• Environmental Analysis Health and Toxicology
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• 제30권
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• pp.8.1-8.8
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• 2015

Objectives Bedding in childcare centers (CCCs) can hold house dust mite (HDM) allergens. This study examined whether HDM allergen levels can be reduced through the distribution of an educational newsletter on bedding control to parents of CCC children in Korea. Methods All 38 CCCs were measured for Der 1 (sum of Der f 1 and Der p 1) concentrations on classroom floors and bedding before the intervention. Educational newsletters on children's bedding control were sent to 21 CCCs by mail, and teachers were asked to distribute the newsletters to the parents of the children (intervention group). The remaining 17 CCCs were not sent newsletters (control group). The measurement of Der 1 concentrations in 38 CCCs was repeated after the intervention. Dust samples were collected with a vacuum cleaner and analyzed using enzyme-linked immunosorbent assay methods. Results The Der 1 concentrations on the bedding were significantly higher than those on the floors in 38 CCCs at baseline (p < 0.05). Although changes of the Der 1 concentrations for the control group (n=17) were not significant, Der 1 concentrations for the intervention group (n=21) decreased significantly from 2077.9 ng/g dust to 963.5 ng/g dust on the floors and from 3683.9 ng/g dust to 610.4 ng/g dust on bedding (p < 0.05). Conclusions The distribution of educational newsletters on bedding control to parents may be an effective means of controlling HDMs in CCCs.

• 한국사회복지학
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• 제56권3호
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• pp.279-301
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• 2004

아동학대예방센터는 우리나라의 학대받는 아동의 발견, 학대여부 판정에 따라 아동과 가족의 욕구를 사정하고 서비스를 제공하여 아동의 안전하고 바람직한 성장에 중요한 역할을 하는 최일선 기관이다. 개소 4년째를 맞는 아동학대예방센터의 상담원은 시 도당 1개소에 7-8명으로, 24시간 대기태세로 비인간적이고 때로는 범죄적인 처우를 받는 아동을 치료 보호하고 의료기관 행형기관 교육기관 및 사회복지기관과 밀접한 연계를 맺어야 하는 스트레스가 높은 상황에 있다. 아동보호사업에서는 이처럼 다양한 역할을 집중적으로 소화해야 하는 상담원들의 역할이 서비스 효과의 측면에서 매우 중요한데 비해 정작 이들의 직무상황과 소진에 대한 주목은 찾아보기 어렵다. 본 연구에서는 상담원들의 사회인구학적 특성, 직무관련특성, 직업만족도가 아동학대예방센터 상담원들의 소진에 어떤 영향을 미치는지를 검토하여 소진예방의 기초 자료로 제시하고자 하였다. 2003년 3월 현재 전국의 상담원들이 조사대상이었으며 최종적으로 90명의 설문지가 분석되었다. 연구결과, 아동학대예방센터 상담원들의 소진의 정도를 보면, 소진의 수준은 정서적 탈진, 개인적 성취감, 비인간화의 세 가지 영역 모두 매우 심각한 상태로 나타났다. 상담원이 미혼인 경우와 일선상담원인 경우, 그리고 나이가 적을수록 소진의 정도가 높은 것으로 나타났다. 또한 교육 훈련 경험이 부족하다고 느낄수록, 슈퍼비전이 부족하다고 느끼는 상담원의 경우 소진의 정도가 높게 나타났으며 직업만족도가 낮을수록 소진의 정도가 높았다. 따라서 충분한 교육과 훈련기회의 제공, 적절하고 충분한 슈퍼비전의 확립 및 직업만족도 향상을 위한 기관수준의 노력이 요구된다 하겠다.

• 한국노년학
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• 제30권4호
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• pp.1163-1177
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• 2010

본 연구는 전국 복지용구사업소의 시설현황을 우편설문 및 방문을 통해 조사하고, 한국형 복지용구사업소의 적정 시설기준 수립을 위한 동선구성 및 공간구성, 면적 등의 기초적인 기준을 제시한 횡단적 조사연구이다. 이에 국내외 문헌 고찰, 전문가 의견수렴 등의 연구결과를 더하여 다음과 같은 한국형 복지용구사업소의 적정 시설기준 수립을 위한 원칙을 설정하였다. 첫째, 사업소의 유형(세정소독 여부, 대여사용 복지용구 수거 여부)에 따라 공간을 선택적으로 구성 배치한다. 둘째, 공간을 배치할 때 건물 층수, 면적은 복지용구 및 방문자의 동선이 최대한 짧고, 단순하게 구성한다. 셋째, 공간면적은 사업자가 결정한 전시체험 규모와 침대, 휠체어 등 주요한 복지용구 크기 등을 기준으로 산출한다. 넷째, 도로변 쪽으로 출입문을 내어 전시효과를 내고, 전시·체험·상담을 동시에 진행할 수 있도록 개방형 구조로 계획한다. 다섯째, 창고 및 세정소독공간은 각 출입문 및 공간을 철저히 구분하도록 하고, 동선을 구분하여 교차오염을 예방한다. 여섯째, 전시·체험·상담실은 고객 및 차량진입이 용이하도록 1층에 배치하고, 1층이 아닌 경우 휠체어를 타고 이동할 수 있는 충분한 통로를 확보하고, 엘리베이터 이용이 가능하도록 계획한다. 일곱째, 사무공간은 이용자 정보관리 중 프라이버시 보호를 위해 공간을 분리한다. 위 전제를 통해 세정소독 직접수행형 사업소는 최대 165m², 중간 150m², 최소 140m²에 전시체험실, 상담실, 세정소독실, 창고(청결, 오염), 사무실, 주차공간을 갖추도록 하고, 세정소독 위탁형 사업소는 최대 134m², 중간 119m², 최소 109m²에 전시체험실, 상담실, 사무실, 주차공간을 갖추며 복지용구 반입수거를 할 경우 창고(청결, 오염)까지 갖추도록 제시되었다.

• 사회복지연구
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• 제42권2호
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• pp.493-523
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• 2011

본 연구는 사회복지사의 개인적 동기(심리적 동기, 직무 동기)가 이직의도에 미치는 영향을 살펴보되, 다중몰입(직무몰입, 경력몰입, 조직몰입)의 매개효과에 초점을 둔 연구로, 자기결정이론과 계획된 행동이론을 토대로 사회복지사의 이직의도 예측 모형을 제안하고 검증하고자 하였다. 연구목적을 달성하기 위해 전국 15개 시·도의 이용시설, 생활시설, 보건의료 기관, 기타 사회복지 관련 재단 및 협회, 각종 센터, 기관에 근무 중인 사회복지사를 대상으로 우편 설문조사를 실시하였다. 배포된 총 1,918부의 설문지 중 회수된 1,671부를 검토하여 이직의도가 있는 것으로 확인된 979부를 최종 분석하였다. 분석결과, 사회복지사의 심리적 동기와 직무 특성은 이직의도에 직접적 영향을 미치는 것으로 나타났다. 그러나 사회복지사의 역할 스트레스는 이직의도에 직접적 영향을 미치지 않는 것으로 나타나, 사회복지사의 이직의도에 대한 충동적 경로 모형이 심리적 동기와 직무 특성에 한해 부분적으로 지지됨을 알 수 있었다. 둘째, 사회복지사의 심리적 동기와 직무 동기는 다중몰입을 통하여 이직의도에 간접적 영향을 미치는 것으로 나타나, 사회복지사의 이직의도에 대한 반영적 경로 모형이 경력몰입, 직무몰입, 조직몰입 모두에서 지지됨을 알 수 있었다. 다중몰입 요인 중 이직의도에 가장 큰 영향력을 발휘하는 변수는 경력몰입이며 그 다음이 직무몰입, 조직몰입 순으로 나타나, 향후 경력몰입에 대한 학계의 관심이 증대되어야 함을 보여 주었다. 이상을 토대로 사회복지사의 경력관리 방안과 사회복지조직의 인적자원개발 방안을 제시하였다.

• 지역사회간호학회지
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• 제28권3호
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• pp.347-356
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• 2017

Purpose: The purpose of this study was to provide basic evidence to improve community health nursing practice education by analyzing the current status of actual operation, program outcomes and evaluation methods, and the level of achieving learning goals. Methods: Data were collected through an e-mail survey from 155 professors teaching community health nursing in April 2016. Out of 45 responses in total, 42 cases were used for analysis (response rate 29.0%). Results: Community health nursing practice was a 3-credit course in most of the schools (66.7%) and included a practice at public health centers without exception. The most common diagnosis classification system was OMAHA (81.0%). The core fundamental nursing skills evaluated during the practice were subcutaneous injection, vital signs, oral administration, and intradermal injection. Among the subjects of community health nursing practice, the area with the highest potential for achieving learning goals was primary health care provision (4.4/5) and the area with the lowest potential was disaster management (2.4/5). Conclusion: The results of this study show that there would be active efforts to complement and improve several problems of the community health nursing practice among the community health nursing practice instructors for more effective and qualitative community health nursing practice.

• 한국직업건강간호학회지
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• 제25권1호
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• pp.19-28
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• 2016

Purpose: This study was a descriptive research to identify the effects of communication skills, compassion satisfaction, compassion fatigue on burnout among staff of long term care insurance for the elderly in National Health Insurance Services in Korea. Methods: A descriptive cross-sectional design was used. The participants were 191 staffs of long-term care insurance in National Health Insurance Services. Data were collected via mail from the 24 branch offices which were randomly selected among the total of 226 centers of National Health Insurance Corporation. Stamm's professional quality of life (ProQOL) and Communication Skills Test tool were included in questionnaire to detect. SPSS/WIN 20.0 was used to conduct the descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 69% and compassion fatigue was the most significant factor in burnout among staff of long term care insurance services. Conclusion: The results indicate that the factors influencing staffs' burnout are compassion fatigue, compassion satisfaction, and education level. Therefore, strategies to decrease compassion fatigue and improve compassion satisfaction are needed to decrease burnout for staffs of long-term care insurance in National Health Insurance Services.

• 대한간호학회지
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• 제30권4호
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• pp.857-868
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• 2000

The purpose of the present study is to identify the mediation effect of hope between fatigue and psychosocial adjustment in women with breast cancer. The framework for this study was guided by concepts and propositions derived from the theoretical and empirical literature on fatigue, hope and adjustment. The design of this study is a descriptive correlation study using a cross-sectional design. One hundred and twenty two outpatients with early breast cancer, receiving post-surgical radiation therapy or chemotherapy, were selected from three major medical centers in Seoul, Korea. A packet including PABCF (Psychosoical Adjustment to Breast Cancer Factor), revised RPFS (Revised Piper Fatigue Scale), HHI (Herth Hope Index), and self-addressed return envelope was given to the participants at seven to eight weeks post surgery. The questionnaires were to be completed at home and returned to the researcher by mail. The obtained data were analyzed using three regression equations guided by Baron and Kenny (1986); first, hope was regressed on fatigue; second, psychosocial adjustment was regressed on fatigue; and third, psychosocial adjustment was regressed on fatigue and hope, simultaneously. In the first equation, fatigue explained 4% of the variance in hope. In the second equation, fatigue explained 47% of the variance in psychosocial adjustment. In the last equation, hope and fatigue significantly explained the variance in psychosocial adjustment. Therefore, all conditions for the test of mediation effect of hope were satisfied. For the test of the mediation effect, the beta coefficients of fatigue on psychosocial adjustment on the second and third regression equations were compared. The beta coefficients were decreased from .69 (p < .001) on the second regression equation to .63 (p < .001) on the third regression equation. Thus, the hypothesis of this study was supported. As a result of this study, the negative Influence of fatigue on psychosocial adjustment is dampened through the mediator effect of hope in women with breast cancer. Therefore, when planning care for the adverse effect of fatigue on psychosocial adjustment, oncology nurses should consider hope as a mediator between fatigue and psychosocial adjustment to breast cancer.

• 한국실천공학교육학회논문지
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• 제3권2호
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• pp.158-165
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• 2011

본 연구는 직업능력개발 분야의 중추적인 역할을 수행하는 직훈기관의 최고관리자 교육프로그램을 개발하기 위해서 교육요구분석 차원에서 직훈기관장의 역량을 추출하여 역량모델을 개발할 목적으로 수행되었다. 조사대상은 전국의 공공직훈기관, 민간직훈기관, 학원 및 기타 평생교육기관의 최고관리자로서, 주요조사 내용은 교육요구조사와 역량모델에 관한 이론적 고찰, 직훈기관장의 직무분석, 잠정적으로 정리한 역량에 대한 설문문항에 대한 중요도, 숙달수준, 학습 희망도를 통해 역량의 우선순위의 파악과 이에 기초한 교육요구의 우선순위를 산정하였다. 연구방법은 설문조사, FGI, 현장조사 등의 연구방법이 적용되었다. 교육역량모델에 기반한 교육훈련요구 분석결과 그 우선순위가 높은 역량은 '인재확보능력', '시장변화 및 교육생의 요구파악', '문제해결능력', '리더십 스킬', '창의적 사고', '조직역량분석 및 진단', '정보수집 분석능력' 등이다.

• 보건행정학회지
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• 제7권2호
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• pp.89-108
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• 1997

The purpose of this study is to investigate drug information sources which influence physician's prescriptions, and to compare the differences of drugh information sources between private practitioners and hospital physicians. In addition, the ultimate goal of this study is to provide better quality of drug information for both groups of physicians through the professional drug information system. 264 physicians, including general practitioners and all types of specialists who were working in hospitals and private clinics in Taejon and Chungnam area, participated in this study which was conducted by mail. The results are summarized as follows ; 1. Both physician groups received drug informations mainly from medical journals, but there were differences in secondary sources of drug information. Namely, hospital physicians got drug information from annual meetings and textbooks, and private practitioners got it from detail men and colleagues. 2. Drug effect was the first consideration for drug selection in both physician groups. But, in the 2nd consideration, private practitioners concerned about the price, insurance and rebates, but hospital physicians were not. 3. Only 9.2% of the private practitioners satisfied with the sufficiency of drug information, whereas 22.0% of hospital physicians satisfied with it. The most insufficient area of information was drug interaction in both groups and 91.9% of the physicians suggested that a professional drug information system should be introduced. 4. Both physician groups had contacted with detail men frequently. However, it was rare for them to contact with a pharmacist. This phenomenon was more severe in the case of private practitioners. 5. Neither physician groups knew very much about drug informatio centers. However, they would be willig to participate if a professional drug information system were established. Also, they indicated that the information most required was drug interaction.

• 한국응급구조학회지
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• 제23권1호
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• pp.49-60
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• 2019

Purpose: This study was conducted to analyze job stress, ego-resilience, and results of the impact of event scale in order to verify the actual job stress of firefighters and provide baseline data for developing resolution programs. Methods: Data were collected via e-mail from 270 firefighters working at 119 safety centers and firehouses in the regions of Gyeonggi, Chungcheong, Busan, and Gyeongsang-do between the $1^{st}$ and $30^{th}$ of July, 2017. Results: Regarding gender differences in job stress, women ($2.16{\pm}0.65$) showed statistically significant job stress compared to men ($1.93{\pm}0.57$). As for the results of the incident impact of event scale statistically significant differences were observed (p=.001), and ego-resilience in men ($4.15{\pm}0.54$) was significantly higher than that in women ($3.79{\pm}0.75$) (p=.006). Depending on the work period, there were statistically significant differences (p=.000) in job stress, ego-resilience (p=.002), and impact of event scale (p=.000). Conclusion: Since job stress, ego-resilience, and results of the impact of event scale were closely related to dispatch frequency and work period of the firefighters, detailed and continuous stress management programs that consider these factors need to be developed.