• 대순사상논총
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• 제41집
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• pp.63-131
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• 2022

「제생」편은 총 44절 1개 장으로 강증산(姜甑山, 1871~1909) 성사(聖師)의 권지(權智)에 기반한 내용으로 병의 치료에 대한 구절이 대부분이며 이외에 자연 재해(災害)로부터의 구제, 일상 인사(人事)에서의 갈등의 해소, 제생을 위한 인간 각자의 지혜의 계발에 대한 것으로 되어 있다. 현실에서 세계가 팬데믹 병겁을 겪기도 했지만, 병의 치료는 당대 하층민들이 겪는 병고(病苦)를 긍휼히 여겨 치료해준 내용들이다. 강증산은 권능과 지혜로 수화풍(水火風) 삼재(三災)로 인해 자연에서 일어나는 순조롭지 않은 현상으로부터 민중이 겪는 피해들을 구원하고 구제해주었으며, 인간 사회에서 겪는 어려움들을 해소해주었다. 또 「제생」편에 지혜라는 것은 세상을 보는 높은 견해와 미래에 일어날 일들에 대해서 생각해 대처할 수 있는 것이라는 정의 하에 기록된 내용은, 지혜가 스스로 자신을 구제해 나갈 수 있고 나아가 남을 구제해 줄 수 있는 토대가 될 수 있다는 것이다. 또한 「제생」편 구절들의 특성을 바탕으로 『전경』 각 편에 나타난 강증산의 제생 양상을 찾아본 후 구절의 변이를 『대순전경』 6판과 비교해 본 연구 결과는 다음과 같다. 첫째, 강증산의 제생은 조선 말기의 일상에서 위정자들의 폐해로 고난 및 고통에 처한 당대 일반 민중들을 구제하는 전무후무한 절대적 행적임을 볼 수 있다. 둘째, 『전경』 일곱 개의 편에 천지인으로 용사(用事)된 강증산의 권능에 의한 제생 관련 구절들이 분포되어 각 편의 제목이 나타내는 의미를 이루고 있다. 셋째, 「제생」편은 단지 치병만 기록된 『대순전경』 6판과 다르게 자연재해로 인한 민중들의 생활의 어려움, 사회라는 울타리 안에서 살며 일상사에서 겪는 당대 정치사회적 현실과 관련된 고난과 고충을 구원해준 것이 특질이다. 이렇게 광범위한 범주에서 구원과 구제의 내용을 『전경』에서 다루고 있는 것이 병만을 치료해준 일을 담고 있는 『대순전경』의 치병 장과 구분되는 면으로 『전경』 「제생」편만이 갖고 있는 특장점이다.

• 생물환경조절학회지
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• 제32권2호
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• pp.106-114
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• 2023

본 연구에서는 항공살포에 의한 약액의 비산 저감을 위한 방법으로 차단 식물의 효과를 정량 평가하고자 하였다. 이에 따라 식물의 엽면적지수(LAI)에 따른 잎의 약액 부착 효율 및 공기 투과 저항성을 비산 챔버를 활용하여 측정하였다. LAI는 엽면적 밀도를 세 수준으로 구분하여 측정하였으며, 각 수준별 평균 LAI는 1.723±0.130, 2.810±0.412, 4.875±0.701로 산정되었다. 풍속 1m·s^-1에서 LAI가 'Low' 수준일 때 부착 효율 16.13%로 측정되었고, 동일 LAI 수준에서 풍속이 2m·s^-1로 증가할 때 식물의 부착 효율은 29.06%로 측정되어 1.80배 증가한 것으로 나타났다. 'Medium' 수준에서는 풍속 조건에 따라 24.42%에서 43.06%로 1.76배 증가하였다. 또한 LAI가 'High' 수준일 때 풍속의 변화에 따른 식물의 부착 효율은 1.24배 증가하는 것으로 나타나 풍속의 증가에 따라 식물의 약액 부착 효율도 함께 증가하는 경향을 보였다. 풍속 및 LAI에 따른 식물의 공기 투과 저항성 실험에서 LAI가 증가할수록 공기 투과 저항성 또한 증가하는 경향을 보였으며, 2차 함수 및 거듭제곱 함수에 대한 회귀분석 결과 결정계수가 0.96-0.99 수준으로 높은 설명력을 보였다. 본 연구를 통해 농경지에 인접하게 식재된 식물이 항공살포 된 약액이 비산될 때 잎에 부착 및 지면 퇴적을 유도하여 비산 저감에 효과를 나타냄을 정량 평가하였다. 또한 LAI가 증가할수록 내부 저항이 증가하는 것을 실험적으로 규명하였다. 이를 기반으로 향후 잎의 형상 및 캐노피 등 식물 특성 변수를 추가 반영하여 비산 저감 효과를 기대할 수 있는 적정 작물을 선정하는 자료가 될 것으로 사료된다.

• 생명과학회지
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• 제33권12호
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• pp.1052-1061
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• 2023

본 연구에서는 미생물 발효가 큰느타리버섯 수확후배지를 식이한 흰점박이꽃무지 유충의 항산화 활성에 미치는 영향을 평가하기 위하여 흰점박이꽃무지 유충을 B. subtili, L. brevis, S. cerevisiae, C. militaris으로 발효한 다음 흰점박이꽃무지 유충 추출물(PLE)과 발효 흰점박이꽃무지 유충 추출물(BPLE, LPLE, SPLE, CPLE)의 항산화 활성을 비교하였다. 추출물 PLE와 BPLE, LPLE, SPLE, CPLE의 총 폴리페놀 함량은 각각 58.07±0.67 mg GAEs/extract g, 83.33±0.98 mg GAEs/extract g, 79.21±1.32 mg GAEs/extract g, 61.02±0.87 mg GAEs/extract g과 57.90±1.02 mg GAEs/extract g이었고, 플라보노이드 함량은 각각 17.35±1.57 mg QEs/extract g과 19.49±0.95 mg QEs/extract g, 16.90±1.57 mg QEs/extract g, 18.12±0.95 mg QEs/extract g, 16.99±0.95 mg QEs/extract g이었다. 추출물 PLE와 BPLE, LPLE, SPLE, CPLE의 DPPH에 의한 라디칼소거 활성은 0.2 mg/ml의 농도에서는 시료 간에 유의적 차이를 나타나지 않았지만, 0.4 mg/ml 이상의 농도에서는 추출물 PLE에 비해 BPLE와 LPLE의 DPPH 라디칼 소거능이 우수하였다. 추출물 환원력도 추출물 PLE에 비해 BPLE와 LPLE이 우수하였으며 0.8 mg/ml 이상의 농도에서는 PLE에 비해 BPLE와 LPLE의 환원력이 2배 이상 높게 나타났다. 추출물 PLE와 BPLE, LPLE, SPLE, CPLE의 ORAC 지수는 각각 61.34±0.97 uM TEs/extract g과 79.77±0.82 uM TEs/extract g, 63.52±0.99 uM TEs/extract g, 65.82±1.72 uM TEs/extract g, 62.13±1.32 uM TEs/extract g로 추출물 PLE에 비해 BPLE의 ORAC 지수가 높게 나타났고, RAW 264.7 세포에 대한 추출물의 세포독성을 확인한 결과 추출물 모두 90% 이상의 세포 생존율을 나타내므로 세포 독성을 나타내지 않는 것으로 판단된다.

• 환경생물
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• 제41권4호
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• pp.505-518
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• 2023

침입생물 관리의 핵심은 선제적 대응에 있으나, 현재 종분포 모형을 활용한 연구는 대부분 침입 이후에 수행되는 실정이다. 본 연구는 아직 국내에 침입하지 못한 전 세계적으로 악명 높은 고구마 해충, 개미바구미(Cylas formicarius)의 잠재 분포를 MaxEnt 모형을 활용해 모의했다. 전지구 수준의 출현 자료와 생물기후변수, 표토의 특성과 관한 변수들을 활용해 모형을 구축한 결과, Training/Test AUC 모두 0.9 이상으로 매우 설명력이 높았다. 활용한 환경변수들 중에서는 가장 추운 달의 최저온도(BIO06), 가장 건조한 달의 강수량(BIO14), 평균 일교차(BIO02), 전용적밀도(bulk density, BDOD)가 주요한 변수로 분석되었다. 전지구 분포 예측 결과, 대부분의 출현 국가들에서 높은 예측 값을 보였으며, 남미의 경우 현재 분포하지 않은 대부분의 국가에서 높은 출현확률을 보여 잠재적 침입 위험이 큰 것으로 분석되었다. 국내 잠재 분포를 예측한 결과, 제주도와 전남 남서해안지역의 잠재 분포 확률이 매우 높았다. SSP (Shared Socioeconomic Pathway) 시나리오에 대한 기후변화 영향을 분석한 결과, 잠재 분포는 전국 해안을 따라 확장되었다. 잠재적인 발생 면적의 경우 10MTP (10th percentile minimum training presence) 규칙 적용시 현재 기후하에서 1,439 km²였으며 SSP585에서 최대 9,485 km²까지 확대될 가능성이 있을 것으로 예측되었다. 그러나, 내륙지방으로의 전국적 분포는 예측되지 않아 전국 도서·해안지역의 침입 위험을 중심적으로 대비해야 할 것으로 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.165-203
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• 1987

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

• 지능정보연구
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• 제24권2호
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• pp.111-124
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• 2018

본 연구는 만성질환 중의 하나인 고지혈증 유병을 예측하는 분류모형을 개발하고자 한다. 이를 위해 SVM과 meta-learning 알고리즘을 이용하여 성과를 비교하였다. 또한 각 알고리즘에서 성과를 향상시키기 위해 변수선정 방법을 통해 유의한 변수만을 선정하여 투입하여 분석하였고 이 결과 역시 각각 성과를 비교하였다. 본 연구목적을 달성하기 위해 한국의료패널 2012년 자료를 이용하였고, 변수 선정을 위해 세 가지 방법을 사용하였다. 먼저 단계적 회귀분석(stepwise regression)을 실시하였다. 둘째, 의사결정나무(decision tree) 알고리즘을 사용하였다. 마지막으로 유전자 알고리즘을 사용하여 변수를 선정하였다. 한편, 이렇게 선정된 변수를 기준으로 SVM, meta-learning 알고리즘 등을 이용하여 고지혈증 환자분류 예측모형을 비교하였고, TP rate, precision 등을 사용하여 분류 성과를 비교분석하였다. 이에 대한 분석결과는 다음과 같다. 첫째, 모든 변수를 투입하여 분류한 결과 SVM의 정확도는 88.4%, 인공신경망의 정확도는 86.7%로 SVM의 정확도가 좀 더 높았다. 둘째, stepwise를 통해 선정된 변수만을 투입하여 분류한 결과 전체 변수를 투입하였을 때보다 각각 정확도가 약간 높았다. 셋째, 의사결정나무에 의해 선정된 변수 3개만을 투입하였을 때 인공신경망의 정확도가 SVM보다 높았다. 유전자 알고리즘을 통해 선정된 변수를 투입하여 분류한 결과 SVM은 88.5%, 인공신경망은 87.9%의 분류 정확도를 보여 주었다. 마지막으로, 본 연구에서 제안하는 meta-learning 알고리즘인 스태킹(stacking)을 적용한 결과로서, SVM과 MLP의 예측결과를 메타 분류기인 SVM의 입력변수로 사용하여 예측한 결과, 고지혈증 분류 정확도가 meta-learning 알고리즘 중에서는 가장 높은 것으로 나타났다.

• 마케팅과학연구
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• 제18권2호
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• pp.65-88
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• 2008

본 연구는 중국 프랜차이즈 시스템에 참여하는 본부와 가맹점 사이의 신뢰에 영향을 미치는 요인에 대해서 규명하고자 하였다. 중국의 외식 프랜차이즈 산업 가맹점을 조사대상으로 한 실증분석 결과, 프랜차이즈 시스템에서는 신뢰의 형성이 매우 중요하며, 이를 위하여 본부의 가맹점에 대한 지원의 강화, 양자 간의 원활한 커뮤니케이션, 가맹점의 과거결과에 대한 만족의 증진, 양자 간의 갈등 예방 및 해소가 필요하며, 이러한 본부의 가맹점에 대한 지원과 원활한 커뮤니케이션이 가맹점의 과거결과에 대한 만족을 증가시킬 수 있고, 원활한 커뮤니케이션이 양자 간의 갈등을 감소시킬 수 있는 것으로 나타났다.

• Asia pacific journal of information systems
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• 제20권1호
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• pp.141-170
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• 2010

User created content (UCC) is created and shared by common users on line. From the user's perspective, the increase of UCCs has led to an expansion of alternative means of communications, while from the business perspective UCCs have formed an environment in which an abundant amount of new contents can be produced. Despite outward quantitative growth, however, many aspects of UCCs do not meet the expectations of general users in terms of quality, and this can be observed through pirated contents and user-copied contents. The purpose of this research is to investigate effective methods for fostering production of creative user-generated content. This study proposes two core elements, namely, reward and motivation, which are believed to enhance content creativity as well as the mediating factor and users' committement, which will be effective for bridging the increasing motivation and content creativity. Based on this perspective, this research takes an in-depth look at issues related to constructing the dimensions of reward and motivation in UCC services for creative content product, which are identified in three phases. First, three dimensions of rewards have been proposed: task dimension, social dimension, and organizational dimention. The task dimension rewards are related to the inherent characteristics of a task such as writing blog articles and pasting photos. Four concrete ways of providing task-related rewards in UCC environments are suggested in this study, which include skill variety, task significance, task identity, and autonomy. The social dimensioni rewards are related to the connected relationships among users. The organizational dimension consists of monetary payoff and recognition from others. Second, the two types of motivations are suggested to be affected by the diverse rewards schemes: intrinsic motivation and extrinsic motivation. Intrinsic motivation occurs when people create new UCC contents for its' own sake, whereas extrinsic motivation occurs when people create new contents for other purposes such as fame and money. Third, commitments are suggested to work as important mediating variables between motivation and content creativity. We believe commitments are especially important in online environments because they have been found to exert stronger impacts on the Internet users than other relevant factors do. Two types of commitments are suggested in this study: emotional commitment and continuity commitment. Finally, content creativity is proposed as the final dependent variable in this study. We provide a systematic method to measure the creativity of UCC content based on the prior studies in creativity measurement. The method includes expert evaluation of blog pages posted by the Internet users. In order to test the theoretical model of our study, 133 active blog users were recruited to participate in a group discussion as well as a survey. They were asked to fill out a questionnaire on their commitment, motivation and rewards of creating UCC contents. At the same time, their creativity was measured by independent experts using Torrance Tests of Creative Thinking. Finally, two independent users visited the study participants' blog pages and evaluated their content creativity using the Creative Products Semantic Scale. All the data were compiled and analyzed through structural equation modeling. We first conducted a confirmatory factor analysis to validate the measurement model of our research. It was found that measures used in our study satisfied the requirement of reliability, convergent validity as well as discriminant validity. Given the fact that our measurement model is valid and reliable, we proceeded to conduct a structural model analysis. The results indicated that all the variables in our model had higher than necessary explanatory powers in terms of R-square values. The study results identified several important reward shemes. First of all, skill variety, task importance, task identity, and automony were all found to have significant influences on the intrinsic motivation of creating UCC contents. Also, the relationship with other users was found to have strong influences upon both intrinsic and extrinsic motivation. Finally, the opportunity to get recognition for their UCC work was found to have a significant impact on the extrinsic motivation of UCC users. However, different from our expectation, monetary compensation was found not to have a significant impact on the extrinsic motivation. It was also found that commitment was an important mediating factor in UCC environment between motivation and content creativity. A more fully mediating model was found to have the highest explanation power compared to no-mediation or partially mediated models. This paper ends with implications of the study results. First, from the theoretical perspective this study proposes and empirically validates the commitment as an important mediating factor between motivation and content creativity. This result reflects the characteristics of online environment in which the UCC creation activities occur voluntarily. Second, from the practical perspective this study proposes several concrete reward factors that are germane to the UCC environment, and their effectiveness to the content creativity is estimated. In addition to the quantitive results of relative importance of the reward factrs, this study also proposes concrete ways to provide the rewards in the UCC environment based on the FGI data that are collected after our participants finish asnwering survey questions. Finally, from the methodological perspective, this study suggests and implements a way to measure the UCC content creativity independently from the content generators' creativity, which can be used later by future research on UCC creativity. In sum, this study proposes and validates important reward features and their relations to the motivation, commitment, and the content creativity in UCC environment, which is believed to be one of the most important factors for the success of UCC and Web 2.0. As such, this study can provide significant theoretical as well as practical bases for fostering creativity in UCC contents.

• 대한간호학회지
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• 제3권1호
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• pp.13-40
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• 1972

Much has teed changed in the field of hospital administration in the It wake of the rapid development of sciences, techniques ana systematic hospital management. However, we still have a long way to go in organization, in the quality of hospital employees and hospital equipment and facilities, and in financial support in order to achieve proper hospital management. The above factors greatly effect the ability of hospitals to fulfill their obligation in patient care and nursing services. The purpose of this study is to determine the optimal methods of standardization and quality nursing so as to improve present nursing services through investigations and analyses of various problems concerning nursing administration. This study has been undertaken during the six month period from October 1971 to March 1972. The 41 comprehensive hospitals have been selected iron amongst the 139 in the whole country. These have been categorized according-to the specific purposes of their establishment, such as 7 university hospitals, 18 national or public hospitals, 12 religious hospitals and 4 enterprise ones. The following conclusions have been acquired thus far from information obtained through interviews with nursing directors who are in charge of the nursing administration in each hospital, and further investigations concerning the purposes of establishment, the organization, personnel arrangements, working conditions, practices of service, and budgets of the nursing service department. 1. The nursing administration along with its activities in this country has been uncritical1y adopted from that of the developed countries. It is necessary for us to re-establish a new medical and nursing system which is adequate for our social environments through continuous study and research. 2. The survey shows that the 7 university hospitals were chiefly concerned with education, medical care and research; the 18 national or public hospitals with medical care, public health and charity work; the 2 religious hospitals with medical care, charity and missionary works; and the 4 enterprise hospitals with public health, medical care and charity works. In general, the main purposes of the hospitals were those of charity organizations in the pursuit of medical care, education and public benefits. 3. The survey shows that in general hospital facilities rate 64 per cent and medical care 60 per-cent against a 100 per cent optimum basis in accordance with the medical treatment law and approved criteria for training hospitals. In these respects, university hospitals have achieved the highest standards, followed by religious ones, enterprise ones, and national or public ones in that order. 4. The ages of nursing directors range from 30 to 50. The level of education achieved by most of the directors is that of graduation from a nursing technical high school and a three year nursing junior college; a very few have graduated from college or have taken graduate courses. 5. As for the career tenure of nurses in the hospitals: one-third of the nurses, or 38 per cent, have worked less than one year; those in the category of one year to two represent 24 pet cent. This means that a total of 62 per cent of the career nurses have been practicing their profession for less than two years. Career nurses with over 5 years experience number only 16 per cent: therefore the efficiency of nursing services has been rated very low. 6. As for the standard of education of the nurses: 62 per cent of them have taken a three year course of nursing in junior colleges, and 22 per cent in nursing technical high schools. College graduate nurses come up to only 15 per cent; and those with graduate course only 0.4 per cent. This indicates that most of the nurses are front nursing technical high schools and three year nursing junior colleges. Accordingly, it is advisable that nursing services be divided according to their functions, such as professional, technical nurses and nurse's aides. 7. The survey also shows that the purpose of nursing service administration in the hospitals has been regulated in writing in 74 per cent of the hospitals and not regulated in writing in 26 per cent of the hospitals. The general purposes of nursing are as follows: patient care, assistance in medical care and education. The main purpose of these nursing services is to establish proper operational and personnel management which focus on in-service education. 8. The nursing service departments belong to the medical departments in almost 60 per cent of the hospitals. Even though the nursing service department is formally separated, about 24 per cent of the hospitals regard it as a functional unit in the medical department. Only 5 per cent of the hospitals keep the department as a separate one. To the contrary, approximately 12 per cent of the hospitals have not established a nursing service department at all but surbodinate it to the other department. In this respect, it is required that a new hospital organization be made to acknowledge the independent function of the nursing department. In 76 per cent of the hospitals they have advisory committees under the nursing department, such as a dormitory self·regulating committee, an in-service education committee and a nursing procedure and policy committee. 9. Personnel arrangement and working conditions of nurses 1) The ratio of nurses to patients is as follows: In university hospitals, 1 to 2.9 for hospitalized patients and 1 to 4.0 for out-patients; in religious hospitals, 1 to 2.3 for hospitalized patients and 1 to 5.4 for out-patients. Grouped together this indicates that one nurse covers 2.2 hospitalized patients and 4.3 out-patients on a daily basis. The current medical treatment law stipulates that one nurse should care for 2.5 hospitalized patients or 30.0 out-patients. Therefore the statistics indicate that nursing services are being peformed with an insufficient number of nurses to cover out-patients. The current law concerns the minimum number of nurses and disregards the required number of nurses for operation rooms, recovery rooms, delivery rooms, new-born baby rooms, central supply rooms and emergency rooms. Accordingly, tile medical treatment law has been requested to be amended. 2) The ratio of doctors to nurses: In university hospitals, the ratio is 1 to 1.1; in national of public hospitals, 1 to 0.8; in religious hospitals 1 to 0.5; and in private hospitals 1 to 0.7. The average ratio is 1 to 0.8; generally the ideal ratio is 3 to 1. Since the number of doctors working in hospitals has been recently increasing, the nursing services have consequently teen overloaded, sacrificing the services to the patients. 3) The ratio of nurses to clerical staff is 1 to 0.4. However, the ideal ratio is 5 to 1, that is, 1 to 0.2. This means that clerical personnel far outnumber the nursing staff. 4) The ratio of nurses to nurse's-aides; The average 2.5 to 1 indicates that most of the nursing service are delegated to nurse's-aides owing to the shortage of registered nurses. This is the main cause of the deterioration in the quality of nursing services. It is a real problem in the guest for better nursing services that certain hospitals employ a disproportionate number of nurse's-aides in order to meet financial requirements. 5) As for the working conditions, most of hospitals employ a three-shift day with 8 hours of duty each. However, certain hospitals still use two shifts a day. 6) As for the working environment, most of the hospitals lack welfare and hygienic facilities. 7) The salary basis is the highest in the private university hospitals, with enterprise hospitals next and religious hospitals and national or public ones lowest. 8) Method of employment is made through paper screening, and further that the appointment of nurses is conditional upon the favorable opinion of the nursing directors. 9) The unemployment ratio for one year in 1971 averaged 29 per cent. The reasons for unemployment indicate that the highest is because of marriage up to 40 per cent, and next is because of overseas employment. This high unemployment ratio further causes the deterioration of efficiency in nursing services and supplementary activities. The hospital authorities concerned should take this matter into a jeep consideration in order to reduce unemployment. 10) The importance of in-service education is well recognized and established. 1% has been noted that on the-job nurses. training has been most active, with nursing directors taking charge of the orientation programs of newly employed nurses. However, it is most necessary that a comprehensive study be made of instructors, contents and methods of education with a separate section for in-service education. 10. Nursing services'activities 1) Division of services and job descriptions are urgently required. 81 per rent of the hospitals keep written regulations of services in accordance with nursing service manuals. 19 per cent of the hospitals do not keep written regulations. Most of hospitals delegate to the nursing directors or certain supervisors the power of stipulating service regulations. In 21 per cent of the total hospitals they have policy committees, standardization committees and advisory committees to proceed with the stipulation of regulations. 2) Approximately 81 per cent of the hospitals have service channels in which directors, supervisors, head nurses and staff nurses perform their appropriate services according to the service plans and make up the service reports. In approximately 19 per cent of the hospitals the staff perform their nursing services without utilizing the above channels. 3) In the performance of nursing services, a ward manual is considered the most important one to be utilized in about 32 percent of hospitals. 25 per cent of hospitals indicate they use a kardex; 17 per cent use ward-rounding, and others take advantage of work sheets or coordination with other departments through conferences. 4) In about 78 per cent of hospitals they have records which indicate the status of personnel, and in 22 per cent they have not. 5) It has been advised that morale among nurses may be increased, ensuring more efficient services, by their being able to exchange opinions and views with each other. 6) The satisfactory performance of nursing services rely on the following factors to the degree indicated: approximately 32 per cent to the systematic nursing activities and services; 27 per cent to the head nurses ability for nursing diagnosis; 22 per cent to an effective supervisory system; 16 per cent to the hospital facilities and proper supply, and 3 per cent to effective in·service education. This means that nurses, supervisors, head nurses and directors play the most important roles in the performance of nursing services. 11. About 87 per cent of the hospitals do not have separate budgets for their nursing departments, and only 13 per cent of the hospitals have separate budgets. It is recommended that the planning and execution of the nursing administration be delegated to the pertinent administrators in order to bring about improved proved performances and activities in nursing services.