• 한국응급구조학회지
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• 제28권1호
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• pp.97-112
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• 2024

Purpose: This study compared the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curricula of 119 emergency medical technicians (EMTs). Methods: First, we identified the educational content, training hours, and teaching and evaluation methods of the existing patient assessment curriculum based on the National Competency Standard learning module. Second, we surveyed 30 EMTs affiliated with 119 services using the Analytic Hierarchy Process (AHP) method. Subsequently, we compared the differences between the current curriculum and the AHP analysis results. Results: Currently in operation, the "Advanced EMT Course" comprises three learning modules: assessment of patient status, scene size-up and triage, and assessment using monitoring devices. Among these, content related to the assessment of patient status received the most allocated time and was deemed the most important according to the AHP survey results. Conversely, while less time was allocated to scene size and triage compared with assessment using monitoring devices, the former was assessed as more important than the latter in the AHP results. Furthermore, scenario-based team training and procedure-focused individual practice were evaluated as relatively important teaching methods, while practical examination using a checklist was deemed the most appropriate evaluation method for all learning content. Conclusion: To improve the patient assessment curriculum, we propose adjusting teaching hours and introducing new teaching and evaluation methods based on the results of relative importance. The proposed improvement plan will contribute to enhancing the competency of 119 EMTs.

• Neurospine
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• 제15권4호
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• pp.348-352
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• 2018

Objective: Postoperative dynamic cryo-compression (DC) therapy has been proposed as a method of reducing pain and the inflammatory response in the early postoperative period after orthopedic joint reconstruction surgery. Our aim was to analyze the analgesic efficacy of DC therapy after adult lumbar spinal surgery. Methods: DC was applied for 30 minutes every 6 hours after surgery. Pain was measured by a visual analogue scale (VAS) in the preoperative period, immediately after surgery, and every 6 hours postoperatively for the first 72 hours of the hospital stay. Patients' pain medication requirements were monitored using the patient-controlled analgesia system and patient charts. Twenty patients who received DC therapy were compared to 20 historical controls who were matched for demographic and surgical variables. Results: In the postanesthesia care unit, the mean VAS back pain score was $5.87{\pm}0.9$ in the DC group and $6.95{\pm}1.0$ (p=0.001) in the control group. The corresponding mean VAS scores for the DC vs. control groups were $3.8{\pm}1.1$ vs. $5.4{\pm}0.7$ (p < 0.001) at 6 hours postoperatively, and $2.7{\pm}0.7$ vs. $6.25{\pm}0.9$ (p<0.001) at discharge, respectively. The cumulative mean analgesic consumption of paracetamol, tenoxicam, and tramadol in the DC group vs. control group was $3,733.3{\pm}562.7mg$ vs. $4,633.3{\pm}693.5mg$ (p<0.005), $53.3{\pm}19.5mg$ vs. $85.3{\pm}33.4mg$ (p<0.005), and $63.3{\pm}83.4mg$ vs. $393.3{\pm}79.9mg$ (p<0.0001), respectively. Conclusion: The results of this study demonstrated a positive association between the use of DC therapy and accelerated improvement in patients during early rehabilitation after adult spine surgery compared to patients who were treated with painkillers only.

• 대한공업교육학회지
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• 제39권2호
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• pp.81-100
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• 2014

본 논문에서는 국가경제성장에 그 중요성을 더해가고 있는 소프트웨어 산업의 전문인력육성을 위한 교육과정의 개발절차와 그 결과를 제시하였다. 특히, 개발된 교육과정은 산업현장을 반영하기 위해 국가직무능력표준(NCS)에 기반을 두었으며, 교육효과의 극대화를 위해 교육방법에 있어서는 S-OJT(체계적 현장직무 교육훈련:Structured on the job training)를 활용하였다. 본 연구를 위해 소프트웨어 산업과 관련한 경제지표와 관련인력의 투입 등의 자료를 검토하여 그 산업의 중요성을 확인하였으며, S-OJT방법의 차용을 위해, 선행 연구를 검토하여 해당 개념을 충분히 반영한 교육과정을 개발하고자 하였다. 특히 NCS기반의 교육과정 개발을 위한 기본 틀로서 고용노동부에서 개발하여 배포된 한국형 일 학습 듀얼 시스템 운영매뉴얼의 개발절차를 활용하였다. 현장성 높은 과정 개발을 위해 소프트웨어 분야 주식회사A의 교육요구조사분석을 통해 교육프로그램이 요구되는 직무를 선정하였다. 해당 직무를 수행하는데 필요한 지식과 기술수준을 발굴하기 위해, 기 개발된 NCS를 면밀히 검토하는 한편 NCS에 반영되지 않은 부분에 있어서는 기존자료 검토 및 전문가 자문을 통해 교육체계를 개발하였다. 총 44개의 교육과정이 4년간의 교육기간동안 이수되도록 개발되었으며, 각 과정은 교과목표, 소요시간, 교과내용, 교육방법, 그리고 선수과목을 각각 표기하였다. 또한 44개의 교육과정을 운영하는데 필요한 교육체계 로드맵, 세부 운영전략 등을 개발하였다. 사회적으로 NCS에 기반한 교육과정의 필요성이 증대되고 있는 상황에서 본 연구결과 도출된 교육체계와 교육과정은 많은 시사점을 가진다. 특히 고용노동부에서 제시하고 있는 매뉴얼에 따른 개발 절차를 자세히 소개함으로써, 향후 NCS에 기반한 산업직무별 교육과정개발에 참고자료로 활용될 것으로 기대된다. 보다 활발한 NCS기반 교육과정 개발을 위해 해당 과정의 교육성과를 측정하기 위한 지표의 개발과 NCS에 특화된 교재의 개발이 요구된다.

• 간호행정학회지
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• 제6권3호
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• pp.333-345
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• 2000

The health care environment becomes more competitive every day. It has fallen to nurse managers - from vice presidents of patient care to nurse managers and their assistants - to recruit and develop a workforce that successfully meets the needs of both patients and the organization. This means employees who demonstrate advanced critical thinking skills, creative problem solving, and sound decision making skills combined with clinical skills and patient advocacy. The environment which nurse managers create and the way they relate to their workforce, are pivotal to organizational viability. Especially leadership of first -line nurse managers contributes to the success of their organizations. First-line nurse managers are deserved to be one of the most administrative supervisors through the middle stratum in a hospital organization as being a manager in the field service if assessed from the overall aspects of hospital, as being an interim managers in the nursing department as well as being a supreme supervisor in a unit in terms of an organizational structure in the hospital. Similarly, as a compete leader, the first-line nurse managers have not only a professional which is qualified to perform a role of appropriate coordination with medical staff and key personnel but also hold an important key position a being responsible for performing his or her given role. The first-line nurse manager is expected to manage human and fiscal resources in ways not required before. While an identified need for well-prepared first-line nurse manager continues to plague the profession, first-line nurse managers often have difficulty providing the leadership required. The need leadership training to function effectively in their positions. But we hardly find a useful leadership training program for first-line nurse managers, therefore the purpose of this study was to developed the leadership training program for them. The steps of leadership program development were below: 1st step, 2 studies were done before develop a leadership program. One was done to ask to first-line nurse managers what they want to learn through leadership training, the other one was to ask the staff nurses what their opinions are for their first-line nurse managers leadership. 2nd step was searching other leadership programs contents. The results of this study were below: The total amount of hours is 24. Leadership training program contents are : Future of nursing profession (210min), understanding basic factor's of leadership and leadership theories(310 min), self understanding as first- line nurse managers(320 min), basic principle and practice of interpersonal relationship(210 min), assertiveness training, conflict management (180min), and group study(210min). This is challenging time to be a leader, especially in nursing. As nurse managers look toward the new millennium, it seems as through the same struggles are ahead that are behind. So nurse managers need to embrace change with a positive attitude. They need to demonstrate risk taking and support it in their staffs. All these things are possible that after they participate the leadership training program.

• 농촌지도와개발
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• 제8권1호
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• pp.107-119
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• 2001

As the information gap between rural and urban area, and between men and women has been widening, the Rural Development Administration(RDA) has initiated the women farmers information project from 2000. The aims of this project are; 1) to facilitate women farmers' computer and information application in agriculture and income generating activities, and 2) to make them to be leaders to popularize computer application in rural area and agricultural sector. For these, RDA has provided not only PC, software, computer training but also the post support of extension educator to target group. This paper focused on evaluating the effect of the project, clarifying the related variables with the effect, and providing suggestions to enhance the effect. The data were gathered from 310 target women farmers and 166 extension educators in charge of the project all over the country by mailing survey with questionnaire. The main findings of this study were as follows; 1) The level of computer application of the target group was improved drastically, 2) As their self-assessment, they could improve psychological fear on the computer, recognition about information, and attitude to seek information, 3) This project was helpful for them in terms of information gathering and farm(or income generating activities) management, 4) They tried to disseminate the benefit of computer application to neighbors, so that the neighbors' interest in computer and attendance of computer training were improved, 5) Variables such as the computer training hours, the number of interaction with extension educator, formal schooling and farming history were significantly related to the project's effect. To enhance the project's effect the following strategies should be carried out; 1) The period of the computer training course should be standardized and the subjects should attend to the computer training course for the standardized period. 2) Through continuous interaction with the subjects, the extension educator should support them to use computer well and to overcome some difficulties as a beginner. 3) In selecting the subjects, the priority should be given to the person who graduated high school at least. 4) The subjects should focus on using management software, gathering useful information for their business, and selling their products directly to the consumer. 5) So as to enhance the abilities mentioned above, RDA should strengthen learning opportunities through on-line training and providing educational software, besides of existing off-line training.

• 한국가정과학회지
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• 제8권1호
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• pp.59-70
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• 2005

The purpose of this study is to develop a program that allows older women to provide voluntary services for child nursing facilities, making those women have more social participation, effectively their spare time and ultimately improve the quality of their life. Results of the study can be described as follows. First, social requests about the use of older women as volunteers for child nursing services were analyzed to show that most people working at child nursing facilities perceived lack in the number of child nursing teachers. Those people recognized the need of using older women as service volunteers for the facilities. They were very positive about such use. Second, it is recommendable that volunteers of child nursing service should be not too much older women, or below 65. Voluntary activities that those women participate include taking care of younger children, reading interesting stories for children, helping works of child homes, teaching manners and living attitudes, instructing dietary etiquettes and cooking. Voluntary service activities should be made 1 to 3 times a week, 1 to 2 hours a time, considering psychological and physical states of older people. Third, such older volunteers should be educated about 6 areas, 'the operation and management of child homes, 'practices', 'child health and safety', 'the quality of child nursing', 'child development and counseling' and 'voluntary service training'. Out of these six areas, 'child health and safety' and 'voluntary service training' are more required to be instructed. such training needs to focus on activities in which older women can actually engage as volunteers. Fourth, it is advisable that the recruitment and management of such volunteers are led by the city and that the development of training programs for voluntary service activities and education of the volunteers are referred to universities.

• 대한간호학회지
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• 제46권4호
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• pp.523-533
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• 2016

Purpose: This study was done to examine physical, psycho-social, and individual factors influencing musculoskeletal symptoms among Korean military trainees. Methods: Using a correlation study design, military trainees who had completed almost of all the basic combat training (BCT) days were recruited from two military training units selected by convenience sampling. Data from 415 participants were analyzed. Results: Prevalence of musculoskeletal symptoms was 29.6% defined as a participant having pain or discomfort in one or more body parts during training hours for more than seven consecutive days. Back/pelvic (10.8%), knees (10.1%), shoulders (7.7%), feet/toes (5.6%), ankles (4.8%) were prone to musculoskeletal symptoms. Musculoskeletal symptoms appeared to be related to physical exertion during BCT, stress during BCT, social support from fellow trainees, or previous musculoskeletal injuries. In the logistic regression model, physical exertion during BCT (OR=2.27, 95% CI: 1.42~3.65), stress during BCT (OR=1.79, 95% CI: 1.15~2.78), and previous musculoskeletal injuries (OR=1.58, 95% CI: 1.01~2.47) were the significant factors affecting prevalence of musculoskeletal symptoms. Conclusion: Findings indicate that physical exertion and psycho-social stress should be managed to prevent musculoskeletal symptoms in military trainees with more attention being given to trainees having a history of musculoskeletal injuries.

• The Korean Journal of Pain
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• 제33권2호
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• pp.176-182
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• 2020

Background: Catheter-related bladder discomfort (CRBD) has been observed in many patients undergoing a urethral catheterization. CRBD may be so severe that the patients require additional analgesics. Muscarinic receptors are involved in the mechanism of CRBD. The aim of this study is to determine the effects of the antimuscarinic properties of atropine, which is frequently used in current practice on CRBD, by comparing it with sugammadex which has no antimuscarinic effects. Methods: Sixty patients selected for transurethral resection due to bladder tumors were randomized into 2 groups: an atropine group and a sugammadex group, with no antimuscarinic effect. The patients were given rocuronium (0.6 mg/kg) as a neuromuscular-blocker. In addition to the frequency and severity of CRBD postoperatively at 0, 1, 6, 12, and 24 hours, postoperative numeric rating scale (NRS) scores, and postoperative nausea and vomiting were examined. Results: The incidence of CRBD was significantly lower in the atropine group in all postoperative measurements. The score was found to be significantly lower in the atropine group when NRS measurements were performed at all time periods (P < 0.01). There was no difference between the groups in terms of nausea and vomiting (P > 0.05). Conclusions: Atropine is a cheap, easy-to-access, safe-to-use drug for reducing CRBD symptoms, without any observed adverse effects. Since it not only reduces CRBD symptoms but also has a positive effect on postoperative pain, it can be used safely to increase patient comfort in patients receiving general anesthesia and a urinary catheter.

• 정보교육학회논문지
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• 제19권1호
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• pp.99-112
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• 2015

청소년의 건강이 갈수록 악화되어 가고 있는 가운데 학교현장에서는 다양한 건강체력 향상 프로그램이 진행되고 있다. 그러나 교사의 지도 없이 자기 주도적 체력 관리를 하기에는 다양한 제약이 따른다. 이를 위해 체력관리 어플리케이션 활용이 도움이 될 수 있지만 기존의 운동 어플리케이션은 대부분 성인을 대상으로 개발되어 성장기 청소년이 사용하기에는 한계가 있다. 그러므로 본 논문에서는 청소년의 자기 주도적 체력관리가 가능한 체력증진 어플리케이션을 개발하였다. 본 어플리케이션의 특징은 홈트레이닝과 스쿨트레이닝으로 분류하여 다양한 운동 프로그램을 제공하며, 지속적 활용을 위해 흥미요소를 가미하여 제작하였다. 적용 결과 실험집단 학생들의 건강체력이 대다수 향상되었으며, 어플리케이션 만족도 운동시간 지속적 사용에 대한 반응이 긍정적으로 나타났다.

• 대한화학회지
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• 제44권3호
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• pp.258-265
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• 2000

본 연구에서는 컴퓨터 인터페이스와 센서를 이용하는 화학 탐구 실험 교사연수를 실시한 후 연수 프로그램을 평가하였다. 이 프로그램의 목적은 교사들의 컴퓨터와 프로그램의 사용 능력 개발뿐아니라, 화학 탐구 학습 능력을 배양하고 화학 개념의 이해를 중진시키??위한 것이다. 먼저, 컴퓨터 인터페이스와 여러 가지 센서를 이용하는 10개 실험으로 구성된 연수 프로그램을 9명의 교사를 대상으로 사전 실험을 실시하여 문제점을 보완하였다. 그 다음 27명의 교사를 대상으로 하루에 3시간씩 5일간 연수를 실시하였다.연수 후 프로그램을 평가하기 위한 설문조사를 통해 다음과 같은 결과를 얻었다:(1) 교사들은 내적인 동기를 가지고 자발적으로 참여하였다.(2) 연수의 내용 수준이 적절하였고, 강의의 전문성 및 연수환경 등이 충측되었다.(3) 컴퓨터 활용능력, 화학 개념 이해 및 탐구기능 습득, 탐구 지도 능력의 함양에 대해 모두 긍정적이었다.(4) 대부분의 교사들이 현장에서 컴퓨터와 인터페이스를 이용한 탐구실험의 활용에 긍정적이었다.