• 디지털융복합연구
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• 제18권6호
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• pp.401-409
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• 2020

본 연구는 환자중심성 의료문화 조성을 위한 의료기관 경영전략에 도움이 될 수 있는 융복합 입원 의료서비스 환자경험 관리모형을 개발하고자 하였다. '2018 의료서비스경험조사' 원시자료를 이용하여 만 15세 이상 입원 의료서비스 경험이 있는 593명을 분석하였다. 의사결정나무 모형을 활용하여 입원 의료서비스 경험에 대한 전반적 만족도와 환자 경험 추천 의사 예측모형을 개발하였으며 유형은 4개, 7개로 각각 분류되었다. 모형의 정확도는 68.9%, 78.3%였다. 입원 의료서비스 환자경험 전반적 만족도 결정요인은 간호사 영역과 병실 소음관리 영역이었으며 추천 의사 결정요인은 간호사 영역이었다. 입원 의료서비스 환자경험 관리모형을 제시하고 간호사 영역과 병실 소음관리 영역이 입원환자 경험에 중요한 요인임을 확인한 점이 의의가 있다. 입원 의료서비스 환자경험 관리모형의 일반화를 위한 추가 연구가 필요하다 생각된다.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.403-410
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• 2014

본 연구는 "여주 오곡나루축제"를 방문한 참여자를 대상으로 축제 서비스 품질이 축제만족, 구전의도에 미치는 영향관계를 분석하였다. 여주오곡나루축제에 참여한 177명을 대상으로 연구를 진행하였고, 설문 조사는 축제가 개최되고 있는 장소에서 무작위 방식으로 진행되었다. 구조방정식 모형을 통하여 가설을 검증하고 분석하였다. 분석 결과를 보면, 물리적 서비스는 축제만족, 구전의도에 유의한 영향관계가 없는 것으로 분석되었고, 프로그램 서비스와 인적 서비스는 유의한 정(+)의 영향을 미치는 것으로 분석되었다. 특히 축제 서비스품질 중 프로그램 서비스가 축제만족과 구전의도에 가장 영향력이 높은 변수인 것으로 나타났다. 그리고 축제만족이 높은 관광객일수록 축제에 대한 긍정적 구전과 추천 행위를 하는 것으로 분석되었다. 분석결과를 바탕으로 한 논의에서는 축제 기획 단계에서 프로그램의 강화가 우선되어야 함을 제시하였다. 이를 통해서 참여자의 만족도를 향상시킬 수 있으며, 축제만족은 재방문 등의 효과를 이끌어 냄으로써 축제를 보다 풍성하게 할 수 있을 것으로 판단된다.

• 한국콘텐츠학회논문지
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• 제17권4호
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• pp.108-118
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• 2017

본 연구에서는 소셜 추천 광고에 대해 중점적으로 살펴보고 광고 효과를 분석하였다. 구체적으로, 소셜네트워크 사이트 상의 광고 효과에 영향을 미치는 중요한 세 가지 요인, 광고 추천인의 광고 추천 의도와 관련된 보상 유형 (금전적 보상 vs. 비금전적 보상), 광고의 제품 유형 (쾌락재 vs. 실용재 ), 광고 추천인과 소비자와의 유대 강도 (강한 유대 vs. 약한 유대)에 대해 조사하였다. 보상 유형과 광고 제품 유형 간의 상호 작용 효과를 검증하기 위해 $2{\times}2$ 요인 실험 설계를 하였으며 광고 추천인과 소비자 사이의 유대 강도는 조절변수로 설정하고 분석을 실시하였다. 연구 결과, 소셜 추천 광고를 본 참가자들이 비금전적인 보상을 제공하는 쾌락재 광고를 볼 때에 효과가 가장 높았으며, 제품 유형과 보상 유형이 각각 효과를 보인 것으로 나타났다. 광고 제품 유형 및 보상 유형의 조합에서는 약한 유대에 있는 사람이 추천하는 광고보다, 강한 유대에 있는 광고 추천인이 광고 효과에 더 큰 영향력을 미친다는 조절 효과가 확인되었다. 즉, 광고 추천인과 소비자 사이의 유대 강도의 차이에 따른 조절 효과가 발생한 것이다. 본 연구 결과를 바탕으로 소셜 네트워크 사이트 상에서의 마케팅 환경 방법에 관한 시사점을 논의하였다.

• 한국학교보건학회지
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• 제16권1호
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• pp.121-133
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• 2003

The purpose of this study was to find out the status of and attitudes on drug abuse in primary school students, to provide basic data for preventing the youth from their drug abuse and contributing to improve their health. 36.0% of the students had an experience of the education to prevent from drug abuse, the students wanted to have an education on drug abuse in primary school, 71% of the subjects preferred to school nurses as the education about drug abuse, and 2.9% of the students show their intention to use drug when their friends recommend to take drug. For the experience of drinking, there was a significant difference to the degree of satisfaction at their school($x^2$=23.29, p=.001), their association with father's smoking ($x^2$=13.16, p=.001), and mother's ($x^2$=5.60, p=.018) smoking. The experience of drinking showed no significant differences according to the grade and the experience of prevention education on drug abuse. Attitudes on drug abuse according to the general characteristics showed significant differences according to the grade (t=4.10, p=.007), the degree of satisfaction at the school(t=8.86, p=.000), their association with any father's drinking(t=3.18, p=.002) and mother's(t=5.23, p=.000), father's smoking(t=3.21, p=.001) and mother's(t=31.87, p=.000), the state of drug use during the pain(t=7.18, p=.000).

• 간호행정학회지
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• 제16권4호
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• pp.517-526
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• 2010

Purpose: The purpose of this study was to identify the major trends of research in the Journal of Korean Nursing Administration from 2007 to 2009. Method: Research designs, participants, research domains, and key words were analyzed from the Journal of Korean Nursing Administration. Results: Job satisfaction, organizational commitment, job stress, turnover intention, nursing performance, self-efficiency, leadership, empowerment, nursing informatics, and quality control were the major key words commonly listed in the journal articles. Of the research in the Nursing Administration Journal, quantitative methods were used in 94.5% of the research studies and qualitative methods in only 5.5%. The major participants in the research were nurses, nurse managers, and patients. Statistical methods like ANOVA, correlation, t-test, regression, chi-square test, LISREL were the dominant method of analysis used in the research. The primary domains in the journal articles were directing, organizing, control, planning, and informatics. Conclusion: Through this study, the trend of research in nursing administration can be identified. We recommend that collaboration, nurse work environment, evidence-based practice, scheduling, coaching, patient falls and safety, and positive culture should be included as topics for the future research.

• Archives of Plastic Surgery
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• 제39권6호
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• pp.626-630
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• 2012

Background Recent literature has indicated that free flaps are currently considered the preferred choice for head and neck reconstruction. However, head and neck cancer patients are frequently treated with chemoradiotherapy, which is often associated with a poor general and local condition, and thus, such patients are ineligible for free flap reconstruction. Therefore, other reconstruction modalities should be considered. Methods We used lower trapezius musculocutaneous (LTMC) flap based on the dorsal scapular artery to reconstruct head and neck defects that arose from head and neck cancer in 8 patients. All of the patients had undergone preoperative chemoradiotherapy. Results There were no complications except one case of partial flap necrosis; it was treated with secondary intention. Healing in the remaining patients was uneventful without hematoma, seroma, or infection. The donor sites were closed primarily. Conclusions The LTMC flap is the preferred flap for a simple, reliable, large flap with a wide arc of rotation and minor donor-site morbidity. The authors recommend this versatile island flap as an alternative to microvascular free tissue transfer for the reconstruction of defects in the head and neck region, for patients that have undergone preoperative chemoradiotherapy.

• 대한예방한의학회지
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• 제14권1호
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• pp.25-35
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• 2010

Objectives : This study was aimed to investigate attitude of western medicine(WM), Korean medicine (KM), and nursing school students toward the east-west collaborative medical practices(EWCMP). Methods : The participants were 185 WM students, 123 KM students, and 230 nursing students belonging to two universities (P and D) in Busan metropolitan city, Korea. Data were collected with self-administered questionnaires and analyzed with descriptive statistics, $X^2$ test, t-test and ANOVA with SPSS win 14.0. Results : Of 538 participants, overall 87.1% has heard EWCMP. Preferred type of EWCMP was significantly different by participants' backgrounds. WM students preferred (western) medical treatment with minor supportive Korean medical care(85.5%). However, KM students emphasized EWCMP with the same weight in both medical and Korean medical treatment(59.0%), and nursing students were in between two schools. Intention to recommend EWCMP for the consumer was 67.4%, and also showed very different between WM students and others, 37.3% of WM students, 89.4% of KM students, and 83.9% of nursing students. WM students showed more negative opinion on the EWCMP than KM and nursing students, Conclusions : The attitude of WM, KM, and nursing school students toward EWCMP was very similar to that of WM doctors, KM doctors, and nurses, respectively. WM students showed big difference in the overall attitude toward EWCMP from that of KM and nursing students. It is recommended to introduce the joint curriculum or exchange programs between WM and KM schools.

• 한국산학기술학회논문지
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• 제11권7호
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• pp.2632-2637
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• 2010

유비쿼터스 환경에서 획득되는 정보들은 시공간의 틀 속에서 서로 만나 관계성을 가지게 됨으로써 지식화되고, 업무 또는 어플리케이션 모델과 결합하여 지능화된 콘텐츠로 변화하게 된다. 따라서, 유시티 콘텐츠를 구성하는 개체들은 복잡한 관계들을 가진다. 유시티 콘텐츠는 사용자의 의도를 파악하여 개인화된 응답을 제공하는 지능성을 갖추어야 한다. 본 연구에서는 SPIRIT의 공간 온톨로지 설계 방법을 확장하여 사람 또는 사물에 대하여도 유형, 관계, 인스턴스의 세 가지 온톨로지로 구성하였다. 공유된 개념의 관계 모델이 없는 경우의 인스턴스들 간의 관계는 어떤 시공간적 사건을 통한 관계로 설정하였다. 이렇게 함으로써 문자열 매칭에 의한 연관어에 비하여, 반드시 의미적 관련성을 갖는 연관어들을 추천할 수 있게 하였다.

• 수산경영론집
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• 제49권4호
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• pp.37-52
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• 2018

Busan is a representative of ocean cities in South Korea, which attracts many Chinese tourists. As a number of Chinese tourists increase, Chinese tourists' evaluations of sightseeing resources in Busan appear extremely important. However, there are few researches on Chinese tourists' evaluations of sightseeing in Busan. The purpose of this paper is to analyze Chinese tourists' evaluations of Busan tourism. Chinese tourists who travel to Busan are chosen as research objects and several aspects including marine, fisheries and general tourism are investigated to evaluate the tourists' overall satisfaction of the tourism in Busan. IPA analysis, factor analysis multiple regression analysis are used for the research. The results are as follows. Chinese tourists' evaluations of the importance and performance level of variables on Busan tourism were significantly different (total 19 of 25 variables) and the performance was lower than importance. This means the outputs of the various Busan tourism elements do not live up to their expectations. The findings show that Chinese visitors have high satisfaction on infrastructures of fisheries tourism (e.g. cleanness of aquatic product tourism facilities and sanitary state on fishery products), but low satisfaction in terms of the contents (e.g. unique cooking method experience of seafood and traditional seafood cooking consumption). The factors of fisheries tourism (e.g. product services of fisheries tourism and the attractiveness of seafood in Busan) never affect their satisfaction and intention to revisit and recommend the city.

• 한국의료질향상학회지
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• 제28권1호
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• pp.34-44
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• 2022

Purpose:We investigated physicians' responses to a series of clinical vignettes consisting of patient safety incidents, with and without disclosure of patient safety incidents (DPSI). Methods: An anonymous survey was conducted to investigate physicians' responses to the DPSI via online communities of physicians, and additional participants were recruited using a snowballing sampling method. We evaluated physicians' responses to the DPSI using eight hypothetical scenarios (HS) from the following perspectives: thoughts regarding medical errors, revisiting the physician, recommendation, lawsuit, criminal prosecution, trust score, and compensation amounts. We used the chi-square test to evaluate the overall differences in response rates among the scenarios. Statistical analyses were performed using the Student's t-test to compare the trust scores and compensation amounts. Results: A total of 910 physicians participated in this survey. An overall comparison of trust scores among HS showed that HS 1 (unclear medical errors, minor harm, and DPSI) had the highest trust score. In contrast, in the opposite scenario, HS 8 (clear medical errors, major harm, and DPSI not conducted) received the lowest scores. Cases with minor harm to patients (HS 1, 2, 5, and 6) showed lower compensation amounts than the others (HS 3, 4, 7, and 8). Physicians were more likely to think of situations with DPSI as not having medical errors (53.1% vs. 55.2%). In addition, the scenarios with DPSI were evaluated favorably in terms of intention to revisit, recommend, suit, and engage in criminal proceedings. Physicians showed higher trust scores (6.2 vs 5.4) and gave lower compensation amounts ($27.7 million vs $28.1 million), although there was no significant difference in terms of compensation amounts to the physician conducting DPSI. Conclusion: Our study showed overall positive perceptions regarding DPSI among Korean physicians.