• 한국산학기술학회논문지
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• 제11권12호
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• pp.4935-4944
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• 2010

본 연구의 목적은 방사성요오드 치료를 받는 갑상선암환자가 전처치기 및 입원치료기간 중 경험한 방사성 요오드 치료와 관련한 지각된 어려움, 의료진으로부터 제공받은 방사성요오드 치료정보 수준 및 치료과정에 대한 만족도를 파악하는 것이다. 조사대상은 갑상선전절제술과 방사성요오드 치료를 받은 총 165명의 갑상선암환자이었다. 구조화된 설문지와 개방형 질문을 이용해 수집된 자료는 기술통계와 내용분석법으로 분석하였다. 연구결과 방사성요오드 치료 전처치기 및 입원치료기에 환자들이 가장 빈번히 지각한 어려움은 갑상선 특이적 증상이었으며(38.2% vs 43.0%) 방사성요오드 치료와 관련한 의료진의 정보제공 수준은 보통 이상으로 평가하였다(평균$3.63{\pm}0.80$점). 방사성 요오드 치료과정에 대한 만족도는 중등도 수준(평균$6.43{\pm}2.21$점)으로 의학적 관심과 환자요구에 대한 의료진 대처절차에서 만족도($7.64{\pm}2.37$점)가 가장 높았다. 그러나 정보 적절성($5.67{\pm}2.78$점)에서 가장 낮았다. 따라서 방사성요오드 치료를 받는 갑상선암환자를 위한 간호중재 프로그램은 갑상선 특이적 증상과 관련한 환자의 요구를 지지할 수 있고 방사성요오드 치료절차에 대한 환자의 이해를 증진시킬 수 있도록 개발되어져야 하며 이를 통해 환자들은 치료 행위에 효과적으로 참여할 수 있는 역량을 가질 수 있을 것이다.

• 대한간호학회지
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• 제30권2호
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• pp.514-526
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• 2000

The active treatment phase in preparation for bone marrow transplantation(BMT) of che- motherapy regimen and total body irradiation (TBI) containing regimen requires considerable teaching. There have been researches that are related to treatment onto BMT patients and to psychological change during BMT process. However, it was hard to find researches focused on learning needs of patients undergoing BMT. The purpose of this study was to provide the basic data for effective educational program about BMT by investigating the learning needs in patients undergoing BMT. The subjects consisted of 90 BMT patients have been admitted to the department of BMT at three university hospitals. Data were obtained from October 1998 to March 1999 and analyzed by SAS program for unpaired t-test, ANOVA, Duncan test. The results were as follows : 1. Learning needs related to demographic characteristics was identified as below. That of male was higher than that of female. That of under age 29, unmarried, religious and university graduated group was higher than that of opposite group but it didn't show significant difference. Learning needs of group of patients who were employed was significantly higher then that of unemployed patients. 2. According to types of diagnosis, learning needs of myelodysplastic syndrome(MDS) patients was the higher than that of others, but admission frequency was the least. Learning needs of unrelated matched BMT(UBMT) patients was higher than that of autologous BMT patients. However, it didn't show significant difference. With regard to learning needs according to process of BMT, learning needs of Pre- BMT period or Post-BMT period was significantly higher than that of BMT day. 3. Learning needs related to BMT was relatively high (total mean: 3.11 of 4.0). The order of the mean score of leaning needs was shown as follows : Restricted activities after discharge, Relapse symptom, Complications of BMT, Kinds of available drugs at home. Therefore the learning needs that is related to life after discharge and to relapse and complications after BMT was high. 4. Learning needs related to radiation therapy was high (total mean: 3.35 of 4.0). The learning needs in radiation therapy items was the Skin care of radiation therapy and Purpose of radiation therapy. 5. Learning needs related to graft versus host disease(GVHD) therapy was high (total mean: 3.55 of 4.0). The highest learning needs in GVHD therapy items was the Preventive method GVHD. less admission frequency and UBMT patients. It is necessary that education for BMT patients should be focused on life after discharge and on relapse and complications after BMT. Especially education for allogeneic BMT patients should be emphasized on GVHD. For all of these, it is necessary to develop systematic and concrete educational program.

• 동양고전연구
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• 제72호
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• pp.265-298
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• 2018

본고는 18세기 호남의 대표적인 유학자인 존재(存齋) 위백규(魏伯珪)(1727~1798)의 사회개혁론 가운데 교육개혁론에 대한 내용과 의미를 검토하고, 이에 대한 도덕교육적 함의를 제시한 것이다. 영(英) 정조(正祖) 시대를 관통하며 삶을 영위하였던 위백규는 당시 사회의 모순과 문제점의 원인을 도덕의 부재로 진단하고, 사회적 폐단을 극복하는 방안의 중심으로 학교 교육의 개혁을 강조하였다. 위백규가 구상한 교육개혁론은 학교의 체계 개편을 중심으로 아동교육부터 고등교육에 이르는 과정을 체계화하는 것이었으며, 학교 교육을 인재 선발과 연동하여 구체화하는 것이었다. 그의 교육개혁론에서 가장 중심이 두어진 것은 도덕적 자질의 배양이었다. 그는 학교 입학부터 교육과정의 이수 과정에서 무엇보다 도덕적 품성의 배양과 실천을 강조하였으며, 입학 과정에 지역민들의 의사를 반영하는 체계를 제시하여 향촌 교화의 중심으로서 학교가 자리 잡도록 하였다. 도덕 교육을 근간으로 학교의 체계를 구체화하고, 나아가 교화와 인재 등용의 중심으로 학교 체계 및 교육 내용을 체계화한 그의 교육개혁론은 인성 교육을 근간으로 내면의 도덕성 함양과 실천을 강조하는 현행 도덕 교과의 교육과정에 시사하는 바가 적지 않다고 할 수 있다. 본고에서는 이러한 내용을 중심으로 위백규의 시대 인식과 사회개혁론의 대체, 그리고 그의 교육개혁론의 근거가 되는 교육 현실에 대한 진단과 개혁론의 구체적인 내용을 정리하고 검토하였다. 그리고 이를 기반으로 현행 도덕과 교육과정에 주는 의미를 시론적(試論的)으로 제시하였다.

• 임상간호연구
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• 제19권1호
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• pp.1-19
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• 2013

Purpose: This study was conducted to develop standards to ensure nursing process-based care of oxygen therapy and airway suctioning and to develop a performance measurement tool to evaluate the care applied according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel's suggestions. Validity of the standards and the tool were examined through surveying a total of 366 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 3.58 and 3.55, respectively, out of 4.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care provided at patient admission and discharge. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for oxygen therapy and airway suctioning.

• 대한디지털의료영상학회논문지
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• 제13권3호
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• pp.127-132
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• 2011

This is to improve the complicate process of the existing CD copy flow in Department of Radiology. It is also to improve the medical service of the hospital to secure private information of patients. Survey: The patients who ask for CD copies in the Department of Radiology of this hospital(for 6 months in 2010). Time: Comparing the total amount of time of the previous and the modified CD copy flow. Using the SPSS 12.0 program for testing significance of independent two-samples t-test. Private information: Introducing the identification-system based on the medical law to supplement the security of personal information of patients. There was manifold complaints due to receipt and issuing the prescription in Admission and Discharging office and outpatient department. The time has been approximately 50% reduced from 70 mistunes to 32 mistunes due to simplifying the routes. The security of the personal information has been supplemented by let patients submit documentary evidence based on the medical law. The service in the hospital has been improved as a result of simplifying the whole process of the routes and receipt process. Therefore, the each stage of waiting time has been decreased. In addition, the personal information of the patients has been more secured.

• 한국의료질향상학회지
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• 제7권1호
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• pp.118-131
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• 2000

Background : A continuous healthcare quality improvement is needed to provide high quality healthcare service as well as to maintain trust in terms of satisfying the needs of the patients. Recently it also became an essential issue. in hospital management, recognized for it's competitive potentiality among healthcare organization groups. This study was conducted to analyze patient complaints and issues received by the Quality Improvement Department. Its purpose is to improve healthcare qualities within the hospital, as well as establish policies and appropriate strategies in hospital management. Method : From July 1st to September 30th of the year 1999, we analyzed all complaints and issues made by various patients and their families, which were received through 24 hour phone consultation, numerous suggestion boxes, letters and E-mails, The issues were classified into 16 different categories based on a Patient Satisfaction Assessment Tool. All data were segregated according to the departmental frequencies and their contents. To come up with for environmental and patient satisfaction improvement, all complaints or issues were communicated with hospital administrators, medical and nursing staff and employees. Comprehensive customer satisfaction activities including improving phone etiquette were discussed in Customer Satisfaction Team, CQI Team and each Department. All opportunities for improvement were implemented. Feedback actions were discussed. Results : A total of 317 cases were collected. Issues regarding parking and other accommodation facilities were most common complaints that were 14.5% of total. Issues regarding admission rooms (10.7%), admission procedures (10.7%), waiting room environment (8.8%), nurses and nurse assistants (7.6%), physicians (6.6%) and others (23%) followed. Thirteen of 45 departments received more than 8 complaints. The Nursing Department had the most complaint, receiving 9.8% of total complaints. Complaints regarding the Nursing Department were predominantly related to the environment of patient rooms. The Department of Psychiatry for phone etiquette (4.7%), Department of Otolaryngology for the nursing staff's attitude and phone etiquette (4.4%), and the Admission Department followed. As a part of efforts to improve patient satisfaction, a new parking structure was built and reallocation of the parking space was done. Renovation of other accommodation facilities were carried out by hospital administration, Monthly phone call and answering attitude survey was done by QI Department. Based on this survey we made a phone etiquette manual and distributed throughout the hospital. Compare to the last year, Patient Satisfaction Index measured by Korea Productivity Center using National Customer Satisfaction Index was improved 7 points. According to our organization's own study, we confirmed the phone etiquette was improved 11% than last year. Conclusions : Issues related to parking and other accommodation facilities ranked first followed by complaints made regarding the patient care area, the admission and cashier process, and nurses' and doctors' attitude. The Nursing and Psychiatry Departments need improvement regarding phone etiquette. Results were shared and played a vital role in policymaking and strategic planning of the hospital. It is imperative that we keep our database updated by listening to and solving the needs of each patient. The CQI activities can be achieved only by full commitment of the hospital top management supported by related personal.

• 한국과학교육학회지
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• 제19권4호
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• pp.604-621
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• 1999

본 연구는 경북대학교 과학영재교육센터에서 1998학년도 신입생 선발에 사용한 과학적 사고기능 검사 및 학력검사 문항을 분석한 것이다. 과학적 사고기능 검사지는 탐구기능 검사지와 논리적 사고력 검사지의 두 소검사지로 나누어져 있으며, 이들은 원래 한국교육개발원에서 초등학교 4, 5, 6학년 학생들의 영재성을 판별하기 위하여 제작된 것이나, 초등학교 4학년부터 중학교 3학년까지의 일반 학생을 대상으로 과학 문제 해결 능력을 판별하는데 사용할 수 있도록 표준화 검사를 거쳐서 판매하는 것이며, 학력검사 문항은 수학 및 과학 전 분야의 탐구력과 사고력을 요구하는 문항으로서 본 센터에서 자체 제작한 것이다. 이러한 검사지를 사용하여 대구광역시와 경상북도 교육청 산하의 중학교로부터 추천받은 학생 323명을 대상으로 과학영재 선발 시험을 실시한 결과로부터 문항의 곤란도 지수와 변별도 지수 및 오답의 능률도를 평가한 결과, 과학적 사고기능 검사지는 두 종류 모두 대부분의 문항들이 문항의 곤란도 지수와 변별도 지수가 적정 값에서 크게 벗어났으며, 적정 값을 갖는 문항들도 오답의 능률도가 대단히 낮았다. 따라서 한국교육개발원에서 개발한 과학적 사고기능 검사지는 과학 영재교육센터의 선발시험에 응시한 준영재 집단에 적용하여 일정 수의 영재성을 지닌 학생을 선발하는데는 적합하지 않은 것으로 나타났다. 또, 본 센터에서 개발한 학력검사 문항은 중학교 1학년 학생들에게는 지나치게 어려운 문항들이 많아서, 일부 문항들은 성적 분포가 양극화 양상을 보였다. 그러나 전체적인 성적은 정규분포를 나타내는 고른 분포를 보였으며, 따라서 학력검사 성적이 선발에 결정적인 영향을 미친 것으로 보인다. 마지막으로 이러한 문항 분석 결과를 토대로 과학영재 선발에 대한 몇 가지의 제언을 하였다.

• 간호행정학회지
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• 제1권2호
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• pp.338-348
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• 1995

We need to continuously evaluate for nursing quality and the outcome to reflect nursing, to repair and improve of nursing. The first problem for nursing quality improvement is development of evaluation tool for the quality of nursing care. We need a system for quality assurance evaluation that is, development and framework of evaluation tool for nursing care quality. The purpose of this study was attempted to develop an evaluation tool for the quality of nursing care in musculoskeletal disorder patients. The approach method of nursing quality for the development of the tool in this study was process evaluation framework. The study were devided dvelopment process and reliability, validity verification process. The subjects of development process of this tool are three nursing export groups, and the subject of reliability, validity verification process are 20 samples of two university hospital in seoul, who were within discharge 3 months after admission treatment in musculo-skeletal disorder. Data for this study was collected from March 10 to April 13, 1995. The development process of the tool were as follows : 1. Make preliminary list of the tool by focal group were constituted 12 clinical nurses. 2. Modify and add preliminary list by 4 nursing expert panel. 3. Calculate content validity of the tool by 25 nursing expert panel of judge. 4. Verify reliability and validity of the tool. 5. Finalize an evaluation tool for the quality of the nursing care in musculo-skeletal disorder. The results of this study were as follows : 1) Development an evaluation tool for the quality of nursing care in musculo-skeletal disorder. (1) The evalution tool of this study was developed 5 standards, 33 criterias and 133 indicators. (2) 5 standards were divided according to Nursing Process. from standard 1 to standard 5, involved criterias were each 6(18%), 3(9%), 3(9%), 15(46%), 6(18%). 2) Verify reliability and validity of the tool. (1) Score of adequate degree for content validity of 33 criterias and 133 indicators were every average 2.82. (2) Inter-rater reliabilities(consentaneity score) of the tool by pearson correlation coefficient between three raters were : r=.7506, r=.8934, r=.6695. and Inter-rater reliabilities by single-facet crossed design were : r=.7464. (3) The alpha coefficient relating to internal consistency was .8524 over all 30 items of 33 criterias of developed tool. (4) Score of the quality of nursing care following to generaal characteristics of this study subjects were stastically significant differences according to educational level (F=2.93, p=.029)and diagnosing classification (F=2.50, p=.042). Through this study, I'm sure that the developed tool for the quality of patient care in musculo-skeletal disorder will show the way of more improvement of the quality of nursing care and effective nursing interventions.

• 한국과학교육학회지
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• 제42권1호
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• pp.51-60
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• 2022

본 연구는 과학고등학교 입학전형에 인재상을 고려하는 개선 방향을 탐색하는 것을 목적으로 하였다. 이를 위해 먼저 과학고등학교 인재상과 역량을 '공공성'과 '효용성', '수행'과 '성과' 유형으로 구분하였는데, 대부분 '공공성-수행'이 우세하였다. 다음으로 3개 과학고등학교의 입학전형에서 인재상 반영 정도와 개선 방향에 대한 설문조사를 과학고등학교 교사, 교육 전문가, 중학교 교사 총 28명을 대상으로 실시하였다. 설문의 결과는 다음과 같았다. 첫째, 1단계 전형에서는 '공공성' 평가가 매우 제한적이었고, '성과' 중심으로 선발하는 경향이 높았다. 둘째, 2단계 면접 평가에서는 '효용성-성과' 중심으로 선발하는 경향이 매우 강했다. 셋째, 1단계 전형에 '역량 중심의 자기소개서 작성, 학교생활기록부의 타 교과 성적 및 비교과 반영, 전문가의 면담'을 도입하여 '공공성-수행' 유형의 인재상에 부합하는 학생선발로 개선해야 한다. 넷째, 2단계 면접 평가에서 '공공성-수행' 유형의 인재상을 반영하기 위해서는 발산적 사고가 가능한 융합적이고 개방형 문항의 공동 출제가 이루어져야 한다. 결론적으로 과학고등학교 입학전형에 인재상을 고려하는 개선 방향은 역량 중심의 1단계 서류평가와 개방형 문항으로 구성된 2단계 면접 평가로 변화되어야 한다는 것이다.

• 한국정보시스템학회지:정보시스템연구
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• 제22권1호
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• pp.1-27
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• 2013

The advancement of information and communication technology have brought the increase and the diversification of the digitalized information, which can be shared at any time from any place. Especially, with the recent spread of smartphone usage, the amount and the diversity of information have increased to amounts that are difficult to quantify. Within such an era of accelerated accumulation and diversification of digitalized information, the informatization of universities is becoming a critical factor for institutional advancement. Thus, universities are developing smartphone applications to provide easily accessible administration services, and support the information needs of each administration process by keeping a relationship with students from admission to post-graduation. This research systematically defines a university smartphone application, distinguishes its system quality factors, and studies the effects they have on satisfaction, intention of reuse, and intention of electronic word-of-mouth. The results showed that the security factor of system quality did not have a significant effect on satisfaction. The responsiveness and the empathy factors of service quality did not show a significant effect on satisfaction. Moreover, it was found that a higher user satisfaction for smartphone applications has a significant influence on intention of reuse and on the intention of electronic word-of-mouth.