• 한국치위생학회지
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• 제7권2호
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• pp.153-166
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• 2007

The job of dental hygienists is specialized, and they have to be capable of performing their primary duties including prevention of oral diseases, oral prophylaxis, and oral health education. To ensure their successful job performance, dentists should have an accurate understanding of their duties and need a change of mind-set about them. And there should be written legal and concrete regulations on the coverage of their work in order to let them boost their job performance with pride and a sense of responsibility. The purpose of this study was to examine the actual roles and job performance of dental hygienists in clinical field in an attempt to discuss the substantial job performance of dental hygienists and their job enlargement. It's basically meant to help enhance the efficiency and quality of medical services. The subjects in this study were 471 dental hygienists in dental clinics, dental hospitals, university hospitals and general hospitals across the nation, on whom a survey was conducted in person from March 2 to 25, 2005. The collected data were analyzed with SPSS Win 12.0 program, and the findings of the study were as follows: 1. The major jobs they currently performed included oral health education, hospital management, simple duties, extensive dental hygiene duties and joint treatment assistance. They hoped to continue to be responsible for oral health education, preventive treatment and extensive dental hygiene duties. 2. As for their current job by age, extensive dental hygiene duties, preventive treatment, joint treatment assistance, preserving treatment, prosthetic treatment and pediatric treatment were most conducted by the dental hygienists who were at the age of 26 to less than 31, and those who were at the age of 31 and up were most responsible for hospital management and simple duties. 3. As to job awareness by workplace, their workload was statistically significantly different according to their workplace. The hospital employees took care of more work than those in clinics. 4. Concerning job awareness by age, the younger dental hygienists suffered more role conflicts and were given a less free hand in work handling, the middle-aged group's job was uncertain. Legal regulations about the coverage of their work should be prepared in detail as a measure to stir up their responsible job performance and pride. In order to take advantage of experienced dental hygienists, their duties should be more differentiated and specialized, and their working conditions should be improved to boost their job satisfaction. That is, they should be given ample chances for promotion and serving as a middle manager and be given fair treatment according to their career. If their work is accurately darified and specialized based on career, it will boost the efficiency of dental treatment. Dental hygienists also should direct sustained efforts into self-development in order to become a skilled and professional oral health personnel.

• 한국산학기술학회논문지
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• 제11권12호
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• pp.4812-4818
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• 2010

경부 통증은 청소년과 성인에서 흔히 경험된다. 경부장애지수는 경부통의 상태를 평가하기 위하여 가장 흔히 사용되는 자가보고 방식이다. 이 연구의 목적은 일부 대학생의 경부장애지수에 대한 분포를 조사하는 것이다. 자료는 대학생(남성: 229, 여성: 405)을 위한 NDI 설문지로 수집되었다. 통계학적 분석은 SPSS 12. 0으로 이루어졌고, 기술통계, 독립표본 t-test와 피어슨 상관분석을 사용하였다. 결과는 다음과 같다. 첫째, 경부장애의 정도를 나타내는 두 번째 선택 안에서 높은 항목은 '두통'으로 나타났고, 세 번째 선택 안에서 높은 항목은 통증정도로 나타났다. 둘째, 여성이 남성보다 더 높은 경부장애지수, 백분율, 경부장애등급을 나타냈다(p<0.05). 셋째, 남성은 '장애 없음'이 63.8%, '경도 장애'가 35.4%, '중등도 장애'가 0.9%로 나타났고, 여성은 '장애 없음'이 53.6%, '경도 장애'가 44.7%, '중등도 장애'가 1.5%, '중증 장애'가 0.2%로 나타났다. 마지막으로 경부장애지수등급은 경부장애지수 항목과 상관성이 있는 것으로 나타났다(p<0.05). 본 연구의 결과들은 장래의 임상적, 역학적 연구 자료에 기초를 제공할 수 있을 것이며, 경부장애의 예방과 관리에 대한 적절한 교육과 대책이 필요함을 나타낸다.

• 여성건강간호학회지
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• 제1권2호
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• pp.174-199
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• 1995

This study examined the antenatal care known as Taekyo. The sample consisted of 795 women and 564 men who had be seen in the antenatal care unit, delivery room, or postpartal care unit of general hospitals in Korea between March 20 and April 22, 1995. Data were collected using the "Taekyo questionnaire for childbearing women" and "Taekyo questionnaire for husbands of childbearing women" developed by researchers. Data were self-reported. Data were analyzed using the SPSS PC+ program, and descriptive statistics, T-test, ANOVA, Pearson correlation coefficient were applied. The results of this study were as follows : 1. Encouragement to practice Taekyo was at a relatively high level. Items on Taekyo encouraging behaviors had a mean score of 3.51(33 items 5 point scale). According to the five categories of Taekyo encouraging behaviors, subjects indicated they practice "food intake(mean score 4.02)". "praying(mean score 3.78)", "cumulative virtuous deeds (mean score 3.58)". "mind and body management(mean score 3.47)", "maternal fetal interaction(mean score 3.15)". 2. The childbearing women's practices related to forbidden behaviors by Taekyo were relatively high. Item on forbidden behaviors by Taekyo had a mean score 3.71(43 items 5 point scale). According to the five categories of forbidden behaviors by Taekyo, subjects indicated they practiced "voluntary abstention of drugs(mean score 4.78)," avoiding behaviors(mean score 4.78)," avoiding behaviors(mean score 3.77), "good behaviors(mean score 3.71)", "taboo on fetal death tendency (mean score 3.53)", "taboo on certain intake(mean score 3.47)". 3. The practice score of husbands for childbearing women which related to Taekyo behaviors were relatively high. Item on Taekyo behaviors had a mean score 3.59(33 items 5 point scale). According to the six categories of Taekyo behavior, subjects indicated they practiced "mind and body management(mean score 3.94)", "praying(mean score 3.80)", "support of women’s practice related to Taekyo(mean score 3.66)", "good behaviors(mean score 3.58)", "continency(mean score 3.33)", "paternal fetal interaction (mean score 3.19)". 4. On the childbearing women's perception of Taekyo, most of the subjects(88%) had confidence in the positive effects of Taekyo on Child development. The result showed that the childbearing couples practiced Taekyo behavior relatively often and sincerely and most of the childbearing women had a positive perception of Taekyo's effect on prenatal child development.

• 대한예방한의학회지
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• 제6권1호
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• pp.1-14
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• 2002

The proportion and role of public sector in health care industry is very small in Korea. Asymmetric distribution of health care resources is one of the major health care concerns. This issue is so important that it raises a question of accessibility, availability, continuity of care and equity of rural area people's health care utilization. To solve these problems and to satisfy the basic demand of oriental medical service in rural areas, the oriental public health doctors were placed in rural health centers since 1998. The main objectives of this study are twofold: to measure the cognition and attitude of health center directors on the strategies for utilizing oriental public health doctors and to provide basic data for improving the health manpower management program. Data have been collected by way of the self-administrative questionnaires. Developing the questionnaire, the literature review on the previous studies and delphi method were carried out. The response rate was 38.7%. The results of this study are summarized as follows; 1. community people respond positively on the oriental medical service activity in health center. 2. In regard to workloads of oriental public health doctor, 'appropriate' was 81.1% and 'burdensome' was 18.2%, respectively. 3. The 94.0% of respondents thought that the oriental medical service will be continued. 4. To activate oriental medical service in health center, the sufficient budget and provision of aid workers is a necessity. 5. The 75.5% of health center directors respond positively on the allocation of oriental public health doctor to health sub-centers. 6. Health center directors agreed that oriental public health doctor should perform the clinical service as well as prevention and health promotion activity. These results recommend that oriental medical service in health center should be continued gradually, and oriental public health doctors working at health center perform their work efficiently. Undoubtedly, their activity should be more focused on health promotion and disease prevention than daily patient care. For achieving this objective, more support of governmental policy is essential for utilizing oriental public health doctor and better health of the rural area community people.

• 벤처창업연구
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• 제12권5호
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• pp.177-189
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• 2017

본 연구는 주된 일자리에서 은퇴했거나 은퇴를 앞둔 베이비붐 세대 직장인들을 대상으로 은퇴 이후 창 재취업의도에 영향을 미치는 요인과 사회적자본의 매개효과를 규명하고자 한다. 2010년 이후 베이비붐 세대의 대규모 퇴직이 시작되고 있으나 경제적 노후준비를 충분히 확보하지 못한 상태에서의 대규모 은퇴는 노동시장의 불안정과 사회복지비용 지출증가 등 사회 경제적으로 커다란 이슈가 되고 있다. 퇴직 후 30년 이상의 새로운 커리어를 시도할 수 있는 준비를 하도록 개인의 인식변화와 제도적인 지원이 구체화 되어야 한다. 연구결과, 경력지향성과 사회적자본간의 영향관계에서 관리지향성은 사회적자본에 정(+)의 영향을 미치고 자율지향성은 영향을 미치지 않는 것으로 나타났다. 경력지향성과 창 재취업의도간의 영향관계에서 관리지향성은 창업의도에 영향을 미치지 않으나 재취업의도에 정(+)의 영향을 미치고, 자율지향성은 창업의도와 재취업의도 둘 다 정(+)의 영향을 미치는 것으로 나타났다. 사회적자본은 창 재취업의도에 정(+)의 영향을 미치며, 경력지향성과 창 재취업의도간의 영향관계에서 사회적자본의 매개효과가 확인되었다. 따라서 잠재적 은퇴자인 베이비부머 직장인들이 재직하는 기간 동안에 개인의 경력지향에 맞는 교육, 훈련, 재취업 프로그램을 체계적으로 지원받고, 네트워크나 신뢰 등 사회적자본을 강화하여, 은퇴 후 상대적으로 폭넓은 창 재취업의 기회를 얻고, 퇴직 후에도 노동시장에 오랜 기간 머물도록 함으로써 경제적 안정과 공적연금 등 사회적 비용증가에 대한 해결책이 될 시사점을 얻을 수 있었다.

• 대한공업교육학회지
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• 제37권1호
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• pp.125-143
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• 2012

이 연구는 특성화고등학교 '건축모형제작' 단원에서 프로젝트법을 적용한 수업이 직업기초능력 향상에 미치는 효과를 규명하는 것을 목적으로 하였다. 연구 목적을 달성하기 위하여 경기도 고양시 G특성화고등학교 3학년 2개반을 실험집단, 통제집단으로 선정하였다. 선정된 실험집단과 통제집단의 학생들을 대상으로 직업기초능력에 대한 사전검사를 실시하여 통계적으로 유의미한 차이가 없음을 확인하고 실험집단에는 프로젝트법을 적용한 수업을 실시하였고, 통제집단에는 전통적 수업을 실시한 후 사후검사를 통해 그 효과를 검증하였다. 결과를 검증하기 위하여 SPSSWIN 12.0 통계프로그램을 이용하여 t-검증을 실시하였고, 유의수준은 ${\alpha}$=.05로 하였다. 이 연구를 실시한 결과 얻어진 결론은 다음과 같다. 직업기초능력의 하위영역 중 이 연구에 적합하다고 판단되어 선정한 6개 영역, 즉 '문제해결능력', '의사소통능력', '자원활용능력', '수리능력', '대인관리능력', '자기관리능력' 모두 실험집단과 통제집단의 사후검사를 통해 프로젝트법을 실시한 실험집단과 통제집단 간의 유의미한 차이가 있는 것으로 나타났다. 종합하면 '건축모형제작' 단원에서 프로젝트법에 의한 수업은 직업기초능력을 향상시키는데 효과적이며 특히 직업기초능력의 다양한 하위영역 중 프로젝트법과 많은 관련이 있는 6개 영역을 향상시키는데 효과적인 학습방법이다.

• 디지털융복합연구
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• 제15권10호
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• pp.349-356
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• 2017

본 연구는 병원행정직의 직무소진(MBI-GS: Maslach Bunout Inventory-General Survey)과 관련된 융복합적 요인들을 조사하고자 수행되었다. 조사대상은 임의로 선정된 J지역 9개 종합병원의 재직자 201명으로 하였으며, 자료수집은 2017년 7월 3일부터 2017년 7월 29일까지 무기명 자기기입식 설문지를 통해 이루어졌다. 위계적 다중회귀분석 결과, 조직헌신(OCQ: Organizational Commitment Questionnaire) 점수가 낮을수록, A형행동유형(TABP: Type A Behavior Pattern) 점수가 높을수록, 우울수준(CES-D: Center for Epidemiologic Studies Depression scale)이 높을수록 직무소진이 높았으며 이들의 설명력은 52.1%이었다. 이상의 연구결과를 볼 때, 병원행정직의 직무소진을 낮추기 위해서는 조직헌신을 높이고, A형행동유형과 우울수준을 낮추는 노력이 필요하다. 이러한 결과는 병원행정직의 직무소진을 낮추는 프로그램 및 인적자원관리에 활용이 기대된다. 향후연구에서는 병원행정직의 직무소진에 영향을 미치는 추가요인에 대한 구조방정식 모형의 분석이 필요하다.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• 기본간호학회지
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• 제6권3호
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• pp.464-476
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• 1999

This study was conducted between October 1, 1998, and December 31, 1998, in order to provide basic data to develop better self-management educational programs for systemic lupus erythematosus (lupus) patients. In the study, the extent of each patients knowledge on the disease and their learning needs about it were examined for 100 lupus inpatients and outpatients at the Kangnam St. Marys Hospital. Data were collected by using questionnaires to those patients. Frequencies, percentage, average, standard deviation, t-test, ANOVA, and Duncans multiple range test were examined through the SAS program. The result of study follows : 1) The average score of patients knowledge on the disease was 15.7 (range, 7-20; standard deviation, 2.74). Subjects scored higher as far as the extent of their knowledge in the following categories : management of daily life, diet, characteristics of the disease, risk factors, and medication. Two categories shared the highest percentage of correct answers : 99% of subjects correctly identified that fatigue and stress aggravate symptoms of lupus and symptoms of lupus vary among individuals in range and type. However, when subjects were asked if patients should get a regular examination by an ophthalmologist every 4-6 months while they are on medication to treat rashes, lupus can be completely cured, and contraceptives that include a female hormone (estrogen) are good as contraceptive methods, the percentages of correct answers were low (32%, 31%, and 20%, respectively). In terms of subjects knowledge about the disease by their general characteristics, single subjects had more knowledge about the disease than married subjects did (t=2.14, p=0.0353). The extent of knowledge also varied by monthly income (F=4.96. p=0.0097). Those with more formal education had more knowledge about lupus than those who had less formation education did (t=2.95, 0.0039). Additionally, those who were satisfied with their education about the disease had better knowledge about it than those who were dissatisfied with their education did (t=2.71, p=0.0090). 2) The extent to which lupus patients wanted to be educated about the disease was, on average, 64.5 (range, 46-75; standard deviation, 7.91). Areas for which patients requested education are listed here in order : risk factors, sexual lives and patients associations. Patients who had been hospitalized demonstrated wanting more education than those who had not been did(t=3.73, p=0.0003). The extent to which they wanted the information was different by the number of educational sessions they had (F=3.98, p=0.0249). In conclusion, the results above would be considered when the education programme is planned for SLE patients.

• 대한간호학회지
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• 제29권3호
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• pp.625-638
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• 1999

The purpose of this study was to identify the relationships among health promoting behaviors, Health Locus of Control(HLOC), and response patterns to HLOC in Korean elderly. The sample was composed of 162 healthy elderly ranging in age from sixties to eighties. The instruments for this study were modified Health Promoting Lifestyle Profile (45 items, 4 scales), and Multidimensional Health Locus of Control (18 items). For the in data analysis, SPSS PC$^{＋}$ program was uilized for descriptive statistics, Pearson correlation, t-test, ANOVA and Stepwise multiple regression. The results of the study are as follows : 1. The total mean score for the HPLP was 2.411 (range 1-4), and the mean scores on the subscales were 3.324 for nutition, 2.709 for interpersonal support, 2.495 for exercise,2.225 for health responsibility, 2.205 for self actualization, 2.026 for stress management. 2. The mean scores for the HLOC in the elderly were HLOC-I : 23.531, HLOC-P : 21.914, HLOC-C : 18.667. 3. The response patterns of the HLOC identified eight types, pure internal, pure powerful others, pure chance, double external, believers in control, yea sayer, nay sayer and complex control. The “believers in control” was the largest group (22.8%), and “yea sayer” was the next largest group(17.9%). The “nay sayer”(5%) was the smallest group. 4. Demographic variables, such as education, economic status, religion and the perception of the health status showed strong connections to health promoting behaviors. 5. The HLOC-I and health promoting behavior were correlated positively(r＝.165, P＝.017), but the HLOC-P, the HLOC-C and the health promoting behavior were not correlated at the level of statistical significance. 6. There was not significant difference in health promoting behavior depending on the response patterns of the HLOC(F=1.171, P=.108). But, there were significant differences in two subscales of health promoting behavior exercise (F=3.279, P=.002), and stress management (F=3.165, P＝.003). 7. Education, the perception of the health and economic status explained 21.0% of the variance for health promoting behaviors. These results suggest that several demographic factors are important factors in predicting the level of health promoting behaviors in elderly. So to enhance the health promoting behavior, nurses should use the different nursing strategies depending on the demographic characters of the elderly.