• 한국산학기술학회논문지
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• 제19권10호
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• pp.530-539
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• 2018

본 연구의 목적은 병원에서 근무하고 있는 신규간호사와 경력간호사의 극복력, 사회적지지, 사회심리적 스트레스, 소진 정도를 확인하여 비교하는 것이다. 자료수집은 종합병원에 근무하는 임상경력 1년 미만의 신규간호사 65명과 임상경력 7년 이상의 경력간호사 70명을 대상으로 구조화된 설문지를 이용하여 이루어졌다. 수집된 자료는 IBM SPSS 23.0 프로그램을 이용하여 분석하였다. 연구 결과, 신규간호사의 극복력은 경력간호사보다 낮았으며, 교육정도와 직무만족도, 주관적 건강상태에 따라 차이가 있었다. 반면 경력간호사의 극복력은 직위에 따라서 유의한 차이가 있었다. 또한 신규간호사와 경력간호사의 극복력은 사회심리적 스트레스와의 상관성이 가장 높았으며(r=-0.633, p<.001; r=-0.586, p<.001), 신규간호사는 사회적 지지(r=0.560, p<.001), 경력간호사는 소진이(r=-0.404, p=.001) 그 다음 상관성이 높은 변수인 것으로 나타났다. 이러한 결과를 통해 신규간호사와 경력간호사의 극복력의 정도와 관련 요인이 다르다는 것을 알 수 있다. 따라서 신규간호사와 경력간호사의 극복력을 증진하기 위해 각 대상자의 극복력 특성에 따른 차별화된 프로그램의 개발이 필요하다.

• 치위생과학회지
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• 제12권5호
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• pp.503-510
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• 2012

치과위생사의 자아존중감과 윤리적 성향과의 관련성을 분석하기 위하여 2012년 1월 23일부터 3월 30일까지 전국 치과위생사 748명을 대상으로 인구사회학적 특성, 직무관련 특성, 자아존중감과 윤리적 성향을 조사하였고, t-test, one-way ANOVA, Pearson's correlation과 stepwise multiple regression analysis을 시행한 결과는 다음과 같다. 1. 치과위생사의 자아존중감은 3.44점으로 인구사회학적 특성에서는 연령(p<0.01), 결혼상태(p<0.05)에서 차이를 나타냈고, 직무관련 특성에서는 경력(p<0.01), 연봉(p<0.01), 직무만족도(p<0.001)에서 차이를 나타냈으며(p<0.05), 윤리 유형에서는 절대론자(3.53점)와 상황론자(3.51점)가 주관론자(3.35점)와 예외론자(3.35점)보다 높았다(p<0.001). 2. 윤리적 성향 중 이상주의 성향은 자아존중감의 전체 하위요인과 유의한 양의 상관관계를 나타냈고(p<0.001), 상대주의 성향은 타인과의 관계에서 유의한 음의 상관관계를 나타냈으며(p<0.05), 자아존중감 관련요인 분석의 회귀모형 설명력은 11.9%로 이상주의 성향, 만족도, 연봉이 높을수록, 상대주의 성향이 낮을수록 자아존중감이 높았다. 치과위생사가 적극적인 자세로 자신의 잠재력을 발휘하는데 부족함이 없도록 자아존중감을 증진시킬 수 있는 방안을 치위생교육에서 적극 고려해야 할 것으로 사료된다.

• 유통과학연구
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• 제14권3호
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• pp.55-62
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• 2016

Purpose - Average using time of smart-phone for Korean people is 3 hours 39 minutes and most people who are using a computer at home and their workplace can be affected over force to neck and shoulder due to unstable body posture. musculoskeletal disorders which caused by unstable body posture can affect strongly to decrease work efficiency. So this research is designed to measure the effect of using computer & smart-phone on decreased work efficiency due to musculoskeletal disorders and mediating effect between decreased work efficiency and musculoskeletal disorders. Research Design, Data, and Methodology - The author has developed a questionnaire with 6 hypothesis on the basis of previous research result with 5 constructs. The questionnaires were also made by interview and E-mail. 300 copies of questionnaires were distributed and 282 questionnaire were used for the analysis as valid data responses. SPSS ver.21.0 were used and made Cronbach's α and reliability test, correlation, Baron & Kenny 3 step mediated regression analysis. Result - Cronbach's α shows 0.770~0.954 and C.R. is 0.963~0.997 which is higher than 0.7. and AVE was 0.867~0.933. So the data are all acceptable condition. Using for a long time of a computer & smart-phone has a positive effect on musculoskeletal disorders. This means, it can cause musculoskeletal disorders if people use a computer & smart-phone for a long time due to unstable body posture. And musculoskeletal disorders can effect strongly decrease work efficiency. This study also found out that a long time of using computer can cause musculoskeletal disorders rather than using smart-phone a long time. To check mediate effect of musculoskeletal disorders between using a computer & smart-phone and Decreased Work Efficiency, author used 3-step mediated regression analysis of Baron & Kenny (1986). Using a computer for a long time mediate partially and using a smart-phone for a long time mediate completely. This means that using a smart-phone a long time is not the actual reason to decrease work efficiency. But using level of smart-phone is increasing rapidly day by day. So we need to make additional research about this matter seriously. Conclusion - Nowadays, people can not live on without a computer & smart-phone even a moment. But, using a computer for a long time will affect to cause musculoskeletal disorders and it will effect strongly to decrease work efficiency. Before, we thought over that musculoskeletal disorders were diseases of elder people. But, we found out from this study that musculoskeletal disorders can be happen to any people, even children, or workers in heavy industry or engaged in brain work. So we need to be careful when we use a computer for a long time. People also need to be careful to keep correct body posture when using both a computer and smart-phone since a smart-phone became more popular and using time level became longer. Due to increased income and living standard of people, physical growth of young people is so rapid. But the physical environment of society is not suitable for them since it can not follow up the speed of growth. Suitable work table is very important to prevent musculoskeletal disorder which can affect decrease work efficiency. For a person, a society or country, increased productivity is very important since it can directly connected to the job satisfaction. Education and reeducation for the people is also important, but to teach them how to keep good condition of health will be more important since it can increase the quality of work efficiency and quality of life. Computer and Smart-phone is one the best invention of modern society, but it can cause mental and physical disease which can affect decrease work efficiency and productivity. So it is necessary to observe attentively for the situation continually.

• 대한간호학회지
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• 제24권4호
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• pp.584-596
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• 1994

The objective of the study is to explore the relationships between the variables of nursing productivity on the framework of system del in the tertiary university based care hospital in Korea. Productivity is basically defined as the relation-ship between inputs and outputs. Under the proposition that the nursing unit is a system that produces nursing care output using personal and material resources through the nursing intervention and nursing care management. And this major conception of nursing productivity system comproises input, process and output and feed-back. These categorized variables are essential parts to produce desirable and meaningful out-put. While nursing personnel from head nurse to staff nurses cooperate with each other, the head nurse directs her subordinates to achieve the goal of nursing care unit. In this procedure, the head nurse uses the leadership of authority and benevolence. Meantime nursing productivity will be greatly influenced by environment and surrounding organizational structures, and by also the operational objectives, the policy and standards of procedures. For the study of nursing productivity one sample hospital with 15 general nursing care units was selected. Research data were collected for 3 weeks from May 31 to June 20 in 1993. Input variables were measured in terms of both the served and the server. And patient classification scores were measured drily by degree of nursing care needs that indicated patent case-mix. And also nurses' educational period for profession and clinical experience and the score of nurses' personality were measured as producer input variables by the questionnaires. The process varialbes act necessarily on leading input resources and result in desirable nursing outputs. Thus the head nurse's leadership perceived by her followers is defined as process variable. The output variables were defined as length of stay, average nursing care hours per patient a day the score of quality of nursing care, the score of patient satisfaction, the score of nurse's job satis-faction. The nursing unit was the basis of analysis, and various statistical analyses were used : Reliability analysis(Cronbach's alpha) for 5 measurement tools and Pearson-correlation analysis, multiple regression analysis, and canonical correlation analysis for the test of the relationship among the variables. The results were as follows : 1. Significant positive relationship between the score of patient classification and length of stay was found(r=.6095, p.008). 2. Regression coefficient between the score of patient classification and length of stay was significant (β=.6245, p=.0128), and variance explained was 39%. 3. Significant positive relationship between nurses’ educational period and length of stay was found(r=-.4546, p=.044). 5. Regression coefficient between nurses' educational period and the score of quality of nursing care was significant (β=.5600, p=.029), and variance explained was 31.4%. 6. Significant positive relationship between the score of head nurse's leadership of authoritic characteristics and the length of stay was found (r=.5869, p=.011). 7. Significant negative relationship between the score of head nurse's leadership of benevolent characteristics and average nursing care hours was found(r=-.4578, p=.043). 8. Regression coefficient between the score of head nurse's leadership of benevolent characteristics and average nursing care hours was significant(β=-.6912, p=.0043), variance explained was 47.8%. 9. Significant positive relationship between the score of the head nurse's leadership of benevolent characteristics and the score of nurses' job satis-faction was found(r=.4499, p=050). 10. A significant canonical correlation was found between the group of the independent variables consisted of the score of the nurses' personality, the score of the head nurse's leadership of authoritic characteristics and the group of the dependent variables consisted of the length of stay, average nursing care hours(Rc²=.4771, p=.041). Through these results, the assumed relationships between input variables, process variable, output variables were partly supported. In addition it is also considered necessary that-further study on the relationships between nurses' personality and nurses' educational period, between nurses' clinical experience including skill level and output variables in many research samples should be made.

• 한국환경보건학회지
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• 제17권2호
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• pp.78-94
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• 1991

The purpose of this study is to research the actual conditions of industrial accident patients and to produce worker satisfaction and a rational and effective counter measure pain. Direct interviews with 179 cases (in and out patients) were carried out during a three month period from April to July 1990, at six hospitals two general hospitals Sun Lin and Sung Mo in Po Hang, and four general hospitals in Taegu Kyung Pook University Hospital, Dong San Medical Center, Young Nam Medical Center and Catholic Hospital. The results of this study are summarized as follows: 1. Among the 179 cases, 51.6 % were male and 48.4 % were female. The two largest age groups were 30~39, 31.8 % and 20~29, 27.4 %. Among the 179 cases, 51.6% were married, the largest family number was 2 to 3, 41.1% and 4 to 5, 25.6%. Educationally, graduation from high school was the largest group, 46.4% among the patients, followed by middle school and primary school. The largest group income level was from 40~69만원, 45.2%. The largest group of patients who worked over 50 hrs. a week was 52.0%. The largest group of patients who worked less than 1 year was 44.7%, of the patients in work places of less than 100 people, 60.3% were injured and in work places of 100~299 people, 20.1% were injured. In manufacturing, the lagest group injured was 55.3%, the next group was transport, stroage, communication. The largest group of production workers injured was 40.2%. 2. The cause of injury in the largest group was facility problems, 33.5%. The next group was unsafe habits, 30.2% a lack of safety knowledge, 17.9% and insufficient supervision, 12.3%. The 30~39 year age group was head the highest number of injuries, 40.4% work places with more than 10 yeras of work, 44.4% work palces with more than 1000 people, 56.3% and mining accidents, 80.0%. Among these groups the highest cause of injury was due to facility problems. 3. The accident pattern showed machinery injuries 28.5% as the largest group, followed by falls & falling objects 17.3%, fire & electric 15.1%, struke by an object 14.5%, followed by overaction and vehicular accidents. The accident pattern showed 46.4 % among workers over the 50 year age group, workers in the 5~10 year group, 50.0 % places employing more than 1000 workers, 35.3 % : construction 73.7%, and construction workers 57.1%, among these fall & falling objects caused the greatest number of injuries. 4. The largest group of injuries was fractures 54.8%, trauma 14.5%, amputation 11.7%, open wound, and burns. The largest number of fractures occurred in people in the 30~39 year age group, 63.2 % over 10 years of work, 55.6% in work places of 300~400 people, 63.6% construction 63.2% and general workers 57.2 %. 5. The largest group of injuries was upper extremity 45.3%, lower extremity 24.0%, trunk 18.5 % and head or neck 12.2%. Of these groups, upper extremity injuries were the highest in those less 20 years old 75.0%, less than 1 years of work 59.5%, in work places of 500~999 people 60.0%, manufacturing 56.6 % and production workers 55.6%. 6. Periods of injury showed 34 people injured in September, to be the largest followed by October, 32 August, 22 people July, 19 people and the lowest December, 2 people. During the week, Friday had the largest group injured, 35 people followed by Saturday, 26 people and the lowest was Wednesday, 17 people, During the day 1400 hours had the largest group injured, 38 people followed by 800 hours, 31 people. 7. On a basis of 5 as the highest mark, the average, according to worker satisfaction showed facility safety 3.55, work environment 3.47, income 3.44, job 3.21 and treatment 2.98. 8. The correlation between general characteristics and injury showed that age was directly correlated to the duration of work(r=.2591) p<0.01, age was directly correlated to industry (r=2311) p<0.01, and the duration was directly correlated to occupation(r =.4372) p<0.001.

• The Journal of Korean Physical Therapy
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• 제3권1호
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• pp.151-174
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• 1991

The purpose of this study is to research the actual conditions of industrial accident patients and to produce worker satisfaction and a rational and effective counter measure plan. Direct interviews with 179 cases (in and out patients) were carried out during a three month period from April to July 1990, at six hospitals : two general hospitals Sun Lin and Sung Mo in Po Hang, and four general hospitals in Taegu : Kyung pooh University Hospital, Dong San Medical Center, Young Nam Medical Center and Catholic Hospital. The results of this study are summarized as fellows : 1. Among the 179 cases, $51.6\%$ were male and $48.4\%$ were female. The two largest age groups were 30-39, $31.8\%$ and 20-29, $27.4\%$. Among the 179 cases, $51.6\%$ were married, the largest family number was 2 to 3, $41.1\%$ and 4 to 5, $25.6\%$. Educationally, graduation from high school was the largest group, $46.4\%$ among ,the patients, followed by middle school and primary school. The largest group income level was from 40-69 만원, $45.2\%$. The largest group of patients who worked over 50 hrs. a week was $52.0\%$. The largest group of patients who worked less than 1 year was $44.7\%$, of the patients in work places of less than 100 people, $60.3\%$ were injured and in work places of 100-299 people, $20.1\%$ were injured. In manufacturing, the largest group injured was $55.3\%$, the next group was transport, storage, communication. The largest group of production workers injured was $40.2\%$. 2. The cause of injury in the largest group was facility problems, $33.5\%$. The next group was unsafe habits, $30.2\%$ ; a lack of safety knowledge, $17.9\%$ ; and insufficient supervision, $12.3\%$. The 30-39 year age group head the highest number of injuries, $40.4\%$ ; work places with more than 10 years of work, $44.4\%$ ; work places with more than 1000 people, $56.3\%$ and mining accidents, $80.0\%$. Among. these groups the highest cause of injury was due to facility problems. 3. The accident pattern showed machinery injuries $28.5\%$ as the largest group, followed by falls & falling objects $17.3\%$, fire & electric $15.1\%$, strucke by an object $14.5\%$, followed by overaction and vehicular accidents. The accident pattern showed $46.4\%$ among workers over the 50 year age group, workers in the 5-10 year group, $50.0\%$ ; places employing more than 1000 workers, $35.3\%$ ; construction $73.7\%$, and construction workers $57.1\%$, among these fall & falling objects caused the greatest number of injuries. 4. The largest group of injuries was fractures $54.8\%$, trauma $14.5\%$, amputation $11.7\%$, open wound, and burns. The largest number of fractures occurred in people in the 30-39 year age group, $63.2\%$ : over 10 years of work, $55.0\%$ ; in work places of 300-490 people, $63.6\%$ ; construction $63.2\%$ and general workers $57.2\%$. 5. The largest group of injuries was upper extremity $45.3\%$, lower extremity $24.0\%$, trunk $18.5\%$ and head or neck $12.2\%$. Of these groups, upper extremity injuries were the highest in those less than 20 years old $75.0\%$, less than 1 year or work $59.5\%$, in work places of 500-999 people $60.0\%$, manufacturing $56.6\%$ and production workers $55.6\%$. 6. Periods of injury showed 34 people injured in September, to be the largest followed by October, 32 ; August, 22 people : July, 19 people and the lowest December, 2 people. During the week, Friday had the largest group injured, 35 people ; followed by Saturday, 26 people and the lowest was Wednesday, 17 people, During the day 1400 hours had the largest group injured, 38 people ; followed by 800 hours, 31 people. 7. On a basis of 5 as the highest mark, the average, according to worker satisfaction showed facility safety 3.55, work environment 3.47, income 3.44, job 3.21 and treatment 2.98. 8. The correlation between general characteristics and injury showed that age was directly correlated to the duration of work (r=2591) p<0.01, age was directly correlated to industry (r=2311) p<0.01, and the duration was directly correlated to occupation (r=4372) p<0.001.

• 치위생과학회지
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• 제17권4호
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• pp.368-374
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• 2017

본 연구는 G대학교 지역사회치위생학 실습 수업을 수강한 치위생학과 4학년 학생 27명을 대상으로 구강건강증진사업을 학습 내용에 적용하기 위해 목표 집단에 대한 현황조사, 사업 기획, 수행, 평가, 중간 및 결과 발표로 구성된 프로젝트 기반의 수업을 진행하였다. 수업 전 후 문제해결능력에 대한 자신감, 프로젝트 가치, 팀워크 역량, 지역사회 치과위생사 역량에 대한 비교 결과, 문제해결능력에 대한 자신감은 수업 전 35.74점, 수업 후 39.59점(p=0.001), 프로젝트 가치는 수업 전 25.11점, 수업 후 26.41점(p=0.181), 팀워크 역량은 수업 전 79.63점, 수업 후 84.07점(p=0.070), 지역사회치과위생사 역량은 수업 전 38.26점에서 수업 후 46.26점(p=0.001)으로 향상되었다. 수업 후 프로젝트의 실제성, 학습성과, 만족도를 분석한 결과, 프로젝트 실제성은 19.30점, 학습성과는 45.19점, 만족도는 19.19점으로 보통 이상의 긍정적인 결과로 나타났다. 수업 효과성의 질적 평가를 위해 각 팀별 동료평가에서 최저점과 최고점을 받은 학생 2명씩 총 8명을 대상으로 1:1 면담조사를 실시하였으며, 피면접자 모두 학습자가 자율성을 갖고 주도적으로 프로젝트를 수행함으로써 지역사회 치과위생사의 역할에 대한 이해도와 추후 배운 기술의 적용가능성이 높은 것으로 나타났다. 또한 현 사회에서 요구하고 있는 문제에 대한 해결력 및 자신감, 협동심과 같은 팀 워크 역량, 역할에 대한 책임감, 창의적인 사고력, 의사사통 등의 사회적 기술을 배울 수 있는 것으로 나타났다. 프로젝트 기반의 지역사회치위생학 실습 교과목은 학습자들이 지역사회에서 적용할 수 있는 주제를 선정하여 프로젝트를 주도적으로 수행함으로써 현장과 밀접한 경험을 할 수 있기 때문에 실무적인 역량을 증진시키기 위해서는 프로젝트 학습법이 적합한 것으로 생각된다. 타 치위생(학)과에서도 지역사회치위생학 실습이 현장과 밀접한 교과목으로 운영될 수 있도록 프로젝트 기반의 체계적인 학습모듈이 개발될 필요가 있다고 생각된다.

• 농촌의학ㆍ지역보건
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• 제25권2호
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• pp.353-377
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• 2000

보건진료소의 보건의료환경 및 근무여건, 업무현황과 개선에 대한 보건진료원의 의견을 파악하여 향후 보건진료소의 발전 방안을 제시하는데 도움을 주고자 경상북도 소재 보건진료소(1996년 330개소, 1999년 313개소)의 운영상황보고서에 의한 업무 변화량을 분석하였으며, 보건진료원 280명의 설문자료를 분석하였다. 운영상황보고서에 의한 보건진료소의 관할인구 추이는 1996년에 비해 1999년에 전반적으로 감소하였으나 노인인구는 증가하였다. 운영상황보고서에 의한 보건진료소의 업무 활동상황은 1996년도에 비해 전반적으로 증가하였고, 진찰 및 투약관리, 검사, 성인병 및 만성질환관리, 노인건강, 가정방문이 특히 증가하였으며, 전염병 관리와 결핵관리에서 부분적인 감소를 보였다. 재정운영상태는 50.4%가 운영이 잘된다고 하였고, 1.4%만이 운영하기 곤란하다고 하였는데, 현 근무지 근무연수가 많을수록(p<0.05), 그리고 도시근교일수확, 인구가 많을수록, 진찰 및 투약건수가 많을수록(p<0.01) 운영이 잘 된다고 하였다. 보건진료원의 직업적 긍지는 전반적으로 긍정적이었는데, 그 중 하는 일의 중요함이 94.6%로 가장 긍정적이었고, 역할과 임무에 대한 만족정도는 현 근무지 근무연수에 따라 차이가 있었다(p<0.05). 보건진료원들의 보건기관과 민간의료기관과의 협조정도는 대체로 긍정적이었는데, 보건소와 협조정도는 연령이 많을수록, 근무 경력이 길수록 긍정적인 응답률이 유의하게 높았으며(p<0.01), 현 근무지 근무연수에 따라 차이가 있었다(p<0.05). 보건진료원들은 운영협의회, 마을건강원, 지역사회조직과도 협조적이다는 응답이 모두 70% 이상이었다. 보건진료소 사업계획서는 96.4%가 적성하였으며, 제2기 지역보건의료계획서 작성에는 11.4%만이 참여하였다. 관할지역주민의 혈압과 흡연여부를 70% 이상 파악하고 있는 보건 진료원은 각각 88.2%, 63.9% 였는데, 혈압파악률은 보건진료원의 연령이 많을수록(p<0.01), 교육정도가 전문대학 이하인 경우(p<0.05)에서 높았다. 보건진료원의 지난 3년 동안에 보수교육외 교육 참여율, 연구사업 참여율은 각각 27.5%로 저조했으며, 보건진료소 수입으로 주민환원 사업을 실시한 경우는 65.4%였다. 보건진료원들이 생각하는 보건진료소의 필요 정도는 국가적 측면, 소속시군 측면, 관할지역 측면에서 모두 95% 이상이 매우 필요 또는 필요하다고 하였으며, 53.9%가 보건진료소의 역할이 증대되어야 한다고 하였다. 지금까지 폐쇄 및 폐쇄 예정된 보건진료소에 대하여 보건진료원은 담당 부서의 보건진료소 업무에 대한 인식부족 및 행정편의, 보건진료원의 신분이 법률로 보장되지 않은 별정직이어서, 단체장의 의지 등을 주된 이유로 제시하였다. 보건진료원은 향후 보건진료소에 대한 평가기준에 대해 노인 및 만성질환자 등의 보건의료서비스 대상자수, 주민의 의견, 인구 규모, 일상생활권을 고려한 교통상황 등의 순으로 제시하였으며, 보건진료원에 대한 평가기준으로는 보건사업실적, 주민과의 유대정도, 진료실적, 행정 및 업무처리 능력 등의 순으로 제시하였다. 객관적인 평가 후 일정기준이하의 보건진료소에 대한 향후 대처 방안에 대해서 보건진료원은 현 구조 유지하면서 업무개선, 도시 의료취약지역으로의 보건진료소 위치 조정 등을 많이 제시하였다. 보건진료소의 가장 필요한 개선부문으로는 절반 이상인 52.5%가 보건진료원의 업무조정이라고 하였으며, 향후 보건진료소가 중점적으로 추진하여야 한 사업으로는 당뇨 및 고혈압 관리, 방문보건사업, 노인보건사업 등이 중요하다고 하였다. 향후 보건진료소가 일차보건의료의 가치체계를 잘 반영하는 조직이 되기 위하여는 지역사회 보건의료요구에 부합하는 업무개선이 이루어져야 하겠으며, 만성질환관리사업, 방문보건사업, 노인보건사업 등이 활성화 되어야 하겠다.

• 한국유통학회지:유통연구
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• 제15권1호
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• pp.49-71
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• 2010

본 연구는 가맹사업자의 자기효능감에 주목하여 정부가 예비가맹사업자들을 보호하기 위해 가맹본부에 다양한 규제와 정책을 사용하는 것이 최선의 방법이 아니라는 것에 관심을 두고 있다. 본 연구에서는 경로-목표이론(path-goal theory)에서 제시한 가맹본부의 리더십 행동 유형과 가맹사업자의 관계결속의 영향관계에 있어서 가맹사업자의 특성으로 자기효능감의 조절효과를 규명하고, 실증 분석한 결과 다음과 같은 연구의 시사점을 발견할 수 있었다. 첫째, 가맹본부의 리더십 행동유형이 관계결속에 긍정적 효과를 가져 온다는 사실이 확인됨으로써 가맹본부는 가맹사업자에게 맞는 리더십 행동유형을 적용할 수 있도록 하여야 한다. 둘째, 가맹사업자의 자기효능감이 관계결속에 긍정적 효과가 있을 뿐만 아니라, 리더십 행동유형과 관계결속 사이에 상당한 조절효과가 있기 때문에 가맹본부는 가맹사업자들의 개인차(individual difference) 관리가 필요하다. 셋째, 정부는 가맹본부를 규제할 것만이 아니라 가맹본부가 가맹사업자들의 특성을 확실하게 파악하고 기업의 목표달성을 위한 정당한 통제가 가능하도록 제도적 지원을 해야 할 것이다.

• 농촌의학ㆍ지역보건
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• 제12권1호
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• pp.36-53
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• 1987

It is utmostly important to establish the efficient fitable way of peoples' active participation in primary health care especially in the areas where the public or governmental service input for the basic health care is insufficient like as in rural areas of Korea. In light of above reason, this study focused mainly on the evaluation of roles and activities of village health workers (VHWs) who were selected from grass- root level of village people in order to derive further motivation for active participation. This is believed to be a sort of feedback mechanisms. Actually, the authors collected the activity reports of VHWs who had been devoting themselves in the primary health care services of Jeomdong Area, of Yeoju Gun one of Korea University Community Health Action Programmes and survey record on the VHWs activity from correspondent people. 1 hose data were analyzed through computer programmed package. The activities performed by VHWs were limited to the performance in 1985 for conveniance. The summarized results were as follows; 1) General characteristics of VHWs. Among a total of 28 VHWs in the area, about 39.3g of them have been replaced up to the date since the implementation in 1983, because of moving out, occupational employment and of others. The age of majority (75.0%) lied between the range of 30-50, and educational background of 67.9% belonged to category of primary school graduation, about 50% of them experienced to be or were also entiled "chief of women club" of corresponding villages. 2) Work-load of VHWs. Each VHW was assigned for tasks of health care for average 55 households of 248 persons. They shared approximately 6 days a month for the activity in average and it covered 17 cases of basic health care in a month. A half of the VHWs performed home visits irregularly without solidified schedule. 3) Work performance analysis. Informations collected through VHWs were compared with data from official vital registration at local administration center "Myon Office" in 1985. VHWs collected 100.8 of new born, 116.2 of death, 58.3 of move in and 74.8 of move out in comparison with 100.0 of official registration each. Pregnant women of 79.8% of mothers among the total pregnancy of 94 which were confirmed as normally delivered or aborted cases by all means afterwards had been detected by VHWs as being pregnant and all of them received some of antenatal cares by VHWs. All(100%) of delivered women were detected by VHWs through home visits and they were cared postnatally. Whereas, according to the records of birth registration, the places of delivery were clinic in 33.7%, and mother's home in 66.3%, VHWs reported them to be clinic in 48.9%, midwifery in 20.2%. It was cleared that most of misinformation was caused by uncautious filling of birth registration at notification. Among the total of 717 eligible women under age 44 years, family planning status of 92.6% was reported by VHWs confirming practice of control to be 70.8% of reported fertile women. 4) Attitude of VHW on the roles and functions. Although 92.0% of VHWs expressed VHWs to be worthwhile, only 52.0% of them had dignity and satisfaction in their activity and 44.0% of them had passive attitude of working saying they followed direction regardlessly. Concerning difficulties in performance as a VHW, 60.7% of them pointed out lacking of medical and health related knowledge by themselves. Still, 64.0% of them thought visiting unfamilier house to be awful and 40.0% complained forms of activity to be difficult and hard. It was also revealed that 56.6% confessed lack of interest on community health service itself. Most of VHWs needed more educational training especially on clinical fields such as cares of gynecological diseases, hypertension, diabetes, and other chronic diseaes of the aged. Regular on-the-job basic trainings were said to be needed twice a year.