• 제목/요약/키워드: developmental care

검색결과 316건 처리시간 0.025초

보건의료산업학회지의 지난 10년간 게재경향 및 향후 연구방향 : 병원관리분야를 중심으로 (Publication Trends and Future Research Directions of Korean Journal of Health Service Management : A Focus on Hospital Management)

  • 최령;안상윤
    • 보건의료산업학회지
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    • 제13권4호
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    • pp.9-17
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    • 2019
  • Objectives: The purpose of this study is to explore the developmental direction of the hospital management field that contributes to the academic and practical development of the health care industry and to establish its identity by using the Korean Journal of Health Service Management. Methods: A total of 156 papers were analyzed from April 2007 to December 2018. Frequency analysis and descriptive statistics were performed using SPSS 25.0. Results: The volume of articles published in the hospital management field was decreasing and the ratio was relatively low due to the nature of the journal. The disposition of the papers in the hospital management field excessively focused on the organizational behavior field, and research in the management field that was difficult to access was decreasing. In addition, about 83% of the participants were drawn from hospitals. Conclusions: It is necessary to present guidelines for publication of theses so that a managerial approach can be made rather than an approach to industrial psychological theory verification.

청소년 간질 환자의 생활세계 경험 (Lived Experiences of Life World for Adolescents with Epilepsy)

  • 박영숙;정은남;양진향
    • 기본간호학회지
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    • 제18권1호
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    • pp.6-18
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    • 2011
  • Purpose: This study was done to explore the meaning and nature of life world for adolescents with epilepsy. The hermeneutic phenomenological method which was developed by van Manen was used. Methods: Participants were four boys and five girls, ages 13 to 18 being seen in a neurology outpatient department. Data were collected from iterative work with in-depth interviews from during the period from February to September, 2010. Contents of the interviews were tape-recorded with participant consent. Results: Essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were: an illness that makes a hurt in one's heart rather than one's body, a change in the body that is not controllable, a future like thick fog, everyday life trapped in illness, a change of relationships, learning how to live with an illness. Conclusion: Findings reveal the life world of the adolescents is affected to varying degrees by the epilepsy. It is important for nurses to identify and address developmental issues and effects of the illness and to support reorientation in a disintegrated life situation. The result of this study will provide nurses with insights into these experiences and should help promote empathetic care.

일기연구를 통한 간호대학 온라인강의 학습정서 탐색 연구 (Exploring Learning Emotions for Online Lectures of Nursing College Learners: Through diary)

  • 이나경
    • 보건의료생명과학 논문지
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    • 제9권1호
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    • pp.27-39
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    • 2021
  • 본 연구는 COVID-19로 인하여 수강방식의 변화를 맞은 간호대학생들의 온라인 강의 경험에 대한 학습정서를 일기를 통해 깊이 있게 탐색하고자 하고자 수행하였다. 목적적 표집법에 따라 4년제 간호 대학생 20명을 대상으로 2020년 11월부터 12월 동안 일기를 온라인으로 수집하였다. 수집된 자료는 전통적 내용분석 방법으로 분석하였다. 연구결과는 4개의 주제모음과 17개의 하위주제로 나타났다. 도출된 주제 모음으로는 '온라인 강의에 대한 혼란으로 인한 불안감', '나 자신을 탓하게 됨', '안정된 수업환경 조성이 어려움으로 인한 좌절감', '발전적 인간관계 형성이 없음으로 인한 무력감.'으로 나타났다.

어린이급식관리지원센터 지원 서비스 만족도 조사를 통한 성과 분석과 발전 방향 (A Performance Analysis by the Satisfaction Survey for Center for Children's Foodservice Management and Developmental Direction)

  • 신새롬;우은열;박혜경
    • 급식외식위생학회지
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    • 제1권1호
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    • pp.45-51
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    • 2020
  • This study sought to understand the requirements of registered institutions and parents of beneficiary children's through a satisfaction survey conducted at Center for Children's Foodservice Management (CCFSM) and to improve quality to create a model example of site-based meal safety management in accordance with population trends. In 2019, the comprehensive satisfaction level of the director and parents rose 2.4 points and 2.9 points, respectively, compared to the previous year, and the comprehensive satisfaction level of the director and parents continued to rise from 2015 to 2019. The gap between the highest and lowest institutions is narrowed to 13.5 points year-on-year from 21.4 points. National Institute of Food and Nutrition Service will need to make efforts to upgrade regional centers through (Human Resource Development(HRD) training to strengthen their job-specific capabilities and minimize the standard deviation of each center. Since local centers are distributed across the country and have field-oriented service support systems, CCFSM will need to manage the healthy eating habits of the underprivileged, provide information necessary to establish proper eating habits, strengthen education, and establish a customized food safety service system.

Differences Regarding the Molecular Features and Gut Microbiota Between Right and Left Colon Cancer

  • Kim, Kwangmin;Castro, Ernes John T.;Shim, Hongjin;Advincula, John Vincent G.;Kim, Young-Wan
    • Annals of Coloproctology
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    • 제34권6호
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    • pp.280-285
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    • 2018
  • For many years, developmental and physiological differences have been known to exist between anatomic segments of the colorectum. Because of different outcomes, prognoses, and clinical responses to chemotherapy, the distinction between right colon cancer (RCC) and left colon cancer (LCC) has gained attention. Furthermore, variations in the molecular features and gut microbiota between right and LCCs have recently been a hot research topic. CpG island methylator phenotype-high, microsatellite instability-high colorectal cancers are more likely to occur on the right side whereas tumors with chromosomal instability have been detected in approximately 75% of LCC patients and 30% of RCC patients. The mutation rates of oncogenes and tumor suppressor genes also differ between RCC and LCC patients. Biofilm is more abundant in RCC patients than LLC patients, as are Prevotella, Selenomonas, and Peptostreptococcus. Conversely, Fusobacterium, Escherichia/Shigella, and Leptotrichia are more abundant in LCC patients compared to RCC patients. Distinctive characteristics are apparent in terms of molecular features and gut microbiota between right and LCC. However, how or to what extent these differences influence diverging oncologic outcomes remains unclear. Further clinical and translational studies are needed to elucidate the causative relationship between primary tumor location and prognosis.

How Resilience Affects Employee Engagement? A Case Study in Indonesia

  • AMIR, Muhammad Taufiq;MANGUNDJAYA, Wustari L.
    • The Journal of Asian Finance, Economics and Business
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    • 제8권2호
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    • pp.1147-1156
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    • 2021
  • This study aims to examine the role of resilience in academic engagement and also to evaluate the theoretical model of the relationships between resilience and engagement. A survey of faculty members in 20 study programs from 12 universities in Jakarta was conducted, Where 247 questionnaires were returned from the 495 distributed. Furthermore, 240 valid data were available for evaluation in order to test the model, and a confirmatory Structural Equation Modelling was conducted, using AMOS 20. Criteria of goodness-fit demonstrated the relatively adequate model, and the coefficient of structural path describes the potential of the links. Three out of four paths available significantly showed the role of developmental persistency and positive emotions on work engagement. The participants of the study include only constituted academics of private universities in Indonesia. Thus there is a need for better care in interpreting the level of resilience and engagement, as engagement may vary when used in a different context. The study suggests interventions for practitioners, not only for academia in the higher education context but also for other professionals in managing engagement at the individual or team level. Therefore, combining resilience and engagement programs may contribute to an enhancement in the productivity of employees.

Understanding of Holding Environment Through the Trajectory of Donald Woods Winnicott

  • Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제33권4호
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    • pp.84-90
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    • 2022
  • Personal life and achievements are the process and result of a person's past, present, and future interacting with each other. In this regard, if one fully understands the life and background of the person who developed the theory of psychoanalysis, one can understand and use the theory more appropriately. The holding environment theory developed by Donald Woods Winnicott is useful for understanding the process by which infants grow healthy under the care of a mother who is good enough. In this paper, the background of the birth of the holding environment theory is reviewed based on Winnicott's developmental background and marital life. He grew up with a holding environment from good enough 'multiple mothers'. Born with excellent athletic ability and musical talent, he was more curious than anyone else and particularly active in discovering new things. After the unhappy first marriage, Claire Britton's second marriage was happy academically and personally. Claire was a fellow paediatric psychoanalyst who published Winnicott's research and theories after his death. Psychoanalysis or psychotherapy itself can be a holding environment, and the holding environment theory can be applied to various fields in the digital era.

중년기 복합부위통증증후군 환자의 삶의 경험 (Lived Experience of Middle-Aged Patients with Complex Regional Pain Syndrome)

  • 서영숙;이선희
    • 대한간호학회지
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    • 제52권6호
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    • pp.598-607
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    • 2022
  • Purpose: This qualitative study aimed to explore the lived and true meaning of experiences of middle-aged patients with complex regional pain syndrome. Methods: The participants were 10 men and women aged 40 to 60 years who received outpatient treatment at a university hospital, could communicate, and agreed to participate in the study. Data were collected through individual interviews using open and semi-structured questions from September 2019 to July 2021 and were analyzed using the content analysis method suggested by Hsieh and Shannon (2005). Results: As a result of this study, 42 summarized semantic units related to life experience, 15 subthemes, and seven themes were derived. The seven themes were "pressed by severe pain," "frustrated because I cannot be part of the community," "distressed because people do not recognize my disease," "sad about conflicts with family," "unmotivated because of desperate life," "appreciating for support," and "putting oneself together and living daily life." Conclusion: The vivid experiences of the participants derived in this study are the basic data for developing treatment guidelines. In the future, we propose a study on life and family care experiences according to the developmental characteristics of the life cycle of patients with complex regional pain syndrome and develop and apply programs to support patients and their families.

애착과 정신병리 (ATTACHMENT AND PSYCHOPATHOLOGY)

  • 최지은;안동현
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제15권1호
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    • pp.40-60
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    • 2004
  • 서 론:1940년 경 발달학적 관점에서 시작된 애착에 관한 연구가 지난 수십 년 동안 많은 발전을 이루었다. 초기 연구에서 주로 영유아기 아동의 부모에 대한 애착연구는 이후 성인기애착에 대한 평가가 가능해지면서 청소년기 혹은 성인기의 대인관계나 정서적 유대, 양육 경험에 까지 적용해 왔다. 이런 발전과 함께 최근 발달학적 정신병리에 관한 연구로 애착장애를 포함한 다양한 아동기 정신병리, 더 나아가 성인기 정신질환과 애착의 관계에 대한 연구가 수행되었다. 이 관계를 최근에 수행된 연구들을 중심으로 조명해보고자 한다. 대상 및 방법:최근에 수행된 연구를 중심으로 관련 문헌들-Medline에서 검색된 논문, 주요 단행본, 국내에서 발표된 애착 관련 논문들을 고찰하였다. 결 과:아동기 애착장애, 그 외에 정신병리로서 수용소에서의 양육과 후기 입양의 문제, 공격성과 행동문제, 아동기 불안장애 및 우울증, 성주체성 장애 및 섭식장애, 그리고 아동학대 및 부당 취급, 아동기의 또래관계 및 사회성 발달, 부모의 애착관계와 양육행동이 애착과 밀접한 연관을 가짐을 보여주고 있다. 다음으로, 최근 유아의 애착 행동이나 유형이 성인기까지 영향을 미치는가에 대한 장기 추적 연구들이 진행 중이다. 또한 Main 등이 개발한 AAI는 성인애착연구에 중요한 도구로 이용되었고, 이런 발전에 힘입어 부모의 해결되지 않은 애착에 관련된 문제가 자녀와 애착을 형성하는 과정에 영향을 주는 세대간 전이 현상을 발견하게 된 이후 성인 정신 병리의 원인에 대한 연구가 이러한 생애 초기의 애착과 관련된 문제에 관심을 갖게 하였다. 이 가운데 특히 성인기의 다양한 정신질환들-기분장애, 불안장애, 식사장애, 정신분열병, 해리장애, 성격장애-을 Bowlby의 발달학적 이론을 근거로 이해해 보고, 유아기의 애착과의 연관성 및 애착과 관련된 경험들이 후기 이러한 정신병리에 영향을 미칠 수 있는가에 대한 연구결과들이 논의되었다. 결 론:애착이론은 일반적인 부모의 양육과 같이 광범위한 부모-자녀 관계를 보다 심도 있게 조명할 수 있도록 한다. 또한 부모-자녀관계가 대개 사회심리적인 접근에서 이루어지고 있는 것과 달리 애착은 기본적으로 생존에 대한 생물학적인 기초에 근거하여 생태학적인 관점에서 아동의 문제를 파악할 수 있는 장점이 있다. 그리고 또한 부모-자녀관계, 나아가 아동과 가족간의 관계 속에서 파악하기 때문에 접근이나이를 기초로 하는 치료도 상호적인 관계 속에 이루어질 수밖에 없다. 따라서 앞으로 별도로 발전되어 왔던 발달 이론과 또한 별도로 독자적인 발전을 이루어 온 아동 정신병리 및 애착 장애와의 관련이 긴밀해져야 할 것이다.

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석탄회를 활용한 CLSM의 pH 저감에 관한 연구 (A Study on the pH Reduction of Controlled Low Strength Material with Coal Ash)

  • 김영일;지성현;천병식
    • 한국지반환경공학회 논문집
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    • 제11권9호
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    • pp.39-45
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    • 2010
  • CLSM은 다짐이 필요없고 유동성이 큰 물질로 일반적으로 시멘트, 잔골재, 물, 혼화재 등을 혼합하여 만들어진다. 기존의 저강도고유동화재는 잔골재로 모래를 사용하고 있으나 모래를 구하기 점점 어려워지는 현 시점에서 저강도고유동화재를 대량으로 활용하기 위해서는 모래를 대신할 대체재의 개발이 요구되고 있는 실정이다. 석탄회의 공학적 성질은 모래와 유사하여 모래의 대체재로써의 CLSM에 적용 가능하며 친환경재료로써의 검증이 필요하게 되었다. 이중 식생에 관한 연구는 자연과 화합할 수 있는 중요한 연구분야로써 식생이 가능한 적정 pH를 만족시킬 경우 적용의 확대가 가능할 것으로 판단된다. 따라서 본 연구의 목적은 석탄회의 대량유효활용의 일환으로 석탄회를 활용한 CLSM을 pH가 식생이 가능하도록 저감하기 위한 방안으로, 양생방법과 중성화처리에 따른 pH의 저감효과를 확인하여 식생에 관한 기초 자료를 제공하는데 그 목적이 있다. 공시체의 제작은 일축압축강도 0.5~1.0MPa을 만족하며 매립회와 비회의 비율이 70:30인 것을 기준으로 하여 총 5가지 Case로 배합하였으며, CLSM의 알칼리 용출을 억제하기 위해 이인산암모늄 용액에 공시체를 침지하는 방법으로 중성화처리를 실시하였다. 연구결과 중성화처리와 양생에 의한 방법을 적용하기 이전의 CLSM는 pH 11이상의 알칼리성이었으나, 중성화처리와 양생방법을 적용한 이후의 pH는 9.5 이하로 저감시켜 식생이 가능한 조건을 만족하였다.