• 제목/요약/키워드: Learning-By-Doing

검색결과 208건 처리시간 0.027초

중학교 과학 실험수업에 적용한 심화.보충형, 심화형, 보충형 수업의 효과 비교 (A Comparative Study of the Effects of Level-differentiated, In-depth Level Only, and Supplementary Level Only Laboratory Activities in Middle School Science Classes)

  • 박종윤;최정임
    • 한국과학교육학회지
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    • 제26권7호
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    • pp.790-797
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    • 2006
  • 본 연구에서는 제 7차 교육과정에서 제시한 심화 보충형 수준별 수업과 심화형 또는 보충형 획일적 수업의 효과를 비교해보고자 하였다. 연구 대상은 중학교 1학년 남녀학생 200명으로 심화 보충집단, 심화집단, 보충집단의 세 집단으로 구성하였다. 기본과정 이수 후에 치른 형성평가 점수에 따라 각 집단의 학생들을 심화수준과 보충수준으로 나누었다. 한 학기동안 심화 보충집단은 학생들의 수준에 해당하는 수준별 실험활동을 하였고, 심화집단은 모두 심화 실험활동을, 보충집단은 모두 보충 실험활동을 하였다. 수업처치에 따른 효과를 알아보기 위해 과학 학업성취도와 과학 탐구능력에 대해 사전 사후 검사를 실시하였고, 심화 보충형 수준별 수업에 대한 학생들의 의견을 조사하였다. 그 결과 과학 탐구능력 검사에서는 각 집단별로 유의미한 차이가 없는 것으로 나타났으나, 과학 학업성취도 검사에서는 유의미한 차이가 있는 것으로 나타났다. 사후비교 결과 이러한 차이는 심화 보충집단과 보충집단의 차이에 기인한 것을 알 수 있었다. 학생들의 의견 조사 결과 심화 보충집단의 심화수준 학생들은 심화활동에 대해 만족하는 학생들이 많았으며, 보충수준 학생들도 부정적인 반응을 보이는 학생들은 적었다. 그러므로 본 연구 결과에 의하면 중학교 과학 수업에서 심화 보충형 수준별 수업이 보충형 획일적 수업보다는 더 효과적이라고 할 수 있다.

간호학생의 효과적인 자율학습을 위한 조사연구 (A Study on the Effective Independent Study of Nursing Student)

  • 김광주;이향련
    • 대한간호학회지
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    • 제8권1호
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    • pp.16-42
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    • 1978
  • This survey was made for a month starting from November 15 to December 15, 1977 covering 711 students taking the junior. (3rd-yea.) and the senior. (4th-year) at nine college of nursing in Seoul concerning their perception and Attitude toward the profession of nursing, motive for the necessity of learning, environment of study, attitude of study and particulars relevant with study performance, particulars of library, references and reading, assignments and particulars of the degree of confidence for the learning achievement. Through the survey of the above Particulars, the following results were obtained by classifying all subject matters and by analysing motive of the selection of their course, awarding or not awarding of scholarships. 1. General characteristics: it was revealed that 406 students (57.1%) were attending at the junior. while 305 students (42.9%) were taking the senior. Thus, the total number was 711 and their average age was 21.4 years. Their dwelling category was; 73.9 percent of them resided at their parent's home, 214 students (30.1%) were awarded with scholarships. The reason to be attracted by nursing science was the possibility of continuing social life after graduation (43.5%). 2. Their perception and attitude toward the profession of nursing: According to the perception of profession by the students of each grade, students of the 4th grade showed comparatively strong conception. Also, students of the 4th grade showed more positive attitude in the purchase and reading of magazines relative with the science of nursing, in the reading of Code for Nurses and in their interest in the activity of nursing field. For the necessity of mission of nurse, 97.7 percent of the entire number of students covered responded to necessity. For the necessity of the particular humanity and particularity in the character of nurses, 95.8 percent of those students responded to necessity. By the each grade, students of the 4th grade showed more response. 3. As to professional field desired after completing the professional course: 57 percent of those students desired for clinician nurse while 55 percents desired for community health-nurse. 4. As to the environment of study: they were mostly satisfied with their present residential environment. However, they complained of inconvenience at their lecture-halls. Students of the 3rd grade showed more complain. As to their attitude toward the adjustment of environment of study, they showed a affirmative response. As to the opinion of factors which interfere with their study, comparatively strong response was showed in their scepticism in the science of nursing, insufficient comprehension in general learning, relation with professors n4 discrepancy in the method of study. According to opinions of students at each grade, students of the 4th grade showed more scepticism. 5. Particulars relative with their attitude and performance of study : As to their knowledge of the objectives of their study of subject, the majority was to study with a partial knowledge of the objectives of their study. As to the plan of study, a low percentage indicated management of routine life under regular scheduling. Students of the 4th grade responded to rather planned life. As to time spent in independent study, response to concentrated study when necessary was stronger than that to regular daily study. Students of the 4th grade showed stronger response to regular study than that of the 3rd grade. As to the contents of their note-taking, 67.4 percents of those students responded to such regulatory procedure performing in the lecture-hall as they listen to lectures. 17.3 percents of those students showed response to adding supplementary informations from references to what was entered in choir note-taking at their lecture-halls. 6. Particulars of library, references and reading books: As to receiving of instruction for the utilization of library and time of receiving such instruction 64.7 percents of those students had received such instruction. 66.7 percents of the those responded received such instruction at orientation conducted for freshmen. As to the convenience of the utilization of library, 49.9 percents of those students responded to convenience. However, students of the 3rd grade showed a much stronger response to inconvenience. As to the time of the utilization of library,92.5 percents of those students showed a response to occasional utilization for particular purpose than regular utilization. 53.2 percents of those students responded to ordinary in quantity that library have references. 34.2 percents of those students responded to insufficient. As to the particular relative with the method and field of reading: 53.5 percents of those students responded to intensive reading and was the majority. As to the reading field, fiction u as the majority. When read any books for their major, they usually rend Korean text-b, oks. 7. Particular relative with giving assignment: All respondents were well aware of the objectives of giving home tasks. As to the attitude toward assignments and performing home tasks, 54.8 percents of those students to making ostentatious study because of an excessive quantity of assignments imposed. For performing assignment, they showed comparatively positive response. Also, 52.2 percents of those students responded that they usually submitted complected assignment with references. 8. As to motive to realize the necessity of study : 55.6 percents of those students responded that they realized such necessity in communication with patients when they were engaged in clinical practice. Also, 8.6, the lowest percents of those students responded that they realized such necessity in the course of conversation with nurses when they were engaged in clinical practice. 9. As to the determination of their confidence in the performance of study relative with clinical experience: They showed a general inclination of having in nursing. The major response was that they came to well comprehend the patients families. the lowest response was that they could apply what was learned at lecture-hall to practice. This response incidentally showed the distance the lecture-hall and practical study. In general items, students of the 4th grade showed more favorable response than students of the 3rd grade and there was a significant difference. 10. As to the perception and attitude toward profession according to the motive of selecting the nursing science : Those who selected the nursing voluntarily showed stronger conception than those who selected the nursing through indirect influence. However, there was no significant difference on this point. Only there was a remarkable difference in the reading of Code for Nurses. 11. Those who showed a stronger conception in the profession of nursing according to the motives of attractive nursing science indicated a strong will and ability to manage stable life and comparatively strong response was shown in the management of good home life because of the good adaptability of the science to their character. This group showed a strong conception of the profession than those who responded that they prefer this profession out of a longing for the work of a hospital and for the easy obtaining of opportunity to immigrate to over seas and for economic cause and for high school grade. There was significant difference between these two groups, 12. As to the conception and attitude toward the profession of nursing according to benefits by scholarships, those who were benefitted by scholarship showed stronger conception of profession than those who did not receive scholarship and there was a remarkable difference between these two categories. However, there was no remarkable difference between these two categories in the extent of interest of the activities of nursing fields and in the reading of Code for Nurses. 13. As activation for study according to the benefits of scholarships, those who were benefitted by scholarships showed stronger response to the motive for study comparing with those who receive. 14. As to tile field of reading according to the benefits by scholarships, those who received scholarships tended to read autobiographies and essayers to a considerable extent. Those who did not receive scholarships tended to read novels. Those who received scholarships more read nursing boots than those who did not receive scholarships. 15. As to the attitude of study and doing of assignment according to benefits of scholarships, those who received scholarships managed a favorable life with schedules for study, More students of receiving scholarship showed a regular study for more than one hour per day. Also, in the method of doing home tasks, more students of receiving scholarship showed reference to relative books frequently for the submission of completed assignments.

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R2와 어텐션을 적용한 유넷 기반의 영상 간 변환에 관한 연구 (Image-to-Image Translation Based on U-Net with R2 and Attention)

  • 임소현;전준철
    • 인터넷정보학회논문지
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    • 제21권4호
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    • pp.9-16
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    • 2020
  • 영상 처리 및 컴퓨터 비전 분야에서 하나의 영상을 통해 다른 영상으로 재구성하거나 새로운 영상을 생성하는 문제는 하드웨어의 발전에 따라 꾸준히 주목받고 있다. 그러나 컴퓨터를 통해 생성한 이미지를 사람의 눈으로 바라봤을 때 자연스럽지 않다는 문제 또한 계속해서 대두되고 있다. 최근 딥러닝 분야에 대한 연구가 활발히 진행됨에 따라 이를 활용한 영상 생성 및 개선 문제 또한 활발히 연구되고 있으며 그 중에서도 적대적 생성 신경망(Generative Adversarial Network)이라는 네트워크가 영상 생성 분야에 있어 좋은 결과를 보이고 있다. 적대적 생성 신경망이 제안된 이후 이를 기반으로 하는 다양한 네트워크가 제시됨에 따라 영상 생성 분야에서 더 자연스러운 영상을 생성하는 것이 가능해졌다. 그 중 pix2pix은 조건 적대적 생성 신경망 모델로 다양한 데이터셋에서도 좋은 성능을 보이는 범용적인 네트워크이다. pix2pix는 U-Net을 기반으로 두고 있으나 U-Net을 기반으로 하는 네트워크 중에서는 더 좋은 성능을 보이는 네트워크가 다수 존재한다. 때문에 본 연구에서는 pix2pix의 U-Net에 다양한 네트워크를 적용해 영상을 생성하고 그 결과를 상호 비교 평가한다. 각 네트워크를 통해 생성된 영상을 통해 기존의 U-Net을 사용한 pix2pix 모델보다 어텐션, R2, 어텐션-R2 네트워크를 적용한 pix2pix 모델이 더 좋은 성능을 보이는 것을 확인하고 그 중 가장 성능이 뛰어난 네트워크의 한계점을 향후 연구로 제시한다.

POCoM (Practical On-site Cooperation Model) 확장을 위한 교사 연수 프로그램의 개발과 적용 (Developing and Applying In-Service Program for Spreading the Practical On-site Cooperation Model (POCoM))

  • 정진수;박종원;박종석;김영민;박영신
    • 한국과학교육학회지
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    • 제34권3호
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    • pp.261-272
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    • 2014
  • 본 연구에서는 과학수업의 실질적 개선을 위한 연구자-교사 협력모델(POCoM: Practical On-site Cooperation Model)을 확산시키기 위해 교사 연수 프로그램을 개발하고 적용하여 그 결과를 평가하였다. 연수프로그램은 다음 3가지 특성을 가지고 개발되었다 : (1) 실제 수업녹화 내용을 연수의 주요 소재로 활용한다, (2) 연구자와 교사, 교사와 교사간 활발한 의사소통과 의견교환을 강조한다, (3) 활동중심으로 진행한다. 9시간에 걸친 연수에는 17명의 교사가 자발적으로 참여하였다. 연수과정에서 교사들이 실시한 분석결과에 대해 분석 일치도를 구해 본 결과, KTOP(Korean Teaching Observation Protocol)을 이용하여 과학수업을 분석할 수 있는 교사 전문성이 향상된 것으로 나타났고, 교사들이 과학수업의 개선정도도 판단할 수 있음을 알 수 있었다. 설문지를 통해서는 다양한 측면에서 연수에 대한 긍정적 응답을 얻을 수 있었다. 또 연수 중 교사활동에 대한 관찰을 통해, 교사가 제기한 질문, 교사가 어려워하는 점, 교사가 제안한 개선의견 등을 분석하였고, 이러한 결과를 바탕으로 보다 좋은 연수가 되기 위해 고려할 측면들을 정리한 목록을 제안하였다. 이 목록이 앞으로 보다 효과적이고 의미있는 연수의 계획과 실행에 활용되기를 기대한다.

The Cadaver experience of the nursing students

  • Kim, Jung-ae;Eui-Young, Cho
    • International Journal of Advanced Culture Technology
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    • 제5권3호
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    • pp.11-23
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    • 2017
  • Anatomy is one of the basic subjects of the nursing course, which is included in the curriculum of the nursing. Anatomy is a basic course for understanding major in nursing and it is the first gateway to acquire expertise. It is mainly opened in nursing and first to second grades. Therefore, students who have advanced to the nursing department have great interest and expectation on the anatomy subjects. In general, nursing students are studying anatomy with theories and models, and some universities practice on tour after dissection of medical consortium for short time. This is called the Cadaver practice. This study was carried out to investigate the thoughts and experiences of bioethics through nursing students' Cadaver practice. The interview data were processed through the analysis and interpretation process using the phenomenological research method, Giorgi method. As a result, 48 semantic units were derived, and then they were divided into 10 subcomponents and divided into 6 categories. As a result of the analysis, the experience of nursing students' bioethics was tied to the topic of six questions. For example, 'what about the respect and responsibility of nursing students in Cadaver?', 'What about your experience with the Cadaver experiment and bioethics?', 'What was the academic achievement of the actual human body structure viewing experience with cadaver?', 'What was the connection with theory?', 'What was your intention to recommend to others?', 'What was your perception and interest in the Cadaver experiment?'. Analyzes were integrated into 10 structures; "Thank you for your donation", "want others to refuse donation", "Burden of practice", "Good opportunities for learning", "Understand better", "Should study harder", "Memory is better", "Compared to theory", "Good experience", "Want to rejoin". The general structural description of the participants' meanings is summarized as follows. Nursing college students who participated in the Cadaver had a gratitude for the donor, but they said they would like to talk to others about donating organs. Before they went to practice, they felt a lot of pressure on the dissection of the cadaver, but they went to the practice and thought that it was a good opportunity to learn by doing well. Specifically, they understood that they had better understanding than the theoretical lesson, and that they were more eager to study their major through practice. In other words, most of them were more memorable and they would like to participate again if the opportunity comes next time. The results of this study show that the practice of Cadaver in nursing college students is very positive in terms of educational effectiveness. However, in terms of bioethics, it can be seen that the education process is somewhat unsatisfactory. Therefore, the systematic bioethics education should be prepared before the practice in the nursing college students' Cadaver practice.

과학과 교육과정에 제시된 개념의 연계성에 대한 국제 비교 연구 - 달과 암석의 순환 개념을 중심으로 (International Comparative Study on the Science Curriculum Concepts Continuity - Focus on the Concepts of Moon and Rock cycle -)

  • 이효녕;김진숙;박병열;전재돈
    • 한국과학교육학회지
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    • 제35권4호
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    • pp.677-689
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    • 2015
  • 이 연구의 목적은 우리나라를 포함한 6개국(대만, 영국, 핀란드, 미국, 캐나다, 한국)의 과학과 교육과정에 대한 연계성에 초점을 둔 비교분석을 통해서 우리나라 과학과 교육과정의 연계성을 강화할 수 있는 방안과 그 시사점을 도출하는데 있다. 국가교육과정정보센터(NCIC)에서 수집한 각 나라의 교육과정 원문과 국문 번역본을 분석 대상으로 하였고, 교육과정 구성의 특징과 종적 횡적 연계성 요소를 기초로 한 과학과 내의 '달'과 '암석의 순환'에 대한 내용을 비교 분석하였다. 그 결과, 국제적으로 교육과정의 학년 간 그리고 교과 간 연계의 강화를 위해 빅 아이디어(Big Ideas)나 교차 개념(Crosscutting Concepts) 등과 같은 연결 고리의 역할을 하는 개념을 활용하고 있음을 알 수 있었고, 그 중에서도 시스템의 관점을 중요하게 다루고 있었다. 내용에 대해서는 비교 국가들 중 우리나라는 '달'과 '암석의 순환'에 대해 가장 높은 빈도로 다루고 있었으나, 달의 내용 중 일부를 초 중 고등학교에서 비슷한 수준으로 동일하게 다루고 있는 단순 반복 현상을 확인할 수 있었다. 반면, 암석의 순환에 대해서는 다른 나라들에 비해 다양한 관점과 수준에서 다루어 비교적 짜임새 있는 조직 구성을 보였다. 결론적으로, 우리나라 교육과정에도 교육과정의 연계성 강화를 위해 이러한 연결 고리 역할을 할 수 있는 적합한 도구가 요구되며, 그 방안으로 시스템적 접근을 활용할 수 있을 것이다. 더욱이 교육과정의 효과적인 적용을 위해 학년 수준에 따른 학습자의 학습 발달 과정에 대한 충분한 이해를 바탕으로 교육과정을 구성하는 것이 무엇보다 중요할 것이다.

Untact 상황에서 PBL 교수법을 통한 SW 프로젝트 영어 지도 사례 연구 (A Case Study of SW Project English Teaching through PBL method in an Untact Environment)

  • 이성옥;김민규;이혜수;정회경
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 추계학술대회
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    • pp.514-517
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    • 2021
  • 본 연구의 목적은 코로나-19로 인한 비대면 상황 가운데 'SW프로젝트 영어'를 PBL 교수법으로 운영한 사례 연구를 통하여 시사점을 도출하는 데에 있다. 교양 영어인 만큼 다양한 학년과 전공 학생들이 수강하였고 개강 직후 학생들의 영어 실력 및 SW 관련성을 판단하고자 설문을 시행하였다. 설문 내용을 바탕으로 학생들의 수강 동기와 코로나-19 상황 가운데 어학 수업을 비대면으로 실시해야 함에 따라 적절한 교육과정 운영, 과제 운영을 구성할 수 있는 학생들의 의견을 수렴하였다. 학생들의 SW 영어 교육에 대한 니즈를 파악 후, SW 관련 영어 실력 배양을 위한 퀴즈와 과제를 구성하였다. 매 과제에 대한 실시간 피드백으로 비대면 녹화콘텐츠 수업임에도 불구하고 1:1 피드백을 통하여 소통하며 학생들의 수업 진행을 점검하였다. 주간 퀴즈를 통한 수업 진도에 따른 학습을 유도하였고 주제와 관련된 과제를 통하여 SW 관련 영어를 학습하도록 하였다. 자신이 모르는 단어를 중심으로 SW 영어 단어장 만들기 및 본인의 목소리로 직접 예제를 녹음하는 과제를 마감까지 충분한 시간을 주어 수행토록 하였다. 과정이 종료되면서 학생들의 성적을 평가한 결과 AI/SW창의융합대학, 경영대학, 문화예술대학, 인문사회대학, 자연과학대학 순으로 학생들의 성적이 평가되었다. 본 연구의 목적은 코로나-19로 인한 비대면 상황 가운데 SW 영어를 PBL(Project-Based Learning : 프로젝트 법)이라는 교수법을 통하여 수업을 운영함으로써 학생들의 SW 영어 성취도를 연구하였다는 점에서 의의가 있다.

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서독(書牘)에 나타난 완당(阮堂) 김정희(金正喜)의 사상(思想) 연구(硏究) (A Study on Junghui Kim's Concepts in Seodok(書牘))

  • 권혁순
    • 동양고전연구
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    • 제33호
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    • pp.279-304
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    • 2008
  • 본고는 완당(阮堂)의 서독(書牘)에 나타난 사상을 살피기 위하여 "역(易)" 실학(實學)과 관련된 내용을 추출하여 그 경향에 대하여 논구하였으며, 완당의 도가사상을 파악하는 관점에서 서독에 표출된 도가적 의식도 고찰하였다. 완당의 사상적(思想的) 특성은 다음과 같다. 첫 번째는 수기치인(修己治人)을 위한 "역(易)"의 활용이다. 완당이 가장 중요하게 생각한 것은 백성의 생존과 직결되는 음식남녀(飮食男女)였다. 완당은 "역(易)"으로 '수기(修己)'를 하고 "역(易)"을 활용하여 나라를 다스려야 한다고 주장하였다. 두 번째는 실사구시를 바탕으로 한 '동서불분(東西不分)'의 경세치용(經世致用) 의식과 이용후생(利用厚生)의 자연관이다. 완당은 그 당시의 새로운 학문과 사상을 적극 수용하였으며, 나라를 위하여 서양의 기술을 모방이라도 해야 한다고 피력하였다. 세 번째는 완당의 '무위(無爲)'와 '불언(不言)' 의식이다. 완당은 평소에 저술(著述)이라는 작위(作爲)를 하려고 하지 않았다. 이러한 의식은, 질시와 모함 속에서도 완당의 목숨을 부지(扶持)시키고 양신(養身)으로 연결되도록 작용한 것으로 보인다. 네 번째는 자연순응(自然順應)과 자연회귀(自然回歸) 의식이다. 이는 그의 농사(農事) 소원과 정치관에서 나타나는데, 임금은 의리(義理)와 예절(禮節)로 백성을 속박하지 않아야 하며 '인정(人情)'으로 나라를 다스려야 한다고 하였다. 요컨대 서독에 나타난 완당(阮堂)의 사상(思想)은 두 흐름으로 대별할 수 있다. 하나는 무위자연(無爲自然) 불언(不言) 자연회귀(自然回歸) 의지를 통한 보신(保身)이다. 다른 하나는 수기치인(修己治人) 경세치용(經世致用) 이용후생(利用厚生) 인정(人情)을 따른 덕치(德治) 등을 궁극적 목적으로 한 연찬이다. 그런데 '보신(保身)'은 고도의 '수기(修己)'라고 할 수 있으며, 수기치인(修己治人) 등은 백성의 편안한 삶과 직결되어 있기 때문에 이를 집약하면 '수기이안백성(修己以安百姓)'이라고도 할 수 있겠다. 즉 완당의 사상적 특성은 융합된 유가 도가사상을 기저로 하고 있으며, '수기이안백성(修己以安百姓)'을 목표로 하여, 시대와 학문의 변화를 살펴서 수용 이용하는 것이었다고 할 수 있다.

시장개방(市場開放)과 국내기업(國內企業)의 구조조정(構造調整) (Structural Adjustment of Domestic Firms in the Era of Market Liberalization)

  • 성소미
    • KDI Journal of Economic Policy
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    • 제13권4호
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    • pp.91-116
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    • 1991
  • 경제(經濟)의 개방화(開放化) 및 산업구조(塵業構造)의 고도화(高度化)가 진전되면서 국내기업들은 주력사업의 성장이 감퇴하는 구조변화(構造變化)에 직면하게 된다. 극단적인 경우에 도산(倒産)이나 폐업(廢業)을 단행하는 국내 기업들도 있을 것이다. 그러나 보다 우월한 적응능력을 가진 대부분의 대기업이나 중견기업들은 고임금(高賃金)과 현재의 기술여건(技術與件)에서 경쟁우위를 확보할 수 있는 영역(market niches)을 찾아 합리화 및 고부가가치화, 제품 및 시장다각화 등 신축적인 사업조정(事業調整)을 통해 수익성이 낮은 기존사업의 비중을 점차적으로 줄이면서 고수익성(高收益性) 사업(事業)으로 전환(轉換) 할 것이다. 사업구조 조정과정에서 기업(企業)은 단기적으로는 기존의 주력사업 내에서 경영합리화 및 감량경영을 통해 비용(費用)을 절감(節減)하고 제품의 고부가가치화(高附加價値化)를 추구하는 동시에 장기적으로는 사업구조 재편성을 목표로 기존의 우위요소를 최대한 활용하면서 새로운 우위요소(優位要素) 창출(創出)을 위해 기업의 전략구상, 조직 및 기업문화면에서의 구조전환을 시도하게 된다. 그러나 기업의 발상(發想), 조직구조(組織構造), 조직문화(組織文化)는 환경변화만큼 신속히 일어나지 않는다. 동일한 환경, 동일한 산업 내에서도 성공하는 기업이 있고 실패하는 기업이 있는 것처럼 환경변화에 대한 정확한 인식(認識)과 성공적인 전략(戰略)의 수립 및 실행은 기업들의 체계적인 노력여하에 따라 다르게 나타난다. (企業)의 구조전환(構造轉換)은 국가경제의 발전방향, 업종의 실태와 전망에 관한 정보에 기반하여 장기계획하(長期計劃下)에 기업의 축적된 경영자원을 활용하는 방향으로 이루어져야 한다. 기업이란 주주(株主), 경영자(經營者), 근로자(勤勞者) 등 이익집단간의 이해관계(利害關係)가 균형을 이루면서 발전해 나가는 조직이라는 새로운 인식(認識)에 기반하여 기업은 합리적 노사관계의 정착에 노력하고 정부(政府)는 경쟁(競爭)을 통한 기업체질 강화라는 기본방침하(基本方針下)에 재래산업(在來産業)의 전환비용(轉換費用)을 줄이고 신규사업(新規事業)의 창출(創出)을 뒷받침하는 제도개선(制度改善)을 해 나가야 한다.

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간호원의 환자교육 활동에 관한 연구 (Study of Patient Teaching in The Clinical Area)

  • 강규숙
    • 대한간호학회지
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    • 제2권1호
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    • pp.3-33
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    • 1971
  • Nursing of today has as one of its objectives the solving of problems related to human needs arising from the demands of a rapidly changing society. This nursing objective, I believe, can he attained by the appropriate application of scientific principles in the giving of comprehensive nursing care. Comprehensive nursing care may be defined as nursing care which meets all of the patient's needs. the needs of patients are said to fall into five broad categories: physical needs, psychological needs, environmental needs, socio-economic needs, and teaching needs. Most people who become ill have adjustment problems related to their new situation. Because patient teaching is one of the most important functions of professional nursing, the success of this teaching may be used as a gauge for evaluating comprehensive nursing care. This represents a challenge foe the future. A questionnaire consisting of 67 items was distributed to 200 professional nurses working ill direct patient care at Yonsei University Medical Center in Seoul, Korea. 160 (80,0%) nurses of the total sample returned completed questionnaires 81 (50.6%) nurses were graduates of 3 fear diploma courser 79 (49.4%) nurses were graduates of 4 year collegiate nursing schools in Korea 141 (88,1%) nurses had under 5 years of clinical experience in a medical center, while 19 (11.9%) nurses had more than 5years of clinical experience. Three hypotheses were tested: 1. “Nurses had high levels of concept and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of the T-test. Conclusions of this study are as follow: Before attempting the explanation, of the results, the questionnaire will he explained. The questionnaire contained 67 questions divided into 9 sections. These sections were: concept, content, time, prior preparation, method, purpose, condition, evaluation, and recommendations for patient teaching. 1. The nurse's concept of patient teaching: Most of the nurses had high levels of concepts and knowledge toward patient teaching. Though nursing service was task-centered at the turn of the century, the emphasis today is put on patient-centered nursing. But we find some of the nurses (39.4%) still are task-centered. After, patient teaching, only a few of the nurses (14.4%) checked this as “normal teaching.”It seems therefore that patient teaching is often done unconsciously. Accordingly it would he desirable to have correct concepts and knowledge of teaching taught in schools of nursing. 2. Contents of patient teaching: Most nurses (97.5%) had good information about content of patient teaching. They teach their patients during admission about their diseases, tests, treatments, and before discharge give nurses instruction about simple nursing care, personal hygiene, special diets, rest and sleep, elimination etc. 3. Time of patient teaching: Teaching can be accomplished even if there is no time set aside specifically for it. -a large part of the nurse's teaching can be done while she is giving nursing care. If she believes she has to wait for time free from other activities, she may miss many teaching opportunities. But generally proper time for patient teaching is in the midmorning or midafternoon since one and a half or two hours required. Nurses meet their patients in all stages of health: often tile patient is in a condition in which learning is impossible-pain, mental confusion, debilitation, loss of sensory perception, fear and anxiety-any of these conditions may preclude the possibility of successful teaching. 4. Prior preparation for patient teaching: The teaching aids, nurses use are charts (53.1%), periodicals (23.8%), and books (7.0%) Some of the respondents (28.1%) reported that they had had good preparation for the teaching which they were doing, others (27.5%) reported adequate preparation, and others (43.8%) reported that their preparation for teaching was inadequate. If nurses have advance preparation for normal teaching and are aware of their objectives in teaching patients, they can do effective teaching. 5. Method of patient teaching: The methods of individual patient teaching, the nurses in this study used, were conversation (55.6%) and individual discussion (19.2%) . And the methods of group patient teaching they used were demonstration (42.3%) and lecture (26.2%) They should also he prepared to use pamphlet and simple audio-visual aids for their teaching. 6. Purposes of patient teaching: The purposes of patient teaching is to help the patient recover completely, but the majority of the respondents (40.6%) don't know this. So it is necessary for them to understand correctly the purpose of patient teaching and nursing care. 7. Condition of patient teaching: The majority of respondents (75.0%) reported there were some troubles in teaching uncooperative patients. It would seem that the nurse's leaching would be improved if, in her preparation, she was given a better understanding of the patient and communication skills. The majority of respondents in the total group, felt teaching is their responsibility and they should teach their patient's family as well as the patient. The place for teaching is most often at the patient's bedside (95.6%) but the conference room (3.1%) is also used. It is important that privacy be provided in learning situations with involve personal matters. 8. Evaluation of patient teaching: The majority of respondents (76.3%,) felt leaching is a highly systematic and organized function requiring special preparation in a college or university, they have the idea that teaching is a continuous and ever-present activity of all people throughout their lives. The suggestion mentioned the most frequently for improving preparation was a course in patient teaching included in the basic nursing program. 9. Recommendations: 1) It is recommended, that in clinical nursing, patient teaching be emphasized. 2) It is recommended, that insertive education the concepts and purposes of patient teaching he renewed for all nurses. In addition to this new knowledge, methods and materials which can be applied to patient teaching should be given also. 3) It is recommended, in group patient teaching, we try to embark on team teaching.

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