• 디지털융복합연구
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• 제12권6호
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• pp.527-538
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• 2014

본 연구의 목적은 2008년에서 2012년에 대한간호협회 서울특별시간호사회에서 실시된 간호사 보수교육 자료를 분석하여 2012년 4월부터 전면시행 중인 의료인 면허신고제와 간호사 보수교육 운영의 발전을 위한 기초자료를 제공하고자 시도되었다. 2008년부터 2012년까지 5년간의 4,086건의 간호사 보수교육 프로그램을 이수한 165,759명의 자료를 SPSS 12.0을 이용하여 일반적 특성, 보수교육 프로그램, 면허취득경과기간을 기술통계, 면허취득경과기관에 따른 보수교육 프로그램의 차이를 t-Test, ANOVA, 상관관계로 분석하였다. 연구결과를 살펴보면, 2008년에 비해 2012년의 보수교육 이수자는 27.6% 증가하였고, 개발된 보수교육 프로그램수는 61.0% 증가하였다. 보수교육 이수자의 78.6%는 40세 미만이며, 89.5%가 병원에서 근무하고 있었다. 실시된 보수교육 내용 중 임상간호 내용이 65.6%로 가장 많았고, 보수교육 유형 중 82.6%가 기관개발교육이었다. 이수자의 면허취득경과연수에 따라 보수교육 프로그램, 보수교육 유형, 보수교육 내용의 참여에 유의한 차이를 보였으며 특히 면허취득경과연수가 길수록 근무지가 병원이 아닌 기타기관에 종사하는 대상자가 많았고 이수한 교육내용을 보면 지역보건, 직무역량이 증가하여 경력단계별 교육내용 요구도 파악 및 내용의 차별화가 필요함을 알 수 있다.

• 한국노년학
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• 제36권3호
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• pp.595-609
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• 2016

이 연구의 목적은 지역사회기반의 자기관리지지중재가 골관절염 의료급여수급자의 환자활력, 관절유연성 및 건강 관련 삶의 질에 미치는 단기효과를 확인하기 위함이었다. 연구 설계는 자기관리지지중재의 효과를 검증하기 위하여 무작위 대조군 전후설계를 활용하였으며, 이 연구는 자기주도적 관절염질병관리 역량강화연구의 일부이다. 연구대상은 일 지역 고위험군 의료급여수급자 중에서 60명의 골관절염환자를 대상으로 실험군(n=30)과 대조군(n=30)에 무작위 할당하였다. 8회기로 구성된 자기관리지지중재는 대상자 중심의 케어를 전략으로 인지 정서 행위기술을 활용하였으며, 교육 훈련된 의료급여관리사에 의하여 제공되었다. 연구도구는 구조화된 설문지, 관절각도기 및 줄자를 활용하였다. 자료 분석방법은 기술적 통계와 ${\chi}^2-test$, Fisher's exact test, t-test, ANCOVA를 활용하였다. 실험군은 대조군에 비하여 자기관리를 위한 환자활력, 관절유연성이 유의하게 증가되었으나 건강 관련 삶의 질 수준은 유의한 차이가 없었다. 향후에는 자기관리지지중재에 대한 장기(9 and 12-month follow up) 효과가 제시될 필요가 있다.

• 치위생과학회지
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• 제16권4호
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• pp.293-301
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• 2016

본 연구는 강릉시보건소 고혈압 당뇨관리사업과 구강보건사업을 연계한 통합건강증진사업을 기획, 수행하고 단계적 평가지표를 제시하여, 고혈압 당뇨관리교실에 등록한 30세 이상의 성인 중 48명을 대상으로 진료실 개별 구강건강관리 프로그램을 운영하였다. 인력 시설 장비 등의 구조평가와 담당자의 적절성 및 프로그램 운영 충실도 등의 과정평가를 통해 사업의 기획 및 수행상태를 파악할 수 있었으며, 개선방안 모색을 통해 사업의 효율성을 높일 수 있었다. 결과평가 결과로 '구강건강지식'은 8점 만점에 1차 5.52점, 2차 7.42점으로 나타났으며(p<0.001), '구강건강인식'은 20점 만점에 1차 13.31점, 2차는 17.29점으로(p<0.001) 지식과 인식 문항 모두 1차에 비해 2차 점수가 유의한 차이로 높게 나타났다. '치은출혈' 검사 결과 1차 '출혈 있음'이 89.1%, 2차 71.7%로 감소하였으며(p=0.021), 'PHP index' 검사 결과 1차 3.28점, 2차 2.42점으로 유의한 차이가 있었다(p<0.001). 프로그램의 전체적인 만족도는 '매우 만족, 만족'이 98.0%, 재참여 의사 및 권유 의사는 '매우 그렇다, 그렇다'가 각 97.9%, 93.7%로 매우 높게 나타났다. 사업담당자 1:1 면접설문조사를 통한 질적 평가 결과, 프로그램의 '전체적인 구성의 적절성'은 내용이 짜임새있게 구성되어 '매우 적절, 적절'이라고 응답하였으며, '연계 절차의 적절성'은 현황 및 요구도 조사에서 대상자의 위험요인을 적절히 파악하여 연계가 이루어졌으며, 당뇨와 치주질환의 연관성에 따라 사업을 연계하여 운영하는 것이 '적절'하다고 응답하였다. '성과지표의 적절성'으로는 '참여 인원수, 효과성(치은출혈, PHP index, 구강건강지식 및 인식), 만족도 평가'가 성과지표로 '매우 적절, 적절'하다고 응답하였다. 논리적 모형의 사업은 투입-활동-산출-결과에 따라 구조, 과정, 결과 평가지표로 구조화되어 단계적 평가가 이루어지기 때문에 균형적인 평가가 가능하며, 평가지표는 정량적 지표와 정성적 지표로 구성되어 체계적인 사업 평가가 이루어질 것으로 생각된다. 고혈압 당뇨관리교실 내소자의 통합적 건강관리를 위해 본 연구에서 기획된 개별 관리 프로그램과 평가지표의 적용 확대 가능성이 높을 것으로 생각되며, 논리적 모형을 적용한 프로그램의 일반적인 적절성과 평가지표의 타당성을 확인하고, 만성질환 관리 측면에서 공통의 효과를 측정할 수 있도록 지속적인 운영과 모니터링이 필요할 것으로 생각된다.

• 동아시아식생활학회지
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• 제18권4호
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• pp.576-591
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• 2008

This study was performed to investigate the sanitation management and the sanitation knowledge of managers in military foodservice by questionnaires and inspection of foodservice facilities. Thirty managers working in military foodservice were given questionnaires and the related facilities located in the northern part of Kyeongki-Do, Korea were inspected. Most of the facilities(76.%) were built more than ten years ago, they are now decreptit and the internal temperature was high with poor ventilation in the kitchen. An education program on sanitation was conducted less than four times a month (63.3%) while the education materials and resources from the upper-unit(80%) along with their self-renewment of data was poor(once a month, 60%). In the sanitation knowledge examination, the percentage of correct answers were 76% in terms of facilities, 72% in terms of personal sanitation, 71% in terms of receiving and storage, 63% in terms of the environment and 57% in terms of the cooking process. The results of this study suggest that the modernization of foodservice facilities and equipment, along with additional sanitation machinery and equipment, a guaranteed working environment and upgraded sanitation education will be required to improve the sanitation management in military foodservice.

• 디지털콘텐츠학회 논문지
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• 제15권2호
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• pp.155-165
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• 2014

본 연구는 기업의 경영자 교육 효율 재고를 위해 학습태도 모형을 실증하는 연구이다. 이를 위해 연구자는 긍정심리학을 기반으로 분류된 학습자의 성격강점과 학습 친화력 강화와 학습태도 개선의 인과 관계를 검증하였다. 최근 기업들은 온 오프라인 경영자 재교육을 통해 기업의 생산성을 높이려고 시도하고 있다. 연구자는 디자인과 경영분야 교과목을 접목하여 학습태도에 미치는 영향요인을 확인하고, 경영자 교육에 함의를 논의하고자 하였다. 분석결과에 따르면, 첫째, 온라인과 오프라인 수업은 공히 학습자 성격강점이 친화력강화에 정(+)의 영향을 미치는 것으로 확인되었다. 둘째, 친화력강화도 온라인과 오프라인 수업학습태도 개선에 정(+)의 영향을 미치는 것으로 확인되었다. 셋째, 온라인과 오프라인 수업은 모두 학습자 성격강점이 학습태도 개선에 직접적으로 유의미한 영향을 주지 못하였으며, 따라서 친화력 강화 변인이 매개변수 역할을 함을 확인할 수 있었다.

• 간호행정학회지
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• 제22권3호
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• pp.239-250
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• 2016

Purpose: The aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals. Methods: Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results: The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager' (3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (${\beta}=.40$ p<.001) was effective for controlling safety management activities. Conclusion: The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.

• 임상간호연구
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• 제23권3호
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• pp.376-387
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• 2017

Purpose: This study was to systematically review the contents and effects of nurse-led transitional care programs for discharged patients from hospital to home. Methods: Randomized controlled trials published between 2005 and 2015 were searched in Pubmed, Embase, Cochrane(Central Register of Controlled Trials) and CINAHL. Data were analyzed using Cochrane Review Manager(Revman) software 5.3. Results: Nine studies were selected and analyzed. Patient assessment, education and discharge planning were included in pre-discharge phase. Referring, communication and care planning were performed by nurses in transition phase. Home and phone visits, monitoring and multidisciplinary advices were included in post-discharge phase. Various outcome measures such as hospital utilization(30 days readmission and emergency department visit), quality of life, and cost were used to identify effectiveness of nurse-led transitional care programs. 30 days readmission(OR=.73, 95% CI 0.54, 0.98; p=.03) and emergency department visit(OR=.67, 95% CI 0.50, 0.88; p=.005) were statistically significant in meta-analysis. However, participant blinding was not done in seven studies which put at the risk of performance bias. Conclusion: The results indicated that nurse-led transitional care program is effective in reducing unnecessary hospital utilization. Nevertheless, small sample size and risk at performance bias are the limitation of this study. Thus, we suggest that well-designed randomized controlled trials need to be conducted.

• 농촌계획
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• 제16권3호
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• pp.143-157
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• 2010

This study provides a physical indicator of landscape that can be guidelines so as to evaluate landscape agricultural region for visual landscape planning, finds out the guideline for visual landscape planning lastly through examining importance of indicators and the preference of each indicator of landscape. The physical landscape indicators were derived from document study and questionnaire survey to evaluate visual landscape on landscape agricultural region. In addition, field study was conducted to examine and inspect the physical landscape indicator, managers' interview and photograph was took for evaluating the landscape simulation. Moreover, the important elements for visual landscape planning of landscape agricultural region, the importance of physical landscape indicator and the preferences of each indicator were derived by conducting questionnaire to experts and general publics. The physical landscape indicator guideline was established from the following procedures. In case of the land, flat area had higher preference than steep region. So, planning an agricultural area at a flat region with open space will be better than establishing an agricultural area on a steep region. In case of the kind of landscape crops, For the background of landscape agricultural region, the seashore type had the highest preference and mountain type and non-background type was followed in order. According to the study, facilities built with natural elements such as straw-roofed pavilion received high preference. Therefore, look-out shed and straw-roofed pavilion should be introduced in the landscape agriculture planning to select materials and colors to keep harmony with the nature. The result of this study could be used as a best choice for improving visual landscape of landscape agricultural region on selecting suitable land, facilities and so on. Moreover, the results of manager interview could be used as a useful tool in the management and formation of visual landscape. The landscape point evaluating visual landscape of landscape agricultural region could be used as a reference for establishing relative guideline for the direct payment program for rural landscape conservation and landscape agreement. In addition, it could be a useful reference to improve the general landscape and revitalize the rural area.

• 한국기계가공학회지
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• 제16권2호
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• pp.7-15
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• 2017

Recently, an electricity sensor system has been installed and operated to prevent failures and accidents by identifying whether a transformer is normal in advance of failure. This electricity sensor system is able to both measure and monitor the transformer's power and voltage remotely and send information to a manager when unusual operation is discovered. However, a battery is required to operate power detection devices, and battery systems need ongoing management such as regular replacement. In addition, at a maintenance cost, occasional human resources and worker safety problems arise. Accordingly, we apply a linear electromagnetic generator using vibration energy from a transformer for an electric sensor system's drive in this research and we conduct optimal design to maximize the linear electromagnetic generator's power. We consider design variables using the provided design method from Process Integration, Automation, and Optimization (PIAnO), which is common tool from process integration and design optimization (PIDO). In addition, we analyze the experiment point from the design of the experiments using "MAXWELL," which is a common electromagnet analysis program. We then create an approximate model and conduct accuracy verification. Finally, we determine the optimal model that generates the maximum power using the proven approximate kriging model and evolutionary optimization algorithm, which we then confirm via simulation.

• 대한지역사회영양학회지
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• 제15권2호
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• pp.266-274
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• 2010

The purposes of this study were to evaluate on the importance about the possible remedies for improvement of sanitation management by foodservice manager and to compare dietitians' opinion and that of administrators about theirs. A questionnaire survey was performed by 282 dietitians and 56 administrators, who were involved at foodservice facilities in Daegu and Gyeongbuk from March 7 to March 9 in 2007. According to the results of the importance evaluation analysis about the remedies for improvement of sanitation management, there were significant differences between dietitians and administrators in the means of 6 items such as "remodeling of hygiene equipment and facilities", "improvement of dietitians' food safety knowledge", "self-operated management of foodservice operation", "enforcement of cooperation between the CEO or administrators and dietitians", "development of food safety education program for foodservice workers", "increasing of foodservice operating budget". In all of them, the dietitians' evaluation scores were significantly higher than that of administrators. In addition, four factors were extracted by exploratory factor analysis. According to the results of one-way ANOVA, operating, education, and policy support sector showed that significant differences across type of foodservice, frequency of meals served, number of meals served per day, dietitians' education level and career. On the other hand, supervision sector showed that significant differences across number of meals served per day and dietitians' employment type. In conclusion, in order to increase the quality of sanitation in the foodservice operation, we should increase sanitation performance and enforce the food-safety education for foodservice workers. In addition, government should increase the policy support.