• 한국간호교육학회지
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• 제29권4호
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• pp.427-439
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• 2023

Purpose: This study aimed to evaluate the effects of a nursing education program for hyperglycemia patient care using standardized patients. Methods: This study used a nonequivalent control group pre-test and post-test non-synchronized design. A total of 50 senior university nursing students who had completed an adult nursing course participated in this study (experimental group, n=24; control group, n=26). This nursing education program was developed according to the stages of analysis, design, development, implementation, and evaluation. The collected data were analyzed using χ² -test, Fisher's exact test, independent t-test, paired t-test, and repeated measure ANOVA. Results: Significant differences were shown between the experimental and control groups in clinical performance ability (F=277.41, p<.001), communication skills (F=47.18, p<.001), self-efficacy (F=3.81, p=.031), and learning satisfaction (t=2.25, p=.033). Problem-solving ability was not statistically significant between the groups. Conclusion: The nursing education program for hyperglycemia patient care using standardized patients was effective in improving nursing students' clinical performance ability, communication skills, and learning satisfaction. Therefore, it is proposed that the education program developed in this study be used as part of an education program to enhance nursing students' abilities in caring for hyperglycemia patients.

• 한국의료질향상학회지
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• 제28권1호
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• pp.14-33
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• 2022

Purpose: To examine whether the Patient Experience Assessment (PEA) has led to perceptible changes at the ground level of health care, as a way of evaluating PEA as a policy intervention for quality improvement. Methods: Four focus group discussions (FGDs) were conducted, each comprising six to eight participants who were employees responsible for patient experience at their respective hospitals. The primary focus of the FGDs was on questions such as: 1) How do hospitals respond to PEA? 2) What significant changes were observed after the implementation of PEA? 3) What were the unintended consequences of implementing PEA, if any? 4) What areas of improvement have been identified for maximizing the potential of PEA? Results: Two broad themes emerged out of the FGDs: changes observed post implementation of PEA, and areas for improvement of PEA. Four significant changes were reported by participants: changes in perception and attitude regarding patient experience in hospital employees, increased active involvement by the hospital leadership, enhanced efforts to improve patient experience, and increased cooperation between such activities. Furthermore, eight areas of improvement were identified, which have been grouped in three categories: improving the process of data collection for PEA, introducing additional catalysts to facilitate further changes, and paying attention to structure- and patient-level constraints that must be addressed in parallel. Conclusion: The implementation of PEA led to perceptible changes within hospitals, which implies that it can serve as an effective catalyst for improving patient experience. A number of areas of improvement that would aid in maximizing the potential of PEA were also identified.

• 서비스연구
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• 제3권2호
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• pp.1-17
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• 2013

The main purpose of this paper is to examine the aid effectiveness of ODA projects through a case of an e-Government ODA. The case at hand is the Mongolian National Data Center project, which was supported by Korea International Cooperation Agency in 2007~2009. In this paper, we analyze aid effectiveness through a case instead of a long-term macroeconomic analysis. By using OECD DAC guideline for performance evaluation of ODA project combined with PRM (Performance Reference Model) for evaluating e-Government, authors undertakes a post-implementation evaluation on the Mongolian NDC project. The result shows that the NDC project has been relevant and implemented effectively and efficiently given the political instability incurred by the election fraud in 2008. However, there have been problems as well. Provision of defected monitors was a critical problem while disagreement on the safety of the building was lasted for two more years to be settled. Some comments on the training program are also worth to hear to ameliorate similar projects. But more fundamental problems are found in impacts and sustainability areas. Low political status of ICTPA as a coordinating organization for ICT ODA and unstable job security of NDC are serious hurdles to increase effectiveness and efficiency of NDC. ICTPA has played very limited roles in coordinating government-wide ICT ODA projects because it lacks actual power and control over them. Other government organizations do not fully trust NDC as a reliable government data center due to low political status and lack of job security. Thus critical factors to affect the effectiveness and efficiency of e-Government ODA projects are political and organizational instead of economic.

• 근관절건강학회지
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• 제25권2호
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• pp.61-74
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• 2018

Purpose: The purpose of this study was to examine the factors affecting changes in Korean Knee Score (KKS) and ranges of motion (ROM) of the knee after the structured exercise programs for the patients with total knee arthroplasty. Methods: This was a retrospective study using electronic medical records from January 2015 to February 2017, and the subject of this study was a total of 124 out of 434 patients underwent total knee replacement operation. They took part in a structured step-by-step exercise program conducted by orthopedic nurses, and then were evaluated for KKS and Knee ROM for 12 weeks after operation. Results: Post-intervention scores increased significantly in the KKS subdomains including pain and symptoms (t=-22.31, p<.001), function (t=-20.68, p<.001), evaluation of floor life (t=-14.18, p<.001), socioemotional function (t=-28.94, p<.001) over time. As for the change in the ROM, knee extension (t=9.23, p<.001) and knee flexion (t=4.04, p<.001) showed a statistically significant changes over time. Conclusion: This study illuminated the factors affecting the changes in pain and symptom, physical function, evaluation of floor life, socioemotional function and range of motion after structured exercise training programs for knee arthritis patients.

• 한국가족관계학회지
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• 제22권4호
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• pp.81-105
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• 2018

Objective: The purpose of this study was to analyze how couples relationship education (CRE) programs in Korean scholarly journals have been developed since they first appeared in 1994. Method: We selected articles that were published in journals related to human ecology and that included information about how the authors developed CRE programs (premarital education, marriage education). Using coding schemes based on the theoretical frameworks of CRE, we quantitatively coded programs in four specific areas: (a) overall characteristics, (b) program planning, (c) program construction and implementation, and (d) program evaluation. Results: Although CRE programs have increased and evolved since the 1990s, the literature has been limited on testing long-term program efficacy, developing dissemination plans, and applying theories to program design. In terms of program participants and content, most programs had similar themes despite their differences in the target audience. We also found that few programs have been provided for diverse couples. As for evaluation, pre- and post-testing was the most common method of efficacy test. Conclusion: Our findings suggest that family researchers and practitioners develop more elaborate and systematic programs to advance CRE in Korea as a core topic of family life education and to provide evidence-informed practice.

• 한국산업보건학회지
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• 제31권4호
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• pp.396-416
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• 2021

Objectives: This study was conducted to analyze the trends of government R&D (R&D) projects related to laboratory safety over the past 20 years. Methods: We collected publications from various databases(DBs) with words such as laboratory(ies), lab(s), researcher(s), laboratory worker(s), safety, environment, hazard(s), risk(s), and so on. Selected publications were analyzed by the research funds and the number of projects according to the investment subject and research characteristics. Results: About 93% of the total R&D budget went to government policy projects, not scientific research. Second, from the perspective of 'safety management activities', most of the research is related to management and inspection at the organizational level. Issues that need to be discussed at the national level like policy governance are not included. Third, focusing on the 'safety management cycle', there were few studies related to 'prediction' or 'post-response'. Fourth, when an analysis framework combining the perspectives of 'safety management activities' and 'safety management cycle' is applied, most of the budget is spent on infrastructure such as digital management systems, whereas basic knowledge for prevention and production of evidence was very few. Conclusions: In order to prevent policy planning without policy evaluation, implementation without strategy, and evaluation without evidence, it is necessary to expand investment in empirical research on risks, research on the effectiveness of current application methods, and research on theory development. The government budget for laboratory safety-related projects should be managed separately from the R&D budget for scientific research. Although less than 5% of the budget allocated to scientific research is the total budget, an optical illusion occurs because both the project budget and the scientific research budget are counted as R&D budgets.

• 한국콘텐츠학회논문지
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• 제22권8호
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• pp.403-415
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• 2022

본 연구의 목적은 청주시 도시공원 민관거버넌스의 성과를 Ansell & Gash(2007)의 '협력적 거버넌스' 모델을 중심으로 분석하고 시사점을 찾는 데 있다. 협력적 거버넌스 모델이 제시한 4대 범주와 13개의 성공 요소를 활용해 해당 거버넌스의 성과와 한계를 분석했다. 분석 결과를 보면, 초기조건, 제도설계, 리더십, 협력과정 등 4대 범주 모두를 충족시키고 있다. 13개 요소 중 8개 요소가 '양호' 수준으로 분석되어 성공적인 거버넌스로 평가되었으며, 신뢰 구축과 헌신적 협력을 성공적 거버넌스의 핵심 요소로 볼 수 있다. 반면, 한계점이 드러난 5개 요소는 '보통' 수준으로 평가되었다. 이와 같은 분석 결과는 협력적 거버넌스의 개선을 위해서는 사후 이행관리 체계를 마련하고, 참여의 포용성을 더욱 강화하며, 제도적 설계 단계부터 간접참여 주체 및 대중과의 정기적인 소통의 장을 보장하는 규정과 실행이 필요하다는 시사점을 주고 있다. 본 연구는 객관적으로 검증된 모델의 평가 범주를 기준으로 분석하였지만, 평가는 주관적 판단에 따랐다는 한계가 있다.

• Educational Technology International
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• 제6권2호
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• pp.23-41
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• 2005

One of the main factors that determine the quality of instruction is the teaching ability of the instructor administering the class. To evaluate teaching ability, methods such as peer review, student feedback, and teaching portfolio can be used. Among these, because feedback from the students is directly associated with how well the students feel they have learned, it is essential to improving instruction and teaching ability. The principal aim of instruction evaluation lies in the evaluation of instructor's qualification and the improvement of instruction quality by enhancing professionalism. However, the mandatory instruction evaluations currently being carried out at the term's end in universities today have limitations in improving instruction in terms of its evaluation items and times. To improve the quality of instruction and raise teaching abilities, instruction evaluations should not stop at simply being carried out but also be utilized as useful data for students and teachers. In other words, they need to be used to develop teaching and improve instruction for teachers, and consequently, should also exert a positive influence on students' scholastic achievements and learning ability. The most important thing in evaluation is the acquisition of accurate information and how to utilize it to improve instruction. The online instruction diagnosis item pool is a more realistic feedback device developed to improve instruction quality. The instruction diagnosis item pool is a cafeteria-like collection of hundreds of feedback questions provided to enable instructors to diagnose their instruction through self-diagnosis or students' feedback, and the instructors can directly select the questions that are appropriate to the special characteristics of their instruction voluntarily make use of them whenever they are needed. The current study, in order to find out if the online instruction diagnosis item pool is truly useful in reforming and improving instruction, conducted pre and post tests using 256 undergraduate students from Y university as subjects, and studied the effects of student feedback on instructions. Results showed that the implementation of instruction diagnosis improved students' responsibility regarding their classes, and students had positive opinions regarding the usefulness of online instruction diagnosis item pool in instruction evaluation. Also, after instruction diagnosis, analyzing the results through consultations with education development specialists, and then establishing and carrying out instruction reforms were shown to be more effective. In order to utilize the instruction diagnostic system more effectively, from planning the execution of instruction diagnosis to analyzing the results, consulting, and deciding how those results could be utilized to instruction, a systematic strategy is needed. In addition, professors and students need to develop a more active sense of ownership in order to elevate the level of their instruction.

• 한국산학기술학회논문지
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• 제13권1호
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• pp.284-295
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• 2012

본 연구는 간호의 질을 향상시키기 위해 간호사를 위한 환자안전보고촉진전략을 개발하고 평가하기 위한 것으로, 구축-실행-평가단계로 진행하였다. 구축단계는 분석과 검증의 하위단계로 구성되는데, 분석단계에서는 문헌고찰과 현장연구의 단계로 구성되고, 검증의 단계는 두 명의 전문가에 의해 평가받는 과정을 거쳤다. 이 단계를 통해 환자안전보고시스템, 교육자료, 홍보계획, 보상으로 구성된 환자안전보고촉진전략을 개발하였다. 실행단계에서는 구축단계에서 개발된 내용을 일개 병원에서 근무 중인 간호사 51명을 대상으로 12주간의 중재 후, 활용 후 만족도, 스트레스인식, 업무성과정도를 전-후 점수를 비교하여 살펴보았다. 본 연구의 설계는 단일군 전후설계를 적용하였고 서술통계 및 paired t-test 를 SPSS WIN 18.0을 활용하여 분석하였다. 중재 후 업무성과는 3.62점에서 3.75점으로 유의하게 향상시켰다(t=2.653, p=.009). 반면 환자안전보고촉진전략의 활용이 대상자들의 직무 스트레스를 증가시킬 것이라는 가정 하에 중재 전-후 점수를 비교한 결과 중재 전 3.06점에서 중재 후 3.13으로 약간 증가하였으나 통계적으로 유의한 변화를 보이지 않았다(t=.785, p=.434). 따라서 본 연구에서 개발한 전략은 많은 임상환경에 적용할 수 있을 것이고 간호사를 위한 환자안전보고를 촉진하는데 도움을 줄 수 있는 프로그램이라 사료된다.

• 에너지공학
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• 제18권4호
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• pp.246-257
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• 2009

기후변화와 관련 국제사회가 안고 있는 과제는 개도국의 참여가 없이 선진국 중심의 온실가스 감축만으로는 전 지구의 온실가스 농도안정화 목표 달성이 불가능하다는 인식이다. 특히 교토의정서 체계의 한계를 극복하고 개도국을 참여시키기 위한 방안으로 부문별 접근방식이 제기되고 있다. 이에 따라 본 논문에서는 우선 그동안 제기되어 왔던 부문별 접근방식의 종류, 적용기준, 범위, 유용성 등에 대한 논의 요지를 정리하여, post-2012 체제하에서 협상대안으로서의 부문별 접근방식의 잠재력을 살펴 보았다. 또한, 앞으로 부문별 접근방식이 협상대안으로 구체화될 경우에 대비, 우리나라 산업에서의 부문별 접근방식 적용 여건을 분석하였다. 이를 토대로 세계 평균 이상의 에너지 효율을 실현하고 있는 업종은 기술 기반 부문별 접근방식, 세계 평균 수준의 에너지 효율을 보이는 업종은 부문별 크레딧 메카니즘 혹은 지수기반 혹은 부문 전체 국가간 접근을 검토대상으로 제시하고 있으며, 향후 부문별 접근방식채택 및 이행을 위한 향후 연구과제를 제시하고 있다.