• 한국콘텐츠학회논문지
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• 제17권1호
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• pp.100-112
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• 2017

본 연구는 학교 밖 청소년 관련 기관에서 근무하고 있는 현장전문가들의 활동경험에 대한 본질적 주제와 의미를 탐색하고 이해함으로써 학교 밖 청소년복지 실천을 위한 기초자료를 제공하고자 하는데 목적이 있다. 연구참여자들은 7명이며, 심층면담을 실시하여 Colaizzi의 현상학적 연구방법으로 분석하였다. 학교 밖 청소년 관련 기관 현장전문가의 경험은 진술한 의미를 가지고 주제 17개로 재조직화 후 5개의 범주로 합치기가 되었다. 경험의 5개의 범주는, "즐겁지 않은 학교", "행복하지 않은 가족", "아픔 뒤에 혹은 핑계 뒤에 숨는 아이들", "찾을 수 있을 때까지 같이 가보자", "세상이 바뀌었으면"으로 나타났다. 학교 밖 청소년들이 학교를 떠날 것을 결심하는 것에서부터 학교를 떠나고 학교를 떠난 후 생활에 대한 과정을 직접 듣고, 함께 생활하면서 겪은 현장전문가들의 실질적 지원과정의 경험을 이해할 수 있었다. 이러한 연구결과는 청소년복지정책에 기여하고 실천적 지원방안 모색에 기초자료가 될 것이다.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.232-250
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• 2020

이 연구의 목적은 자활사업 실무자들의 관점에서 자활사업을 이해하고자 하는 것이었다. 이를 위해 이 연구에서는 질적 연구접근 중 하나인 맥락-패턴 분석방법을 적용하여 연구진이 수집한 면접 자료를 분석하였다. 분석 결과, 자활사업의 맥락은 '시장경제', '사회서비스 체계', '자활제도', '자활사업', '자활 대상자들', '자활사업 과정경험' '자활사업의 성과', '자활의 의미' 라는 하위맥락 요소들로 구성되어 있었다. 자활사업의 패턴의 경우 '자활제도의 활력 저하', '서비스 흐름', '자활로 가는 여정', '작은 성공들로 이어지는 시퀀스' 등 자활사업에서 형성되는 다양한 수준에서의 패턴들이 발견되었다. 이러한 연구결과에 근거하여, 자활제도와 자활사업, 자활실무를 발전시키기 위해 고려해야 할 정책적, 실천적 함의, 그리고 후속연구에 대해 제언하였다.

• 의학교육논단
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• 제11권1호
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• pp.11-20
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• 2009

The purpose of this study was to introduce the concepts of experiential learning and the Kolb's model, and to review some applications of experiential learning theory in graduate medical education. The published literature on GME and education for general practitioners applying the experiential theory and the Kolb's model was reviewed. Experience learning defined the cyclical learning process which emphasizes the learners' reflective thinking of the learners' concrete experiences and their active participation in continuous learning actives. Kolb includes this 'cycle of learning' as a central principle in his experiential learning theory. This is typically expressed as a four-stage cycle of learning. Kolb's cycle moves through concrete experience(CE), reflective observation(RO), abstract conceptualization(AC) and active experimentation(AE). Components of continuing education of the adult learner were based on autonomy, context of learning, and competence and performance as educational objectives. Some strategies for graduate medical education were reflective thinking, self-directed learning, morning reporting and feedback with peer review, etc. Opportunities for learning from experience in practical life can be made to enhance reflective thinking and performance of practitioners. Strategies to develop reflective practice among physicians should be explored by further research.

• International Journal of Quality Innovation
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• 제3권2호
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• pp.159-173
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• 2002

Any organization's Six Sigma program may be at high risk without heeding the lessons learned from the past and that tries to operate without a robust business foundation. A foundation that preferably should consist of stepping-stones such as a 5-S house-keeping program, an effective Integrated Management System (IMS), which includes a strong focus on planning for quality to fully capture the Voice of the Customer (VOC), and an organization-wide training scheme, as well as a reliable Cost of Poor Quality (COPQ) system. That's the best advise I can give to any organization that wishes to embark on a Six Sigma improvement program and hope to be successful. The paper will elaborate on the above issues and provide suggested solutions based on the review of published historical information and the experiences encountered over the last four decades by the author, as a quality practitioner and consultant, in industries that produced safety-critical product. This author maintains that few fundamentally new or useful things have been created in the field of Quality during the last couple of decades. Nevertheless, this paper deliberates on a number of relatively “newer” issues including the concept of “three types of customers”, the CTC, “Critical To Customer” term, the eight Quality Management Principles of the new ISO 9000 family, the growth of industry-specific standards, the adoption of Integrated Management Systems, the rebirth of AS2561 COQ standard, the spread of Six Sigma as well as related ASQ certification and the need for a robust business foundation to ensure Six Sigma survival.

• 한국간호교육학회지
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• 제5권1호
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• pp.97-105
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• 1999

Based on literature, status and role of the NP in America was reviewed. The process of developing NP program in America suggests us many things. In America, nurse practitioners have sustained a mutually beneficial status with their patients for over thirty years. Excel fence in academic education and clinical training will enable nurse practitioners to continue to provide quality health care. The magnitude changes in the health care system of the United States, the challange of providing real access of health care continues. Lack of access to adequate primary care was the driving force in the initial 1965 Federal Involvement in developing the NP role. In 1993 President Bill Clinton's health care reform initiative provided policy support for NPs as primary care providers. The Institute of Medicine explicitly recognized NPs as an integral part of the primary care team. In addition, several national reports recognized NPs as affordable, accessible, high-quality care providers. The recent passage of direct Medicare reimbursement for NPs reflected public policy statements coincided with and likely contributed to a growth spurt in the NP workforce. From 1965 to 1977 NP programs offered traditional primary care clinical tracks(adult, family, woman's health, and pediatrics) for relatively small clusters of students in a variety of institutional settings. From 1978 to 1990 these educational programs were incorporated into graduate schools of nursing. By 1990 the majority of NPs received educational preparation in master's-level nursing programs. A new emphases was placed on postmaster's NP programs designed for master's prepared clinical nurse specialists and nurse managers. he the health care system shifted hospital nursing resources toward community-based care, these master's -level nurses sought additional NP preparation. NP educational programs are defined as the educational structure in which one or more NP clinical tracks are offered. NP clinical tracks, in turn, offer curriculum and supervised clinical experiences that match standards in specific practice areas such as family(FNP), adult(AUP), geriatrics(GNP), pediatrics(PNP), women's health (WHNP), neonatal (NNP), and acute care(ACNP). There were indications that NP practice was expanding into new clinical areas as evidenced by new types of tracks, particularly in acute care and psychiatry. The increase in acute care NP students likely reflects the increased demand from hospitals and other acute care settings. In Korea, change of nurse's role into nurse practitioner's role may have many difficulties. The need of health consumer, policy support of government, approval of medical care team are all essential component. Every nursing personnel make effort to planning the new health care delivery system.

• 대한예방한의학회지
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• 제6권2호
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• pp.36-47
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• 2002

Over thousands of years oriental traditional medicine has developed a theoretical and practical approach to treat and prevent diseases and to promote people's health in China and Korea. In China, the integration of traditional Chinese medicine into the national healthcare system began in the late 1950s. This was in response to national planning needs to provide comprehensive healthcare services. On contrary to China, South Korea established the parallel operation of two independent medical systems in 1952. Hence there has been a political conflict between oriental and modern medicine over issues of fee, the ability to sell and prescribe herbal medicines, and the licensing of practitioners in traditional medicines. Given this background. This study is to compare peoples' attitudes and opinions for oriental traditional medicine by ethnicity (Chinese, Korean-Chinese and Korean). Chinese and Korean-Chinese were more used and satisfied with traditional medicine treatment and traditional practitioners compared with Koreans. The proportion of Koreans who reported the cost of traditional treatments was expensive was higher than those of Chinese and Korean Chinese. Most of Chinese, Korean-Chinese, and Koreans reported that they would use traditional medicine: 1) when they would have some disease to be treated best through traditional medicine; and 2) when traditional practitioner had a reputation and lots of experiences for those diseases. Most Korean people reported that oriental and western practitioners should cooperate each other to improve the quality of care. Therefore, policy framework including integration of traditional and western medicine, regulation, etc. is needed. In addition, research is needed to determine which diseases is treated best through traditional medicine.

• 중환자간호학회지
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• 제14권2호
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• pp.42-56
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• 2021

Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.

• 성인간호학회지
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• 제13권1호
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• pp.53-69
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• 2001

As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.

• 의료법학
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• 제11권2호
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• pp.113-145
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• 2010

Nowadays, it is surely the quack which stands as one of the most controversial, problematic. the quack has been a consistent target of contested public protection strategies in the past few centuries in many countries. Recently, complementary and alternative medicine (CAM) is increasingly utilized and accepted by patients and providers throughout the health care system in the world, most accounts attribute this growing acceptability to the shortcomings of conventional medicine, the appeal of CAM's core beliefs, and the growing body of research indicating that CAM actually works. However, the governments of western countries have called for measures to ensure that the public are protected from incompetent and dangerous practitioners. Common to these controversies has been a suggestion to ban, exclude or limit the medical practice of those deemed to be damaging rather than improving the health of individuals as a measure of public protection. This article describes the experiences of western counties' health care system which is moving in a more pluralistic direction. By examining the ways in which regulatory efforts in the countries have come to address what is invariably described as a growing interest in CAM, this study show how the problem of CAM/quackery today is increasingly located in an ethical field of practitioner competency, qualifications, conduct, responsibility and personal professional development, regardless of the form of therapy in question. Many countries developed a series of measures and strategies to contain the acceptance of CAM groups, such as insisting on scientific evidence of safety and efficacy, resisting integration of CAM with conventional medicine and opposing government support for research and education. In a sense, those countries' movements serve to protect not only patients, but the dominant position of medicine and its allied professions, and to maintain existing jurisdictional boundaries within the healthcare system. The popular support for CAM will require that health professional stakeholders continue to address the challenges this poses, and at the same time protect their position at healthcare system. To cope with the quack, professional body, public sector and health authorities should consider the safety of consumers of healthcare and responding to the demands of the community for CAM therapies as well as the claims of the established healthcare professions. Finally, some implications for future health care were suggested.

• 가족자원경영과 정책
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• 제27권2호
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• pp.19-33
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• 2023

본 연구는 「제4차 건강가정기본계획」의 '가족다양성 인정'이라는 주요 정책 목표 하에 운영되고 있는 가족다양성 관련 사업에 대한 가족센터 실무자의 운영 경험을 살펴보는 것을 목적으로 한다. 이를 위해 가족서비스 실무경험이 풍부한 시·군·구 가족센터의 센터장 혹은 중간관리자 12명을 대상으로 초점집단면접을 실시하였다. 초점집단면접 자료 분석은 중심주제분석(thematic analysis)을 사용하였다. 분석 결과를 통해 가족센터 실무자들은 가족 정책 환경 변화에 따라 가족다양성 개념을 이해하고 가족센터 운영에 여러 형태로 적용하고 있음을 발견하였다. 그러나 가족다양성 적용을 고려한 사업 운영 과정에서 다양한 가족 사업을 위한 자원 부족, 개별 가족서비스 목표와 가족다양성 관련 사업 목표 간의 갈등, 다양한 가족 대상자 발굴의 어려움 등을 경험하고 있었다. 향후 가족다양성 관련 서비스 확대를 위해 가족다양성에 대한 종사자 교육, 지역 특성을 반영한 가족 사업 운영, 다양한 가족 이해 및 인식개선 프로그램 확대와 다양한 가족이 함께 어우러질 수 있는 사업 주제 발굴 등과 같은 운영 방식의 변화, 가족센터 홍보 강화 및 대상자 확대, 가족다양성 사업 운영을 위한 예산 확대 필요성을 강조하였다. 본 연구 결과는 가족다양성 적용과 확장을 위한 가족서비스 개편 근거 및 가족서비스 실무자가 가족다양성 관점을 적용한 가족 사업과 서비스를 기획하고 실행할 수 있는 업무 역량 강화를 위한 교육 자료로 활용될 수 있을 것이다.