• 한국직업건강간호학회지
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• 제25권1호
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• pp.19-28
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• 2016

Purpose: This study was a descriptive research to identify the effects of communication skills, compassion satisfaction, compassion fatigue on burnout among staff of long term care insurance for the elderly in National Health Insurance Services in Korea. Methods: A descriptive cross-sectional design was used. The participants were 191 staffs of long-term care insurance in National Health Insurance Services. Data were collected via mail from the 24 branch offices which were randomly selected among the total of 226 centers of National Health Insurance Corporation. Stamm's professional quality of life (ProQOL) and Communication Skills Test tool were included in questionnaire to detect. SPSS/WIN 20.0 was used to conduct the descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 69% and compassion fatigue was the most significant factor in burnout among staff of long term care insurance services. Conclusion: The results indicate that the factors influencing staffs' burnout are compassion fatigue, compassion satisfaction, and education level. Therefore, strategies to decrease compassion fatigue and improve compassion satisfaction are needed to decrease burnout for staffs of long-term care insurance in National Health Insurance Services.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3865-3871
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• 2014

U-health Service는 환자와 의료진과의 언제 어디에서나 의료서비스를 제공하는 것을 지칭하며 정보통신 기술과 보건의료를 융합한 서비스로 정의하고 있다. 그러나 환자의 의료정보, 개인정보 유출과 같은 사례가 발생하고 있고, 또한 네트워크를 통하여 데이터 송수신을 계승하므로써 기존 유 무선기반의 보안위협사항을 계승하는 취약점이 있다. 그러므로 본 논문에서는 U-Health Service에서 발생하는 취약점을 보완하고자 통합 인증스키마를 설계하여 안정한 개인정보에 대한 관리 시스템을 제안하였다. 제안프로토콜에서는 ID-Based Encryption을 활용하여 사용자 등록, 의료기관과 사용자간의 인증, 데이터 통신 암 복호화, 사용자 정보 폐기에 대한 프로토콜을 설계하였으며, 이에 따른 기존시스템 및 PKI Based 기반 통신과정과 보안성과 안전성에 관하여 분석하였다.

• 보건행정학회지
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• 제8권1호
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• pp.52-96
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• 1998

To find causal factors and improvement plans of organizational commitment of public servants in urban health centers, a hypothetical causal model, which included 2 endogenous variables(organizational commitment & organizational satisfaction) and 15 exogenous variables, was constructed. Exogenous variables consisted of individual factors (sex, age, education, job-grade, and annual salary), psychological variables(pride for organization, extrinsic motivation, intrinsic motivation and support of supervisor) ad structural variables(formalization, centralization, communication, job-conflict, job-decision, and workload). In the hypothetical causal model, organizational commitment was supposed to be effect variable, and organizational satisfaction was presumed to be intervening variable to mediate between organizational commitment and exogenous variables. For data collection, cross-sectional self-administered questionnaire survey was conducted to 1,295 public servants from 32 urban health centers nationwide. The survey responses were from 934, 72.1% of subjects. But 756 responses(58.4%) were analyzed because of excluding ones with missing values. The hypothetical causal model was fitted by covariance structural analysis with maximum likelihood method. Main results were as follows: (1) The fitted causal model accounted for 33 and 55 percent of total variance of organizational commitment and organizational satisfaction of public servants, respectively. (2) In order of effect size, pride for organization, supervisor support, communication, extrinsic motivation and centralization had an indirect effect effect on organizational commitment through organizational satisfaction. However, the effect of centralization was negative. (3) Pride for organiztion, intrinsic motivation, organizational satisfaction, job-conflict, supervisor support, communication, age, centralization, annual salar and extrinsic motivation had indirect or direct effects on organizational commitment in order of effect size. Among them, effects of job-conflict and centraldization were negative. In conclusion, these results suggested that organizational commitment of public servants in urban health centers could be enhanced by pride for organization, intrinsic and extrinsic motivations, prevention of job-conflict and excess centralization, supervisor support and active communication. Especially, pride for organization and intrinsic motivation were expected to play the most important role.

• Smart Structures and Systems
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• 제6권5_6호
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• pp.481-504
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• 2010

Wireless smart sensor networks (WSSNs) have been proposed by a number of researchers to evaluate the current condition of civil infrastructure, offering improved understanding of dynamic response through dense instrumentation. As focus moves from laboratory testing to full-scale implementation, the need for multi-hop communication to address issues associated with the large size of civil infrastructure and their limited radio power has become apparent. Multi-hop communication protocols allow sensors to cooperate to reliably deliver data between nodes outside of direct communication range. However, application specific requirements, such as high sampling rates, vast amounts of data to be collected, precise internodal synchronization, and reliable communication, are quite challenging to achieve with generic multi-hop communication protocols. This paper proposes two complementary reliable multi-hop communication solutions for monitoring of civil infrastructure. In the first approach, termed herein General Purpose Multi-hop (GPMH), the wide variety of communication patterns involved in structural health monitoring, particularly in decentralized implementations, are acknowledged to develop a flexible and adaptable any-to-any communication protocol. In the second approach, termed herein Single-Sink Multi-hop (SSMH), an efficient many-to-one protocol utilizing all available RF channels is designed to minimize the time required to collect the large amounts of data generated by dense arrays of sensor nodes. Both protocols adopt the Ad-hoc On-demand Distance Vector (AODV) routing protocol, which provides any-to-any routing and multi-cast capability, and supports a broad range of communication patterns. The proposed implementations refine the routing metric by considering the stability of links, exclude functionality unnecessary in mostly-static WSSNs, and integrate a reliable communication layer with the AODV protocol. These customizations have resulted in robust realizations of multi-hop reliable communication that meet the demands of structural health monitoring.

• 한국학교ㆍ지역보건교육학회지
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• 제20권3호
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• pp.123-134
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• 2019

Objectives: The purpose of this study is to identify the problems of verbal violence that adolescents face in the post-human age, when the non-face-to-face media is increasing. Methods: A survey was conducted on 305 adolescents, aged 14 to 16 years of middle school and high school students. The data were analyzed with the SPSS 25.0. Results: As a result of conducting multiple regression analysis to identify the type of conversation that affects verbal abuse of adolescents, a model with a conversation with family, conversation with other people, messenger conversation such as KakaoTalk, and video chat conversation was selected. The amount of explanation was 11.4%. (R2 = .114) Of these, non-face-to-face conversations have been shown to increase verbal violence, and face-to-face conversations with family have, in turn, lowered the risk. As a result of t-testing to examine the effect of verbal abuse experience on the verbal violence index, the damage experience was significant in depression (p = .042) and impulsive aggression (p = .021). (P = .000). Conclusion: This study reiterates the importance of family dialogue along with the fact that the development of various non-face-to-face media in the Fourth Industrial Revolution can have a negative impact on adolescent mental health.

• Child Health Nursing Research
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• 제14권1호
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• pp.35-43
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• 2008

Purpose: The purpose of this study was to identify the effect of parent-adolescent communication and depression on suicide ideation in the adolescent population. Method: The participants for this study were 391 students from two middle schools, one located in Seoul and one in Kyung-gi do Province. A self-report survey was used for data collection, which was carried out from February 8 to 14, 2006. The collected data were analyzed using SPSS 11.0 Program. Results: The average score for father-adolescent communication was 61.70, and for mother-adolescent communication, 64.04. The average score for depression was 16.01, and for suicide ideation, 8.69. There was a statistically significant positive correlation between suicide ideation and depression. There was a statistically significant reverse correlation between suicide ideation and mother-adolescent communication, and between suicide ideation and father-adolescent communication. Mother-adolescent communication and depression account for 46.4% of variance in suicide ideation of adolescents. Conclusion: According to the results, programs designed to improve parent-adolescent communication and decrease depression should be developed and put into practice to decrease the rate of suicide ideation in adolescents in Korea.

• Child Health Nursing Research
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• 제15권4호
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• pp.392-400
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• 2009

Purpose: The purpose of this study was to identify influences of child-rearing attitude and parent-school age communication on self-efficacy of 5th and 6th graders. Methods: Data were collected using questionnaires from 460 5th and 6th graders in S city. The data were analyzed using SPSS WIN program. Results: There were significant differences in child-rearing attitude according to gender, mother's level of education, perceived atmosphere and religion. Self-efficacy was significantly correlated with school record, family income, mother's level of education, father's level of education, and perceived atmosphere. There were significant differences in communication with father according to father's level of education, and perceived atmosphere. Communication with mother was significantly correlated with father's level of education, mother's level of education and perceived atmosphere. The relative influence toward the children's self-efficacy shown in the order of importance was as follows; child-rearing attitude, school record, communication with mother, communication with father, father's level of education, family income. Conclusion: From the study, self-efficacy appears to be influenced by multiple factors such as child-rearing attitude, school record, communication with mother, communication with father, father's level of education, and family income.

• 보건의료산업학회지
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• 제8권4호
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• pp.1-12
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• 2014

This study is designed to develop a hospital communication program and to verify its effectiveness in graduate nurses self-esteem, communication conflicts, turnover intention and early resignation rate. The study method is a randomized control group with a pre-post test design. In order to help new graduate nurses adapt to the hospital, eight week hospital communication program is developed. The study participants are 104 nurses(47 experiment, 57 control) who have been working for less than six months. The data on self-esteem, communication conflict, and turnover intention was collected one week before the program and four weeks after the program. Then, the early resignation rate of the participating nurses was surveyed one year after the start of employment. The nurses who participated in the hospital communication program exhibit higher self-esteem, fewer communication conflicts, and lower early resignation rates than those who did not. However, effect in the turnover intention is not observed. Overall, the hospital communication program will help new graduate nurses adapt to hospitals.

• 여성건강간호학회지
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• 제4권3호
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• pp.365-374
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• 1998

Although the information related to health and nutrition continues to increase at an ever-increasing rate, systematic database which is necessary for self-management of woman health over the life cycle has been rarely found. The purpose of this study was to offer valuable information on woman health and nutrition through the computer, and, therefore, to enable Korean women to manage their health by themselves according to their life cycle, Prior to constructing the information system, a survey was conducted to verify the use and usefulness of the health information currently available through the PC communication and internet, and to identify the specific topics of the health and nutrition information Korean women need. A self-administered questionnaire was distributed through PC communication. The responses of 1,117 women were analyzed. Most of the subjects(72.8%) were at the age of twenties, and 14.6% at tens, 10.7% at thirties, and only 1.9% were over forties. The educational level of the subjects was high ; 44.8% were college graduates or above, 31.4% were college students. The greatest obstacles to the use of health information appeared to be the lack of expertise of the information on the PC communication and taking too much time to get information on the internet. The extent of the interest of the specific topic was determined by a 5-point scale. Out of the 22 topics of the health and nutrition information given on the questionnaire, stress management was ranked as the top over the whole range of age. The top three topics in which women had interests except stress management varied by age group ; diet for weight control and self-evaluation of the meal at the age of less than twenty-four ; health and nutrition management for preventing cancer and diet for weight control at the age of twenty-five to twenty-nine ; health and nutrition management for infants and children, and for preventing osteoporosis at the age of thirty to thirty-four ; health and nutrition management for preventing osteoporosis, and for preventing cancer at the age of over thirty-five. On the basis of these results an information system necessary to Korean women in order to manage their health by themselves according to the life cycle will be constructed through internet.

• 한국학교보건학회지
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• 제26권2호
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• pp.62-71
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• 2013

Purpose: This study was conducted to examine the level of communication, problem-solving, and self-directed learning competencies, academic and English achievement of healthcare major students in university and to determine the effect of three main competencies on their academic and English achievement. Methods: The participants were college students studying in health care related major at a four-year university in D-city who agreed to participate in this study. Some of their data were intentionally excluded as their answers were incomplete or missing and finally 272 surveys were analyzed. Results: It was found that they have high level of general life competencies of which the subcategories are communication, problem-solving, and self-directed learning competency. GPA and TOEIC score which are the indicators of academic and English achievement were found to be correlated with the level of three competencies. Self-directed learning competency is assumed to be main cause variable of these achievement. Conclusion: As those students who have higher academic and English achievement also show high level of communication, problem-solving and self-directed learning competency. It is argued that a new curriculum that can contribute to improve communication, problem-solving and self-directed learning competency should be developed and implemented.