• 디지털융복합연구
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• 제18권7호
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• pp.331-337
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• 2020

본 연구의 목적은 국내 간호사의 재난간호 경험을 탐색한 질적연구의 결과를 메타합성 하여 그 현상에 관한 이해를 하기 위해 시도되었다. 연구방법은 질적 메타합성연구로, Thomas와 Harden의 방법으로 분석하였는데 이는 개별 연구에 관한 질평가 탐색, 분석을 위한 자료 추출, 결과를 메타합성 하는 단계로 분석하였다. 연구 결과 5가지 합성 주제로 나타났다. 1)불안과 두려움으로 시작되는 재난간호, 2)재난간호 과정 : 고립과 단절 속에 외로움과 부담감 마저 느끼는 분위기, 3)재난간호 과정 : 열악하고 다양한 부족한 환경 속에 처함, 4) 재난간호 과정 : 소진되지만 버티고 극복해냄. 5)재난간호 이후 : 사명감과 자긍심을 넘어선 발전을 위한 도약. 따라서 본 연구는 향후 간호사의 재해간호 프로그램 및 교육 프로그램 개발과 적용에 유용한 기초자료가 되리라 본다.

• 한국병원경영학회지
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• 제14권3호
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• pp.83-103
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• 2009

The main objective of this study is to investigate the influence of physician's communication styles and quality, and physician-patient relationship on patient satisfaction for improving physician's communication which is one of factors determining service quality in health care services, and providing the suggestion for building the positive physician-patient relationship. Data were collected from 341 inpatients in 13 general hospitals and university hospitals located in Busan Metropolitan City and Kyeongsang-do area using structured self-administered questionnaires. Major results of the empirical analysis are as follows; First, mutual-opened-cooperative physician-patient relationship, patient's communication receptive attitude, patient-oriented physician's communication style, and quality were significantly varied by respondents' characteristics such as age, consensual, job, and income. Second, empathy, patient's communication receptive attitude, physician-patient relationship, and patient satisfaction were significantly varied by respondents' medical-related conditions. Third, there was a significant correlation between active communication receptive attitude of patient and mutual-opened-cooperative physician-patient relationship. Fourth, patient-oriented physician's communication style and physician-patient relationship were found to have positive influence on total communication quality and effectiveness and empathy facet of communication quality both. Finally, patient-oriented physician's communication style, empathy, active communication receptive attitude of patient, and mutual-opened-cooperative physician-patient relationship were found to have positive influence on patient satisfaction. This research findings suggest that putting emphasis on effective physician's communication and enhancing positive physician-patient relationship are crucial for marketing activities and customer satisfaction management in health care settings.

• 가정과삶의질연구
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• 제23권3호
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• pp.153-167
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• 2005

This study was conducted to help develop women's human resources and promote married women's return to workforce. Using various data, we examined the patterns of Korean women's economic activities over the lifecycle, career discontinuation and return to the workforce. We also interviewed twenty full-time housewives who wanted to return to workforce. The interview questions included reasons for seeking employment, desired working conditions, and difficulties in finding a job. Major findings are as follows: First, there were two groups with respect to reasons why they want employment One was an economic need such as earning basic living expenses and supporting the family. The other was self-realization and social participation. Second most women wanted to do unskilled labor such as housekeeping work, whereas some young or well-educated women looked for a professional job. Third, married women preferred part-time jobs, which were compatible with their family care demands. Most of them wanted a workplace located close to home. The women with child-care responsibility preferred working at home. Fourth, regarding difficulties of returning to workforce, they pointed out vocational ability problems due to their career discontinuation, social prejudice such as gender discrimination and psychological pressure in maintaining work and family at the same time. In order to promote employment of married women, it is required not only to change social prejudices but also to increase effectiveness in policy implementation. In addition, counseling for job-search and vocational ability training programs should be provide.

• 한국융합학회논문지
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• 제9권3호
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• pp.203-209
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• 2018

최근 헬스케어에 적합한 디바이스의 발전, 만성 질환자의 증가와 고령화로 인한 사회적 니즈 증가는 스마트 헬스케어 시스템이 발전하는 계기가 되었고, 새로운 의료 패러다임을 제시하고 있다. 이에 따라 변화하는 의료 서비스 개념을 수용하려는 움직임이 현대 주거에서 나타나고 있으며 특히 주거 공간 속 욕실은 다양한 유형의 욕실 문화가 나타나면서 건강관리 공간으로 다원화되고 있다.[1] 따라서 디지털 의료 3단계를 적극 활용해 스마트 헬스케어 시스템이 적용된 스마트 샤워기, 스마트 체중계 등의 미래 욕실 용품을 구상해 보고, 개개인의 니즈에 필요한 기술을 모색하였다. 변화하고 있는 욕실에 적합한 제품들을 구상함으로써 4차 산업혁명 시대를 대비하고 향후 국가적, 정책적인 개선을 통해 스마트 헬스케어 기술의 발전에 도움이 되고자 한다.

• 대한예방한의학회지
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• 제6권2호
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• pp.36-47
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• 2002

Over thousands of years oriental traditional medicine has developed a theoretical and practical approach to treat and prevent diseases and to promote people's health in China and Korea. In China, the integration of traditional Chinese medicine into the national healthcare system began in the late 1950s. This was in response to national planning needs to provide comprehensive healthcare services. On contrary to China, South Korea established the parallel operation of two independent medical systems in 1952. Hence there has been a political conflict between oriental and modern medicine over issues of fee, the ability to sell and prescribe herbal medicines, and the licensing of practitioners in traditional medicines. Given this background. This study is to compare peoples' attitudes and opinions for oriental traditional medicine by ethnicity (Chinese, Korean-Chinese and Korean). Chinese and Korean-Chinese were more used and satisfied with traditional medicine treatment and traditional practitioners compared with Koreans. The proportion of Koreans who reported the cost of traditional treatments was expensive was higher than those of Chinese and Korean Chinese. Most of Chinese, Korean-Chinese, and Koreans reported that they would use traditional medicine: 1) when they would have some disease to be treated best through traditional medicine; and 2) when traditional practitioner had a reputation and lots of experiences for those diseases. Most Korean people reported that oriental and western practitioners should cooperate each other to improve the quality of care. Therefore, policy framework including integration of traditional and western medicine, regulation, etc. is needed. In addition, research is needed to determine which diseases is treated best through traditional medicine.

• 대한예방한의학회지
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• 제18권3호
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• pp.11-21
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• 2014

The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

• 디지털융복합연구
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• 제19권12호
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• pp.567-575
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• 2021

본 연구는 중요도-수행도 분석을 통해 복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도 인식 및 수행 정도를 확인하기 위함이다. 연구대상은 외과병동에서 근무하는 간호사 162명을 대상으로 자가보고 설문지를 이용하여 2021년 3월 8일부터 22일까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 25.0를 이용하여 기술통계, independent t-test, paired t-test, one-way ANOVA로 분석하였으며 중요도와 수행도는 IPA분석 기법을 사용하였다. 조기운동은 폐합병증 예방운동과 조기이상으로 구분하였다. 연구결과, 집중이 필요한 영역은 흡인위험성 확인, 개선이 필요한 영역은 구강간호, 호흡음 청진, 진동/타진, 필요시 흡인, 강화운동 영역이었다. 따라서 임상에서 조기운동의 중요도 및 수행도의 격차를 줄일 수 있는 방안을 마련하여야 하겠다.

• 한국사회정책
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• 제25권2호
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• pp.403-428
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• 2018

우리나라에서 통합적인 공공 복지전달체계 구축을 위한 시도는 통합사례관리까지 지속적으로 이루어지고 있고, 특히 최근 '커뮤니티 케어'와 관련해 중요성을 더해가고 있다. 하지만 대부분 부분적인 조직개편에 그치거나 민간자원의 동원에 그치고 있는 것이 현실이다. 이에 본 연구에서는 사회서비스 정책 발전에 있어서 통합적 개혁의 경험을 가지고 있는 영국의 보건의료와 사회서비스의 통합적 접근 사례, 우리나라 통합사례관리와 유사한 문제경험가족 프로그램 사례를 각각 런던 자치구와 지방의회를 방문하여 조사하였다. 그 결과 통합적 전달체계를 실현하기 위해서는 인력, 조직, 재정 등 제도적 장벽의 종합적인 해소가 시급하고, 관련된 전문 집단과 기관간의 분명한 목표 공유와 파트너십 구축이 필요하며, 사례에 대한 정보 공유 체계와 기술적 지원이 뒷받침되어야 함을 발견할 수 있었다.

• 대한지역사회영양학회지
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• 제24권2호
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• pp.97-105
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• 2019

Objectives: This study examined whether the infant feeding type and duration are related to the introduction of complementary feeding, and whether the appropriate introduction of complementary feeding in infancy is related to tooth decay in toddlers. Methods: The subjects were 1,521 toddlers among 2~3 year old children in the Korea National Health and Nutrition Examination Survey from 2008 to 2015. The toddlers were divided into the appropriate group (4~6 months) and delayed group (>6 months) according to the timing of complementary feeding introduction. Results: The delayed group were 26.5% of subjects and the formula feeding period in the appropriate group and delayed group was 8.4 and 10.3 months, respectively (P=0.002). On the other hand, there was no difference in the breastfeeding period between the appropriate group and delayed group (P=0.6955). Early childhood caries was more common in the delayed group (P=0.0065). The delayed introduction of complementary feeding was associated with a risk of early childhood caries according to the logistic models (OR 1.81, 95% CI 1.27-2.57). Conclusions: The introduction of complementary feeding is associated with early childhood caries. Therefore, the importance of the proper introduction of complementary feeding in infancy should be emphasized, and public relations and education for maternal care and breastfeeding should be provided through health care institutions.

• 디지털융복합연구
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• 제16권12호
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• pp.449-457
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• 2018

본 연구의 목적은 요양병원 간호사의 의사소통능력, 직무스트레스가 이직의도에 미치는 영향을 알아보고, 의사소통능력, 직무스트레스 이직의도의 관계에 감성지능의 조절 효과를 검증하는 서술적 조사연구이다. 요양병원 간호사 240명을 대상으로 2018년 2월 1일부터 28일까지 이루어졌다. 자료분석방법은 IBM SPSS Win 20.0 프로그램을 이용하여 기술통계, t-test, ANOVA. 상관관계, 단계적 다중 회귀분석과 조절효과는 위계적 다중 회귀분석으로 분석하였다. 연구결과 이직의도는 의사소통능력과 직무스트레스에 따라 높게 나타났다. 이직의도는 직무스트레스와 양의 상관관계가 있는 것으로 나타났으며 이직의도에 가장 큰 영향을 미치는 요인은 급여만족도, 직무스트레스, 연령으로 나타났다. 본 연구 결과를 토대로 요양병원 간호사의 이직의도를 줄이기 위해서는 임상특성을 반영한 체계적인 프로그램 개발과 교육이 필요하다.