• Title/Summary/Keyword: role-efficacy

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The Influence of Entrepreneurial Experience on Entrepreneurial Intention: Mediation Effect of Social Cognitive Attributes (창업경험과 창업의도의 관계에 대한 연구: 사회인지적 요인의 매개효과 및 성별의 조절효과)

  • Park, Junghyun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.17 no.3
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    • pp.51-76
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    • 2022
  • Identifying the factors that influence the formation of the entrepreneurial intention is important in cultivating entrepreneurs and inducing entrepreneurial innovation in the country. Previous studies have mainly examined the direct effects of social cognition attributes as predictors on entrepreneurial intentions or entrepreneurial activities. However, the fundamental factors that these social cognition attributes are derived from have not been sufficiently addressed in the field of entrepreneurship. Based on social cognitive theory and schema theory, this study assumes that an individual's entrepreneurial experience is an important antecedent factor in forming social cognitive attributes, and reveals the mechanism for how experience forms entrepreneurial intention. To this end, this study analyzes the influence of entrepreneurs' prior experience of entrepreneurial activities on entrepreneurial self-efficacy, opportunity recognition, and fear of failure which are considered to be the main variables that shape entrepreneurial intention. And it analyzes how these factors have a significant effect on entrepreneurship intention. Along with this, the mediating role of these social cognitive attributes is analyzed in order to understand the path that leads from entrepreneurial experience to entrepreneurial intention. This study also suggests how gender moderates the effect of entrepreneurship experience on social cognitive attributes. As a result of the analysis, it was found that entrepreneurial experience increase entrepreneurial self-efficacy and opportunity recognition of entrepreneurs, and decrease the fear of failure. These social perception attribute significantly mediate the relationship between entrepreneurial experience and entrepreneurial intention. This study also found that there are significant moderating effects of gender on the relationship of entrepreneurial experience and both of entrepreneurial self-efficacy and fear of failure. This study also analyzed the impact of the entrepreneurial experience of failure, which corresponds to the detailed experience. Similar to the results of entrepreneurial experience analysis, entrepreneurial experience of failure plays a role in enhancing entrepreneurial self-efficacy. However, its effect on opportunity recognition and fear of failure were not significant. An empirical analysis of data related to 25,047 entrepreneurs from 87 countries, using the Global Entrepreneurship Monitor (GEM), shows the differences in the formation of individuals' entrepreneurial intentions according to entrepreneurial experience and the mediating role of social cognitive attributes. The study has embodied the social cognitive theory on entrepreneurial intention by shedding light on the variables that are important but alienated for increasing entrepreneurial intention. Moreover, the study enhances the understanding of cognitive processes leading from individual experiences to entrepreneurial intentions. This study also emphasizes the importance of differentiated approach by gender for boosting entrepreneurial intention through analysis of moderating effect of gender.

Fostering Social Entrepreneurial Self-efficacy and Intention through Work Meaningfulness Found in Experiential Social Entrepreneurship Education: The Moderating Role of Social Class (사회적 창업교육 장면에서의 일 의미감 경험은 사회적 창업 효능감과 의도를 증진하는가?: 객관적 및 주관적 사회계층의 조절효과를 중심으로)

  • Kawon Kim;Seoyoung Park;Nayeon Lee;Jihyun Koo;Hee Chan Yoon
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.19 no.3
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    • pp.123-138
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    • 2024
  • Experiential social entrepreneurship education offers participants opportunities for active engagement in social entrepreneurial activities. Highlighting the significance of psychosocial experiences within the program, this study examines work meaningfulness discovered in this process as the antecedent to forming social entrepreneurial intention. Furthermore, drawing on social cognitive career theory that emphasizes the role of agency in career decisions, we propose social entrepreneurial self-efficacy as the underlying mechanism and social class as the moderating factor in the relationship between work meaningfulness and social entrepreneurial intention formation. The propositions were tested with a two-wave survey dataset collected among 145 university students taking part in an experiential social entrepreneurship program in South Korea. Our results indicate that work meaningfulness positively affects social entrepreneurial self-efficacy, which subsequently promotes social entrepreneurial intention. Moreover, when participants' social class, measured by either household income or perceived rank, is lower, the positive effect of work meaningfulness on social entrepreneurial self-efficacy as well as intention is amplified. Theoretically, these findings shed light on the crucial role of work meaningfulness in strengthening potential entrepreneurs' agency in the domain of social entrepreneurship, particularly for those from lower classes. Practically, we provide guidelines for designing an inclusive experiential social entrepreneurship program that allows participants to find meaningfulness by realizing their strengths and justifying their prosocial contribution.

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Peer Role-Play in a College of Korean Medicine to Improve Senior Students' Competencies in Patient Care and Communication: A Case Analysis and Proposal for a Model (한의학 전공학생의 진료 및 의사소통 역량 향상을 위한 동료 역할극 모델제안과 사례분석)

  • Eunbyul Cho;Hyun-Jong Jung;Jungtae Leem
    • The Journal of Korean Medicine
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    • v.43 no.3
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    • pp.49-64
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    • 2022
  • Objectives: Peer role-play (PRP) has been used in health care training simulations because standardized patient training requires considerable time and expense. This study described the implementation of clinical simulation using PRP and examined the effect. Methods: Final year students from a single college of Korean medicine engaged in PRP as part of clinical skills practice. Education tools from clinical practice guidelines were used to structure the PRP. Communication competency was assessed with the Korean Version of the Self-Efficacy Questionnaire (KSE-12). Whether this training helped to achieve graduate outcomes was evaluated on a five-point scale. Results: Fifty-nine students (53.2%) participated in the survey. Among 12 items on the KSE-12, the score for "How certain are you that you are able to successfully listen attentively to the patient?" was the highest. Further, PRP was found to be helpful for self-directed learning, establishment of one's professional identity, and the ability to communicate and manage patients. Three themes ("Benefits of role-play", "The importance of positive feedback", "Limitations and problems of role-play"), 15 categories, and 16 central meanings were derived by categorizing learners' subjective opinions about PRP. Conclusions: Study findings indicate that PRP may contribute to improving communication skills and establishing a professional identity for future Korean medicine doctors. We suggest using PRP in clinical education in colleges of Korean Medicine.

An Empirical Study in Relationship between Franchisor's Leadership Behavior Style and Commitment by Focusing Moderating Effect of Franchisee's Self-efficacy (가맹본부의 리더십 행동유형과 가맹사업자의 관계결속에 관한 실증적 연구 - 가맹사업자의 자기효능감의 조절효과를 중심으로 -)

  • Yang, Hoe-Chang;Lee, Young-Chul
    • Journal of Distribution Research
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    • v.15 no.1
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    • pp.49-71
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    • 2010
  • Franchise businesses in South Korea have contributed to economic growth and job creation, and its growth potential remains very high. However, despite such virtues, domestic franchise businesses face many problems such as the instability of franchisor's business structure and weak financial conditions. To solve these problems, the government enacted legislation and strengthened franchise related laws. However, the strengthening of laws regulating franchisors had many side effects that interrupted the development of the franchise business. For example, legal regulations regarding franchisors have had the effect of suppressing the franchisor's leadership activities (e.g. activities such as the ability to advocate the franchisor's policies and strategies to the franchisees, in order to facilitate change and innovation). One of the main goals of the franchise business is to build cooperation between the franchisor and the franchisee for their combined success. However, franchisees can refuse to follow the franchisor's strategies because of the current state of franchise-related law and government policy. The purpose of this study to explore the effects of franchisor's leadership style on franchisee's commitment in a franchise system. We classified leadership styles according to the path-goal theory (House & Mitchell, 1974), and it was hypothesized and tested that the four leadership styles proposed by the path-goal theory (i.e. directive, supportive, participative and achievement-oriented leadership) have different effects on franchisee's commitment. Another purpose of this study to explore the how the level of franchisee's self-efficacy influences both the franchisor's leadership style and franchisee's commitment in a franchise system. Results of the present study are expected to provide important theoretical and practical implications as to the role of franchisor's leadership style, as restricted by government regulations and the franchisee's self-efficacy, which could be needed to improve the quality of the long-term relationship between the franchisor and franchisee. Quoted by Northouse(2007), one problem regarding the investigation of leadership is that there are almost as many different definitions of leadership as there are people who have tried to define it. But despite the multitude of ways in which leadership has been conceptualized, the following components can be identified as central to the phenomenon: (a) leadership is a process, (b) leadership involves influence, (c) leadership occurs in a group context, and (d) leadership involves goal attainment. Based on these components, in this study leadership is defined as a process whereby franchisor's influences a group of franchisee' to achieve a common goal. Focusing on this definition, the path-goal theory is about how leaders motivate subordinates to accomplish designated goals. Drawing heavily from research on what motivates employees, path-goal theory first appeared in the leadership literature in the early 1970s in the works of Evans (1970), House (1971), House and Dessler (1974), and House and Mitchell (1974). The stated goal of this leadership theory is to enhance employee performance and employee satisfaction by focusing on employee motivation. In brief, path-goal theory is designed to explain how leaders can help subordinates along the path to their goals by selecting specific behaviors that are best suited to subordinates' needs and to the situation in which subordinates are working (Northouse, 2007). House & Mitchell(1974) predicted that although many different leadership behaviors could have been selected to be a part of path-goal theory, this approach has so far examined directive, supportive, participative, and achievement-oriented leadership behaviors. And they suggested that leaders may exhibit any or all of these four styles with various subordinates and in different situations. However, due to restrictive government regulations, franchisors are not in a position to change their leadership style to suit their circumstances. In addition, quoted by Northouse(2007), ssubordinate characteristics determine how a leader's behavior is interpreted by subordinates in a given work context. Many researchers have focused on subordinates' needs for affiliation, preferences for structure, desires for control, and self-perceived level of task ability. In this study, we have focused on the self-perceived level of task ability, namely, the franchisee's self-efficacy. According to Bandura (1977), self-efficacy is chiefly defined as the personal attitude of one's ability to accomplish concrete tasks. Therefore, it is not an indicator of one's actual abilities, but an opinion of the extent of how one can use that ability. Thus, the judgment of maintain franchisee's commitment depends on the situation (e.g., government regulation and policy and leadership style of franchisor) and how it affects one's ability to mobilize resources to deal with the task, so even if people possess the same ability, there may be differences in self-efficacy. Figure 1 illustrates the model investigated in this study. In this model, it was hypothesized that leadership styles would affect the franchisee's commitment, and self-efficacy would moderate the relationship between leadership style and franchisee's commitment. Theoretically, quoted by Northouse(2007), the path-goal approach suggests that leaders need to choose a leadership style that best fits the needs of subordinates and the work they are doing. According to House & Mitchell (1974), the theory predicts that a directive style of leadership is best in situations in which subordinates are dogmatic and authoritarian, the task demands are ambiguous, and the organizational rule and procedures are unclear. In these situations, franchisor's directive leadership complements the work by providing guidance and psychological structure for franchisees. For work that is structured, unsatisfying, or frustrating, path-goal theory suggests that leaders should use a supportive style. Franchisor's Supportive leadership offers a sense of human touch for franchisees engaged in mundane, mechanized activity. Franchisor's participative leadership is considered best when a task is ambiguous because participation gives greater clarity to how certain paths lead to certain goals; it helps subordinates learn what actions leads to what outcome. Furthermore, House & Mitchell(1974) predicts that achievement-oriented leadership is most effective in settings in which subordinates are required to perform ambiguous tasks. Marsh and O'Neill (1984) tested the idea that organizational members' anger and decline in performance is caused by deficiencies in their level of effort and found that self-efficacy promotes accomplishment, decreases stress and negative consequences like depression and emotional instability. Based on the extant empirical findings and theoretical reasoning, we posit positive and strong relationships between the franchisor's leadership styles and the franchisee's commitment. Furthermore, the level of franchisee's self-efficacy was thought to maintain their commitment. The questionnaires sent to participants consisted of the following measures; leadership style was assessed using a 20 item 7-point likert scale developed by Indvik (1985), self-efficacy was assessed using a 24 item 6-point likert scale developed by Bandura (1977), and commitment was assessed using a 6 item 5-point likert scale developed by Morgan & Hunt (1994). Questionnaires were distributed to Korean optical franchisees in Seoul. It took about 20 days to complete the data collection. A total number of 140 questionnaires were returned and complete data were available from 137 respondents. Results of multiple regression analyses testing the relationships between the each of the four styles of leadership shown by the franchisor as independent variables and franchisee's commitment as the dependent variable showed that the relationship between supportive leadership style and commitment ($\beta$=.13, p<.001),and the relationship between participative leadership style and commitment ($\beta$=.07, p<.001)were significant. However, when participants divided into high and low self-efficacy groups, results of multiple regression analyses showed that only the relationship between achievement-oriented leadership style and commitment ($\beta$=.14, p<.001) was significant in the high self-efficacy group. In the low self-efficacy group, the relationship between supportive leadership style and commitment ($\beta$=.17, p<.001),and the relationship between participative leadership style and commitment ($\beta$=.10, p<.001) were significant. The study focused on the franchisee's self-efficacy in order to explore the possibility that regulation, originally intended to protect the franchisee, may not be the most effective method to maintain the relationships in a franchise business. The key results of the data analysis regarding the moderating role of self-efficacy between leadership behavior style as proposed by path-goal and commitment theory were as follows. First, this study proposed that franchisor should apply the appropriate type of leadership behavior to strengthen the franchisees commitment because the results demonstrated that supportive and participative leadership styles by the franchisors have a positive influence on the franchisee's level of commitment. Second, it is desirable for franchisor to validate the franchisee's efforts, since the franchisee's characteristics such as self-efficacy had a substantial, positive effect on the franchisee's commitment as well as being a meaningful moderator between leadership and commitment. Third, the results as a whole imply that the government should provide institutional support, namely to put the franchisor in a position to clearly identify the characteristics of their franchisees and provide reasonable means to administer the franchisees to achieve the company's goal.

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Clinical Applications and Efficacy of Korean Ginseng (고려인삼의 주요 효능과 그 임상적 응용)

  • Nam, Ki-Yeul
    • Journal of Ginseng Research
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    • v.26 no.3
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    • pp.111-131
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    • 2002
  • Korean ginseng (Panax ginseng C.A. Meyer) received a great deal of attention from the Orient and West as a tonic agent, health food and/or alternative herbal therapeutic agent. However, controversy with respect to scientific evidence on pharmacological effects especially, evaluation of clinical efficacy and the methodological approach still remains to be solved. Author reviewed those articles published since 1980 when pharmacodynamic studies on ginseng have intensively started. Special concern was paid on metabolic disorders including diabetes mellitus, circulatory disorders, malignant tumor, sexual dysfunction, and physical and mental performance to give clear information to those who are interested in pharmacological study of ginseng and to promote its clinical use. With respect to chronic diseases such as diabetes mellitus, atherosclerosis, high blood pressure, malignant disorders, and sexual disorders, it seems that ginseng plays preventive and restorative role rather than therapeutics. Particularly, ginseng plays a significant role in ameliorating subjective symptoms and preventing quality of life from deteriorating by long term exposure of chemical therapeutic agents. Also it seems that the potency of ginseng is mild, therefore it could be more effective when used concomitantly with conventional therapy. Clinical studies on the tonic effect of ginseng on work performance demonstrated that physical and mental dysfunction induced by various stresses are improved by increasing adaptability of physical condition. However, the results obtained from clinical studies cannot be mentioned in the indication, which are variable upon the scientist who performed those studies. In this respect, standardized ginseng product and providing planning of the systematic clinical research in double-blind randomized controlled trials are needed to assess the real efficacy for proposing ginseng indication. Pharmacological mode of action of ginseng has not yet been fully elucidated. Pharmacodynamic and pharmacokinetic researches reveal that the role of ginseng not seem to be confined to a given single organ. It has been known that ginseng plays a beneficial role in such general organs as central nervous, endocrine, metabolic, immune systems, which means ginseng improves general physical and mental conditons. Such multivalent effect of ginseng can be attributed to the main active component of ginseng,ginsenosides or non-saponin compounds which are also recently suggested to be another active ingredients. As is generally the similar case with other herbal medicines, effects of ginseng cannot be attributed as a given single compound or group of components. Diversified ingredients play synergistic or antagonistic role each other and act in harmonized manner. A few cases of adverse effect in clinical uses are reported, however, it is not observed when standardized ginseng products are used and recommended dose was administered. Unfavorable interaction with other drugs has also been suggested, which the information on the products and administered dosage are not available. However, efficacy, safety, interaction or contraindication with other medicines has to be more intensively investigated in order to promote clinical application of ginseng. For example, daily recommended doses per day are not agreement as 1-2g in the West and 3-6 g in the Orient. Duration of administration also seems variable according to the purpose. Two to three months are generally recommended to feel the benefit but time- and dose-dependent effects of ginseng still need to be solved from now on. Furthermore, the effect of ginsenosides transformed by the intestinal microflora, and differential effect associated with ginsenosides content and its composition also should be clinically evaluated in the future. In conclusion, the more wide-spread use of ginseng as a herbal medicine or nutraceutical supplement warrants the more rigorous investigations to assess its effacy and safety. In addition, a careful quality control of ginseng preparations should be done to ensure an acceptable standardization of commercial products.

Factors influencing stress and depression among Korean and Japanese students: With specific focus on parental social support, resiliency of efficacy and stress management behavior (한국과 일본 대학생의 스트레스와 우울에 대한 분석: 부모의 사회적 지원, 어려움극복 효능감, 스트레스 관리행동의 영향)

  • Youngshin Park ;Akira Tsuda ;Uichol Kim ;Keehye Han ;Euiyeon Kim ;Satoshi Horiuchi
    • Korean Journal of Culture and Social Issue
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    • v.15 no.1
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    • pp.1-28
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    • 2009
  • This study examines factors influencing stress and depression among Korean and Japanese university students and the role that parental social support, resiliency of efficacy and stress management behavior play. Four hypotheses are presented. First, parental social support will have a direct influence on resiliency of efficacy. Second, resiliency of efficacy will have a direct influence on stress management behavior and stress and depression symptoms. Third, resiliency of efficacy will have a mediating influence between parental social support and stress and depression symptoms. Fourth, stress management behavior will have a direct influence on stress and depression symptoms. A total 469 participants, consisting of 289 Korean university students (male=156, female=133) and 180 Japanese university students (male=112, female=68) completed a questionnaire that included Rhode Island Stress Inventory-Short Version (Horiuchi, Tsuda, Tanaka, Yajima & Tsuda, in press), Stress Management Behavior (Evers et al., 2006), CES-D (Radloff, 1977), BDI-II (Beck, Steer & Brown, 1996), Resiliency of Efficacy (Bandura, 1995) and Parental Social Support (Kim & Park, 1999). The results supported the first three hypotheses for both samples. Hypothesis 4 was not supported for the Japanese sample and it was partially supported for the Korean sample. The results indicate that parental social support had a direct and positive influence on resiliency of efficacy. Second, resiliency of efficacy had a direct and positive influence on stress management behavior and stress and depression symptoms. Third, resiliency of efficacy had a mediating influence between parental social support and stress and depression symptoms. Fourth, stress management behavior did not have a direct influence on stress symptoms. Overall, parental social support had a direct positive influence on resiliency of self-efficacy, which in turn had a direct negative influence on stress and depression symptoms.

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Affecting Factors of Nursing Professionalism Perceived by Senior Nursing Students (졸업학년 간호학생이 지각하는 간호전문직관 영향 요인)

  • Ham, Youn-Suk;Kim, Hwa-Soon;Cho, In-Sook;Lim, Ji-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.536-544
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    • 2011
  • Purpose: The purpose of this descriptive study was to investigate the level of nursing professionalism and influencing factors of professionalism in nursing students. Method: A convenience sample of 207 subjects were recruited from two universities in I city and one university in S city. The subject for this survey were senior students who finished all clinical practicum to be done before graduation. Results: The mean scores of the nursing professionalism and the satisfaction with clinical practice were 3.43 and 3.28 individually. The mean of self-efficacy and image of nurses were 3.60 and 3.71 individually. Mean of major satisfaction score was 3.88. There were significant correlations among nursing professionalism, satisfaction with clinical practice, self-efficacy, image of nurses and major satisfaction. The most strong factor affecting nursing professionalism was the image of nurses and accounted 52.0 percentage of the variance. Sixty point one percentage of the variance was explained by image of nurses, major satisfaction, religion and satisfaction with clinical practice. Conclusion: To make students have more positive nursing professionalism, strategies enhancing the positive nurse image, clinical satisfaction, and major satisfaction need to be developed during school years.

Role of Arbuscular Mycorrhizal Fungi in Phytoremediation of Soil Rhizosphere Spiked with Poly Aromatic Hydrocarbons

  • Gamal, H. Rabie
    • Mycobiology
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    • v.33 no.1
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    • pp.41-50
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    • 2005
  • Results from an innovative approach to improve remediation in the rhizosphere by encouraging healthy plant growth and thus enhancing microbial activity are reported. The effect of arbuscular mycorrhizal fungi (Am) on remediation efficacy of wheat, mungbean and eggplant grown in soil spiked with polyaromatic hydrocarbons (PAH) was assessed in a pot experiment. The results of this study showed that Am inoculation enhanced dissipation amount of PAHs in planted soil, plant uptake PAHs, dissipation amount of PAHs in planted versus unplanted spiked soil and loss of PAHs by the plant-promoted biodegradation. A number of parameters were monitored including plant shoot and root dry weight, plant tissue water content, plant chlorophyll, root lipid content, oxido-reductase enzyme activities in plant and soil rhizosphere and total microbial count in the rhizospheric soil. The observed physiological data indicate that plant growth and tolerance increased with Am, but reduced by PAH. This was reflected by levels of mycorrhizal root colonization which were higher for mungbean, moderate for wheat and low for eggplant. Levels of Am colonization increased on mungbean > wheat > eggplant. This is consistent with the efficacy of plant in dissipation of PAHs in spiked soil. Highly significant positive correlations were shown between of arbuscular formation in root segments (A)) and plant water content, root lipids, peroxidase, catalase polyphenol oxidase and total microbial count in soil rhizosphere as well as PAH dissipation in spiked soil. As consequence of the treatment with Am, the plants provide a greater sink for the contaminants since they are better able to survive and grow.

Role of Information Technology Self-Efficacy in Distance Education Education Effectiveness (원격교육의 성과에 대한 정보기술 자기효능감의 역할)

  • 유일;소순후;이석인
    • Proceedings of the Korea Society for Industrial Systems Conference
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    • 1998.10a
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    • pp.171-178
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    • 1998
  • 최근 정보기술을 기반으로 하는 원격교육에 대한 관심이 집중되는 것은 무엇보다 교육의 저비용.고효율 구조를 실현할 수 있는 대안교육의 하나이기 때문이다. 그러나 정보기술을 매개로 하는 원격교육의 효과에 대해서는 누구도 장담할 수 없는 입장이다. 정보기술의 활용이 필수적인 원격교육 환경에서 학습자들이 정보기술 자체에 대한 두려움으로 인해 수업에 대한 거부감을 나타낸다. "시작이 곧 그 절반이다" 라는 속담처럼, 원격교?ㄱ의 기본 도구인 정보기술에 대한 첫인상은 교육의 성과에 대해 큰 영향을 미칠 것이다. 정보기수의 수용과 사용에 있어서 개인적인 차이를 설명할 수 있는 중요한 개념중의 하나가 정보기술 자기효용감(IT Self-efficacy) 자신의 정보기술 사용능력에 대한 믿음 또는 자신감이다. 교수자가 정보기술 자기효능감의 중요성을 인식하고 이에 영향을 미치는 변인들을 파악할 수 있다면 학습자의 정보기술 자기효능감을 개발시키고 고무시킬 수 있는 훨씬 나은 교수설계를 할 수 있을것이고 효과적인 수업이 가능할 것이다. 따라서 본 연구에서는 자기 효능감이론(Self-Efficiency Theory)에 근거하여 정보기술 자기효능감이라는 개념을 소개함과 동시에 정보기술을 매개로 이루어지는 원격교육 환경하에서 그 역할을 조명해봄으로써 효과적인 교수설계를 위한 틀을 제시하고자한다.을 제시하고자한다.

A Study on the Sociopsychological Factors Influencing the Dietary Compliance of Diabetics by Using Focus Group Interview (당뇨환자의 식사처방 순응도에 영향을 미치는 사회심리적 요인 분석 I: Focus Group Interview를 이용하여)

  • 최선정;박혜련;박동연;안홍석
    • Korean Journal of Community Nutrition
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    • v.5 no.1
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    • pp.23-35
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    • 2000
  • The purpose of this study was to find the sociopsychological factors influencing the compliance of dietary regimen in diabetes by using focus group interviews. The data were collected from fifty three diabetes patients in eleven focus groups from September 1997 to March , 1998 in Seoul and Suwon Korea. The interviews were tape-recorded and the contents of the interviews were analysed by researchers. The subjects knew the causes, complications, and therapies of diabetes although they were incorrect at times . Patients had a wide range of outcome expectations from very optimistic to pessimistic. They recognized diabetes as a disease which needs life-time care, and they though that good care could provide a normal life. One the other hand they thought diabetes could lead to death through complications, and cause financial problems as well as social isolation. As for self-efficacy they recognized the importance of compliance to diet regimen but they thought the diet therapy was very difficult and were not very willing to follow it. They felt medical professionals, especially doctors, were influential for the therapies. However they frequently felt counselling provided by doctors was insufficient in time and content and led to attitude problems. They felt support from families and others was often insufficient and inadequate. Nutrition education fostering outcome expectation, social support, and self-efficacy is needed to increased compliance. The most influential referents were medical professional including doctors, nurses, dieticians, so their role in diet therapy should by emphasized.

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