• 대한간호학회지
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• 제20권2호
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• pp.227-248
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• 1990

The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.

• 복식문화연구
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• 제17권3호
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• pp.431-446
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• 2009

The purpose of this study was to analyze the gender role changes of Korean women reflected on their costumes during 20th century. To analyze the diachronic gender role changes, social environments(education, job, economy, family systems, mass-media) of 20 th century were inquired by 10 years and comparatively analyzed with 680 images of representative costumes each periods. The results are as followed. 1) $1900s{\sim}1910s$: The most representative women's gender role was a wise mother and good wife. Therefore the adopted western costume, a symbol of civilization, were represented women as a passive and sexual object of man. 2) $1920s{\sim}1930s$: 'Shin Yeosung(Modern Girl)' was the representative gender role of that time. They were the symbol of enlightenment and new education. Their costumes influenced to the changes of traditional Hanbok in functional side. 3) $1940s{\sim}1950s$: In World War II. a strong and stubborn women were wanted to support their family. They threw feminity and changed their costumes into an active and functional 'Mombbe'. 4) $1960s{\sim}1970s$: Women asserted Gender equality and resisted the traditional women's gender role. Mini Skirts and Unisex costumes were symbolic costumes reflecting the changes. 5) 1980s: The self confidence of women's gender role affected the androgynous look and body-conscious look in modern fashion. 6) $1990s{\sim}2000s$: Now, the dichotomy of gender role is not no longer effective way to understand the social changes and fashion trend rather than personal characteristics and lifestyle trends.

• 가정과삶의질연구
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• 제27권2호
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• pp.255-268
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• 2009

The purpose of this study was to deepen our understanding about mothers' parenting stress in multi-cultural families. The study was conducted through in-depth interviews of 6 mothers from Mongolia, Philippines, and Japan who were living in Seoul. The findings of this study were as follows. First, mothers of multi-cultural families had difficulties of giving birth and child rearing, especially in the earliest years of their children. They were not fully adapted to the ways of living in Korea with little social support from family members and neighbors. Second, they were worried about their children's development, particularly language development due to their lack of understanding and fluency in Korean. Third, they were concerned about the cultural and racial discrimination against their children. They expected their children to be treated and respected equally like ordinary Korean children. Fourth, they were anxious about the fact that their children might not acquire the basic academic skills before they enter the elementary schools. Furthermore, they were worried that their children might not get as much educational support as they want. Fifth, despite the burden of mother's role in Korea, they wished to get a job to support their children for better education. In conclusion, the marriage immigrant mothers experienced the stress due to the lack of social support, the discrimination against immigrants, the possibilities of their children's delays in development, the disparity in the level of support for educating their children and the high expectations about their children's education in Korean society. Therefore it is necessary for the policy makers to consider more practical support system for the multi-cultural families in order for the marriage immigrant mothers to build up self-confidence in child rearing and educating their children.

• 대한치과기공학회지
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• 제36권2호
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• pp.119-128
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• 2014

Purpose: This study has been carried out to help to enhance the measures of interprofessional collaboration between Dental personnel and dental technicians, and between dental technicians themselves through the analysis of recognition of interprofessional collaboration between dental technicians. Methods: The subjects in this study were 130 dental technicians who were self-written questionnaire. The results were analyzed by SPSS 12.0. The collected data was analyzed by frequency and Correlation. Results: As a result of examining the correlation analysis of each question to explore the factors that affect interprofessional collaboration recognition of dental technicians, the group which received criticism from dental personnel showed negative (-) correlation in the interprofessional collaboration recognition (p<0.05). The following groups showed positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they can utilize information on the patients associated with the prosthesis production (p<0.01); the group who thinks that they are sharing common goals (P<0.01); and the group who replied that Dental personnel are familiar with patients (p<0.01). The following groups also showed higher positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they frequently discuss patient's information with Dental personnel (p<0.01); the group who thinks they have mutual confidence in one another (p<0.01); the group who thinks that cooperation among their colleagues in dental technique laboratories are being done well (p<0.01); and the group that has high job satisfaction (p<0.01). Conclusion: Effective communication and team work between human resources for providing medical service of the facility are essential for safe and high-quality medical service to patients. Further, such elements are directly connected to efficiency of the entire team. The reliability between dental technician and Dental personnel for cooperation should not be neglected therefore continuous interests in inter-cooperative partnership is required.

• Safety and Health at Work
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• 제10권4호
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• pp.512-517
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• 2019

Background: Rest breaks at work are reported to reduce fatigue and job stress. Apartment janitors in Korea who perform night shift work and work long hours can be exposed to various health problems (HPs). However, few studies have evaluated relationships between their rest breaks and HPs. This study was conducted to examine the relationships between long working hours, shift work, and insufficient rest breaks and HPs among Korean apartment janitors. Methods: Data on 1,212 selected male apartment janitors were obtained from the 3rd and 4th Korean Working Conditions Surveys. Demographic and occupational characteristics were collected using self-reported questionnaires. Rest breaks at work were classified as "sufficient" or "insufficient." Long working hours were considered as working more than 60 hours per week. Zero-inflated negative binomial (ZINB) regression was performed to investigate the effects of shift work and long working hours on HPs and the effects of rest breaks on relationships between HPs and long working hours and shift work. Results: Among those with insufficient rest breaks at work, significant associations were found between long working hours and the risk of HPs [odds ratio (OR) = 1.489; 95% confidence interval (CI) = 1.038-2.136] and work-related HPs (WRHPs) [OR 1.621; 95% CI = 1.156-2.272], and between shift work and HPs [OR = 1.603; 95% CI = 1.084-2.372]. These relationships became nonsignificant when sufficient rest breaks were provided. Conclusion: It is important to provide breaks at work to reduce HPs because of long working hours and shift work among aged workers such as apartment janitors.

• 한국치위생학회지
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• 제16권2호
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• pp.261-268
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• 2016

Objectives: The purpose of this study is to investigate the awareness and needs of English learning in allied health science college students. Methods: A self-reported questionnaire was filled out by 600 health science college students in Seoul, Gyeonggi and Incheon province. The questionnaire consisted of purpose of English learning, attitude and motivation. Data were analyzed by SPSS 19.0 program. Results: Most of the students took English classes(96%) and the English class was mainly done by instruction-centered learning (43.6%). Many students felt the needs of English and they thought English was the most important tool for getting a job(70.7%). Nonetheless most of the students lacked in confidence and interest in English learning due to the surrounding pressure(51.2%). Too much surrounding pressure can cause students lose their zest in English learning. Conclusions: It is need to seek for a curriculum consisting of practical purposes to meet the needs of health science college students about English learning.

• 대한간호
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• 제29권5호
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• pp.46-53
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• 1991

In the past, management had been done over nurses rather than nursing and this brought the existence of general manager and as a result, nurse-manager's position and role are being threatend. For the up-bringing of nursing to firm professional recognition in the 21st century, it is firmly believed that nursing managers are to be in the position to play the role of general manager with professional qualifications; personal qualities and exact understandings on the role and function of each tier group under her/his management. 124 top(3 nursing superintendents), middle-range(23 supervisors) and unit managers(98 head-nurses) from 3 university hospitals in Seoul were interviewed in order to investigate their belief in the role, professional qualifications, personal qualities as well as the strategy for the development of their leadership qualities. The frame of reference for the interview were developed by the researcher in reference to relevant literatures. It was the common belief that qualifications o[ top-managers and mid-managers require an educational background of master's preparation or higher and clinical career for at least 15 years for top-managers and 5 -10 years for mid-managers. The personal qualities required by nurse managers include; leadership, initiative, judgement, self-confidence, flexibility, open-mindedness and strong motivation. Achievment-orientedness would greatly help them become excellent managers. On the other hand, [or more effective management, managers of each teir group are to fully understand their role and perform "their job responsibilities ie. Top managers are supposed to study with emphasis on organization, function and conceptual s~ill while mid-managers concentrate their effort on the development of skills for direction, guidance and human relationship. Unit managers also supposed to have abilities to manage their function with emphasis on development of clinical performance skill, for direction on operative aspects. The strategies for the development of leadership qualities include program-planning at individual instutional level as well as local, national and international level. Nurse-managers are to be motivated and encouraged to participate in the programs in order to effectively communicate within tier groups.oups.

• 대한지역사회영양학회지
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• 제12권3호
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• pp.333-343
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• 2007

The purposes of this study were to evaluate students' performance by student self-evaluation and by educators in the field respectively after an internship program, to analyze the gap between the two groups, to identify students, satisfaction and behavior intention and to suggest the direction of an internship program in the Food and Nutrition Department. The results of the survey of 133 students and 129 educators as follows: a majority of the program periods was two weeks and most students experienced an internship program once. Both students and educators evaluated highly in 'I (Students) worked faithfully as a trainee.', 'I (Students) observed the rules and cooperated with other colleagues.', 'I (Students) behaved with clear and polite words.'. Educators estimated higher than students in all items, especially in 'I (Students) prepared and planned needs for internship in advance.' (p<0.00l), 'I (Students) got on close terms with the staff and enjoyed their confidence.' (p<0.001). For details of the internship program, students were satisfied with 'professors' roles' (3.95), 'educator's abilities' (3.85), 'treatment of students' (3.84) but dissatisfied with 'pay to students' (1.94). Students perceived that an internship program was helpful to understand their major (4.37) and to decide upon their job (4.17). They had an intention to participate in another internship program (4.63) and to recommend to their juniors to participate in a program (4.73). Students had a diversity of opinions for program periods and most wanted to participate two times in summer or winter vacation of junior. Therefore an internship program needs curriculum in the food and nutrition department and the continuous and active cooperation between university and institutions would lead to an effective and efficient internship program.

• 한국식품조리과학회지
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• 제16권2호
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• pp.143-150
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• 2000

A survey was carried out from 143 cooks working at the deluxe hotels in Seoul to obtain the information on the working environment, characteristics, and the satisfaction of the cooks to improve the culinary art training program and the working environment. The results were as follows: Most of the cooks(58.7%) worked for 8-9 hours/day and 51.7% of the cooks earned 1-1.5 million won in a month. The cooks had average 1.6 licenses per person, however, their licenses accorded with their work place only with 85.3%. Subjects were unsatisfied with the pay(55.2%), but 42.7% of the cooks hoped to work in their current work place. If they could transfer to other work place, they wished to run a restaurant of their own. The unsatisfaction rate was high among the cooks worked for 10-15 years, and 19.2% of them was unsatisfied with the environment of work place and 11.5% was in promotion. The longer the working period of the cook, the higher the recognition of the culinary skill. Also, the more frequently transfer to other places, the higher the self-estimation in their skills. Subjects answered that the most important factors for good cooking are the good taste and hygiene. The quality of ingredients was recognized more important among the cooks worked for longer period. The greatest hindrance for the improvement of cooking skill was indicated as insufficient knowledge among the cooks worked under one year, lack of confidence among those worked for 2-5 years, and authoritarianism of seniors for 6-15 years. They answered that the most important qualification for cook is the sincere attitude. The cooks with under 5 years of experience indicated experience and studying attitude and the ones with over 6 years of experience culinary skill as the important factors for cooks. The important factors for promotion was pointed out as culinary skill and human relationship.

• 실천공학교육논문지
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• 제10권1호
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• pp.9-15
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• 2018

음성 인식 기반 API를 이용하여 디지털 사이니지(Digital Signage)를 구성하고, 상용화된 다른 제품들과 차별되도록 사용자의 음성 명령으로 날씨, 지도, 운동 정보, 일정, 영상 등의 정보를 얻는 VRSM(Voice Recognition Smart Mirror)을 제안하여, 독자적인 졸업인증제의 결과물로 평가받는 과정을 통해, 공학교육의 효과적인 실천 방안을 제시한다. 전공에서 2인 1조로 3학기동안 진행되는 작품 설계 및 제작 기회를 경험하였다. 종합설계를 통해 공학적 접근 방법과 창의적 사고 기회를 경험하였으며, 그 중간 결과에 대해 본 학회의 학술대회에 참가하여 우수 학술상을 수상하였고, 기타 학회의 논문 경진대회에서도 입상의 결과를 얻었다. 이 과정을 통해 얻어진 실무 능력의 향상이 자신감과 취업 기회 획득에 유리함을 실제 취업들을 통해 입증하였다.