• 제목/요약/키워드: motivation for change

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클라이언트 중심 가정방문 일상생활훈련이 인지지원등급, 노인의 인지기능, 작업수행, 일상생활수행도에 미치는 영향 (The Effects of Instrument-Activities Daily Living Training through Client-Centered Home Visitation on Cognitive Functions, Occupational Performance, and Instrument-Activities Daily Living among Elderly at the Cognitive Support Grade)

  • 손보영;방요순
    • 대한통합의학회지
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    • 제8권4호
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    • pp.143-154
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    • 2020
  • Purpose : This study aims to investigate the effect of instrument-activities daily living training through client-centered home visitation on the cognitive functions, occupational performance, and instrument-activities daily living of elderly at the cognitive support grade(Grade6). Methods : The subject of this study was a 66-year-old woman living in G Metropolitan City, who has been diagnosed with Alzheimer's and mild dementia. The study period was from March 17, 2020 through June 12, 2020, and the A-B-A' design, among the individual case experiments, was adopted as the study design. For the data analysis, descriptive statistic and visual analysis using graph were used for the change of cognitive functions, occupational performance, and instrument-activities daily living. Results : The instrument-activities daily living provided through client-centered home visitation improved the subject's cognitive functions, occupational performance(performance, satisfaction) and instrument-activities daily living. Conclusion : This study showed that daily life training through client-centered home visitation can help elderly people at the cognitive support grade select for themselves the problems of daily life caused by cognitive decline and practice specific action plans, thereby enabling them to maintain and improve the cognitive functions necessary for the performance of activities, such as comprehension, memory, and thinking skills. In addition, it is thought that the activities based on the subject's preferences, performance, and sense of importance assured the subject of feelings of motivation and the possibility of participation, and had a positive effect on the subject's performance speed and rate. With the above in mind, Instrument-activities daily living client-centered home visitation is proposed as a potential practical intervention program for individuals. It can help elderly people at cognitive support grade to maintain and improve their functions, thereby delaying the progress of their condition to severe dementia.

장애청소년의 라이프 케어를 위한 장애수용과 회복경험에 대한 현상학적 연구 (Phenomenological Research on Disability Acceptance and Recovery Experience for the Life-Care of Adolescents with Disabilities)

  • 박아름;강진호
    • 한국엔터테인먼트산업학회논문지
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    • 제14권2호
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    • pp.177-185
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    • 2020
  • 본 연구는 장애청소년의 라이프 케어를 위한 장애수용과 회복경험을 이해하기 위해 현상학적 연구방법을 사용하였다. 현상학적 연구는 사람들의 경험을 이해하고자 하며, 현상에 대한 연구 참여자들의 인식을 서술하여 기술하는 연구방법으로, 연구 결과 장애로 인한 혼란과 심리적 불안, 장애를 서서히 받아들임, 회복에 대한 동기 강화, 장애 극복과 사회 복귀 네 가지의 구성요소를 도출하였다. 장애청소년들은 가족의 지지와 치료사에게 정신적 교감을 통해 심리적 위안을 받았으며 본인 및 치료사 노력을 통해 효과를 실감하여 회복을 위해 더 노력하였다. 장애청소년들은 회복됨과 동시에 장애에 대한 인식변화를 경험하였으며, 퇴원 후 삶에 대한 희망이 생겨 좌절을 극복하고 앞으로의 진로에 대한 긍정적인 모습을 보였다. 본 연구 결과를 토대로 장애청소년의 장애 수용과 회복 경험에 대해 이해할 수 있었으며, 수용과 회복의 구성요소를 확인할 수 있었다. 도출된 구성요소는 장애청소년의 라이프 케어를 위한 장애 수용과 회복 중재 방향성 제시를 위해 활용할 수 있을 것이다.

신입생 대상 온라인 비교과 프로그램 효과 분석: K 대학 사례 (The Effect of Online Extracurricular Program for University Freshmen: Focusing on the Case of K University)

  • 박혜진;차승봉
    • 디지털산업정보학회논문지
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    • 제19권2호
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    • pp.27-37
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    • 2023
  • The purpose of this study was to analyze the effect of the online extracurricular program operated by the university. The program contents applied in the study included learning strategies such as time management, goal setting, note taking, and memorization methods. The program used in the study was operated in an online environment, and the content was developed between 27 and 29 minutes. The developed contents can be taken using the learning management system. The variables selected to analyze the effects of this program were learning strategies and learning flow, and satisfaction was also included to examine the responses of program participants. The results of the study are as follows. First, learning strategies and learning flow showed statistically significant differences. This result is because the content was composed of meaningful sub-topics by selecting the elements necessary for learning activities. Second, as a result of program satisfaction analysis, it was confirmed that the average for all questions was high. Among them, the average of the item that the theme and contents of the program were useful was the highest. Third, open responses were analyzed by classifying them into cognitive and affective domains. In the cognitive domain, meanings such as knowledge, understanding, and application were presented as keywords, and in the affective domain, a number of keywords for motivation and attitude change were presented. This study is significant in that it provided practical programs necessary for university freshmen and analyzed their effects.

香港反修例运动与"一国两制"演变趋势 (Hong Kong's Anti-Ordinance Amendment Movement and the Trend of Change in the One Country-Two System)

  • Tian, Feilong
    • 분석과 대안
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    • 제3권2호
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    • pp.59-85
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    • 2019
  • The Hong Kong's Anti-Ordinance Amendment Movement is the most serious radical social movement since the 1997 return, which has served as the promotion of the 2014 Occupy Central Movement and broken through the violence baseline. The movement came from a criminal case committed in Taiwan,which gave a good reason and motivation for the HK government to amend the Fugitive Offenders Ordinance. The HK government has responded to the protests by strictly limiting the legal scope and transfer procedure, even giving up the legislative motion. But the protests still say no and develop into the constantly violent activities. Many of the protests have committed the crimes in HK laws,part of whom have been arrested,prosecuted and under judicially judged. It is necessary for the offenders to be punished to protect the authority of rule of law in HK. Two different paths for HK have fought against each other since the 1997 return: one is the "democratic-welfare" path taken by the Pan-Democratic Camp, the other is the "Legal-development" path taken by the Pan-Establishment Camp. The second path shares some nuclear characteristics of the so-called The China Model mainly shaped from the 40-years Reforms and Openness. However, the HK people can't understand the China Model very well and show great fear and distrust on the judicial system of Mainland China. The foreign powers such as US and UK have illegally interfered the HK issues which are deemed to be the domestic affairs of China. The so-called Sino-UK Joint Declaration can't serve as the legal basis for the interference. Taiwan, as a part of China, also plays a negative role in this movement for its electoral and political interest. Up to now, the movement has gone down and the HK government has the legal capacity to solve the problems under the supports from the central government and the HK people. The HK people love its rule of law and order under the constitutional framework of One Country Two System. After the movement,One Country Two Systems will be go on, and the integrated development under the policies of the central government will be the main stream. However, the relevant problems exposed by this movement muse be checked and solved legally and strictly,especially concerning the social inequality and youth development.

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요양병원 간병인의 직업의식, 직무스트레스, 직무만족도가 이직의도에 미치는 영향 (The Effects of Work Sense, Job Stress, Job Satisfaction on Turnover Intention of Caregivers in Long-Term Care Hospitals)

  • 한현숙;유왕근;도은수
    • 한국병원경영학회지
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    • 제28권4호
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    • pp.23-32
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    • 2023
  • Purposes: Caregivers are placed in a poor working environment because there is no special legal basis or definition in the current medical system, and they have difficulty in supplying manpower due to frequent job change and retirement. Therefore, this study aimed to find out the effect on job consciousness, job stress, job satisfaction, and turnover intention of caregivers in nursing hospitals for the elderly. Methodology: In this study, a survey was conducted from May 2nd to 16th, 2022, targeting caregivers with more than 6 months of work experience working at 10 nursing hospitals in D City. Data were collected through convenience sampling, and a self-administered questionnaire method was used, in which subjects filled out a questionnaire. A total of 240 questionnaires were distributed, and 220 copies were considered for the final analysis after excluding non-response or inappropriate questionnaires for data use. Data analysis used t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis, and the main results are as follows. Findings: Job stress and job satisfaction showed a significant correlation with the level of turnover intention, and were also found to be major determinants. On the other hand, among the occupational characteristics of the study subjects, employment type, job motivation, service period, number of patients, injury experience, and license status showed a significant difference from turnover intention. Conclusion: As a result of the above research, in order to prevent job turnover and retirement by improving job stress and job satisfaction of caregivers engaged in nursing hospitals, it is necessary not only to legalize caregivers, but also to secure an appropriate level of caregivers for nursing hospitals and improve specific treatment for caregivers. Ultimately, a policy alternative that can provide quality nursing service is required.

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디지털 래디오그라피의 신호 및 잡음 특성에 대한 방사선 영향에 관한 연구 (Investigation of Radiation Effects on the Signal and Noise Characteristics in Digital Radiography)

  • 김호경;조민국
    • 대한의용생체공학회:의공학회지
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    • 제28권6호
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    • pp.756-767
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    • 2007
  • For the combination of phosphor screens having various thicknesses and a photodiode array manufactured by complementary metal-oxide-semiconductor (CMOS) process, we report the observation of image-quality degradation under the irradiation of 45-kVp spectrum x rays. The image quality was assessed in terms of dark pixel signal, dynamic range, modulation-transfer function (MTF), noise-power spectrum (NPS), and detective quantum efficiency (DQE). For the accumulation of the absorbed dose, the radiation-induced increase both in dark signal and noise resulted in the gradual reduction in dynamic range. While the MTF was only slightly affected by the total ionizing dose, the noise power in the case of $Min-R^{TM}$ screen, which is the thinnest one among the considered screens in this study, became larger as the total dose was increased. This is caused by incomplete correction of the dark current fixed-pattern noise. In addition, the increase tendency in NPS was independent of the spatial frequency. For the cascaded model analysis, the additional noise source is from direct absorption of x-ray photons. The change in NPS with respect to the total dose degrades the DQE. However, with carefully updated and applied correction, we can overcome the detrimental effects of increased dark current on NPS and DQE. This study gives an initial motivation that the periodic monitoring of the image-quality degradation is an important issue for the long-term and healthy use of digital x-ray imaging detectors.

Testing the Andrews Framework of Strategy Formulation and Implementation: Case Study of the University of Cape Coast Digital Library in Ghana

  • Adzobu, Nesba Yaa Anima
    • International Journal of Knowledge Content Development & Technology
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    • 제4권2호
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    • pp.49-65
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    • 2014
  • This paper investigates how strategy formulation and implementation processes used by the University of Cape Coast (UCC) in building its digital collections compare with the Andrew's strategic formulation and implementation theoretical framework. Theory-testing case study methodology was used. The data collection instruments were the key informant interview technique and document reviews. During the formulation phase, two aspects (resources and aspirations of senior management) were emergent. During the implementation phase, five aspects (achieving results, processes and behaviour, standards, motivation, personal) were emergent. All other elements of building the UCC digital collections were planned during both the formulation and implementation phases. Although the emphasis on students and learning is laudable and apt, there seems to be lack of focus on research support beyond digital collection building, despite the fact that research excellence is one of the UCC's key priorities. Opportunities exist for improving feedback mechanisms between the users, digital library staff and the university management; and inclusion of social media tools in the digital library project. Since only the experience of a single institution of higher learning is considered, it cannot be definitively stated that strategy formulation and implementation will be similar in every institutional context. However, the results provide a basis for academic digital libraries to draw lessons from this case. In African public universities, there is little earlier research on strategy formulation and implementation in digital library management. Strategy formulation and implementation is a critical issue for higher education academic libraries especially in developing countries like Ghana, due to limited financial resources and the rapid change in the information environment during the last several decades.

걷기행사 참가의 결정요인 (Factors Associated with Perticipation in a Walking Campaign)

  • 조희숙;송예리아;홍선영;유승현;이정렬
    • 보건교육건강증진학회지
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    • 제24권3호
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    • pp.73-86
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    • 2007
  • Objective: The purposes of this study are to understand the characteristics of the participants in a community walking campaign and to analyze the factors related to their participation based on the Transtheoretical Model (TTM). Methods: The study composed of the description of participant characteristics and comparison of them with non-participant characteristics in a walking campaign in K province. The data were collected through a survey of 2,590 participants and 258 non-participants from the same community. The survey instrument included questions about stages of walking and exercise, knowledge and attitude toward walking, and environmental condition for walking. Results: A majority of the walking campaign participants were in the action(24.8%) and maintenance(43.6%) stages of walking and exercise behavior. The non-participant group was split between maintenance(51.6%) and precontemplation (30.6%) stages. Among the participants, effective campaign promotion channels differed by age group while motivation for participation and participation patterns were associated with both age and gender. Favorable physical environment was a significant factor of participating in walking campaign(OR=1.396, CI=1.149-1.696). Although the campaign participants scored higher than the non-participants in most attitude toward walking questions, differences in knowledge scores between two groups were less significant. Conclusion: In conclusion, further social marketing to increase the awareness and to increase the concern of population in the community is needed based on the survey result. Transtheoretical model seems appropriate to apply to the evaluation and the planning the program of the behavior change in the community. Also, more organized and sustainable support in need to maintain the good habit of walking for the participants in walking campaign.

스토리텔링을 활용한 물리 교수·학습 방법이 과학적 태도와 개념 이해 인식에 미치는 효과 (The Effects of Physics Teaching-Learning Method Using Storytelling on Scientific Attitudes and Perception of Concepts Understanding)

  • 손정우
    • 과학교육연구지
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    • 제41권2호
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    • pp.213-225
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    • 2017
  • 대부분의 학생들은 물리 학습에 대한 어려움과 부정적인 인식을 가지고 있다. 특히 내러티브 사고가 배제된 논리-과학적 사고를 기반으로 하는 학습으로 학생들은 전체 맥락을 이해하기 어려워한다. 본 연구에서는 물리 수업에 내러티브 사고를 활용하는 스토리텔링 교수 학습 방법을 개발하여 학생들의 물리 학습에 대한 어려움을 개선하고자 하였다. 이를 위해 과학적 태도 향상, 개념이해가 가능한 스토리텔링 교수 학습 방법을 문헌연구를 통해 개발하였다. 이를 고등학생과 중학생들을 대상으로 하는 수업에 적용하여 그 효과를 확인한 결과는 다음과 같다. 첫째, 학습에 흥미가 낮은 고등학생을 대상으로 하는 스토리텔링 활용 교수 학습 방법은 과학 관련 직업, 과학 및 과학관련 활동에 대한 흥미를 높였고, 비판성, 개방성, 협동성, 자진성 등에서 유의한 효과가 있었다. 둘째, 학습에 적극적인 중학생은 스토리텔링 활용 교수 학습 방법이 물리 개념을 이해하는 데 도움을 준다고 인식하였다. 이번 연구를 통해 개발된 스토리텔링 교수 학습 방법은 학생들의 물리에 대한 흥미와 동기유발을 일으키고, 과학적 사고력을 증진시켜 개념 학습에 도움을 줄 것으로 기대한다.

의학교육 수월성 제고를 위한 교육과정 재설계 (Curriculum Redesign for Excellence in Medical Education)

  • 양은배
    • 의학교육논단
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    • 제16권3호
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    • pp.126-131
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    • 2014
  • The purpose of this study is to analyze the medical education system of Korea and to propose a method of curriculum redesign. Although there have been many attempts by medical educators to improve the quality of medical education, the results have not been fruitful. First, there exists a limitation to the dualistic curriculum design based on Flexnerianism, and thus, this model does not provide an integrated experience to medical students. Therefore, we propose a unidimensional model for curriculum redesign. Second, it is impossible to promote excellence in medical education without solving the structural problems of teaching and learning, such as the teaching competency of the faculty, large-scale lectures, and team teaching systems. A curricular strategy that emphasizes mutual interaction and teaching accountability is necessary to promote meaningful learning. Third, the current clinical training system, the circulation model, provides incomplete training as well as a lack of sequence and articulation experiences. This system needs to be redesigned in a way that allows only those students who have mastered both the knowledge and the application of medical education to advance to the next step. Fourth, norm-referenced assessments of a medical college distort the learning process and create unconstructive system energy. A criterion-referenced assessment that values cooperation, independent study, and intrinsic motivation is more important for the reliability and validity of the assessment. Medical students should not focus on formative and informative learning. Medical colleges should investigate the multifaceted potential of the students and provide transformative learning to grow students into change agents. For this to take place, curriculum redesign-not new methods of medical education-is required.