• 예술인문사회 융합 멀티미디어 논문지
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• 제8권4호
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• pp.647-654
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• 2018

본 연구는 교실 내에서 이루어지는 교사-유아 간 상호작용의 질 증진을 위해 보육교사들을 지원할 수 있는 방안을 찾기 위한 목적을 가지고, 교실 내에서 이루어지는 교사-유아 간 상호작용에 관한 선행연구들을 분석하였다. 본 연구는 교실 내의 영유아와 교사의 상호작용을 증진시키기 위해 보육교사들을 지원하는 목적을 가지는 교사재교육 프로그램을 연구한 선행 연구를 분석의 대상으로 하였다. 선행연구 분석결과는 다음과 같다: 1) 선행 연구들은 교실 내에서 이루어지는 보육교사와 영유아 간의 상호작용에 있어서 언어적인 상호작용에 주로 초점을 맞추어 왔다; 2) 선행 연구들은 보육교실 내에서 이루어지는 교사-유아 간 상호작용을 측정하기 위해 다양한 측정 도구 혹은 코딩 스킴을 개발 및 적용하여 왔다; 3) 선행 연구들은 교실 내 교사-유아 간 상호작용의 질 증진을 목표로 하는 교사의 지원 방안으로서, 멘토링이나 컨설팅과 같이 개별적인 접촉을 선호하여 제안하였다; 4) 선행 연구들이 제안한 교실 내 교사-유아 간 상호작용의 질 증진을 목표로 하는 교사교육 프로그램들은 일반적으로 교사의 건설적인 자기 성찰능력의 향상을 목표로 하고 있었다.

• 한국보육지원학회지
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• 제10권2호
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• pp.261-294
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• 2014

본 연구는 우리나라 어린이집에서의 다양한 유아를 위한 보육(장애아보육, 다문화가정 유아보육, 영아보육, 시간연장형보육)의 발전방안을 모색하는 데 그 목적을 두고 있다. 이를 위해 먼저 어린이집에서의 장애아 보육과 통합보육 및 다문화가정 보육과 영아 보육의 현황 및 정책과 이에 따른 연구동향에 대해 살펴본 후, 문제점 및 개선점을 제시하고, 발전방안을 제안하였다. 이러한 기초자료 제공 및 관련 논의를 통해 장애아 보육과 특수보육 등의 다양한 보육 대상자를 위한 포괄적 서비스 제공을 도모함으로써 보육의 질적 수준을 제고하는 데 기여하고자 한다.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5738-5744
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• 2012

본 연구는 문헌조사방법을 통해 보육정책의 현황을 정리하고, 문제점을 파악하여 향후 보육정책의 과제를 제시하는 것이다. 실태 분석을 통해 발견한 보육정책의 문제점은 0~2세 전 계층 무상 보육으로 인해 실수요계층인 맞벌이 가정의 이용이 어려운 점, 양육수당의 지원 대상에서 36개월 이상의 보육시설을 이용하지 않는 저소득층이 제외된 점, 보육시설 이용아동 대부분 국공립이 아닌 민간어린이집을 이용하므로 보육의 공공성 확보가 어려운 점 등이다. 이러한 문제점을 개선하기 위해 향후 보육정책에서 국공립어린이집 확충으로 보육의 공공성을 확보하고, 양육수당을 현실화하고, 질 높은 영아전담 어린이집의 수를 늘리고, 시간제 보육서비스를 확대하고, 부모교육 및 상담 프로그램을 지원하는 것이 필요하다.

• 가족자원경영과 정책
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• 제17권4호
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• pp.101-125
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• 2013

Recently family policy and social policy have focused on the balance between the work and family of working parents. The purpose of this study is to analyze the status of the work-life balance of married working women. For this purpose the eight married working women who care for 1 or more pre-school child(ren) were interviewed. The questionnaire used was consisted of 4 themes : 1) child care, 2) working situation, 3) the work-life balance and 4) the need to improve related policies. Through the interviews and data analysis we found the following : 1) Accessibility to educarecenter was considered the most important factor for working moms when they choose an educarecenter. In order to improve accessibility of educarecenters we have to install more educarecenters with various level. 2) All respondents look maternity leave and they evaluated that other services were very weak in terms of quality, usefulness and accessibility. 3) Many childcare services aid in creating work and family balance, however they are not effective. Therefore future policies should focus on providing more options for working women for appropriate services according to childcare needs, working conditions and preferences.

• 보건행정학회지
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• 제1권1호
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• pp.54-71
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• 1991

Health of a nation is quite often represented by the statistics such as infant death rate and maternal mortality rate. It is indisputable that maternal child health(MCH) is the basis of health of a nation. MCH is also one of the cardinal component of primary health care. The importance of MCH is conspicuous especially in the developing countries. In Korea, People in the rural communities still have high access barrier to basic health care needs, including MCH services. Access to quality care during pregnancy and delivery seems to be the crucial factor in preventing deaths in women and children. The beneficial effects of prenatal and postnatal care on the outcome of pregnancy for mother and child, and those of health professional-attended institutional delivery on the health of mother and child have been well documented in many studies. Recognizing these effects, the government of Korea received IBRD loan of $30 million in 1979 for th purpose of constructing 89 rural MCH centers. The construction is complete now and all 89 MCH centers are under operation ti imporve primary health care for mothers and children in Korea. However, it has been observed over time that overall performance of public MCH centers is declining. The decline has been attributed partly to low quality services by public MCH centers, poor management by health center mangers, competition with for-profit private clinics, and to the development of national health insurance. This study investigates the utilization by rural communities in Korea of MCH services provided by public sector health centers deemed to be physically and financially accessible to the community but suboptimally used. It seeks also to determine the factors that influence people's utilizations. This study sets out to discover a desirable form of MCH center from among alternative forms of centers, thereby to construct a MCH model.

• 한국콘텐츠학회논문지
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• 제18권12호
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• pp.595-610
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• 2018

사회구조의 변화와 가족기능의 변화로 인한 보육의 공백을 사회와 국가차원에서 서비스되어야 한다는 인식이 보편화되고 있다. 보육시설에서의 보육서비스 질에 대한 관심도 높아졌다. 본 연구는 보육서비스의 질 향상을 위해서는 영유아권리존중 보육서비스가 필요하다는 인식을 가지고 조직문화가 어떤 영향을 미치는가를 연구하였다. 연구방법으로는 보육시설에서 근무하는 보육교사 340명을 대상으로 설문조사를 실시하였으며, SPSS 22.0 통계프로그램을 사용하여 통계 처리하였다. 조직문화가 영유아권리존중 보육에 미치는 영향에 대한 분석결과, 조직문화의 하위요인인 개발문화, 합리문화, 집단문화, 위계문화가 영유아권리존중 보육의 하위요인인 하루일과 존중과 아동최선의 이익에 통계적으로 유의미한 정(+)의 영향을 미치는 것으로 나타났다. 영향의 정도는 개발문화>위계문화>합리문화>집단문화로 나타났고, 특히 집단문화의 영향이 매우 낮은 것으로 나타나 조직문화의 유형에 따른 차이가 있음이 검증되었다. 이러한 결과는 보육시설의 조직문화가 영유아권리존중 보육에 영향을 미치는 것을 보여준다. 결론에서 보육시설 조직문화 개선을 위한 정책적, 실천적 제언과 연구의 한계점 및 향후 연구 방향을 제시하였다.

• 대한간호학회지
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• 제47권5호
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• pp.577-588
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• 2017

Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

• Child Health Nursing Research
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• 제11권3호
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• pp.273-281
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• 2005

Purposes: The purposes of this study were to evaluate parent satisfaction with inpatient hospital services in children's hospitals and to identify variables related to parent satisfaction. Method: A descriptive correlation study was conducted. Parents of 165 children who were inpatients in two children's hospitals participated in the study. Data were collected using structured questionnaire at the time of discharge. For statistical analysis, t-test, ANOVA, and Pearson correlation analysis were used. Results: The highest parent satisfaction domain was nursing service, and the lowest parent satisfaction domain was hospital service and accommodations. Parents were less likely to be satisfied with hospital facilities, equipment, noise and cleaning and less likely to be satisfied with the lack of information they received and with the lack of communication with health care professionals. Parents with longer length of stay and with older children reported higher satisfaction than their counterparts. Moreover, parent satisfaction was related to their intention to revisit and related to intention to recommend this surveyed hospital over others. Conclusions: Efforts to improve parent satisfaction in children's hospital service and accommodation are needed to improve the quality of health care. Communication by health care professionals with parents and a partnership between parents and health care professionals are necessary to improve quality of care.

• International Journal of Human Ecology
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• 제17권1호
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• pp.39-51
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• 2016

This pilot study examined programs for early childhood education and care in three Chinese cities. The samples for this study were one university-based kindergarten, one private kindergarten (rural area), and one public kindergarten (urban area). Six types of instruments were used to assess early childhood education and care services regarding quality matters. Most questions asked were open-ended; consequently, the interview answers by kindergarten directors or teachers (as well as observations made by the researcher) formed the basis for collecting the data. Quality components for each program were determined by a comparison method. The comparison allowed the researcher to understand the range of quality education and care available as well as the variability of existing kindergarten programs in China. The findings of the investigation revealed important information on; (a) demographic information (fees, class hours, total weeks of class, vacation, number of children and staff, class size, and teacher-child ratio) (b) teacher characteristics, (c) health practices, (d) safety practices, (e) work environment, (f) physical settings, (g) play materials, (h) parent involvement, (i) nutrition, (j) daily schedule. Implications within the Chinese context for quality practices and issues to further develop and strengthen early childhood education and care systems are discussed.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.77-83
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• 2009

The number of nurses per bed at acute-stage hospitals is quite low in Korea compared with other OECD countries. In order to prevent the degradation of the quality of inpatient nursing services due to insufficient nurse staffs, the national health insurance introduced the differentiated nursing care fee system. This did not work as a motive for inducing the employment of nursing staff due to insufficient cost compensation. Because of insufficient nursing staff, family members have to stay with the patient or patients have to hire a personal care attendant. This increases the burden and cost to families. For the activation of hospitals without guardians, there should be policies for raising additional nursing staff such as standardizing jobs among nursing staff, particularly between nurses and nursing assistants, setting adequate standards of staffing in nursing according to medical service, substantiating the cost of nursing under the differentiated nursing care fee system, improving the medical fee system of hospitals without guardians including health insurance payment, supplying nursing staff stably through improving their working conditions such as providing child rearing services and salary increase, clarifying the qualification of personal care attendants working at acute.stage hospitals, developing indexes for assessing the quality of nursing care services, and monitoring for the management of uniform quality.