• 한국병원경영학회지
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• 제7권1호
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• pp.41-63
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• 2002

The purpose of this study is to analyze the interrelation of influential factors in organizational conflict and organizational commitment. The data for this study were collected through a self-administered survey with a structured Questionnaire to 1,167 subjects from several nursing staff members, administration staff members and medical technicians of six hospitals. In this analysis frequency test, t-test, ANOVA, hierarchical multiple regression and structural equation model were used. The main findings of this study are as follows. 1. Factors which influence organizational conflict were analyzed. The type of occupation and the year of service were socio-demographic variables which influenced organizational conflict positively. Adjusted R square was 0.03. Perceptions on organizational structure and organizational culture were analyzed with two- level variables that were added. The findings were as follows. Adjusted R square increased to 0.25. The year of service, internal process culture and rational goal culture were positive variables. The design of organizational structure, human relations culture and open system culture were negative variables. 2. Variables which influence organizational commitment were analyzed. Age and the year of service were positive variables, while academic background based on high school education was a negative variable. Adjusted R square was 0.16. Perceptions on organizational structure and organizational culture were analyzed with two-level variables that were added. The findings were as follows. The characteristics of organizational structure, human relations culture and organizational culture were positive variables. Adjusted R square increased to 0.55. The variables of organizational conflict were added in 3 steps. Findings were as follows. The variables of hierarchical conflict showed negative influence and were included in two-level influential variables. Adjusted R square increased to 0.56. 3. Structural equation model was analyzed in order to examine the relation between organizational structure and the variables of organizational culture, organizational conflict and organizational commitment. Thirteen path coefficients out of seventeen path coefficients were significant. Age had negative influence on organizational conflict and positive influence on organizational commitment. The year of service had positive influence on organizational conflict and organizational commitment. The design of organizational structure, human relations culture and open system culture had negative influence on organizational. conflict. They had positive influence on organizational commitment. Internal process culture and rational goal culture had positive influence on organizational conflict. Organizational conflict had negative influence on organizational commitment. The squared multiple correlation of this model was 25.1% in organizational conflict and 52.7% in organizational commitment. The conclusion of this study is as follows. Factors in organizational structure and organizational culture, rather than socio-demographic factors, had a stronger influence on the organizational conflict and organizational commitment of hospitals. In order to decrease organizational conflict, to increase organizational commitment and to maximize the effectiveness of hospital management, it is necessary to understand the overall relation between organizational structure, organizational culture, organizational conflict and organizational commitment, with the effort of improving personalized factors and individual factors of organization management.

• 한국엔터테인먼트산업학회논문지
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• 제13권7호
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• pp.361-373
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• 2019

낙상은 노인의 신체적 건강은 물론 총체적 삶의 질을 위협하는 요인이다. 이 연구의 목적은 어떤 운동유형이 노인의 균형 능력 증진에 효과적인가를 확인하고, 이에 기초하여 노인 낙상 예방 운동 프로그램 개발에 필요한 기초 자료를 얻는 것이었다. 65세 이상 80세 미만의 여성 노인들을 스텝운동집단(21명), 코어근육운동집단(20명), 통제집단(21명) 중 한 집단에 무선 할당하였고, 8주 동안, 주 2회, 회당 20~30분의 운동을 처치하였다. 운동 효과는 기능적 균형검사(한발 정적균형검사)와 자기보고식 균형검사(낙상효능감, 균형자신감)로 평가하였다. 연구 결과를 요약하면 다음과 같았다. 첫째, 리드미컬한 스텝운동이 체간의 코어근육 강화운동보다 기능적 균형 증진에 효과적이었다. 특히, 눈을 뜨고 측정하는 한발 정적 균형검사에서 스텝운동의 효과가 뚜렷하게 나타났다. 둘째, 자기보고식 균형검사에서도 스텝운동이 코어근육운동보다 우수한 결과를 보였다. 특히, 리드미컬한 스텝운동이 체간의 코어근육운동보다 낙상 효능감 증진에 효과적이었다. 이상의 연구 결과를 종합해 볼 때, 리드미컬한 스텝운동이 체간의 코어근육운동보다 노인의 균형 능력 증진에 효과적이었다. 이는 리드미컬한 스텝운동이 하지 근육의 관여가 상대적으로 높고, 다양한 지면 변화 속에서 스텝운동을 수행하므로 낙상 발생 환경과 유사하며, 발목 고유수용성 강화에 적합한 운동유형이었기 때문이라고 사료된다. 따라서 향후 연구를 위해서 노인 낙상 사고가 발생하는 구체적인 동작 상황을 조사하고, 이에 기초하여 과제지향의 발목 고유수용성 감각강화 운동 중재 프로그램 및 운동 장비의 개발을 제안하였다.

• 한국콘텐츠학회논문지
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• 제8권12호
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• pp.465-472
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• 2008

체벌을 포함하여 교내에서 이루어지고 있는 교사의 주관적 기준에 따른 생활 지도 방식은 여러 가지 문제점을 내포하고 있다. 이러한 문제를 해결하고자 상점과 벌점을 이용하여 생활지도에 적용하는 상벌점 제도가 일선 학교에서 도입 시행되고 있다. 하지만 이 제도는 대부분 오프라인으로 시행되고 있어 점수 확인의 불편과 통계처리 및 장부작성, 관리 등에 있어 시행의 어려운 점이 지적되고 있다. 개방형상벌점관리시스템(Merit and Demerit Management System 이하 MDMS)은 상벌점 카드 발급에서 처리, 통계, 조회, 권한 등을 지원하고, 이를 통해 생활지도와 인성교육, 학부모의 생활지도 참여로 교사, 학생, 학부모 모두가 동참하는 바람직한 생활지도가 가능하도록 구현된 시스템이다. MDMS를 사용함으로 학생들의 생활규정 지도에 따른 거부감 감소, 본인의 학교생활실태 확인 가능, 학부모의 자녀 학교생활 내용 확인, 상벌점 자료 관리 효율화 및 통계 처리 시 교사의 업무 경감 등이 가능하게 된다. MDMS를 통해 체벌은 학교선도규정에 의해 실시하며 신체 일부를 이용한 직접 체벌을 지양하고 보다 체계적이며 과학적, 인간적인 생활지도를 실시할 수 있게 된다.

• 간호행정학회지
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• 제1권2호
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• pp.285-324
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• 1995

The purpose of this study was to describe the nature of nursing and life style of nurses. This study was conducted from march, 1994 to May, 1995. There are two kinds of data used in this research. To discern the nature of nursing and life style of nurses, 34 articles selected from nursing journals and text books, and the data which were collected by unstructured questionare with two main open ended questions were analyzed using Strauss and Corbin's method. The questions were "what is nature of nursing?" "When do you feel your professionl life worth?" 29 participants were nurses working at two university hospitals and two general hospitals in Seoul, understood the study purpose. The results were as follows : (1) The nursing is evolving phenomenon which is developed, and changed. (1) ${\lceil}$encounter${\rfloor}$ ${\lceil}$trust${\rfloor}$ ${\lceil}$interrelationship${\rfloor}$have been identified as the causal condition of nursing phenomenon. (2) ${\lceil}$concern${\rfloor}$has been identified as the central phenomenon of nursing. (3) ${\lceil}$humanity${\rfloor}$ ${\lceil}$sincerity${\rfloor}$ ${\lceil}$nursing spirit${\rfloor}$ ${\lceil}$empathy${\rfloor}$ ${\lceil}$understanding${\rfloor}$have been identified as intervening condition and context of nursing phenomenon. (4) ${\lceil}$helping behavior${\rfloor}$has been identified as action/strategy of nursing phenomenon. (5) ${\lceil}$caring${\rfloor}$ ${\lceil}$observation${\rfloor}$ ${\lceil}$comfort${\rfloor}$ ${\lceil}$problem solving${\rfloor}$ ${\lceil}$co-ordination${\rfloor}$ ${\lceil}$education${\rfloor}$ ${\lceil}$stimulus${\rfloor}$have been as helping behavior. (6) ${\lceil}$change${\rfloor}$ ${\lceil}$growth and development${\rfloor}$ ${\lceil}$to do by oneself${\rfloor}$ have been as consequences of nursing phenomenon. (2) the nature of nursing have been classified into five properties ; ${\lceil}$relational property${\rfloor}$ ${\lceil}$moral property${\rfloor}$ ${\lceil}$technological property${\rfloor}$ ${\lceil}$behavioral property${\rfloor}$ ${\lceil}$objective property${\rfloor}$ (3) The life style of nurses is not considered as ${\lceil}$to have${\rfloor}$ living mode, but ${\lceil}$to be${\rfloor}$ living mode because the professional life of nurses is chracterized by ${\lceil}$encounter${\rfloor}$ ${\lceil}$trust${\rfloor}$ ${\lceil}$humanity${\rfloor}$ ${\lceil}$understanding${\rfloor}$ ${\lceil}$concern${\rfloor}$ ${\lceil}$togetherness with human being${\rfloor}$ ${\lceil}$growth and development${\rfloor}$ and others, which are properties of the nature of nursing, and are also considered as esential factors of real existence of professional nurse as a human being in nursing situation.

• 한국보육지원학회지
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• 제7권4호
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• pp.159-182
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• 2011

본 연구는 보육교사의 전문성 신장을 위한 장학프로그램을 산 학 관 협력으로 계획, 운영하는 것에 대한 관련 전문가들의 의견을 조사, 분석함으로써 산 학 관 협력 어린이집 장학프로그램 개발을 위한 기초자료를 제공하고자 하였다. 이를 위해 전문성 평가기준에 따라 20명의 분야별 관련 전문가를 선정하여 산 학 관 협력 어린이집 장학프로그램에 대한 반구조화 된 설문지와 4점 척도형 설문지 등을 통해 3차에 걸친 델파이 조사를 실시하였다. 1차 델파이 조사에서 관련 문헌 및 프로그램 분석을 통해 제안한 15항목으로 이루어진 반구조화 된 설문지를 활용하여 전문가의 의견을 수렴하였으며, 92항목으로 이루어진 2차 조사 설문지를 개발하였다. 2차 조사 결과분석에 따른 3차 델파이 조사는 장학프로그램의 내용 영역 33항목과 운영 영역 44항목, 총 77항목으로 구성된 시안을 작성하였다. 최종 시안에 대한 패널의 반응분포, 문항의 양호도 및 전문가 합치도를 알아본 결과, 전체 문항의 평균이 3.0 이상이고 부적편포를 나타내었으며 각 문항과 총점 간 상관은 .41~.92였고 신뢰도 계수는 내용 영역이 .98, 운영 영역이 .97로 나타났다. 따라서 왜도가 양의 값으로 나타난 일부 문항을 제외하고는 문항구성이 전체적으로 신뢰롭고 타당한 것으로 판명되었다. 그리고 일부 문항을 제외한 대부분 문항은 전문가의 합치도가 높게 나타났다.

• 한국운동역학회지
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• 제26권2호
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• pp.229-236
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• 2016

Objective: This study aimed, first, to develop core strength training equipment with elderly-friendly, easy-to-use features and, second, to investigate the effect of core strength training using the equipment on the performance and stability of the elderly in activities of daily living. Method: In this study, we developed training equipment with a stability ball that can be used for performing core strength exercises in the elderly. Twenty-three elderly subjects (age: $77.87{\pm}6.95years$, height: $149.78{\pm}6.95cm$, and weight: $60.57{\pm}7.21kg$) participated in this study. The subjects performed the core strength training exercise with 16 repetitions for 8 weeks (2 repetitions per week). Performance in activities of daily living was assessed by using the Short Physical Performance Battery (SPPB), a test of going up and down 4 stairs, and one-leg static balance test. Stability was quantified as changes in the center of pressure (COP) and C90 area. Results: With the core strength equipment, trunk core strength exercise could be performed by pulling or pushing a rope with 2 hands on the stability ball. During the task, the tension in the rope was manipulated by a motor connected to the rope and the COP of the subject was measured by 4 load cells mounted in the equipment. Our results showed that the SPPB score was significantly higher (p < .05), the time to complete the "going up and down 4 stairs" test was significantly shorter (p < .05), and one-leg static balance statistically improved under an eyes-open condition (p < .05) after as compared with before the core strength training. The changes in the COP in the anteroposterior and mediolateral directions, and C90 area were significantly lower in the posttest (p <. 05) than in the pretest. Conclusion: The core strength training exercise using the equipment developed in the present study improved the performance and stability of the elderly in activities of daily living.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제24권4호
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• pp.213-219
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• 2013

Objectives : It is known that adolescents with autism spectrum disorder (ASD) often concurrently exhibit attention-deficit hyperactivity disorder (ADHD). The objective of this study is to investigate how ADHD symptoms modify clinical characteristics in adolescents with ASD. Methods : Subjects were recruited from the Program for the Education Enrichment of Relational Skills program, which is a program for adolescents with ASD to promote and train social skills. The study participants and their parents completed the study questionnaires, such as the ADHD rating scale, Autism Diagnostic Observation Schedule, and Korean version of Child Behavior Checklist. Results : Adolescents with ASD and ADHD (N=19) were found to have more impaired sociality, less open communication with their parents, and more behavioral and emotional problems compared with adolescents with ASD, and without ADHD (N=28). Conclusion : Although further research is needed, the results of our study suggest that adolescents with ASD present different clinical characteristics when comorbid with ADHD.

• 대한간호학회지
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• 제23권2호
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• pp.299-315
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• 1993

Koreans are one of the fastest growing immigrant groups in America. Stress responses and stressors among this large cultural minority has been rarely been studied by nursing researchers. Adjusting to life in foreign country produces a great deal of stress. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstandings are not well accounted for in health assessment. This study investigated the relationship between life events or / and daily activities as a stressor and the symptoms of stress among a sample of Korean immigrants in America. The symptoms of stress scale (SOS) was used to identify stress responses and open-ended questions were used to identify life events and daily activities considered by the respondents to be stressful. A simple random sample of 283 subjects was selected from the Directory of the Korean Society of Chicago, New York, Los Angeles, Philadelphia and Seattle. Demographically, the subjects ranged in age from 20 to 69 years, and the percentage of women and men was approximately 50% each. Almost ninety percent of the subjects were highly educated, 17% owners of business, 19% white collar professionals, 14% employed in sales or as skilled /unskilled labor, 27% as housewives and students and 3％ had no occupation. The total group SOS mean was 0.8042 ; the SOS men for man was 0.7371, and for women was 0.8713. The stress response of this subject group was high, -the stress response of women higher than that for men. In an earlier study(June, 1992) with another sample, the total mean SOS score was similar to this one. The main stressful life events or / and daily activities were, in order, economic problems (N=97), interpersonal problems (N=68), children care problems (N=258), health problems (N=49), communication problems (N=42), family problems (N=38), worry about future career (N=36), and religious problems (N=25). There was a significant difference in the SOS means between the group that expressed life events or / and daily activities to be stressful and the group that did not. Interpersonal relationships and economic and family problems were stressors for those who complained about peripheral manifestations. cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle ten-sion, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. In summary, interpersonal relationships and economic and family problems influenced stress response manifestations. Income, the number of people in the family, the year of immigration. the level of education, and marital status were related to physiological and psychosocial stress responses.

• 시큐리티연구
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• 제33호
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• pp.163-195
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• 2012

최근 지방자치단체에서 개최하는 각종 문화행사와 K-POP의 열풍으로 각종 공연행사가 수시로 개최되고 있는바 그로 인한 안전사고의 우려가 대두되고 있다. 지난 2005년 10월 3일, 상주 시민운동장에서 발생한 'MBC 가요콘서트 행사'와 2006년 3월 26일, 서울 롯데월드에서 발생한 '무료개방 행사'에서 대규모 안전사고가 발생하였다. 이 연구는 각종 공연장에서 발생한 안전사고의 공통적인 원인을 파악하고 그 사례를 수집하였으며, 각 행사장별 사고원인을 분석하여 이에 대한 문제점을 도출, 안전업무를 담당하는 민간경비업체의 개선방안을 모색하는데 연구의 목적이 있다. 이러한 연구과정을 통한 '대규모 공연장의 안전관리 개선방안'은 다음과 같다. 첫째, 행사의 안전을 담당하는 민간경비업체의 영세성 보완을 위한 제도적 장치를 마련해야 한다. 둘째, 공연장 경비인력에 대한 교육훈련을 강화해야 한다. 셋째, 사전준비단계에서 안전조치를 위한 준비를 보다 철저히 해야 한다. 넷째, 질서유지대책을 강화해야 한다. 다섯째, 유관기관과 협조체계를 강화해야 한다. 여섯째, 철저한 우발상황대비책을 수립해야 한다.

• 보건행정학회지
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• 제27권2호
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• pp.167-176
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• 2017

Background: This study aimed to analyze the impact of community health care resources on the place of death of older adults with dementia compared to those with cancer in South Korea, using public administrative big data. Methods: Based on a literature review, we selected person- and community-level variables that can affect older people's decisions about where to die. Data on place-of-death and person-level attributes were obtained from the 2013 death certification micro data from Statistics Korea. Data on the population and economic and health care resources in the community where the older deceased resided were obtained from various open public administrative big data including databases on the local tax and resident population statistics, health care resources and infrastructure statistics, and long-term care (LTC) insurance statistics. Community-level data were linked to the death certificate micro data through the town (si-gun-gu) code of the residence of the deceased. Multi-level logistic regression models were used to simultaneously estimate the impacts of community as well as individual-level factors on the place of death. Results: In both the dementia (76.1%) and cancer (87.1%) decedent groups, most older people died in the hospital. Among the older deceased with dementia, hospital death was less likely to occur when the older person resided in a community with a higher supply of LTC facility beds, but hospital death was more likely to occur in communities with a higher supply of LTC hospital beds. Similarly, among the cancer group, the likelihood of a hospital death was significantly lower in communities with a higher supply of LTC facility beds, but was higher in communities with a higher supply of acute care hospital beds. As for individual-level factors, being female and having no spouse were associated with the likelihood of hospital death among older people with dementia. Conclusion: More than three in four older people with dementia die in the hospital, while home is reported to be the place of death preferred by Koreans. To decrease this gap, an increase in the supply of end-of-life (EOL) care at home and in community-based service settings is necessary. EOL care should also be incorporated as an essential part of LTC. Changes in the perception of EOL care by older people and their families are also critical in their decisions about the place of death, and should be supported by public education and other related non-medical, social approaches.