• 대한간호학회지
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• 제8권1호
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• pp.163-180
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• 1978

Much of a person's energy is spent in the effort of becoming a productive member of to-day's complex society. This activity may cause tension, and chronic unrelieved tension is an influential factor in blood pressure elevation. The problem of this study was to identify manifest needs and self-actualization of patients with essential hypertension, and to analyse and compare their manifest needs and selt-actualization with the selected general characteristics of We, sex, religion, occupation and level of education with a control group of patients with normal blood pressure readings. The purpose was to contribute to the planning of nursing interventions toward reducing the impact of complex psycho-somatic factors on the anxiety of patients with essential hypertension. The instruments used included selected items from the Edwards (1959) Personal Preference Schedule (EPPS) as adapted by Hwang (1965) and from the Personal Orientation Inventory (POI) (Shostrom 1964, 1974) adapted by Kim and Lee (1977) to measure manifest needs and self-actualization. The convenience sample was chosen from 149 persons who presented themselves for general physical examinations at Ewha University Medical Centre and 41 patients diagnosed with essential hypertension at three general hospitals in Seoul during June 1 and August 31, 1977. Forty-nine persons from the Ewha group with blood-pressure readings exceeding 150/90 were added to the experimental group. Data were analysed by the S.P.S.S. computer programme using t-test and tests for statistical significance. Statistically significant findings were as follows: A. Blood Pressure and Manifest Needs. 1. with the exception of Autonomy, patients with hypertension had significantly high scores on all variables Abasement, Achievement, Affiliation, Aggression, Dominance, Emotionality, Exhibitionism and Sex. 2. When mean scores of normal persons were compared by age groups, normal persons had higher scores in the following order on Abasement (50's, 40's, 20's, 30's), Achievement (50's, 30's, 40's, 20's), Affiliation (50's, 40's, 30's, 20's), Dominance (50's, 40's, 40's, 20's) and Exhibitionism (30's, 50's, 40's, 20's). In each case, there was a significant difference between the first and last age group scores. 3. When the mean scores of normal persons were compared by sex, normal men had higher scores than women on Achievement, Affiliation, Aggression, Dominance, Exhibitionism and Sex. Male patients had higher scores than female patients on Achievement, Dominance, Exhibitionism and Sex, but female patients scored higher in Emotionality. 4. Normal persons had higher scores related to religion in the following order on Achievement (Buddhism, no religion, Christianity). Hyper tensive patients had higher scores on. Exhibitionism (no religion, Christianity, Buddhism). 5. Normal persons had higher scores related to occupation in the following order on Achievement and Exhibitionism (unemployed, office workers, teachless, businessmen), Emotionality (office workers, unemployed, businessmen, teacher) and Sex (office workers, unemployed, teachers, businessmen). Hypertensive patients had higher scores on Achievement and Aggression (teachers, businessmen, office worker, unemployed), Dominance and Exhibitionism (businessmen, teacher, of ace workers, unemployed) and Sex (teachers, office worker, businessmen, unemployed). 6. Normal persons had higher scores related to level of edification in the following order on Abasement, Emotionality and Autonomy (secondary school graduation, university). Hypertensive patients had higher scores on Abasement (no education, primary, university, secondary), Achievement (no education, secondary, university, primary) , Dominance (university, no education, secondary, primary), Exhibitionism (university, secondary, no education, primary), and Sex (university, secondary, primary, no education). B. Blood Pressure and Self_Actualization 1, Patients with hypertension had significantly lower scores on all variables. 2. Normal persons had higher scores related to age groups in the following order on Existentiality (20's, 30's, 40's, 50's). Hypertensive patients showed no significantly different scores. 3. Normal women had higher scores than men on Time Competence. Normal men had higher scores on Feeling Reactivity. Male patients had higher scores than women on Self-Actualizing Value and Self-Regard. 4. Normal persons ha 1 higher scores related to religion on spontaneity (Buddhism, no religion, Christianity). Hypertensive patients had higher scores on Time Competence and Nature of Man (Buddhism, Christianity, no religion). 5. Normal persons had higher scores related to occupation in the following order on Existentiality (teachers, office workers, businessmen, unemployed) and Self-Regard (unemployed, office workers, teachers, businessmen). Hypertensive patients showed no significantly different scores. 6. Normal persons had higher scores related to level of education in the following order on Existentiality and Self-Acceptance (university, secondary). Hypertensive patients had higher scores on inner-Director (university, secondary, no education, primary) and Existentiality (university, secondary, primary, no education). Recommendations for nursing interventions with hypertensive patients with emotional problems or low self-actualization were made. 1. The nurse should encourage the patient through her interactions with other members of the medical team to accept counselling and health education. 2. Through her therapeutic interpersonal relationships with the patient, the nurse should help him discover the causes of his emotional tension. 3. Through her health teaching with the family, the nurse should encourage them to participate with the medical team in the patient's therapeutic plan and in providing him with the minimum possible emotional support. 4. Through frequent counselling with the obsessive-thinking and inflexible patient, the nurse should reevaluate the patient's behaviour and her interventions. 5. Seriously ill patients should be given needed reeducation by members of the professional medical team.

• 한국사회복지학
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• 제58권1호
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• pp.237-264
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• 2006

최근 장애 정의에 있어 환경적인 요인이 중요한 비중을 차지하게 됨에 따라 새로운 패러다임에 근거 한 사회통합 논의의 필요성이 대두하게 되었다. 한편 장애문제를 비장애인과 마찬가지로 장애의 경험에 국한되지 않고 총체적인 삶의 경험에 초점을 맞추어야 한다는 생애주기별 접근의 중요성이 강조되고 있다. 본 연구의 목적은 생애주기별로 자립생활 패러다임에 따른 사회통합 수준을 측정하고 영향요인에 대해 분석함으로써 질적 측면에서 정책적, 실천적 함의를 제공하는 데 있다. 자립생활 패러다임에 따른 사회통합의 하위차원은 일상생활 자율성, 물리적 접근성, 사회적 지지의 적절성, 경제적 안정정도, 선택권, 심리적 임파워먼트의 6개 차원으로 구분하였다. 조사대상자는 서울과 경기지역에 거주하는 지체 및 뇌병변장애인 591명이며, 전화설문조사방법을 사용하였다. 연구결과 생애주기별로 사회통합의 하위차원에 따라 다른 특성을 보였고 사회통합의 각 차원별로 영향을 미치는 요인이 상이하게 나타났다. 이러한 결과를 통해 얻을 수 있는 중요한 함의는 사회통합의 증진을 위한 장애정책의 방향은 생애주기별로 차별화 되어야 하며 장애인의 일상 활동이나 접근성의 향상뿐만 아니라 선택권이나 심리적 임파워먼트의 증진을 위한 노력이 병행될 필요가 있다는 것이다.

• 치위생과학회지
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• 제11권4호
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• pp.345-352
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• 2011

본 연구는 임상에 근무하는 치과위생사를 대상으로 윤리적 딜레마와 치과위생사의 전문직업성 정도를 파악하고자 393명을 대상으로 설문조사 하였으며, SPSSWIN 18.0을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 윤리적 딜레마 영역별로 치과위생사와 전문직 업무가 2.62점, 치과위생사와 대상자 2.41점, 치과위생사와 협동자 2.34점 순이었고, 전체적 딜레마 점수는 2.46점으로 나타났다. 2. 전문직업성 영역별로 공공봉사심이 3.55점, 자율성 3.42점, 전문조직에의 준거성 3.14점, 소명의식 3.01점 순으로 나타났으며, 전체 전문직업성은 3.28점으로 나타났다 3. 윤리적 딜레마의 세부영역 중 치과위생사의 전문직 업무 영역은 공공봉사심, 소명의식 및 전체적 전문직업성, 치과위생사와 협동자 영역은 공공봉사심과 소명의식, 치과위생사와 대상자 영역은 자율성과 소명의식, 전체적인 윤리적 딜레마에서는 공공봉사심과 소명의식에서 약하지만 유의한 부의 상관관계를 보였다. 4. 일반적 특성에 따른 전체적 딜레마는 연령에서 21-24세, 학력은 대학원 이상, 결혼 상태는 미혼, 근무지는 치과병원 및 대학병원인 경우, 근무경력이 1-3년 이하에서 점수가 높았으나 집단 간 차이는 크지 않았으며, 통계적으로도 유의한 차이가 없었다. 5. 일반적 특성에 따른 전문직업성은 연령이 많을수록, 교육정도가 높을수록, 기혼인 경우, 근무경력이 많을수록 전문직업성 정도가 높은 것으로 나타났고, 통계적으로도 유의한 차이를 보였다. 6. 전문직업성에 영향을 미치는 요인으로는 학력과 근무경력이 영향을 미치는 것으로 나타났다. 이상의 결과로 윤리적 가치관 확립을 위한 지속적인 전문직업성 교육프로그램 개발로 전문직업성 함양을 위한 방안이 모색되어야 한다고 사료된다.

• 한국간호교육학회지
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• 제9권1호
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• pp.144-154
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• 2003

Recently, in the academic disciplines critical thinking has been emphasized as the new evolution in education. Problem-based learning is suggested as the evolutionary learning method in developing critical thinking. In the nursing education, PBL is offered as an appropriate teaching method to prepare nurse student for professional. PBL is a student-centered learning strategy aimed at developing critical thinking, motivating self-directed study and attaining autonomy. The purpose of this study was to develop the communication curriculum of nursing education based on PBL and implementing of it. PBL module was developed focused on five communication situations. And learning strategies to facilitate the learning process and the guided questions to stimulate student inquiry were also developed. This PBL education was conducted for six students in the master's course during the 14 weeks from March, 2000 to June, 2000. The outcomes of the PBL education were examined based on the content analysis of the students reflective journal. As a result, it was found that students experienced the effect of it focused on self-oriented, group-oriented, and practice-oriented domain. In the self-oriented domain, the findings indicate that there were 5 kinds of concepts including 'motivation for self-directed study', 'transition toward certainty in knowledge acquisition', 'attempt to apply their prior knowledge into new situation', 'enhancement of self-image in real situation', 'self-growth with self reflection'. In the group-oriented domain, there were 3 kinds of concepts including 'cognitive work in group', 'perception of co-responsibility in attaining learning objectives', 'socialization with group members'. In the practice-oriented domain, there were 3 kinds of concepts including 'linkage theoretical knowledge with real situation', 'attempt to apply in real situation', 'development problem solving skill in real situation'. In conclusion, PBL had a significant effect on self, group, and clinical domain. And assessing PBL outcomes is challenging because standardized instrument do not develop yet. So the findings of this study can suggest the basic data for examining the PBL outcome.

• 한국산학기술학회논문지
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• 제10권6호
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• pp.1380-1388
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• 2009

피부미용사들의 전문직업성에 대한 인식을 밝혀보고자 2009년 4월 1일부터 4월 20일까지 전라북도 군산시와 전주시의 피부미용사 290명을 대상으로 설문조사한 결과는 다음과 같다. 첫째, 변인별 전문직업성은 연령, 학력, 현 근무지 근무 연수에 따른 전문직업성은 통계적으로는 유의미한 차이를 보이지 않았지만, 삶의 만족도, 직무만족도별 전문직업성은 통계적으로 유의미한 차이를 보였다. 삶의 만족도에 따른 전문직업성은 삶에 대해 만족하는 피부미용사가 그렇지 않은 피부미용사보다 높았고(t =2.77, p<.01), 직무만족도에 따른 전문직업성은 직무에 대해 만족하는 피부미용사가 가장 긍정적이었고, 보통인 피부미용사가 불만족하는 피부미용사보다 높지 않았다(F= 6.06, p<.01). 둘째, 전문 직업성의 하위요인간의 상관관계 분석 결과, 자율성 (r=.595, p<.001), 전문조직의 활용(r=.428, p<.001), 직업에 대한 소명의식(r=.492, p<.001)과는 통계적으로 유의미한 정적 상관관계를 보였으며, 서비스에 대한 신념 (r=-.634, p<.001), 자기규제에 대한 신념 (r=-.485, p<.001)과는 통계적으로 유의미한 부적 상관관계를 보였다.

• 한국간호교육학회지
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• 제9권2호
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• pp.186-198
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• 2003

The purpose of this study was to analyze social support, job satisfaction and burnout level of Korean nurses who are working in Germany. The data were obtained from 71 nurses in terms of questionnaire which was distributed between October 2000. to January 2001. The analysis of the data was done by means of the SPSS program. The results of this study were as follows ; 1. The subjects had social supporters on the average of 8 to 9. The total social support score was 264.79. An analysis of the relationship between social support and general characteristics for the subjects was found to be statistically significant in the case of religion(t=2.783, p< .05 ) and work experience(F=2.594, p< .05). 2. The mean score of job satisfaction was the highest in interaction(3.71) followed by the relationship between nurses and doctors (3.56), and then followed by autonomy, professional position, pay, requirements, administration in descending order. So the total mean score 3.33 was based on a maximum score of 5. An analysis of the relationship between job satisfaction and general characteristics for the subjects was found to be statistically significant in the case of the thought of the value for the nurse job (F=4.977, p< .001). 3. The mean score of burnout level was 2.94 based on a maximum score of 7. Burnout level was the highest in the order of physical exhaustion, emotional exhaustion and mental exhaustion. An analysis of the relationship between burnout level and general characteristics for the subjects was found to be statistically significant in the case of planning period of employed nursing profession (F=4.113, p< .001), shift of work department (F=2.593, p< .05 ), thought of the value for the nurse job (F=3.789, p< .001). 4. The job satisfaction was found higher as the social support was higher(r= .278, p< .05). The burnout level was found lower as the social support was higher(r= .342, p< .01). The burnout level was found lower as the job satisfaction was higher(r= .478, p< .01). These results discussed on the above indicated that social support influenced on job satisfaction and burnout level, and that job satisfaction influenced on burnout level. To improve job satisfaction for the nurse, it is necessary that the role of social support as well as the method to increase it should be investigated correctly. The study to adjust as well as to prevent burnout level is absolutely needed.

• 한국산림과학회지
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• 제76권3호
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• pp.249-255
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• 1987

Forestry as with all land matters, under the Constitution, is a State matter. Thus the States, numbering 14, have considerable autonomy in decisions on forestry and related matters. However, the Federal Government, having jurisdiction over such issues as defence, education and research, endeavours to coordinate, standardise and advise the States on matters where the States have jurisdiction. However, forestry being a major revenue earner, is jealously guarded by the States. Under such circumstances and recognising the interdependencies of impacts of decisions at the State level, the institutional organisations play an important role in coordinating state activities to ensure that the benefits to the country as a whole are not sacrificed in favour of interests of individual state. Various legislative mechanisms have been established to ensure this coordinated effort. A National Forestry Council forms the apex of national political coordination. The Federal Forestry Department is responsible for coordination of developmental activities at the State level, which are implemented be the State Forestry Departments within Peninsular Malaysia. Research is carried out centrally by the Forest Research Institute of Malaysia(FRIM), a statutory body formed in 1985 from a research division of the Forestry Department. The Stares of Sabah and Sarawak have their own Forestry Departments, independent of the Federal Department, and each with its own research unit independent of FRIM. Tertiary education in forestry is the sole responsibility of the Agricultural University at Serdang with a campus for Diploma level training in Sarawak. In the developmental area in the State of Sabah, institutions have been formed to focus on specific areas of activities. The Sabah Foundation is responsible for the long term development of the State forests with a concession of about one million ha. Sabah Forest Development Authority(SAFODA) was formed to carry out reforestation of denuded areas. Sabah Forest Industries Ltd.(SFI) is responsible for the country's only integrated pulp and paper industry with its own afforestation program to support its resource supply. In Peninsular Malaysia various states have established State Corporations to manage large "sustained yield" concessions. While wildlife and state parks are managed by the respective forestry departments in Sabah and Sarawak, it is the responsibility of a separate department in Peninsula Malaysia called the Department of Wildlife and National Parks(under the Ministry of Science, Technology and Environment). Timber trade legislation and promotion in the Peninsular is the responsibility of the Malaysian Timber Industries Board(MTIB) for Peninsular Malaysia and the Sarawak Timber Industries Development Corporation(STIDC) in Sarawak. In the area of NGOs ; the Institute of Foresters Malaysia, is the professional body of forestry in the country. A Malaysian Forestry Society caters for the public participation and interest. Other environmentally related NGOs such as the Malayan Nature Society, the Environmental Protection Society, World Wildlife Fund, Friends of the Earth and the Consumers Associations also involve themselves in specific forestry activities. A number of timber trade associations are also formed by the private sector to assist the industries.

• 대한간호
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• 제35권3호
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• pp.61-76
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• 1996

The purpose of this study was to develop a nursing care delivery system which can provide patient focused care and increase satisfaction for both patients and nurses. This study was a quasi-experimental study to test the effectiveness of direct / indirect nursing care hours, patient satisfaction, nurse's job satisfaction, and the difference of the length of stay between model and control group. Control group data were collected from 100 patients who had lumbar disease in the neuro-surgical unit and model group data were from 66 patients who didn't have family residents from August 21, 1995 to February 29, 1996. Model unit was operated by modified PPM(Professional Practical Model) system for 3 months from December 1, 1995 to February 29, 1996. Working committee empowered nurses to make a decision to provide increased opportunities for autonomy, accountability, and control over the environment in which they deliver care. Satisfaction survey was done twice and analyzed by the SPSS program. The results of the study were as follows; 1. Mean direct nursing care hours of the model group was 90.47 minutes as it was 28.04 in the control group which shows significant statistical difference (t=-18.0, P=0.000). 2. Patient satisfaction to nursing care of in the model group was significantly higher than the control group (t=-6. 77, P=0.000) and it apples to the all subcategories, too. 3. Nurse's job satisfaction shows the significant increase in the model group than the control group(Z=-3.0405, p=0.0024). 4. There was no statistical difference between 2 groups in average length of stay except for the post-op patient which shows 5.4 days less in the model group. This study shows that patient satisfaction and nurse's job satisfaction were increased and length of stay was decreased in the model group. Even though this new developed Patient - Nurse Oriented Model can provide nursing with the opportunity to improve patient care to increase productivity and highly valued, it is very difficult to practice due to the limited nursing resources, higher acuity levels and nursing care cost. It is strongly recommended that the government needs to look at the unreasonable reimbursement system and recognize the nursing care costs to the high acuity level patients. Otherwise, make the patient responsible for the nursing care cost so that we can provide more efficient and patient focused care.

• 농촌계획
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• 제6권1호
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• pp.19-28
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• 2000

Now in order to overcome the weakest points of the rural areas of the city of Kimje and, transform them into rural cultural villages which have local governing systems suitable to new localization age and activate this plan, we selected Daesan Village as a model village which had shown a lot of potentials in the basic research and studied it dividing it into the former part and the latter part. We studied Daesan village in the former part focusing on state analysis and basic ideas and in the latter part focusing on master plan and detail planning. We can summarize the conclusion like the followings. 1. Daesan Village located 8 kilometer away from the downtown Kimje and the city of Iksan respectably has comparatively good environment of good sunny place as an open field whose surrounding configuration of the ground consists of farming lands and low hills in front and rear. It has 38 farming households in all. 2. Human environment(인문환경); the village road whose width is about 4 meters is forming a flow system forking off into three. There is a route bus which operates three times a day even into the inside of the village. The main sources of revenue are vegetables in facilities, fruits and floriculture. Their average revenue is about 10.5 million won. 3. Here in DaeSan Village a legend dealing with Teasan literally meaning a big mountain consist of th village's tradition and you can see the tombs of a very faithful son and Anwi an army general in the age of the Japanese Invasion of Korea of 1592 to 1598 inside the village. 4. 85 out of the eitire population 141 whose age are over 20 showed very positive attitudes in a questionnaire about, making the village a cultural one and its development. 5. The basic of planned ideas is to increase the revenue of the farming household by making the village a professional farming one which has a state-of the-art production facility and agricultural technique. It is to make the village the one where people can enjoy the sense of the rural life and the farmer can enjoy their lives through consumptive and consistant leisure and resting activities. 6. We are planning to make entrance space, life space, rest and sport space, and cultural space considering the characteristics of the village and the demand of the resident. We are also planning to make tile entire city of Kimje an information transmitting base in short and long term perspectives. 7. DaeSan Village was planned as a place where tradition and the future exist together. On the basis of this concept we planned future programs for Daesan Village and in the latter part of the study master plans and detail plans will be continued.the regional agricultural condition. The development permissions were only during the period of restricted to use ($1979.12{\sim}1993.11$). We propose that the authority of development permission should be given to the local autonomy government, because the local government has the knowledge of its individual agricultural conditions.

• 시큐리티연구
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• 제18호
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• pp.143-167
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• 2009

21세기에 들어서면서 선진국은 민간경비산업의 전문화를 위해 자격제도 및 교육훈련을 강화하고 있는 추세이다. 우리나라도 전문성 강화를 위한 교육훈련 시스템의 변화를 시도하고 있으나 합리적이지 못한 선발기준과 교육시스템 운영으로 과점시장이 형성되어 있는 실정이다. 오히려 '직업면허제도'를 통하여 자격증 소지자나 경비업체, 교육기관 및 위탁자의 지대추구행위가 증가하고 있는 상태이다. 경비산업 종사자의 질적 향상을 목적으로 자격증 발급 및 지정교육기관을 통한 기본교육이 실시되고 있으나 실질적인 효과는 적은편이다. 이에 본 연구는 민간경비원 선발 및 교육에 관한 문제점을 찾아본 결과, 이원화된 검정제도와 교육시스템의 구조적 문제 그리고 경비업체 운영자 및 최고관리자(임원)의 전문성과 운영능력에 대한 검증이 전혀 이루어지지 않고 있는 것을 알 수 있었다. 이러한 문제를 해결하기 위해서는 이원화 되어있는 경비지도사 자격증 제도와 경비원 교육 이수 제도를 '공인자격검증제도'로 단일화하며, 그 자격검정 대상은 관련 종사자 전체로 확대하여야 할 것이다. 또한 시장 지배적 지위를 이용한 과점현상으로 발생되는 후생손실을 최소화하고 자율경쟁이 가능하도록 지정교육기관의 수를 늘리고 경비원들의 교육 및 취업(업체) 선택에 자율권을 부여하여야 할 것이다. 앞서 제시한 문제점들을 최소화 하고 객관성을 유지하기 위해서는 전문가 집단부터 이해관계자, 시민단체 까지 모두 참여하는 거버넌스 네트워크 형태의 '민간보안산업위원회'와 같은 새로운 관리 감독 기관 설립이 필요하다.