• 한국간호교육학회지
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• 제15권2호
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• pp.205-215
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• 2009

Purpose: This paper was intended to identify various kinds of specialized in-service educational programs in the hospital. Method: The data was collected from June to July, 2006. The subjects were 67 general hospitals in Korea. Result: Specialized in-service educational programs were present at 36 general hospitals. Thirty-three programs were operating in the field of intensive care nursing. The purposes of specialized in-service education programs were to improve the quality of nursing care. Conclusion: Since the clinical nurse specialist was legally established in 2005 in Korea, various kinds of specialized in-service education programs for nurses are needed under the organized framework of the career development system.

• Tuberculosis and Respiratory Diseases
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• 제60권2호
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• pp.142-150
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• 2006

Pulmonary arterial hypertension (PAH) is often difficult to diagnose and challenging to treat. Untreated, it is characterized by a progressive increase in pulmonary vascular resistance leading to right ventricular failure and death. The past decade has seen remarkable improvements in therapy, driven largely by the conduct of randomized controlled trials. Still, the selection of most appropriate therapy is complex, and requires familiarity with the disease process, evidence from treatment trials, complicated drug delivery systems, dosing regimens, side effects, and complications. We tried to provide evidence-based treatment recommendations for physicians involved in the care of these complex patients. Due to the complexity of the diagnostic evaluation required, and the treatment options available, it is strongly recommended that consideration be given to referral of patients with PAH to a specialized center.

• Tuberculosis and Respiratory Diseases
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• 제72권2호
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• pp.212-217
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• 2012

Massive hemoptysis is a life-threatening condition and sometimes leads to death due to airway obstruction rather than exsanguinations. In a critical hemoptysis, endotracheal intubation may be necessary to maintain adequate gas exchange and protect the unaffected side of the lung. Bronchial blockers (BBs), commonly used technique for one-lung ventilation in thoracic or cardiac surgeries, are valuable devices for protecting the airway in massive endobronchial bleeding. We report three cases intubated with BBs, Univent$^{(R)}$, in massive hemoptysis. We suggest that BBs are one of the indispensable equipments for respiratory specialized wards and intensive care units.

• 대한지역사회작업치료학회지
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• 제5권1호
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• pp.55-62
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• 2015

목적 : 경북지역의 장애아전문어린이집을 이용하는 아동의 부모를 대상으로 작업치료서비스에 대한 만족도를 알아보고자 하였다. 연구방법 : 경북지역의 14개 장애아전문어린이집에서 작업치료를 받고 있는 아동의 부모 104명을 대상으로 2014년 7월부터 2015년 3월까지 설문조사를 실시하여 빈도분석과 평균 및 표준편차, 일원배치분산분석을 하였다. 결과 : 아동이 작업치료를 처음 받은 시기는 평균 3.25세, 작업치료서비스를 받아 온 기간은 평균 31.84개월이었고, 작업치료를 이용한 주된 동기는 어린이집 상담을 통한 것이 40.4%로 가장 많았다. 작업치료 이외 받는 서비스는 언어치료가 78.0%로 가장 많았고, 작업치료의 필요성에 대해 매우 필요가 69.3%로 가장 많았다. 작업치료서비스에 대한 만족도는 작업치료사의 태도가 평균 4.49점이었고, 작업치료 프로그램에 대한 만족도가 평균 4.36점이었으며, 작업치료실의 환경이 평균 4.26점으로 작업치료사의 태도에 대한 만족도가 가장 높게 나타났다. 결론 : 작업치료서비스의 만족도를 바탕으로 객관적인 시각으로 작업치료를 볼 수 있었고, 보다 효과적이며 의미 있는 작업치료가 되는데 도움을 줄 수 있었다.

• 아동학회지
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• 제28권3호
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• pp.61-75
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• 2007

This study defined awareness of professionalism and job stress in 353 child-care teachers of children with special needs and analyzed the relative contribution of professional awareness to job stress. Teachers showed high awareness of 'ethics' and 'enthusiasm enhancing professionalism', and this awareness correlated highly with professionalism in the 'specialized knowledge and skills' sub-factors. Teachers showed high levels of stress in the 'general duty' and the 'guidance of children with special needs' categories, and this correlated highly with stress caused by 'child-care center management.' The results of canonical correlation analysis indicated that of professionalism sub-factors only the awareness of 'social services' contributed positively to job stress.

• 산경연구논집
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• 제12권12호
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• pp.11-24
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• 2021

Purpose: The purpose of this study was to provide comprehensive measures for the development of public health care through a survey on consumers' awareness of health care use from the point of view of local residents. Research design, data and methodology: For about one week from January 07 to January 14, 2021, questionnaires were distributed to 800 local residents and analyzed. For statistical analysis of collected data, frequency analysis and cross-analysis were performed. Results: Regarding public health service, 'providing medical services that can be used by all citizens and protect and promote health' had the highest response rate of 95.2% of total respondents. Regarding health care system satisfaction, 'Accessibility to general treatment' had the highest score with an average of 3.31 points. Regarding comprehensive measures for the development of public health care, 'Establishment of an infection and patient safety system' had the highest score with an average of 3.91 points. Conclusions: The direction of public health care and services should include management of infectious diseases during national disasters, reduction of gaps in medical use by region and class, improvement of access to emergency medical care, and quality improvement of specialized medical care.

• 임상간호연구
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• 제14권1호
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• pp.5-14
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• 2008

Purpose: To examine the current fees for nursing care and propose the strategies for improvement. Method: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcher-developed questionnaire with 30 items was utilized. Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse's job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and "bed to nurse ratio" needed to be changed to "patients to nurse ratio" and specialized by the nursing units. Conclusion: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.

• 산경연구논집
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• 제11권12호
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• pp.7-15
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• 2020

Purpose: This study aims to explore the feasibility of expanding complex wards to provide efficient hospital management and high-quality medical services to local residents of Gangneung Medical Center (GMC). Research Design, Data and Methodology: There are four research designs to achieve the research objectives. We analyzed Big Data for 3 months on Social Network Services (SNS). A questionnaire survey conducted on 219 patients visiting the GMC. Surveys of 20 employees of the GMC applied. The feasibility to expand the GMC ward measured through Focus Group Interview by 12 internal and external experts. Data analysis methods derived from various surveys applied with data mining technique, frequency analysis, and Importance-Performance Analysis methods, and IBM SPSS statistical package program applied for data processing. Results: In the result of the big data analysis, the GMC's recognition on SNS is high. 95.9% of the residents and 100.0% of the employees required the need for the complex ward extension. In the analysis of expert opinion, in the future functions of GMC, specialized care (△3.3) and public medicine (△1.4) increased significantly. Conclusion: GMC's complex ward extension is an urgent and indispensable project to provide efficient hospital management and service quality.

• 한국콘텐츠학회논문지
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• 제14권4호
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• pp.180-188
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• 2014

본 연구는 지역아동센터에서 아동들에게 직접 서비스를 제공하는 핵심인력인 사회복지사의 사회적 지지가 직무만족에 미치는 영향을 분석하고자 하였다. 연구대상은 전라남도 소재의 지역아동센터에서 근무하는 사회복지사를 대상으로 설문조사를 실시하였으며, 240부를 분석자료로 활용하였다. 사회복지사의 인구통계학적 특성을 통제변수로 설정하여 사회적 지지가 직무만족에 미치는 영향을 분석한 결과 사회적 지지가 직무만족에 가장 큰 영향을 미치는 것으로 분석되었다. 이는 사회복지사의 사회적 지지가 높을수록 사회복지사의 직무만족이 높다는 것을 의미한다. 분석결과를 바탕으로 사회복지사의 사회적 지지 향상 방안으로 첫째, 지역아동센터 사회복지사들의 업무 표준화와 전문교육의 지지 강화, 둘째, 우수지역아동센터의 가산점 부여, 셋째, 동료 및 지역사회간 네트워크 협력 체계 구축을 제언으로 한다.

• 가정과삶의질연구
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• 제32권5호
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• pp.15-30
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• 2014

This study aims to analyze what factors are associated with child care accreditation in Chungbuk province. This study examined three questions about which factors influence the accreditation of childcare centers: 1) if they passed the accreditation criteria, 2) the total score on the accreditation criteria, and 3) the domain scores for the six domains of environment, management, process, interaction and teaching, health and nutrition, and safety. The characteristics of 1,212 childcare centers, the independent variables, were commit management, type, specialized service, maximum capacity of children, registration ratio, target age groups of children, duration, and city size. The formal expert committee evaluated objective scores for 952 childcare centers. I derived the data for this study from the i-sarang Childcare Information Portal site (http://info.childcare. go.kr/). Frequency, descriptive statistics, binary logit model, and OLS model analysis were used to examine the accreditation and scores by factors of childcare centers. The findings of the present study are as follows. First, about 80% of the 1,212 childcare centers in Chungbuk province were accredited. Second, the accreditation of the child care center was affected by the specialized service, registration ratio, and duration. Finally, the total score of accredited childcare centers was associated with the maximum capacity of children, registration ratio, and duration. The factors of childcare centers influencing sub-area scores were different by environment, interaction and teaching, health and nutrition, and safety. The present study is important because it offers preliminary data identifying accreditation characteristics that can judge problems related to the quality of service of childcare centers and suggest childcare policy implications.