduction rate, handling customer claim count/reduction rate, and parent satisfaction index were found to be valid from the customers' perspective. Besides, nutritional requirement sufficient ratio, nutritional management score, food poisoning outbreak count, employee safety accident count, sanitary inspection assessment index, meals per labor hour (productivity index), computerization ratio, operational management index, and purchase management assessment index were also found to be valid from the perspective of internal business processes. From the perspective of innovation and learning, employee turnover ratio/rate of absenteeism, annual education and training count, employee satisfaction index, human resource management assessment index, annual menu-related customer feedback, food service information index for employees and parents/schools were also found to be valid. The significance of this study is to present indices for measuring overall performance of school lunch food service operations without putting any limitation on types of school food service management, and to help correctly assess the contribution of the current types of school food service management to schools and students. (Korean J Community Nutrition 10(6) : $905\∼919$, 2005)

관광호텔 TQM전략에 관한 연구 (A Study on TQM Strategy in Tourist Hetels)

  • 구경원;이상우
    • 한국관광식음료학회지:관광식음료경영연구
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    • 제7권
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    • pp.231-266
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    • 1997
  • TQM is a whole process of systemizing, documenting and measuring of service quality scientifically to achieve zero defects in product quality and to continue to improve the body of the product quality by itself. To have this process be improved continuously, first of all it needs to prepare an ideal environment to understand and to conform to its internal and external customers', that is every guests' and employees' expectations and demands. Then it has to be followed by the next step removing some negative aspects that could be derived from the first mentioned process The third step is to cut the cost be suitable compensation rather than an attitude trying to solve the problems in an easy way. The last essential factor for setting up TQM system is to make good use of the outstanding feature or process as it is reviewed against the superior benchmark. The purpose of this study is meet the customers' expectations and to maximize the hotel's profits by searching TQM(total quality management) strategy in hotels. To attain this research's objective, it follows these three details. Firstly, it defines TQM and its contents. Secondly, it provides the standard of hotel TQM throughout some case studies. Thirdly, it suggests TQM strategic plan in tourism hotel as one of professional management strategies. Two useful methods are used together to achieve the goal of this study. To confirm its theoretical consideration, descriptive studies by the research documents its theoretical consideration, descriptive studies by the research documents published in and out of the country is used. The other is case studies of TQM execution in real hospitality industry, which present the cases of the airline, Jefferson Memorial and the hotel. This research is targeting to demonstrate the successful TQM's exercise in a hotel industry by completing the theoretical studies and case studies on service product quality with an understanding of its importance. As it is said earlier, to lead to the successful TQM's practice, it is necessary to maintain a constant training of the employees. Secondly, it also must identify where it has to focus on to deliver a professional quality management. Thirdly, effective quality management organization needs to be build up. The manager's strong will to accomplish and the employee' active participations are the last condition to be succeed. Once again this study places an emphasis on the fact that TQM is critical to maximize the customers' satisfaction and the hotel's profitability. It is also very worthwhile to have every people working on front line recognize why the TQM is important and further more how they can contribute to improve their service quality by a positive participation and a careful observation of TQM's operating in their property.

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