• 제목/요약/키워드: Home Accessibility

검색결과 146건 처리시간 0.024초

장기요양시설 규모별 간호서비스 요구 및 제공현황 비교 (Residents' Nursing Care Needs and Provision of Nursing Care by the Size of Long Term Care Facilities)

  • 이정석;황라일;박세영;한은정
    • 동서간호학연구지
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    • 제26권1호
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    • pp.28-38
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    • 2020
  • Purpose: The aim of this study was to provide information on the extent and variations of elderly residents' nursing care needs, and provision of nursing care across long term care facilities. Methods: A nationwide survey was conducted on nurse managers from 1,041 long term care facilities, by e-mail or fax, from August 16 to September 30 in 2017. A self-reported questionnaire consisting of 5 domains was used to collect data. Results: Facilities with more than 30 residents were more likely to need skilled nursing services and to obtain the nursing staff such as a registered nurse and a nurse's aide. Awareness and satisfaction of hospital-based home nursing care was high in all facilities. In addition, there are some differences in nurse managers' perceptions of the level of healthcare resources and required action by facility size. Nurse managers of senior congregate housings were more likely to have considerable difficulty in dealing with healthcare needs of residents and recognizing the healthcare resource shortage. A majority of nurse managers agreed on the need to employ a registered nurse. Conclusion: This study confirmed that it is essential to increase nurse staffing level and to reform the long term care insurance for enhancing the accessibility of healthcare services, especially for the residents in small long term care facilities. There is also a need to provide diverse education and training opportunities for nursing staff working in long term care facilities.

교육 현장에서의 기능성 게임 활용과 영향 요인 (How to Use Serious Games in School Settings and its Influencing Factors)

  • 권정민
    • 한국게임학회 논문지
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    • 제14권6호
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    • pp.79-88
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    • 2014
  • 본 연구에서는 기존의 강의식, 종이와 책 기반의, 오프라인 위주의 교육 현장 생태계에서 인터랙티브한 디지털, 온라인 기능성 게임을 활용하는 방법을 알고자 네 개의 학교에 기능성 게임을 주고 교사들이 그들의 학급에서 어떻게 활용하는지 살펴보았다. 본 연구에서는 숙련된 교사들에게 게임을 자유롭게 기존의 교과와 연계하여 활용하도록 지시를 줌으로써 자연적으로 발생하는 게임 활용 방법을 기초로 모형을 제시하고자 하였다. 연구 결과, 교과 내에서 사용하는 모형과 교과 외에서 사용하는 모형으로 나누어졌으며, 교과 외에서 사용할 경우 컴퓨터 시간을 활용하는 것으로 나타났다. 또한 교과와 컴퓨터 시간 외에도 쉬는 시간과 점심시간, 그리고 학교 밖에서의 시간을 통해 학생들이 자발적으로 게임을 하는 것으로 나타났다. 어떤 방법으로 사용하는지는 교사의 특성, 학생의 특성, 그리고 컴퓨터의 물리적 위치와 접근성에 의해 영향을 받는 것으로 나타났다.

노인요양시설 활동공간 이용의 활성화를 위한 요소 분석 (The Analysis of the Elements for the Lively Use of Activity Areas in the Elderly Nursing Facilities)

  • 이민아
    • 한국생활과학회지
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    • 제18권4호
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    • pp.971-984
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    • 2009
  • The purpose of this study was to analyse the relations among the residents' characteristics, the policy of the facility, and the physical characteristics of activity areas, and to understand the elements for the lively use of activity areas in the elderly nursing facilities. The results of the study are as follows: First, there was a relationship between the characteristics of semi-public activity areas and the residents' management-control policy. The facilities having semi-public areas of living room type showed more flexibility in time and place and more respects for the residents. Second, the activity areas of connection type were much more used than the compartment type, especially in the facilities having more residents incapable of walking. On the other hand, the facilities having high control for the residents showed high using rate in public activity areas, and all those did not have semi-public areas or showed low using rate in there. Third, in the analysis of the relationship between the physical characteristics and the using rate of activity areas, the public activity areas having compartment type in the spatial composition and hall as a form were likely to have multiple usages. On the whole, the various form of activity areas, the area per residents, openness, accessibility and centrality were having interactions each other for high using rate in activity areas. Especially, many stimulations and the furniture arrangements that were good for the residents' interactions had a function of compensation for the poor physical characteristics of activity areas. This study investigated only the using rates to understand the lively use of the space. For the future study, it is suggested that the detail using behavior of the residents should be examined to understand the influential elements.

초등학생 일상생활활동의 시.공간적 특성 (The Spatio-Temporal Characteristics of Primary School Children's Daily Life Activities)

  • 박순호
    • 한국지역지리학회지
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    • 제8권4호
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    • pp.492-512
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    • 2002
  • 본 연구는 최근 다변화되고 있는 초등학생의 일상생활 활동의 시간배분 구조 및 주요 일상생활 활동의 시 공간적 특성을 고찰하였다. 일상생활 활동의 시간배분 구조는 학교 활동, 과외 활동 그리고 가내 학습활동을 중심으로 매우 단조로운 패턴을 가지며, 여가 활동을 비롯한 기타 활동은 이들 활동간의 틈새 시간을 활용하는 부수적인 기능에 그치고 있다. 등 하교 통행 활동은 최근 맞벌이 부부 및 승용차 보급률의 증가 그리고 과외 및 오락 활동을 위한 각종 기능 시설의 증가에 따라 다변화되고 있다. 사설 학원 중심의 과외 활동은 시간과 통행 자율성의 제한으로 인해 과외 시설의 선정에 있어서는 거주지와의 접근성이 중요한 요인이 되고 있다. 여가 활동은 실내 놀이가 중심이며, 문제점으로는 여가 시간의 절대적 부족과 더불어 이들 여가 활동의 시 공간적 성격은 부모들의 여가활동에 대한 제도적 환경에 의하여 영향을 받고 있다는 점을 들 수 있다.

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ICT기반 문화복지의 방향성 제시: 문화예술체험관 중심으로 (A Proposal of the Direction of Cultural Welfare Based on ICT: Focusing on Experience Center for Arts and Culture)

  • 임영준;이영숙
    • 디지털콘텐츠학회 논문지
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    • 제18권8호
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    • pp.1567-1576
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    • 2017
  • 본 연구는 ICT를 토대로 문화복지에 대한 방향성을 제시하였다. 이를 위하여 정부정책의 방향과 문화복지 서비스 현황에 대해 살펴보고 국내외 문화복지 서비스 사례에 관련하여 사용자 체험을 중심으로 하는 박물관과 미술관을 대상으로 분석하였다. 그 결과 미술관에 비해 박물관은 미디어환경에 따라 많은 변화가 모색되었다. 세부적으로 미디어 1.0시대에는 실제 박물관을 통해 관람되었다면 미디어 2.0시대에는 가상박물관이 나타났다. 이것은 미디어 환경, 대상(전시물), 접근성, 소모성 및 정보성에 있어서 많은 차이가 있음을 알 수 있었다. 끝으로 이를 통해 한국형 ICT 문화복지 서비스 환경변화요소를 제언하였다. 향후, 문화소외계층에게 문화향유에 대한 문화복지 서비스의 확대가능성에 대한 지속적인 연구가 필요하다고 사료된다.

판별분석 기법을 이용한 농촌지역 산모의 분만장소 및 분만 개조자 선정에 관한 연구 (A Discriminant Analysis Study on Selection of Delivery Place and Delivery Attendants in Korean Rural Remote Area)

  • 한경애
    • 대한간호학회지
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    • 제16권2호
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    • pp.44-52
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    • 1986
  • Maternal and child health(MCH) status is considered as an important indicator of the level of health and civilization of a community and a country. MCH services for the rural population in the remote ar deserves priority by the government, since more than half(52.9%) of the delivery was occured at home and almost half (45.5%) of the delivery was assited by family members or neighbors. The purpose of the study was to analyse the health fare behavior related to pregnancy and delivery, which can be contributed maternal health care policy mating for the rural people. Specifically, it was intended to analyze the variables which affect the health care behavior in selecting birth places and birth attendants. This study utilized the data which had been already collected for an experimental study on primary health program model in Korean rural communities, funded by the USAID. 184 sample households with women who had delivered a baby during March 1982 to February 1983 were selected. Discriminant Analysis was employed for statistical analysis by utilizing SPSS computer package program. Birth places and birth attendants were considered as dependent variables. Among 12 independent variables in 5 groups considered, 7 independent variables were found statistically significant to affect the selection of birth place. Significant variables by the order of importance are mother's age, order of baby, number of prenatal care, accessibility of emergency medical care, coverage of medical insurance, mother's membership in community organization and husband's educational level. The degree of correct classification of the grouped cases by employing a discriminant . analysis was significantly improved to 78.2% in comparison to Cmax(56%) and Cpro(51%). Policy implications for each significant variable were discussed to improve the maternal and child health. in Korean ruralarea.

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연근해 가두리 양식장 모니터링을 위한 센서네트워크 시스템 (Sensor Network System for Littoral Sea Cage Culture Monitoring)

  • 신동현;김창화
    • 정보처리학회논문지:컴퓨터 및 통신 시스템
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    • 제5권9호
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    • pp.247-260
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    • 2016
  • 센서네트워크는 스마트홈, 스마트 팩토리 등 다양한 분야에서 센서 데이터 기반으로 활용되고 있다. 이러한 센서네트워크는 그 활용 분야에 따라 시스템 아키텍처, 요구사항, 설계 등이 달라지게 된다. 현재 해양 환경은 지상 환경에 비해 접근하기가 굉장히 어렵고 높은 파고, 안개, 염분 등의 열악한 조건을 가지고 있어 센서네트워크의 응용분야가 굉장히 적은 단점이 있다. 따라서 본 논문에서는 연근해 가두리 양식장 모니터링을 위한 센서네트워크 시스템의 요구사항 분석과 아키텍처를 제안하고 이를 기반으로 연근해 가두리 양식장 모니터링을 위한 시스템을 설계한다. 또한 본 논문에서 설계한 시스템에 대해 실제 개발을 통해 운용하면서 얻은 결과를 제시한다. 본 연구를 기반으로 개발한 시스템은 연근해 가두리 양식을 위해 수집한 수중 데이터를 중심으로 양식에 필요한 각종 연관성 분석을 통해 가두리 양식에 적합한 수중 환경조건을 도출하고, 모니터링 및 관리할 수 있는 기능을 제공한다.

거래비용이 상이한 복수의 유통채널에 대한 다자간 협상전략에 관한 연구 (Strategic Analysis of the Multilateral Bargaining for the Distribution Channels with Different Transaction Costs)

  • 조형래;이민호
    • 산업경영시스템학회지
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    • 제38권4호
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    • pp.80-87
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    • 2015
  • The proliferation of the Internet and communication technologies and applications, besides the conventional retailers, has led to a new form of distribution channel, namely home sopping through the telephone, TV, catalog or the Internet. The conventional and new distribution channels have different transaction costs perceived by the consumers in the following perspectives: the accessibility to the product information, the traffic cost and the opportunity cost for the time to visit the store, the possibility of 'touch and feel' to test the quality of the product, the delivery time and the concern for the security for the personal information. Difference in the transaction costs between the distribution channels results in the different selling prices even for the same product. Moreover, distribution channels with different selling prices necessarily result in different business surpluses. In this paper, we study the multilateral bargaining strategy of a manufacturer who sells a product through multiple distribution channels with different transaction costs. We first derive the Nash equilibrium solutions for both simultaneous and sequential bargaining games. The numerical analyses for the Nash equilibrium solutions show that the optimal bargaining strategy of the manufacturer heavily depends not only on the degree of competition between the distribution channels but on the difference of the business surpluses of the distribution channels. First, it is shown that there can be four types of locally optimal bargaining strategies if we assume the market powers of the manufacturer over the distribution channels can be different. It is also shown that, among the four local optimal bargaining strategies, simultaneous bargaining with the distribution channels is the most preferred bargaining strategy for the manufacturer.

Impact of the COVID-19 pandemic on women's health nursing clinical practicums in the spring 2020 semester in Korea: a nationwide survey study

  • Kim, Mijong;Jeong, Geum Hee;Park, Hae Sook;Ahn, Sukhee
    • 여성건강간호학회지
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    • 제27권3호
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    • pp.256-264
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    • 2021
  • Purpose: This study investigated the impact of coronavirus disease 2019 (COVID-19) on women's health nursing clinical practicums in undergraduate nursing schools in Korea during the spring 2020 semester. Methods: A cross-sectional online survey on clinical practicum teaching experiences in the spring 2020 semester was distributed to members of the Korean Society of Women Health Nursing (KSWHN) who taught undergraduate nursing. One faculty member from each of 203 institutions was requested to respond and there were no duplicate participants. Seventy-nine participants (38.9%) responded and 74 responses were analyzed. Descriptive statistics were presented for all survey items. Results: Fifty-two faculty members (70.3%) belonged to universities and 22 (29.7%) taught at colleges. Thirty-eight (51.4%) answered that their institutions had affiliated teaching hospitals. More than half (52.7%) conducted hospital-based clinical practicums either entirely (n=20) or partially (n=19), whereas the rest of them (47.3%) conducted clinical practicums at school or home via online teaching. The typical teaching methods for offline or online education were case conferences, tests or quizzes, scenario studies, nursing skill practicums, (virtual) nursing simulations, and simulated patient education. Most of faculties (93.2%) supported the development of an educational platform to share educational materials and resources, such as case scenarios. Conclusion: Nursing faculty members utilized various teaching methods to enhance clinical skills and mitigate limited clinical exposure during the early stage of the COVID-19 pandemic. The KSWHN should move forward to develop an education platform and modalities for members who face many challenges related to the accessibility and quality of nursing education contents.

Kano모델과 Timko 모델을 이용한 의료소비자의 병원선택요인에 관한 연구 (A Study on Medical Consumers Hospital Selection Factors Using Kano Model and Timko Model)

  • 김수정;김준용;김준배
    • 한국병원경영학회지
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    • 제23권4호
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    • pp.40-52
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    • 2018
  • The purpose of this study is to identify medical consumers' hospital selection factors in response to the rapidly changing environment of medical industry. For that purpose this study classified consumers' hospital selection factors into three categories such that human factors including expertise, reliability, empathy; system factor including, convenience, differentiation, efficiency; and facility factor including tangibility, accessibility, and location, based on the previous studies and the results of a preliminary survey of the patients of a small private hospital. The nine factors were further divided into 23 more specific attributes. Then, an online survey was conducted to measure the perceptions of the 23 attributes by the medical consumers over the age of 20. The analysis of the survey data using Kano model and Timko model indicated that 14 of the 23 attributes were classified as attractive factors, eight attributes were or classified as, one-dimensional factors, and one attribute, doctors' educational background, was classified as indifference factor. Of the 14 attractive factors, "unique and differentiated services related to medical treatment" and "distance from home to hospital" had the highest customer satisfaction coefficients. Of the eight one-dimensional factors, "kind treatment," "providing adequate explanations," "accuracy of diagnosis," and "cleanness of facilities" had the highest customer satisfaction coefficients as well as the highest dissatisfaction coefficients. The findings indicate that these six attributes are the most basic and most impactful attributes that hospitals must manage strategically to improve their service quality and attract more medical consumers to their hospitals.