• 제목/요약/키워드: community practice

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한국 전문간호사의 전망에 관한 고찰: Flexner의 전문직 특성을 기반으로 (Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner's Professional Characteristics)

  • 김은미;최수정
    • 중환자간호학회지
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    • 제16권3호
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    • pp.1-10
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    • 2023
  • Purpose : This study explores the professional status of Advanced Practice Nurses (APNs) in Korea, who, despite being legally certified, face instability in their professional standing, including their scope of practice and compensation. Method : The study uses Flexner's professional characteristics as a framework to analyze and project the future trajectory of Korean APNs. Results : First, to ensure social accountability, professional bodies need to establish uniform nursing policies related to job roles, and healthcare institutions must adhere to these policies. Second, nursing leaders should spearhead the creation of nursing knowledge essential for the profession's advancement, aiming to establish it as the foundation for nursing practice through a consensus process within the nursing community. Third, the curriculum for APNs should enhance the quantitative and qualitative aspects of practice in response to societal needs. Fourth, professional bodies should formulate consistent nursing policies based on a thorough analysis of the healthcare environment and legal considerations, and guide their implementation in clinical practice through a consensus process within the nursing community. Lastly, guidelines should be established for professional standards suitable for the Korean context. Conclusion : Based on this review, it is recommended that all APNs adhere to the professional standards set by their respective organizations, actively participate in personal quality improvement initiatives, and fulfill their duties and roles as members of these professional bodies. Furthermore, these organizations should devise practical strategies to solidify the APN system and should spearhead a systematic consensus process that garners the agreement of all members within the nursing community.

사회적 공간 담론에 기초한 공간실천 연구 (A Study on Space Practice Based on the Discussion about Social Space)

  • 송영민
    • 한국실내디자인학회논문집
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    • 제22권4호
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    • pp.62-69
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    • 2013
  • The purpose of this study is to research the viewpoint of space practice method through the discussion about social space. The study researched how social practice strategy is unfolded through the understanding about daily life, space manufacture and interaction. As a social practice, space design should adopt the interaction approach method on the basis of social relationship latent in the base of space. As a result of study, the viewpoint of space practice can be summarized into 3 viewpoints as below. First, it is the viewpoint of recognition through the experience meeting daily life. Rural space is the one of experience where daily life and social relationship interact each other. As a delicate sensible experience, it is the recognition of special space detected in the space where daily life occurs. Second, it is the viewpoint of form creation as a media product of society and space. Space is a whole creature of the relationship that has been formed socially as a historical process. Depending on the goal of community, new form is created by sharing the characteristic of space and having sense of kinship. Third, it is the viewpoint of tuning as a practice for subject participation. Rural space is the daily space to practice structured society subjectively through interaction. In the place of subjective life, there should a space practice with the tuning and cooperation method between subject and society. The main vein of space practice, which is analyzed with the discussion about social space, shows that out lives are maintained by space practice and directly connected to social relationship and structure. After all, the space, which is searched for through space design, has a clear subjectivity, ensures abundant subject life and is led to realization of community value.

한국 지역사회간호의 선구자 이금전에 관한 역사적 고찰 (Historical Review of Lee Keumjeon, a Pioneer in Community Health Nursing in Korea)

  • 이꽃메
    • 지역사회간호학회지
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    • 제24권1호
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    • pp.74-86
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    • 2013
  • Purpose: The purpose of this study is to show the development of community health nursing in Korea in light of the life of Lee Keumjeon (1900~1990), who devoted her life to community health nursing. Methods: Primary and secondary sources were collected and analyzed. Results: Lee could get high level education up to college courses, which was very exceptional at that time in Korea. She got nursing and midwifery education in Severance Hospital (1929) and majored in public health nursing at Toronto University (1930). Then, she worked in mother-and-child health practice for more than 10 years. She helped the Korean Nurses' Association to publish Public Health Nursing (1933) and other nursing books. After the liberation of Korea, she became a governmental official in the public health nursing field and tried to establish the national public health nursing system. During the Korean War, she devoted herself to nursing education and practice at nursing schools and hospitals. After the war, she worked as president of the Korean Nurses' Association. In 1959, Lee was given the Nightingale award. Although she retired in 1960, she continued to devote herself to the development of nursing, and published her book Public Health Nursing (1967). Conclusion: Lee worked from 1920s to 1960s for the development of nursing in Korea and during the period Korean nursing showed great development to national system and professional status.

지역사회 보건교육 (Community Health Education)

  • 이주열;박천만;서미경;최은진
    • 보건교육건강증진학회지
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    • 제24권4호
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    • pp.241-249
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    • 2007
  • Health education aims at behavior change rather than just delivering health knowledge to people. In Korea health education activities in public sector began in 1960 and they were included in the primary prevention program in communities. This article reviewed current health education programs in healthy living practice programs provided by local public health centers in Korea and drew implications for the future role of health education in community setting. Health education has been a core function of the National Health Promotion programs in the nation since the enactment of the National Health Promotion Law in 1995. The National Health Promotion programs are funded by the National Health Promotion Fund which are drawn from tobacco tax. The National Health Promotion programs include healthy living practice programs (smoking prevention and cessation programs, moderate alcohol use programs, physical activity promotion programs, and nutrition programs), chronic disease prevention programs, oral health programs and public hygiene programs. Methods of the National Health Promotion programs include health education, health counseling, health class, health information management, survey and research. Smoking prevention and cessation programs include smoking cessation clinic, smoking cessation education, non-smoking environment program, and non-smoking campaign. Moderate alcohol use programs include alcohol use education, moderate alcohol use campaign, alcohol use counseling, and alcohol free environment programs. Physical activity promotion programs include obesity control, targeted exercise program, and exercise civic group programs. Nutrition programs include nutrition management, obesity management, nutrition education, breakfast eating program, and nutrition counseling and treatment programs. The health education programs in community are not efficient today because there are many overlapping contents and short term goals. Community health education programs needs to be more comprehensive. Workforce development is another big issue at the moment because the National credential program will begin in 2009. Variety of community health education programs should be developed and funded by the national health promotion fund.

커뮤니티 서비스에서 프라이버시 염려, 자아불일치 및 공동체 의식의 관계 (Relationship among Privacy Concerns, Self Discrepancy and Sense of Virtual Communities)

  • 곽수환;류성열;이윤희
    • 한국콘텐츠학회논문지
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    • 제10권8호
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    • pp.360-369
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    • 2010
  • 본 연구는 온라인 커뮤니티에서 개인의 프라이버시 염려와 자아불일치 및 커뮤니티의 공동체 의식과의 관계를 고찰해 보고자 한 것이었다. 먼저, 개인의 프라이버시 염려가 자아불일치에 미치는 영향을 살펴보고, 인터넷 사용기간의 조절효과를 분석해 보기로 하였다. 기존 연구를 기반으로 하여 본 연구에서 사용된 개인의 프라이버시 염려 요인은 정보에 대한 수집, 통제, 인식을 고려하였으며, 커뮤니티에 대한 공동체 의식 요인은 소속감과 몰입감을 고려하였다. 온라인 커뮤니티 이용자를 대상으로 설문조사를 실시하였으며, 조절효과를 검정하기 위해 계층적 회귀분석을 이용하였다. 연구 결과, 프라이버시 염려 중 정보에 대한 수집, 통제, 인식의 요인 중 인식의 요인만이 자아불일치에 부(-)의 영향을 주는 것으로 조사되었다. 이때 인터넷 사용기간은 정보의 인식 및 통제가 자아불일치에 주는 영향력을 조절하는 요인인 것으로 조사되었다. 다음으로, 온라인과 오프라인에서의 자아불일치가 커뮤니티에 대한 소속감과 몰입감에 미치는 영향을 분석한 결과, 자아불일치가 소속감에는 부(-)의 영향을 주지만, 몰입감에는 영향을 주지 않는 것으로 나타났다.

국민영양조사 개선을 위한 지역사회 영양조사연구 - 지식, 실기, 태도, 식행동을 중심으로 - (A Study on Community Nutritional Survey for the improvement of National Nutritional Survey - Knowledge, Knowledge Practice, Attitude, Food Practice -)

  • 강지용;위자형;하은희;곽정옥;김인숙
    • 농촌의학ㆍ지역보건
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    • 제22권2호
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    • pp.147-158
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    • 1997
  • The purpose of this study is to develop the nutritional survey indices such as the Knowledge(K), Knowledge Practice(KP), Attitude(A), and Food Practice(FP) as effective materials of the nutrition education and evaluation in spreading community nutrition service. These materials were applied to two groups(126 rural people and 117 urban people) from August 1st to September 10th, 1996. We investigated actual conditions of objects about K, KP, A, FP by interviews. Also we measured serum cholesterol levels of all objects by Accutelend G.C. The results of the research turned out as follows; 1). In the comparison of the nutritional Knowledge scores, the average score of urban people was much higher($84.2{\pm}2.4$) than rural people($42.1{\pm}3.1$). 2). In the scores of the Knowledge Practice, urban people had also significantly higher score than rural people. But only 19.5% of urban people had high scores between 80 and 100, and 42.4% of urban people and 87.3% of rural people had scores between 0 and 40. 3). The average scores of the Attitude were not significantly different between urban and rural people. The average scores of the Food Practice were not significantly different between urban and rural people. 4). In cholesterol measurements, only three of 243 people were in the abnormal high levels(more than 250mg/dl), and they are all over 60 years old, and two of them were rural people. 5). The people who were younger in age, higher in educational level and spent more money for foods had higher scores on K, KP, A and FP. And the people who were younger in age in age and more money spent for foods had higher scores on FP. Regression analysis showed that the serum cholesterol levels were not associated with the scores of FP.

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지역사회복지관 한부모 자조집단 지원 실천 방안 모색을 위한 사회복지사 참여실행연구 (A Participatory Action Research of Social Workers on the Practice Methods for Single Parents Self-help Groups in Community Welfare Centers)

  • 양혜원;김희수;최정숙;김선화;김은경
    • 한국가족복지학
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    • 제61호
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    • pp.93-136
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    • 2018
  • 본 연구의 목적은 지역사회복지관에 기반한 한부모 자조집단의 발전적 변화를 도모하고 그 과정을 통하여 사회복지사의 자조집단 지원 실천방안을 모색하는 것이다. 이를 위하여 참여실행연구를 진행하였는데, 자조집단이 저소득 한부모 가족의 자립과 역량강화에 유용한 실천방법이지만 구체적 실천방안은 부재하다는 문제인식을 공유한 사회복지사와 교수자 9명이 연구에 참여하였다. 10회기의 연구모임에서 논문 숙독, 개별 자조집단 분석, 관련 사례 연구, 퍼실리테이션 학습 등 다양한 활동이 이루어졌으며, 더불어 매 회기마다 각 집단별 진행사항을 공유하고이후 적용점과 계획 등을 논의하는 동료 수퍼비전을 병행하였다. 이를 통하여 학습하고 논의한 바를 집단에 적용하고 그 과정과 결과를 성찰하면서 다시 논의하고 적용하는 과정을 반복하였다. 그 결과, 각 집단별로 집단의 목표나 비전이 명료해지고, 담당자에 대한 의존이 감소하면서 회원 주도성이 증진되었으며, 회원 간 친밀감, 상부상조, 집단에 대한 애착이 강화되는등 긍정적 변화가 나타났다. 또한 논의된 내용을 질적으로 분석한 결과, 주도성 및 역량강화, 응집력, 리더십, 탈정형화 등 네 주제에서 17가지 실천방안이 도출되었다. 이러한 결과를 토대로 저소득 한부모 자조집단을 위한 보다 현실적인 실천방안에 대해 논의하였다.

The Evolution of Community Nutrition in the U.S.

  • Gillespie, Ardyth M.H.
    • Journal of Community Nutrition
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    • 제5권4호
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    • pp.195-208
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    • 2003
  • Drawing from journal articles, community nutrition textbooks, government documents, national conference reports, the author's own work in community programming, and discussions with practicing Community Nutritionists, this article illuminates the scope and character of community nutrition in the United States. It traces the roots of community nutrition in home economics, nutrition, education, communication, social and behavioral sciences, and describes the evolution of theory. And finally it suggests issues to be addressed by community nutrition researchers and practitioners through collaborations that integrate perspectives within community nutrition and strategically cross disciplinary boundaries. These include: 1) theory development and application in research and practice within philosophically consistent perspectives; 2) methodological development (qualitative and quantitative) drawing from the social and behavioral sciences that apply to community nutrition; 3) taking a long view of community nutrition and recognizing that change requires integrated efforts over long periods of time; 4) engaging community stakeholders in research as well as program planning and 5) engaging with community nutritionists from other countries for cross-cultural research and conceptualization. This journal and the Korean Society for Community Nutrition, as the only journal and society expressly devoted to community nutrition, would be the best context for such collaborations.

서울지역 일부 보건소 공무원의 지각된 건강상태와 건강행동과의 관련성 -Pender의 건강증진모델을 이용하여- (A Study on Factors Affecting Public Health Center Workforce for Health Behavior based on Pender's Health Promotion Model)

  • 이은정;이명선
    • 한국학교ㆍ지역보건교육학회지
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    • 제15권1호
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    • pp.121-140
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    • 2014
  • Objectives: Recently, the rate of death by chronic disease, is increasing steadily. To prevent this, the public health center will have taken a leading role in the local community medical business through an establish to the national health promotion act and an amendment to the law of public health center in Korea. Results: Accordingly this research, using the Pender's health promotion model which is related with subject health behavior who government employees serve at the public health center have taken important position in the local community health promotion, have comprehended the actual condition of health behavior. For increasing the health behavior practice of subject to comprehend the factor which have effect on health behavior practice, which can be a correct role model in the local community health promotion. A survey was performed on 406 government employees who serve at five public health centers in Seoul. The period of survey was from 25th October, 2010 to 15th November, 2010. The results of this study were summarized as below. 1. Work-related stress, perceptible beneficial obstacle, and self-efficacy were composed by 5 points measure. The results show those work-related stress were $3.06{\pm}0.469$, 74perceptible beneficial obstacle were $3.74{\pm}0.471$, and self-efficacy were $3.49{\pm}0.469$. 2. As for the health behavior by general characteristic, the results have specific differences on age, education level, state of marriage, rank of the position, field of the occupation and employment forms in statics analysis. 3. As for the past health behavior by health behavior characteristic, work-related stress have specific differences on the past frequency of drinking (p<.05) in statics analysis, perceptible beneficial obstacle have specific differences on the past frequency of having breakfast(p<.05), having snacks(p<.05) and doing exercise(p<.05) in statics analysis. Self-efficacy have specific difference on the past frequency drinking(p<.01) in statics analysis. 4. According to the correlation between the factors related with health behavior and health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). Work-related stress and self-efficacy don't have specific relation in health behavior practice. 5. The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations. The ability of explanation occupied 54.8% what explained of the health behavior practice by general characteristic, perceptible health condition, employment forms and perceptible beneficial obstacle. Conclusions: According to the correlation between the factors related with health behavior, the health behavior have specific differences on perceptible health condition(p<.01), the past health behavior and perceptible beneficial obstacle(p<.05). The factors, which effect on health behavior practice have specific differences on the past health behavior, employment forms and field of the occupations.

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일부 치위생과 학생의 문제해결능력과 임상실습만족도와의 관계 (The Relation between the Problem Solving Ability and Clinical Practice Satisfaction of Dental Hygiene Students)

  • 소미현;이명선
    • 한국학교ㆍ지역보건교육학회지
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    • 제17권1호
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    • pp.49-58
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    • 2016
  • Objectives: This study was carried out to provide basic materials to draw up measures for courses operation and effective clinical practice operation for the cultivation of future effective problem solving ability by identifying the relationship between problem solving ability and clinical practice satisfaction of dental hygiene students. Methods: This study targeted 215 dental hygiene students from 3 universities located in Gyeonggi-do from November 30 to December 4, 2015. We analyzed the data with frequency analysis, descriptive statistics, t-test. One-way ANOVA, Pearson correlation coefficient, Regression analysis by using SPSS. Results: Clinical practice satisfaction between grades according to the general characteristics of the study subjects was analyzed and as a result, clinical practice satisfaction showed a significant difference depending on grade (t=-2.355, p=.019), major satisfaction(F=9.548, p=.000), health status(F=4.909, p=.008). The problem solving ability according to the general characteristics of the study subjects was compared and as a result, the problem solving ability score of students 'living apart from their family or living in lodgings' was found to be higher than that of students 'living with their family' (p=.023) and the problem solving ability of students who answered 'satisfied' with their major was higher than that of students who answered 'moderate' (p=.000). As the problem solving ability and major satisfaction are higher and health status is better, clinical practice satisfaction showed higher results (p<.01). Conclusions: The above results showed a correlation between the problem solving ability and clinical practice satisfaction of dental hygiene students and clinical practice satisfaction showed higher scores as the problem solving ability level was higher. Therefore, efforts to enhance dental hygiene students' clinical practice satisfaction are considered necessary by developing and providing a program to strengthen students' problem solving ability.