• 대한간호학회지
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• 제47권6호
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• pp.794-805
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• 2017

Purpose: Interface pressure is a factor that contributes to the occurrence of pressure injuries. This study aimed to investigate interface pressure at common sites of pressure injury (occipital, gluteal and peritrochanteric areas), to explore the relationships among risk factors, skin condition and interface pressure, and to identify risk factors influencing interface pressure. Methods: A total of 100 patients admitted to the intensive care unit were enrolled at a tertiary teaching hospital in Korea. Interface pressure was recorded by a scanning aid device (PalmQ). Patient data regarding age, pulmonary disease, Braden Scale score, body mass index, serum albumin, hemoglobin, mean blood pressure, body temperature, and oxygen saturation were included as risk factors. Data collected from July to September 2016 were analyzed using binary logistic regression. Results: The mean interface pressure of the occipital, gluteal, and right and left peritrochanteric areas were 37.96 (${\pm}14.90$), 41.15 (${\pm}16.04$), 53.44(${\pm}24.67$), and 54.33 (${\pm}22.80$) mmHg, respectively. Predictive factors for pressure injuries in the occipital area were age ${\geq}70$ years (OR 3.45, 95% confidence interval [CI]: 1.19~9.98), serum albumin deficit (OR 2.88, 95% CI: 1.00~8.26) and body temperature ${\geq}36.5^{\circ}C$ (OR 3.12, 95% CI: 1.17~8.17); age ${\geq}70$ years (OR 2.81, 95% CI: 1.10~7.15) in the right peritrochanteric area; and body temperature ${\geq}36.5^{\circ}C$ (OR 2.86, 95% CI: 1.17~6.98) in the left peritrochanteric area. Conclusion: Our findings suggest that old age, hypoalbuminemia, and high body temperature may be contributory factors to increasing interface pressure; therefore, careful assessment and nursing care of these patients are needed to prevent pressure injury. Further studies are needed to establish cutoff values of interface pressure for patients with pressure ulcers.

• 한국시뮬레이션학회논문지
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• 제32권4호
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• pp.27-39
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• 2023

본 연구는 간호대학생을 대상으로 학생주도 팀기반 문제중심학습 시뮬레이션 (SSTPBL) 수업을 개발하고 그 효과를 검증하기 위한 혼합연구이다. 자료수집은 2022년 9월 15일부터 2022년 10월 20일까지 A시 소재 일개 대학 간호학과 4학년 학생 51명에게 설문조사 및 4명을 대상으로 포커스 그룹 인터뷰를 진행하였다. 수집된 자료는 SPSS version 25.0과 주제분석을 활용하여 분석하였다. 양적연구 결과, 시뮬레이션 경험 만족도(t = 3.51, p < .01), vSim 경험 만족도(t = 3.50, p < .01), 예비 간호사로서의 준비 정도(t = 3.73, p < .01), 학습 자기효능감(t = 3.87, p < .01), 협력적 자기효능감(t = 4.30, p < .01), 문제해결 능력(t = 5.26, p < .01), 교육 만족도(t = 3.54, p < .01), 디지털 헬스 형평성(t = 2.18, p < .05)을 향상시키는 데 효과가 있었다. 질적연구에서 도출된 6개 주제는 '임상실습과 유사함', '몰입에 어려움', '타인을 통해 배워감', '자기반성을 통한 배움', '새로운 경험을 통한 자신감 향상', '새로운 수업방식'이었다. 본 연구결과를 바탕으로 팬데믹 이후 임상실습 제한이 커지고 있는 상황에서 학생주도 팀기반 문제중심학습 시뮬레이션 (SSTPBL) 수업이 예비간호사들의 새로운 훈련 방법으로 다양하게 활용될 수 있을 것으로 기대한다.

• 한국초등수학교육학회지
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• 제18권2호
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• pp.357-377
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• 2014

본 연구는 클립형 콘텐츠를 활용한 수학 수업이 학업성취도 및 태도에 미치는 영향을 분석하는데 목적이 있다. 이를 위해 서울특별시 관악구에 소재한 S초등학교의 4학년 2개 반을 실험집단과 비교집단으로 나누어 실험 수업을 실시한 후 사전 사후 학업성취도 및 검사를 실시한 후 통계적으로 유의미한 변화가 있는지 살펴보았다. 또한 클립형 콘텐츠를 수학 수업에 적용하였을 때 학생들의 반응을 분석하기 위해서 질적 관찰을 실시하였다. 본 연구의 결과 클립형 콘텐츠를 활용한 수학 수업은 학업성취도에 긍정적인 영향을 주었다. 또한 클립형 콘텐츠를 활용한 수학 수업은 수학적 태도에도 긍정적인 영향을 주었는데, 특히 '교과에 대한 자아개념', '교과에 대한 태도' 영역에 긍정적인 영향을 주었다. 마지막으로 클립형 콘텐츠를 적용한 수학 수업에 대한 질적 관찰 결과, 클립형 콘텐츠를 활용한 수학 수업은 문제 해결력 향상, 수학적 의사소통 능력 신장, 수학 학습 동기 유발, 효과적인 발문 유도, 다양한 교육 내용 활용, 학습 공간의 확장에 긍정적인 영향을 주었다.

• 디지털융복합연구
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• 제19권1호
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• pp.249-260
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• 2021

본 연구는 국내 간호대학생을 대상으로 한 플립러닝 연구들의 결과를 통합하고 분석하기 위해 실시한 메타분석연구이다. 대상 문헌은 PubMed, EMBASE, Cochrane, CINAHL, Korean databases가 이용되었으며 국내 간호학과학생들의 플립러닝 효과를 평가하는 무작위 실험과 비무작위 실험연구가 포함되었다. 95% 신뢰 구간과 SMD가 변량효과 메타분석 결과로 산출되었으며, 플립러닝 전체 효과 크기는 대조군에 비해 큰 효과 크기(SMD = 1.21; 95% CI = 0.84 ~ 1.63; I2 = 93.9; n = 23)로 나타났다. Bloom 분류에 따른 추가 분석 결과, 플립러닝은 심동적 영역, 인지적 영역, 정서적 영역의 변수들에 의미있게 영향을 미치는 것으로 나타났다. 본 메타분석은 총 10건의 문헌 분석을 통해 국내의 간호학과 학생들에 대한 플립러닝 교수법이 전통적인 교수법보다 심동적 영역, 인지적 영역, 정서적 영역에서 효과적임을 보여주었다. 추후 플립러닝은 간호대학생들의 학문적 수행 능력 향상을 위한 이론수업 및 실습 간호교육에 까지 통합 되어질 수 있다.

• 한국간호교육학회지
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• 제2권
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• pp.75-94
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• 1996

This survey study was aimed at identifying the degree of educational need of the KNOU(Korea National Open University) nursing students defined as admission purposes, satisfaction of distance learning education, learning methods, and courses after graduation. Among randomly assigned 1000 students, 320 KNOU nursing students who allowed to participate in the study completed the questionnaires. The data were analyzed using descriptive statistics, chi-square test, and t-test, Results of this study were as follows : 1. The admission purposes of the KNOU nursing students were 'in order to get a bachelor's degree(83.8%)', 'to acquire knowledge for task(61.3%)', or 'to be admitted for the graduate school (53.1%)' etc. Comparing the admission purposes by age, tow items- 'to explore new possibilities for myself' and 'excellent curriculum' showed statistically significant differences. These two items were also found to show significant differences by marital status. 2. For the media maintenance, the results showed that students use their own cassett radios(96.3%), VTR(49.4%), TV only for the study (44.1%), personal computer (3.31%), or joining Hitel (6.3%). 3. Listening rates of the radio lecture were 'over 80%(9.1%)', '50-80%(9.1%)', '20-50%(18.1%)', 'below 20%(30%)' and 'never(33.1%)', And record lecture showed listening rates as follows : 'over80%(17.2%)', '50-80%(15.9%)', '20-50%(24.4%)', 'below 20%(27,2%)' and 'never(14.4%)'. 4. The difficulties with KNOU life were 'listening radio lectures(38.8%)', studying by following teaching schedules (37.8%)', 'isolated self-study(10.3%)', and 'appearance in the attending classes(8.1%)'. 5. As for satisfaction with teaching methods, the data showed that 81.2% of the respondents were satisfied (or very satisfied) with 'attending classes' and 75%, with 'paper lectures'. On the other hand some of respondents were very dissatisfied with 'recorded lecture(12.8%)' and 'radio lecture(10.9%)' 6. The results also showed that the students want to have 'video conferencing lecture(77.2%)', 'cable TV(64.1%)' and 'CD ROM program' to improve learning effects. 7. Concerning learning attitudes, 48.8% of the students reported 'study mainly for examnination', and only 4.1% answered 'study every day with plan'. The learning attitude showed significant differences by marital status and age. The students also evaluated themelves as 'study very hard(5.9%)', 'study hard in general(41.6%)', 'study a little(40.3%)' and 'study little(11.9%)'. 8. The students responded the most effective learning material was the 'textbook (92.2%)'. 9. For the purposes of using the local center, the results showed 'for the attending classes(76.3%)', 'for the use of references(14.7%)', and 'for the study group(66.7%)'. 10. The results revealed that 20.3% of the respondents had ever experienced unregistration or temporary withdrawal, and 53.4% among them did not register more than one time. The most common reason for the unregistration was 'due to family affairs or their job (70.8%)'. 11. 88.1% of the respondents answered 'they will graduate without fail'. 12. Regarding the benefits from the KNOU graduation, respondents indicated 'graduate school admission(38.1%)', 'self-confidence in social life(17.5%)', and understanding social problems (10.9%)'. 13. 64.4% of the students showed that they have intention to enter the graduate school. The item 'changing work place' showed statistically significant differences by marital status and age.

• 대한간호학회지
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• 제20권2호
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• pp.227-248
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• 1990

The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.

• 한국보건간호학회지
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• 제9권1호
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• pp.17-32
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• 1995

The purpose of this study was to improve upon school health by understanding the present status of school health and escpecially to investigate the performance rate of regular health instruction. 261 schools, including middle and high schools enrolled in the Busan Educational Association, were sent Questionnaires. Data was collected from the 25th of January to the 10th of April, 1994. 229 subjects who responded to the Questionnaires were finally analyzed as samples. Among them, 127 were school nurses and 102 were teachers acting in a school health capacity. The results of this study are summerized as follows: Of the teachers holding additional school health responsibilities, $85.6\%$ worked in private schools. Many of them $(74.5\%)$ were formally dissatisfied with their ability to provide care because $85.3\%$ of them had never studied any school health. Some of them$(30.4\%)$ didn't know about the annual school nursing budget and $23.5\%$ of them hadn't taught any health education to students. In spite of this fact, they were placed in charge of a school health activity against their own will. There were statistically significant differences in the performance of school health affairs between nurses and teachers holding additional school health (p<0.001) as follows: annual school nursing budget, Health Program Planning and Evaluation, annual purchase price for medicines, average students cared for per day, average students who held at least one consultation per month and extra. Surely, the self-confidence of school nurses was higher than that of teachers with school health as an assigned responsibility. This was demonstrated by a significant statistical difference (p<0.01) in the responses by the two groups. $88.2\%$ of the school nurses and $73.5\%$ of teachers for school health thought that regular health instruction was necessary. But regular health education had been performed only by $32.8\%$ of respondents. Among them, 84% were school nurses and $16\%$ were teachers holding additional school health. Of the persons who performed regular health education, $69.3\%$ used less than $60\%$ of the health content of the athletic textbook. And $64\%$ of them said teaching materials were insufficient. Most of them $(69.4\%)$used home made lesson plans. which they compiled from various sources. There was a significant difference in the formality of the health lesson according to the concern of the school principal (p<0.01) and there was a significant difference in performing health education between school nurses and teachers holding additional school health (p<0.001) It appears that there are a lot of problems with providing school health care using people who are untrained. In a word, school health nurses with professional training are needed in order to perform the qualitative management for the health of the students. These days, regular health education is an indispensable part in making students improve their self-care abilities. Therefore a more effective and better defined program should be prepared for regular systematic health education. To resolve these problems, present laws and regulations related to school health should be revised considering the specialist's request for the improvement of school health. In addition, the concern and financial support of the government are essential.

• 기본간호학회지
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• 제6권3호
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• pp.532-543
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• 1999

This study was conducted to provide the basic data necessary for the improvement of the teaching method for basic nursing practice as well as the effectiveness of the practice by examining the students' competency in cleansing enema after doing the self study instead of the traditional education. To examine the competency in cleansing enema after the self study, this study is an one group pretest-posttest design that subjects did the enema practice through the self study. The subjects were 89 sophomore students at Y University. College of Nursing. In basic nursing lab practice class, cleansing enema self study module was given to the students which was developed by the researcher based on the literature review and asked them to finish doing the pre study and checking the self study evaluation criteria after reading the goal, learning activities and theoretical guideline. After watching the video tape, students practiced the process in the module by themselves. For the competency in cleansing enema. repeated autonomous practices were done during the open lab other than the regular class. Whenever the practice was done, the frequency and time were measure and documented. When the student felt confident through repeated practices, the competency was evaluated by the researcher and two assistants based on the evaluation criteria. And the process was repeated till the student could perform all the items on evaluation criteria completely. The data were collected for 42 days from Oct. 15 to Nov. 26 in 1996. Collected data were analyzed by frequency, percentage, Pearson correlation coefficient and variance analysis. The results are summarized as follows : 1. 43.2% of the students were favorable to nursing and 63.6% like lecture, but 71.6% like practice. So they were more interested in practice than in lecture. 2. 62.3% of the students scored high in written test, 97.8% scored high in practice. So the practice score was better. 3. The frequency of repeated practice to pass the test ranged from 1 to 4 and the average is 2.2. 4. The average time needed in preparation and the performance was nearly the same regardless of the frequency. It took 5 to 38 minutes for those who passed the test after practicing once and the average was 16 minutes. 5 to 60 minutes were taken for those who practiced twice to pass the test and the average was 21 minutes. Those who passed the test after three practices needed 8 to 30 minutes and the average was 15 minutes, which was similar to the time that the students who passed the test for the first trial. Only one student passed the test after 4 practices and it took 10 minutes. 5. 64% of the students agreed that the context and the content of the module were appropriate for the self study and 68.2% were satisfied. And 71.9% said that the module helped them to practice the enema self study 6. Though only 42% of the students were satisfied with the video. 50.6% said that it was helpful for the self study. 7. 52.3% of the students were satisfied with the self study method, and 86.6% obtained self-confidence when performing the enema. 8. The lower the student's practice score was, the more practices were needed for them to pass the test(r=-.213, P<.05). As a result, for performing the enema practice competently, two or more practice opportunities were needed to be given. And it is possible to obtain the less complex nursing skills through the self study, when enough learning resources and assistance such as learning guidance or video tapes are provided. Based on this study. I want to suggest that. 1. There must be college policy that can support the new method instead of the traditional learning method for the students to attain the proficiency in basic nursing skills. 2. The assistant materials should be developed as soon as possible to promote the self study of basic nursing skills.

• 한국과학교육학회지
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• 제39권1호
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• pp.13-33
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• 2019

이 연구는 과학 교육 분야에서 인성 교육의 가능성과 구체적 실행과정을 밝히고자 하는 목적을 바탕으로 다양한 과학 학습 상황에서 드러난 구체적 인성 요소를 살펴보고, 과학 교과 학습을 통해 중점적으로 함양 가능한 요소와 관련 학습 상황에서의 발현 양상을 이해하고자 했다. 본 연구에서는 인성의 의미를 확대하여 도덕성, 사회성, 감성을 포함하는 다차원적 관점에서 접근했다. 연구 참여자는 서울시 소재 중학교 1~2학년 11명의 학생들로 선정했으며 2014년과 2015년에 걸쳐 '과학 선생님 되어보기' 멘토멘티 프로그램의 개발 적용했다. 자료 수집은 수업 관찰, 학생 산출물, 교사 및 학생 일지, 면담 등을 통해 이루어졌으며 반복적 비교분석법을 통해 수집한 질적 자료를 분석했다. 분석 결과 11개의 인성 요소를 추출했으며, 각 인성 요소 간의 관계를 바탕으로 다양한 학습 상황에서 드러난 16개의 구체적 인성 요소로 재조직했다. 16개의 구체적 인성 요소 중 과학 학습을 통해 중점적으로 함양 가능한 8개의 구체적 인성 요소인 '과학 지식 구조의 위계성으로 인한 가르침 행위에의 책임, 과학적 개념 형성을 위한 소통, 과학 학습 경험 기반의 공감적 배려, 탐구 방법의 합리성 증진을 위한 협력, 인간의 과학적 노력에 대한 긍정적 인식, 연구에 대한 과학자의 태도 존중, 앞으로의 과학 탐구 참여에 대한 자신감, 시행착오 과정에서의 끈기'와 관련 학습 상황을 주요 연구 결과로 제시했다. 구체적 인성 요소의 발현 과정의 특성은 다음과 같다. 일부 구체적 인성 요소는 동일한 인성 요소임에도 발현 과정은 기존의 과학 교육에서의 인성 관련 연구 결과와 다르게 나타났으며 발현 과정에서 각 요소 간 상호 관련을 가지고 있음이 드러났다. 복합적 관계를 맺고 있는 과학 학습 맥락 속에서 다양한 대상과의 상호 작용을 통해 구체적 인성 요소가 발현되었다. 학생들은 단계적 성찰을 통해 상호 긍정적 자극을 주었고, 성취를 경험할 수 있는 과학 활동을 통해 정서적 측면에서의 변화와 성장이 나타났다. 본 연구 결과를 바탕으로 추후 과학 교육 분야에서의 혁신적인 교육적 시도를 통한 새로운 인성 요소 발견, 인성 요소 간 상호 관계의 특유성에 기반하여 발현될 수 있는 구체적 인성 요소에 대한 심층적 탐색, 공동체 기반 활동을 통해 참여 주체 간의 긴밀한 상호작용 촉진에 기여할 수 있는 과학 학습 환경 구축의 필요성을 제안했다.

• 대한지구과학교육학회지
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• 제15권3호
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• pp.391-409
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• 2022

이 연구에서는 예비과학교사들이 지속가능한 행복 개념과 복잡성 이론을 구성하고 있는 주요 요소들을 초점으로 하여 과학교육과 지속가능발전교육을 통합한 수업자료와 수업시연을 분석하고, 이러한 교육실행에 참여하기 전과 후의 인식 변화를 다각도로 분석하였다. 이를 바탕으로 예비과학교사들이 지속가능발전 교육의 다차원적인 교사전문성을 키우기 위한 시사점을 도출하고자 하였다. 주요 연구결과를 보면, 먼저 예비과학교사들이 설계한 수업자료와 수업시연에 대한 동료평가 결과, 지속가능한 행복 접목에 대한 평균이 복잡성 이론 요소들보다 상대적으로 높게 나타났다. 다음으로, 지속가능한 행복과 복잡성 이론의 요소들은 전반적으로 지속가능발전교육의 요소들과 긍정적인 상관관계를 갖는 것으로 분석되었다. 또한 예비과학교사들은 연구에 참여한 이후, 개인과 사회의 행동 양식을 배우고 실천하는 것을 지속가능발전교육의 의미로 중요하게 생각하게 된 것으로 나타났다. 그리고 과학교육과 지속가능발전교육을 접목할 필요성에 대해, 예비과학교사들은 지속가능한 삶의 방식을 이해하기 위한 지속가능한 행복 개념을 과학교육에서도 다룰 필요가 있다고 생각하였다. 한편, 지속가능한 행복과 복잡성 이론의 요소들은 전반적으로 지속가능발전교육과 긍정적인 상관관계를 갖는 것으로 분석되었다. 그리고 예비과학교사들이 과학수업에서 지속가능발전교육을 접목하는데 있어서의 자신감은 연구에 참여하기 전보다 참여 이후에 통계적으로 유의미하게 높아진 것으로 나타났다. 또한 예비과학교사들이 기존에 가졌던 과학교사에 대한 지향점으로 학생들과의 소통과 행복한 삶을 함께 생각해볼 수 있는 교사의 역할을 좀 더 생각하게 된 것으로 분석되었다. 전체적으로 예비과학교사들은 지속가능한 행복 개념과 복잡성 이론의 요소를 접목한 과학교육과 지속가능발전교육의 통합이라는 새로운 교수학습 전략의 관점을 실제 수업시연에 적용해봄으로써, 좀 더 다차원적인 과학교사 전문성을 갖추게 된 것으로 생각된다.