• 제목/요약/키워드: field environmental education program

검색결과 79건 처리시간 0.032초

유아숲체험장의 이용후 평가 (Post Occupancy Evaluation of the Forest Experience Centers for Children)

  • 강태순;이명우;정문선
    • 한국조경학회지
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    • 제45권2호
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    • pp.109-123
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    • 2017
  • 숲공간이 갖는 유아발달의 긍정적인 영향으로 다양한 사업주체에 의해 숲활동공간의 조성과 운영이 양적으로 증가하고 있으나, 실제적인 공간설계 및 운영프로그램에 관한 연구는 미흡한 실정이다. 따라서 본 연구의 목적은 숲활동에 참여한 교사와 유아를 대상으로 이용후 평가를 실시하여 유아숲체험장의 공간 및 운영프로그램을 평가하는데 있다. 이를 위해 서울시 유아숲체험장 12개소를 대상으로 현장조사, 수업참관, 숲교육 전문가 인터뷰를 통한 현황분석과 115명의 산림교육전문가 및 보육교사들에게 중요도, 성취도, 전반적 만족도, 공간선호도 설문조사를 하였다. 또한 29명의 유아를 대상으로 면담법, 사진 시뮬레이션, 유아용 설문지를 사용하여 전반적 만족도와 공간선호도를 파악하였다. 중요도 및 성취도 분석결과, 운영프로그램특성 영역이 공간특성 영역보다 높게 평가되었고, 구조적 프로그램의 적용 여부를 바탕으로 구분한 집단간 비교에서 적극적인 적용 그룹이 소극적/자유놀이 그룹보다 두 영역 모두를 높게 평가하였다. 유아설문결과는 구조적 프로그램을 적용한 유아들은 시설공간을, 자유놀이 중심의 유아들은 자연공간을 선호하였으며, 두 집단 모두 숲활동에 대해 '만족'하였다. 이를 바탕으로 1) 숲활동공간의 조성은 접근성, 안전성, 경사다양성, 수공간을 확보하고, 숲길로서 연결될 수 있게 하며, 다양한 지형과 수목 및 자연재료를 확보하도록 한다. 2) 운영 프로그램은 숲활동 프로그램을 체계적인 운영과 구조적 프로그램 및 자유놀이의 비율이 편향되지 않도록 한다. 또한 자유놀이시간의 충분한 확보와 숲속 공간에서의 놀이 점유율이 높은 운영 프로그램을 계획한다. 3) 산림교육전문가의 역할과 전문성을 확보하여 유아의 자율성을 높일 수 있는 프로그램을 운영하도록 한다.

A Study on the Development of Educational Programs for LNG Bunkering in Consideration of the Safety System

  • Han, Se-Hyun;Yun, Yong-Sup;Kim, Jong-Su;Lee, Young-Chan
    • 해양환경안전학회지
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    • 제22권3호
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    • pp.268-277
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    • 2016
  • This paper aims at presenting bunkering educational programs for LNG fueled ship taking into consideration existing similar education programs and safety systems at the international level in order to enhance both seafarers' and vessels' safety. Heavy fuel oil has typically been used as fuel of ship propulsion. The competitiveness of the fuel oil is recently getting weak in terms of cost and environmental aspects. Liquefied natural gas is introduced for ship propulsion in the maritime field as a new energy source replacing heavy fuel oil. In order to prepare for installation and operation of LNG fueled propulsion ship on board, International Maritime Organization has discussed this subject for about 10 years. As a result of the discussion on such ships in IMO, the International Code of Safety for Ships Using Gases or Other Low-Flash-Point Fuels entered into force on the year 2015. International organizations and several countries therefore drives actively entire researches and other businesses with a view to providing equipment and system of LNG bunkering. The systems are divided into ship-to-ship transfer, terminal / pipeline-to-ship transfer and truck-to-ship transfer. By adopting transfer system of LNG bunkering, many human resources will be needed in these areas on scene as well as on managing, operating, trading, finance, design of LNG bunkering industries. LNG bunkering is just in the beginning stage. Hence, this paper reviews and proposes professional educational programs of LNG bunkering in consideration of technical aspects of the safety system of LNG bunkering based on the types of bunkering systems.

한국부인의 보건지식, 태도 및 실천에 영향을 미치는 제요인분석 (An Analysis of Determinants of Health Knowledge, Attitude and Practice of Housewives in Korea)

  • 남철현
    • 보건교육건강증진학회지
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    • 제2권1호
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    • pp.3-50
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    • 1984
  • The levels of health knowledge, attitude and practice of housewives considerably effect to the health of households, communities and the nation. This study was designed to grasp the levels of health knowledge, attitude and practice of houswives and analyse the various factors effecting to health in order to provide health education services as well as materials for effective formulation and implementation of health policy to improve the health of the nation. This study has been conducted through interviews by trained surveyers for 4,281 housewives selected from 4,500 households throughout the country for 40 days during July 11-August 20, 1983. The results of survey were analysed by stepwise multiple regression and path analysis are summarized as follows; 1. Based on the measurement instrument applied to this study, the levels of health knowledge, attitude and practice of housewives were extremely low with 54.5 points out of 100 points in full. Higher level with 72 points and above was approximately 21 percent and lower level with 39 points and below was approx. 24 percent. The middle level was approx. 55 percent. In order to implement health programs successively, health education should be more strengthened and to improve the level of health knowledge, attitude and practice (KAP) of the nation, political consideration as a part of spiritual reformation must be concentrated on health. 2. The level of health knowledge indicated the highest points with 57.3 the level of attitude was the second with 55.0 points and the practice level was the lowest with 50.0 point. Therefore, planning and implementation of health education program must be based on the persuasion and motivation that health knowledge turn into practice. 3. Housewives who had higher level of health knowledge, showed their practice level was relatively lower and those who had middle or low level of it practice level was the reverse. 4. Correlations among health knowledge, attitude and practice (KAP) were generally higher and statistically significant at 0.1 percent level. Correlation between total health KAP level and health knowledge was the highest with r=.8092. 5. Health KAP levels showed significant differences according to the age, number of children, marital status, self-assessed health status and concern on health of the housewives interviewed (p<0.001) 6. Health KAP levels also showed significant differences according to the education level, economic status, employment before marriage and grown-up area of the housewives interviewed. (p<0.001) 7. Heath KAP levels showed significant differences according to health insurance benificiary and the existence of patients in the family. (p<0.001). 8. Health KAP levels showed significant differences according to distance to government organizations, schools, distance to health facilities, telephone possession rate, television possession rate, newspaper reading rate and activities of Ban meeting and Women's club. (p<0.001) 9. Health KAP levels showed significant differences according to electric mass communication media such as television, radio and village broadcasting etc. and printed media such as newspaper, magazine and booklets etc., IEC variables such as individual consultation and husband-wife communication, however, there was no significance with group training. 10. Health KAP of the housewives showed close correlation with personal characteristics variables, i.e., education level (r=.5302), age (r=-.3694) grown-up area (r=.3357) and employment before marriage. In general, correlation of health knowledge level was higher than the levels of attitude or practice. In case of health concern and health insurance, correlation of practice level was higher than health knowledge level. 11. Health KAP levels showed higher correlation with community environmental characteristics, Ban meeting and activity of Women's club, however, no correlation with New-village movement. 12. Among IEC variables, husband-wife communication showed the highest correlation with health KAP levels and printed media, electric mas communication media and health consultation in order. Therefore, encouragement of husband-wife communication and development of training program for men should be included in health education program. 13. Mass media such as electric mass com. and printed media were effective for knowledge transmission and husband-wife communication and individual consultation were effective for health practice. Group training was significant for knowledge transmission, however, but not significant for attitude formation or turning to health practice. To improve health KAP levels, health knowledge should be transmitted via mass media and health consultation with health professionals and field health workers should be strengthened. 14. Correlation of health KAP levels showed that knowledge level was generally higher than that of practice and recognized that knowledge was not linked with attitude or practice. 15. The twenty-five variables effecting health KAP levels of housewives had 41 per cent explanation variances among which education level had great contribution (β=.2309) and electric mass com. media (β=.1778), husband-wife communication (β=.1482), printed media, grown-up area, and distance to government organizations in order. Variances explained (R²) of health KAP were 31%, 15%, and 30% respectively. 16. Principal variables contributed to health KAP were education level (β=.12320, β=.1465), electric mass comm. media (β=.1762, β=.1839), printed media, (β=.1383, β=.1420) husband-wife communication (β=.1004, β=.1067), grown-up area and distance to government organizations, in order. Since education level contributes greatly to health KAP of the housewives, health education including curriculum development in primary, middle and high schools must be emphasized and health science must be selected as one of the basic liberal arts subject in universities. 17. Variences explained of IEC variables to health KAP were 19% in total, 14% in knowledge, 9% in attitude, and 10% in health practice. Contributions of IEC variables to health KAP levels were printed media (β=.3882), electric mass comm media (β=.3165), husb-band wife com. (β=.2095,) and consultation on health (β=.0841) in order, however, group training showed negative effect (β=-.0402). National fund must be invested for the development of Health Program through mass media such as TV and radio etc. and for printed materials such as newspaper, magazines, phamplet etc. needed for transmission of health knowledge. 18. Variables contributed to health KAP levels through IEC variables with indirect effects were education level (Ind E=0.0410), health concern (Ind E=.0161), newspaper reading rate (Ind E=.0137), TV possession rate and activity of Ban meeting in order, however, health facility showed negative effect (Ind E=-.0232) and other variables showed direct effect but not indirect effect. 19. Among the variables effecting health KAP level, education level showed the highest in total effect (TE=.2693) then IEC (TE=.1972), grown-up city (TE=.1237), newspaper reading rate (TE=.1020), distance to government organization (TE=.095) in order. 20. Variables indicating indirect effects to health KAP levels were; at knowledge level with R²=30%, education level (Ind E=.0344), newspaper reading rate (Ind E=.0112), TV possession rate (Ind E=.0689), activity of Ban meeting (Ind E=.0079) in order and at attitude level with R²=13%, education level (Ind E=. 0338), activity of Ban meeting (Ind E=.0079), and at practice level with R²=29%. education level (Ind E=.0268), health facility (Ind E=.0830) and concern on health (Ind E=.0105). 21. Total effect to health KAP levels and IEC by variable characteristics, personal characteristics variables indicated larger than community characteristics variables. 22. Multiple Correlation Coefficient (MCC) expressed by the Personal Characteristic Variable was .5049 and explained approximately 25% of variances. MCC expressed by total Community environment variable was .4283 and explained approx. 18% of variances. MCC expressed by IEC Variables was .4380 and explained approx. 19% of variances. The most important variable effected to health KAP levels was personal characteristic and then IEC variable, Community Environment variable in order. When the IEC effected with personal characteristic or community characteristic, the MCC or the variances were relatively higher than effecting alone. Therefore it was identified that the IEC was one of the important intermediate variable.

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호스피스 자원봉사자의 호스피스 케어 요구도 분석 (Survey on the Hospice Care Needs of Hospice Volunteers)

  • 조현;강희숙;김정희
    • Journal of Hospice and Palliative Care
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    • 제5권2호
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    • pp.155-162
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    • 2002
  • 목적 : 본 연구는 자원봉사자 교육 프로그램 개발을 위한 기초자료로서 질병 말기 환자에게 호스피스 케어를 제공하는 자원봉사자의 관점에서 본 서비스 요구도를 조사하고자 하는데 그 목적을 두고 있다. 방법 : 경상남도, 부산시 및 충청남도 지역의 호스피스 자원봉사 교육 수료자로서 호스피스 케어 제공 경험이 있는 자원봉사자인 연구대상 중 88명이 본 연구를 위한 분석대상으로 사용되었으며, 구조화된 설문지를 이용한 자기기입식 설문방식에 의해 조사되었다. 수집된 자료는 SPSS Window version 10.0 통계 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차 및 회귀분석방법에 의해 분석되었다. 결과 : 조사대상자의 사회인구학적 특성은 기독교 중류가정의 40대 유배우 고졸 여성으로 가족 중 호스피스 경험이 없는 경력 1년 미만의 호스피스 센터에 소속된 사람이었다. 정보영역에서 호스피스 케어 요구도가 가장 높았으며 사회경제적 영역에서 가장 낮았다. '질병과 치료과정에 대한 정보 제공 필요'에 대한 요구가 정보영역에서, '욕창관리 및 예방'에 대한 요구가 신체적 영역에서, '의료인과 지속적인 관계유지 도와줌'이 정서적 영역에서 그리고 '의료보험 지원 확대를 도와줌'이 사회경제적 영역에 대한 요구도 중 가장 요구도가 높은 것으로 나타났다. 호스피스 케어 전체 영역 및 신체적 영역에 영향을 미치는 요인으로는 '가족 중 호스피스 경험'이, 정서적 영역에서는 '호스피스 경력'과 '가족 중 호스피스 경험'이 영향을 미치는 요인 변수로 예측되었으나 정보영역 및 사회경제적 영역에서는 어떤 변수도 영향을 미치지 않는 것으로 나타났다. 결론 : 본 연구가 편의표본을 사용하여 시행되었기에 본 연구의 결과가 실제적이고 효과적인 자원봉사자 교육 프로그램 개발을 위한 자료로 일반화되어 사용되기에는 한계를 지니고 있다. 따라서 호스피스 센터 별 전수조사 혹은 확률표본추출법에 의해 설계된 본 주제와 관련된 조사연구 및 질적 방법에 의한 연구가 필요하리라 사료된다.

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불량환경하(不良環境下)에서의 제초제(除草劑) 약해(藥害)와 경감기술(輕減技術) (Herbicidal Phytotoxicity under Adverse Environments and Countermeasures)

  • 권용웅;황형식;강병화
    • 한국잡초학회지
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    • 제13권4호
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    • pp.210-233
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    • 1993
  • The herbicide has become indispensable as much as nitrogen fertilizer in Korean agriculture from 1970 onwards. It is estimated that in 1991 more than 40 herbicides were registered for rice crop and treated to an area 1.41 times the rice acreage ; more than 30 herbicides were registered for field crops and treated to 89% of the crop area ; the treatment acreage of 3 non-selective foliar-applied herbicides reached 2,555 thousand hectares. During the last 25 years herbicides have benefited the Korean farmers substantially in labor, cost and time of farming. Any herbicide which causes crop injury in ordinary uses is not allowed to register in most country. Herbicides, however, can cause crop injury more or less when they are misused, abused or used under adverse environments. The herbicide use more than 100% of crop acreage means an increased probability of which herbicides are used wrong or under adverse situation. This is true as evidenced by that about 25% of farmers have experienced the herbicide caused crop injury more than once during last 10 years on authors' nationwide surveys in 1992 and 1993 ; one-half of the injury incidences were with crop yield loss greater than 10%. Crop injury caused by herbicide had not occurred to a serious extent in the 1960s when the herbicides fewer than 5 were used by farmers to the field less than 12% of total acreage. Farmers ascribed about 53% of the herbicidal injury incidences at their fields to their misuses such as overdose, careless or improper application, off-time application or wrong choice of the herbicide, etc. While 47% of the incidences were mainly due to adverse natural conditions. Such misuses can be reduced to a minimum through enhanced education/extension services for right uses and, although undesirable, increased farmers' experiences of phytotoxicity. The most difficult primary problem arises from lack of countermeasures for farmers to cope with various adverse environmental conditions. At present almost all the herbicides have"Do not use!" instructions on label to avoid crop injury under adverse environments. These "Do not use!" situations Include sandy, highly percolating, or infertile soils, cool water gushing paddy, poorly draining paddy, terraced paddy, too wet or dry soils, days of abnormally cool or high air temperature, etc. Meanwhile, the cultivated lands are under poor conditions : the average organic matter content ranges 2.5 to 2.8% in paddy soil and 2.0 to 2.6% in upland soil ; the canon exchange capacity ranges 8 to 12 m.e. ; approximately 43% of paddy and 56% of upland are of sandy to sandy gravel soil ; only 42% of paddy and 16% of upland fields are on flat land. The present situation would mean that about 40 to 50% of soil applied herbicides are used on the field where the label instructs "Do not use!". Yet no positive effort has been made for 25 years long by government or companies to develop countermeasures. It is a really sophisticated social problem. In the 1960s and 1970s a subside program to incoporate hillside red clayish soil into sandy paddy as well as campaign for increased application of compost to the field had been operating. Yet majority of the sandy soils remains sandy and the program and campaign had been stopped. With regard to this sandy soil problem the authors have developed a method of "split application of a herbicide onto sandy soil field". A model case study has been carried out with success and is introduced with key procedure in this paper. Climate is variable in its nature. Among the climatic components sudden fall or rise in temperature is hardly avoidable for a crop plant. Our spring air temperature fluctuates so much ; for example, the daily mean air temperature of Inchon city varied from 6.31 to $16.81^{\circ}C$ on April 20, early seeding time of crops, within${\times}$2Sd range of 30 year records. Seeding early in season means an increased liability to phytotoxicity, and this will be more evident in direct water-seeding of rice. About 20% of farmers depend on the cold underground-water pumped for rice irrigation. If the well is deep over 70m, the fresh water may be about $10^{\circ}C$ cold. The water should be warmed to about $20^{\circ}C$ before irrigation. This is not so practiced well by farmers. In addition to the forementioned adverse conditions there exist many other aspects to be amended. Among them the worst for liquid spray type herbicides is almost total lacking in proper knowledge of nozzle types and concern with even spray by the administrative, rural extension officers, company and farmers. Even not available in the market are the nozzles and sprayers appropriate for herbicides spray. Most people perceive all the pesticide sprayers same and concern much with the speed and easiness of spray, not with correct spray. There exist many points to be improved to minimize herbicidal phytotoxicity in Korea and many ways to achieve the goal. First of all it is suggested that 1) the present evaluation of a new herbicide at standard and double doses in registration trials is to be an evaluation for standard, double and triple doses to exploit the response slope in making decision for approval and recommendation of different dose for different situation on label, 2) the government is to recognize the facts and nature of the present problem to correct the present misperceptions and to develop an appropriate national program for improvement of soil conditions, spray equipment, extention manpower and services, 3) the researchers are to enhance researches on the countermeasures and 4) the herbicide makers/dealers are to correct their misperceptions and policy for sales, to develop database on the detailed use conditions of consumer one by one and to serve the consumers with direct counsel based on the database.

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낙동강 삼각주의 경관변화에 관한 연구 -명지동을 사례로- (A Study on the Landscape Change in Nakdong River Delta The Case of Myeongjidong)

  • 허민석;손일;탁한명
    • 대한지리학회지
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    • 제51권4호
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    • pp.491-508
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    • 2016
  • 본 연구에서는 일제강점기부터 현재까지 다양한 요인에 의해 공간적 변화가 이루어진 명지동을 사례로 낙동강 삼각주의 거시적 공간 변화와 지역주민들의 적응과정을 미시적 관점에서 파악하였다. 명지동의 공간적 변화는 1910년 발행된 구한말 지도집, 지형도, 지지(地誌), 시사(市史) 등에서 지도를 수집하고 GIS 프로그램의 지리참조 기능을 이용해 좌표를 부여한 후, 각 지역의 시계열적 변화를 확인하였다. 조선총독부, 김해수리조합, 국가의 계획이나 정책에 의해 추진된 공간변화는 이전과 다른 환경적, 인문적 변화를 가져왔으며, 지역과 주민들의 토지이용, 주택, 산업 등에 다양한 적응과정을 불러왔다. 이러한 적응과정은 문헌을 수집하고 비교한 후, 현지조사에서 실시한 지역주민들과의 면담을 통해 자료를 보충하였다. 연구지역은 1935년 낙동강제방과 명지방조제 축조를 시작으로 1940년대 후반 김해수리조합의 구역확장공사가 이루어진 이후 형성된 농업적, 전원적 경관이 1970년대 이후 국가, 지방자치단체의 발전계획에 따라 상업적, 도시적 경관으로 변화하고 있다.

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유료노인전문요양시설 이용자 가족의 서비스 만족도 및 요구조사 (A Study on Service Satisfaction of Users' Family in Charged Recuperation Facilities Specializing in the Old)

  • 정연강;한승의;이영미
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.397-406
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    • 2003
  • The purpose of this study is to provide the basic data in order to improve the quality of charged recuperation facilities which are specialized in the old. after finding out the satisfaction degree for the services which are provided in the current charged recuperation facilities specialized in the old and surveying the services which are demanded by users. As for the research method. the subjects were 88 family members of the users in the five charged recuperation facilities, which are specialized in the old and located in Seoul and Incheon. The survey research was executed from 27th July to 15th September, 2002. Then the collected data were analyzed by using the SPSS 10.0 for windows program. The research results are as follows. Firstly, in the satisfaction degree of the user's family about the daily service showed the highest satisfaction degree for the kind service of the staff to the users. In the satisfaction degree about the specialized service of the user's family, the satisfaction degree was high in bedsore prevention, periodical health care, proper medical treatment, family counsel, and adequate disease management. In the satisfaction degree about the facility and environmental service, the satisfaction degree about the surrounding environment of the facility or safety facility, and the comfort condition was high. In the satisfaction degree about the services related to the local society, it was high in the hospital and medical-related field. Secondly, in the demanded services, the demanding degree for worship, mental and spiritual nursing, hospice, funeral service, family meeting, and support for the special vehicle were not so high, but it was shown that they were generally demanded. Thirdly, it was shown that the provided services had an overall high satisfaction degree. In the service satisfaction degree according to the general characteristics of the user's family, it was recognized that there was a significant difference between the distinction of sex and local society related services. Also, there was a significant difference in the satisfaction degree between age and specialized service. Through the above research results, detailed rehabilitation programs such as linguistic treatment and working treatment should be more and more compensated in order to supplement the insufficient points of the services provided by the charged recuperation facility specialized in the old. Additionally, the correlation with the local society such as education and training for specialized human labor, close cooperation among the facilities, and positive participation in local society events are thought to be reinforced.

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중등학교 교과서 황해난류 오개념 분석 및 해류 데이터 시각화 수업자료 개발 (Misconception on the Yellow Sea Warm Current in Secondary-School Textbooks and Development of Teaching Materials for Ocean Current Data Visualization)

  • 김수란;박경애;변도성;정광영;최병주
    • 한국지구과학회지
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    • 제44권1호
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    • pp.13-35
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    • 2023
  • 지구의 기후 변화를 유도하고 제어하는 가장 중요한 역할을 하는 것은 해양의 해류이다. 황해는 수심이 동해에 비해 매우 얕고, 다양한 바람과 조류, 강물의 유입, 동중국해에서의 해수 유입 등 외력의 영향으로 해수의 순환과 해류가 상당히 복잡하다. 황해난류는 겨울철 황해의 대표적인 해류로서 겨울철 황해와 동중국해 바람 변동성과 밀접한 관련이 있으며, 황해의 수온과 염분 분포에 큰 영향을 주어서 중등학교 교과서에서 중요하게 다루어질 필요성이 있다. 2015 개정 교육과정 기반 중등학교 과학 및 지구과학 교과서의 황해난류와 관련된 내용을 분석하였다. 또한 해류의 시간 변동성에 대한 교사들의 인식을 조사하기 위해 중등학교 과학 교사들을 대상으로 설문조사를 실시하였다. 대부분의 교사들은 황해난류가 우리나라 서해안으로 연중 북상하고 있으며 일반적인 난류와 같이 여름철에 강하다는 잘못된 지식을 가지고 있는 것으로 나타났다. 황해난류는 해류의 세기가 강한 계절변동성을 가지는 북한한류와 달리 해류 자체가 연중 항시 존재하지 않으며 겨울철에만 발생하는 해류이다. 이러한 교사들의 교과내용 지식에 대한 오류는 북한한류가 겨울철에 강하다는 오개념을 가지게 된 연유와 유사한 배경을 가지고 있었다. 따라서 본 연구에서는 황해난류에 대한 교과서 내용의 오류를 분석하여 제시하였다. 또한 학생들과 교사들의 데이터 리터러시 함양을 위하여 탐구활동에서 활용할 수 있는 황해난류에 대한 수업 자료를 개발하였다. 황해 해수면 온도를 가시화할 수 있는 GUI 프로그램을 소개하였고, WOA (World Ocean Atlas) 2018 해양 실측 수온 및 염분자료와 국립해양조사원에서 생성한 해양 수치모델 재분석자료를 활용하여 수온과 염분의 공간 분포를 도시하는 자료를 개발하여 제시하였다. 이러한 해양 자료를 활용한 데이터 시각화과정은 교사들의 오개념을 개선하고, 나아가 학생들과 교사들의 해양 리터러시뿐만 아니라 데이터 리터러시도 제고하는 계기가 될 것으로 기대된다.

가정간호실무에 적용가능한 이론적틀 (Appling Nursing Theory to Clinical Practice of Home Health Care)

  • 우선혜
    • 가정∙방문간호학회지
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    • 제11권1호
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    • pp.5-13
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    • 2004
  • The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety of ways. As research tool it can be reflected in the interview process when the home visit. The home care nurse's role is that of facilitator of patient self-determination for self care through numerous strategies. including patient education and case management.

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