• 기본간호학회지
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• 제6권2호
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• pp.228-239
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• 1999

In 1990 Home Care Education Programs started when legislation established certification for Home Care Nurses. The Ministry of Health and Welfare proposed a home care education curriculum which has 352 class hours and 248 hours of 'family nursing and practice'. Though Home Care Education Programs have been offered in 11 home care educational institutes, there has been no formal revision for the home care education programs. Also a first and second home care demonstration projects have been carried out, but there has been no research on outcomes for home care education as applied in home care practice. The purposes of this study were to identify the important content areas for home care nursing as perceived by home care nurses, and to identify their clinical competence in each of these areas, and from these to identify the education needs. The sample was 107 home care nurses who were working in home care demonstration hospitals and community-based institutions which have been offering home care services. Responses were received from 88 nurses, comprising a 82.2% return rate, and 86 were included in the final analysis. The instrument used was a modification of the instrument developed by Caie-Lawrence et(1995) and Moon's(1991) instrument on home care knowledge. The instrument's Cronbach's coefficient was 0.982. Among the respondents, 64% were working at home care demonstration hospitals and 36% were working at community-based institutions. Their home care experiences were from one month to six years, with a mean of 20.6 months. The importance rating for home care education content was 3.42 0.325, which means importance was rated relatively high. Technical aspects of home care were identified the most important. Five items 'education skill', 'counseling skill', 'interview skill', 'wound care skill', 'bed sore care skill' received 100% importance ratings. The competency rating was 2.87 0.367 and 'technical aspects of home care' was the highest, and 'application to home care skill' was the lowest. Home care nurses' education needs were identified and compared to the importance ratings and competency ratings. Eleven items were identified as the highest in the importance areas and eleven items were in the lowest competency areas. High importance ratings matched with low competency ratings determined training needs, but there was no matching items in this study. In the lowest competency areas four items were excluded, because of not being applicable in current home care practice. Therefore total eighteen items were identified as home care education needs. These items are 'bed sore care skill', 'malpractice', 'wound care skill', 'general infection control', 'change and management of tracheostomy tubes', 'CVA patient care', 'Hospice care', 'pain management', 'urinary catheterization and management', 'L-tube insertion and managements', 'Respirator use and management skill', 'infant care', 'prevention to burnout', 'child assessment', 'CAPD', 'infant assessment', 'computer literacy', and 'psychiatry patient care'.

• 치위생과학회지
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• 제15권5호
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• pp.666-672
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• 2015

본 논문은 치주건강인식도와 자기구강위생관리행위의 수준과 관련성을 파악하여 환자들에게 효율적이고 올바른 구강건강관리를 할 수 있도록 계속구강건강관리프로그램을 위한 기초자료로 제공하고자 시도되었다. D지역의 치과의원 1곳을 임의로 선정하여 치과에 내원하는 환자들을 대상으로 2013년 12월 2일부터 12월 31까지 설문조사하여 회수한 설문지 592부를 분석한 결과는 다음과 같다. 일반적 특성에 따른 치주건강인식도에서 연령은 '증상'에서 50~59세가 유의하게 가장 높았고 학력과 월 소득은 높을수록 유의하게 높았으며 주관적 구강건강상태는 '치료'와 '관리'에서 건강할수록 유의하게 높았다. 일반적 특성에 따른 자기구강위생관리행위에서 성별은 남자보다 여자가 더 유의하게 높았으며 연령은 20~29세가 가장 유의하게 높았고 학력이 높을수록 유의하게 높았다. 월 소득과 주관적 구강건강상태가 높을수록 치주건강인식도는 유의하게 높았다. 치주건강인식도와 자기구강위생관리행위의 상관관계에서 치주건강인식도 중 관리 및 오개념과 자기구강위생관리 행위는 정(+)의 약한 상관관계가 있었다. 대상자들의 일반적 특성과 치주건강인식도가 자기구강 위생관리행위에 미치는 영향력을 알아본 결과에서 학력과 월 소득이 높을수록, 남자보다 여자가, 관리에 관한 치주건강인식도가 높을수록, 치료에 관한 치주건강인식도가 낮을수록 자기구강위생관리행위가 유의하게 높았다. 독립변수 중 관리에 관한 치주건강인식도가 상대적으로 자기구강위생관리행위에 큰 영향을 미치는 것으로 나타났다. 이상의 결과를 종합해 보면 관리와 오개념에 관한 치주건강인식도가 높을수록 자기구강위생관리행위는 높은 것으로 연관성이 있었으며, 자기구강위생관리행위에 영향을 미치는 요인으로는 성별, 학력, 월 소득, 치주건강인식도 하위영역 중 치료와 관리였다. 따라서 치과에 내원하는 환자들의 인구사회학적 특성을 고려하여 치주건강에 관한 교육을 통하여 환자들의 치주건강관리에 대한 태도의 변화를 유도하여 자기구강위생관리행위를 잘 실천할 수 있도록 계속구강건강관리프로그램을 통해 도와주어야 하겠다.

• 유통과학연구
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• 제14권6호
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• pp.75-80
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• 2016

Purpose - A growing demand for sustainability reporting has placed pressure on firms with non-financial information that affects firm valuation, growth, and development. In particular, a number of researchers have investigated various topics in Corporate Social Responsibility (CSR), non-financial information. Prior studies suggest that CSR may affect corporate outcomes like corporate reporting, financial performance, and disclosures. However, the results from prior studies are not clear whether CSR affects corporate outcomes. This is partially due to the measurement issues with CSR. In this study, we examine whether CSR affects the quality of corporate reporting, one of the popular measures in corporate outcomes. We find an evidence that CSR positively affects the quality of corporate reporting. Research design, data, and methodology - In this study, we collected a unique dataset of CSR from MSCI. Total 169 firms listed in the Korean Stock Exchange from 2011 to 2014 were collected and analysed with the detailed CSR reports. Using a correlation test, we found a weak association between CSR and the quality of corporate reporting. However, the regression tests provided a strong relationship between CSR and the quality of corporate reporting after controlling for other variables that may affect the quality of corporate reporting. Additionally, we calculated the t-statistics based on heteroskedaticity-consistent standard errors (White, 1980). Results - Before we run the regression test, we sort the measures of the two dependent variables into each rating of CSR (from AAA to CCC). The results indicate that the quality of corporate reporting measured by discretionary accruals and performance-matched discretionary accruals monotonically decrease as the CSR ratings increase. This supports our hypothesis. In the regression tests, the coefficient on MJDA (PMDA) is -0.183 (-0.173) and significant at the 5% level. We can interpret the results as CSR affecting the quality of corporate reporting in positive ways. Other coefficients on control variables are consistent with prior studies. For example, the coefficients on both LOSS and LEV are positive and significant at conventional level, meaning that firms with financial difficulty may harm their quality of corporate reporting. Conclusion - We found an evidence that CSR is positively associated with the quality of corporate reporting. This study contributes to the literature in various ways. First, this study extends the line of CSR research by providing additional evidence in the setting of ethical behaviors by managements. This is consistent with the hypothesis and supports the results of prior studies. Second, to the best of my knowledge, this is the first study using the MSCI CSR ratings. In contrast with prior studies using different measures of CSR, the MSCI CSR ratings allow us to provide in-depth analysis. Third, the additional measure of dependent variable (PMDA) allows us to improve the robustness of our results. Overall, the results provided this study to extend the findings in prior studies by providing incremental evidence.

• 한국문헌정보학회지
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• 제6권
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• pp.137-163
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• 1979

The Purpose of this study is analyzed that (l) How the public Libraries under the Japanese Rule since the end of the Yi-Dynasty were recepted and generated by the people and (2) How they were organiged and managed. (3) Also it examined that how they affected the development of the libraries of today. 1. The following are the analyzed results: Three types of the public Libraries under the Japanese Rule for a period of 36 years engaged busily in colonization were Private's Public Libraries, Local Self-Government's Libraries and the Central Governmental Libraries, and were in order established. 2. They were eatablished by individuals, Confucian School Foundation, Young Men's Clubs, School Associations, Korean brethren residing abroad, or The Press Centering around the Local Self-Governments and the Japanese Government-General. 3. In 1932 of the period of the Japanese Rule, the number of Libraies gained the summit and reached 80 Libraries. The Public Libraries including the Central Governmental Libraries remained in existence until the end of the War had been kept up the functions of the Libraries, but the Private Libraries operated by the Koreans were very small and poor. As a result, most of them were closed up and some Libraries transferred their controls to the public. Until the end of the war, only a little over 10 Private Libraries were Kept up. From the aspects of it's organization system, the most of their libraries replaced their chief librarians with non-professional county-headmen or Local supporters. From the aspect of collections, they wate mainly consists of Japanese books for the proper quidance of the public thought based on the ideology of Japanese Rule to Korea and on the industrial promotion rather than books about Koreanology or Western books. At that time, the Library users were with the jobless men and students as the central figures. And the next ranking by the social position of readers was children, farmers, merchants, industrialists, public servants, miscellaneous and educators. Their reading tendencies laid stress on linguistics and literature, physical sciences and medicine, While the reading trend of military sciences and medicine, while the reading trend of military sciences and engineering were very inactive. This was because the Japanese Government-General had not kept the military collections on file. Besides, they were reluctant to make Korean's learn the professional knowledge and so the main reference materials of technology not provited. Most of the Libraries put practiced in circulation services were very important circulation in withinder of the reading room rather than in outside of the Library building. On the other hand, their circulation services has above came with many limitations. As stated above, the public Libraries' managements and activitives under the period of Japanese Rule were the way and means to achive the colonial and imperialistic purpose of the Japanese Empire.

• 대한가정학회지
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• 제40권4호
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• pp.167-178
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• 2002

This study was carried out to compare the meal management attitudes among the mothers(41 years of age) who had middle school students between in industrial complex and in non-industrial complex. The subjects of each group were composed of 192 mothers Living in Ansan city in Korea, and this study was performed by self-administered questionnaire. The results of the present study were as follows: (1) Monthly family income and education level of parents were lower in industrial complex-family(ICF) than in non-industrial complex-family (NICF). The mean age of mothers and family size were similar in two groups, but the frequency of mothers employed was higher in ICF than in NICF Most mothers in ICF worked as a manual- or skilled-laborer. (2) The mothers in ICF tended to have less positive attitude in sewing balanced meals to their families than those in NICF. The score of nutritional knowledge was lower in mothers in ICF than those in NICF. (3) The percentage of expense for purchasing staple foods to total expense of foods tended to be higher in ICF than in NICF. Engel's coefficient was higher, and the frequency and expense for eating out was lower in ICF than in NICF (4) The mothers in ICF did not try to use their time and energy efficiently for meal management. (5) The mothers in ICF were less active in sewing the pleasurable meals including the provision of various cooking methods, flavors, and temperatures, to their families, than those in NICF. Above findings show that family environment such as industrial complex-families and non-industrial complex-families influences the meal management attitudes of mothers. The mothers in ICF had a less positive altitudes for scientific meal managements than those in NICF even though they had the limited resources including money, time and energy for meal management because most mothers in ICF had a job that were paid low salary and finished irregularly or late. Therefore, these results underscore the need to provide the sound nutritional education for the mothers in ICF with respect to reasonable meal management for 'optimal nutrition of family'. In addition, the government should try to make the various welfare policies to improve nutritional status of low income famines including the poor industrial complex-families.

• 대한치과보철학회지
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• 제46권1호
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• pp.65-82
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• 2008

오늘날의 시장 경제는 소비자 중심으로 빠르게 변모하고 있다. 이는 점점 가속화 되어가는 소비자의 생활수준과 교육수준의 향상, 다양한 대중매체를 통한 구매자의 상품에 대한 접근의 용이성에 기인한다. 다양한 선택의 대안 속에서 자신의 가치를 만족시킬 수 있는 상품을 선택할 수 있는 소비자 중심의 시장 경제체제는 소비자의 소득수준의 증가와 전 국민 의료보험의 실시로 인한 의료 수요확대를 통해 의료분야에서도 그 두각을 나타내고 있다. 최근 우리나라의 의료계는 의료기관의 수 및 의료 인력의 증가로 인해 경쟁이 강화되고 있는 실정이고, 이러한 경쟁 강화를 통해 소비자의 시장 선택의 폭은 넓어지게 되었다. 이런 시점에 소비자의 입장에서 본 의료서비스에 있어서의 고객만족도에 영향을 미치는 요인, 서비스의 문제점, 개선점에 대한 조사와 연구는 필요 불가결하다고 하겠다. 이 연구는 2006년 1월 23일부터 4월 15일 까지 서울시에 소재한 연세대학교 치과병원에 내원한 환자 784명을 대상으로 진행되었으며 구조화된 설문지를 이용하여 자기기입식 방법으로 자료를 수집하여 이를 분석하였다. 본 연구의 결과를 살펴보면 다음과 같다. 1. 응답자의 사회인구학적인 특성은 성별이나 결혼여부는 적절하게 표본이 추출 된 것으로 보이나 직업에서는 학생 및 대학(원)생, 내원이 유와 현재 받고 있는 치료에 있어서는 교정치료가 높은 비율로 나타났다. 2. 치과병원에 대한 전반적인 만족도는 전체의 74%가 높은 만족을 나타내었다. 3. 독립변수들 중 구체적 서비스 항목에 대해서는 '서비스시스템', '친절도', '설명', '대기시간설명', '예약시스템', '응급상황에의 대처', '치과진료경험의 풍부', '치과적 지식의 유무', '병원의 규모', '소독', '내부시설', '주차' 에 대한 만족도는 높게, '치료비', '치료 준비시간', '대기시간', '치료시간', '예약기간' 에 대한 만족도는 낮게 나타났다. 4. 독립변수들 간의 상관관계 분석을 실시하였고 이들 사이에는 높은 선형관계가 없었다. 5. 독립변수들과 종속변수 사이의 상호관련성을 평가하기 위한 프로빗 회귀분석 결과 총 34개의 독립변수 중에서 불편감 해소, 서비스 시스템, 친절도, 설명, 한 번 내원 시 치료시간, 예약시스템, 지식의 유무, 내부시설에 대한 만족도의 8개 독립변수가 유의수준 1%하에서 서로 높은 상호관련성을 보였다. 고객의 만족은 전적으로 고객의 주관적인 평가에 의존한다. 환자들의 욕구가 다양화되고 고급화되면서 의료서비스에 대한 기대수준이 높아지고 있기 때문에 이에 부합하는 서비스를 제공하는 것이 의료서비스의 고객인 환자를 만족시키는 필수 요건이 된다. 많은 의료기관이 환자를 중심으로 하여 고객만족을 위한 병원, 고객감동을 위한 병원이 되기 위하여 노력을 하고 있으며, 이는 치과의료 분야에 있어서도 적용되고 있는 현실이다. 내원환자들의 만족도를 향상시키기 위해서는 이 연구의 결과를 기초로 한 새로운 병원 경영 전략의 수립과 그로 인한 의료 서비스의 질 향상으로 고객이 만족하는 양질의 의료서비스를 제공하는 노력이 필요하리라 여겨진다.

• Journal of Preventive Medicine and Public Health
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• 제11권1호
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• pp.86-97
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• 1978

The mobile medical service has been operated for many years by a number of medical schools and hospitals as a most convenient means of medical service delivery to the people residing in such area where the geographical and socioeconomic conditions are not good enough to enjoy modern medical care. Despite of official appraisal showing off simply with numbers of outpatients treated and medical persons participated, however, as well recognized, the capability (in respect of budget, equipment and time) of those mobile medical teams is so limitted that it often discourages the recipients as well as medical participants themselves. In the midst of rising need to secure medical service of good quality to all parts of the country, and of developing concept of primary health care system, authors evaluated the effectiveness of and problems associated with mobile medical servies program through the community diagnosis of a village (Opo-myun, Kwangju-gun) to obtain the information which may be halpful for future improvement. 1. Owing to the nationwide Sae-Maul movement powerfully practiced during last several years, living environment of farm villages generally and remarkably improved including houses, water supply and wastes disposal etc. Neverthless, due to limitations in budget time and lack of knowledge (probably the most important), these improvements tend to keep up appearances only and are far from the goal which may being practical benefit in promoting the health of the community. 2. As a result of intensive population policy led by the government since 1962, there has been considerable advances in understanding and the rate of practicing family planning through out the villages and yet, one should see many things, especially education, to be done. Fifty eight per cent of mothers have not received prenatal check and the care for most (72%) delivery was offered by laymen at home. 3. Approximately seven per cent of the population was reported to have chronic illness but since only a few (practically none) of the people has had physical check up by doctors, the actual prevalence of chronic diseases may reach many times of the reported. The same fact was observed also in prevalence of tuberculosis; the patients registered at local health center totaled 31 comprising only 0.51% while the numbers in two neighboring villages (designated as demonstration area of tuberculosis control and mass examination was done recently) were 3.5 and 4.0% respectively. Prevalence rate of all dieseses and injuries expereinced during one month (July, 1977) was 15.8%. Only one tenth of those patients received treatment by physicians and one fifth was not treated at all. The situation was worse as for the chronic patients; 84% of all cases either have never been treated or discontinued therapy, and the main reasons were known to be financial difficulty and ignorance or indifference. 4. Among the patients treated by our mobile clinic, one third was chronic cases and 45% of all patients, by the opinion of doctors attended, were those who may be treated by specially trained nurses or other paramedics (objects of primary care). Besides, 20% of the cases required professional managements of level beyond the mobile team's capability and in this sense one may conclude that the effectiveness (performance) of present mobile medical team is quite limitted. According to above findings, the authors would like to suggest following for mobile medical service and overall medicare program for the people living in remote country side. 1. Establishment of primary health care system secured with effective communication and evacuation (between villages and local medical center) measures. 2. Nationwide enforcement of medical insurance system. 3. Simple outpatient care which now constitutes the main part of the most mobile medical services should largely be yielded up to primary health care unit of the village and the mobile team itself should be assigned on new and more urgent missions such as mass screening health examination of the villagers, health education with modern and effective audiovisual aids, professional training and consultant services for the primary health care organization.

• 한국산림과학회지
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• 제85권4호
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• pp.596-604
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• 1996

본 연구는 표고재배기술의 단계별 관리방법을 제시하며, 활착율 증대를 통하여 양질의 버섯생산을 도모하여 생산성을 향상시키는데 목적이 있다. 현지 재배자를 대상으로 재배현황에 대한 실태조사를 실시하여 재배현황을 분석하였고, 이를 토대로 현지 재배환경을 위주로 표고 종균활착율 향상과 재배 관리에 관하여 실험한 결과는 다음과 같다. l. 실태조사결과 많은 재배자가 활착촉진을 위한 재배관리에 등한히 하는 경우가 많았는데, 이는 노동력의 부족과 자본의 부족 그리고 재배관리 요령에 익숙하지 못한 이유 등이었다. 2. 원목내 수분함량은 3월 12일 l차 접종분이 28.63%, 3월 25일 2차분은 25.20% 그리고 4월 10일의 3차분은 23.19%로 점차 감소하였다. 종균의 활착에 적절한 원목내의 수분함량을 확보하며 활착증진과 노동력의 분산을 위해서는 3월 초부터 접종하는 편이 유리하였다. 3. 종균별 활착율은 10월 20일의 활착율조사에서 고온성은 모리465가 100%, 모리3046이 98.98%, 저온성에서는 모리290이 98.97%였다. 상대활착율은 고온성에서 모리465가 97.70%, 모리3046이 82.45%. 저온성에서는 모리290이 88.87%로 나타났다. 본 종균은 높은 활착율로 재배자들이 선호하는 품종으로 상대활착율에서 차이를 보여, 재배자의 종균선택에 유의하여야 할 부분으로 판단된다. 4. 접종시기별 활착율은 고온성 모리465와 저온성 모리290을 접종하여 고온성의 경우, 활착율은 1차(3월 중순) 100.0%, 2차(3월 하순) 98.98% 그리고 3차(4월 상순)에 96.79%로 약간의 차이를 나타냈고, 상대활착율은 1차가 97.70%, 2차 82.45% 그리고 3차가 8l.42% 순이였다. 저온성의 경우, 활착율은 1차가 99.09%, 2차가 98.97% 그리고 3차가 97.89%로 별차이가 없었으며, 상대활착율은 1차가 93.27%, 2차가 89.67% 그리고 3차가 88.87%로 나타났다. 접종시기가 빠를수록 활착율에서는 비교적 차이가 없었으나 상대활착율의 경우는 차이를 보였는데, 우리재배자의 접종시기가 3차인 4월에 집중되어 있는 점을 감안 한다면 앞으로의 접종시기는 조기접종인 3월초에 실시하도록 하여야 할 것으로 판단된다. 5. 가눕혀두기시 위치별로 골목내의 수분함량을 측정한 결과, 상단부일수록 수분함량이 낮아 가눕혀두가시 쌓는 높이결정에 있어서는 가능한한 60cm를 넘지 않도록 하여야 할 것으로 판단된다.