• 한국노년학
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• 제40권2호
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• pp.311-323
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• 2020

노인은 낙상의 위험이 높고, 낙상은 심각한 손상을 유발함으로써 재원기간과 치료비용을 상승시켜 환자 가족뿐만 아니라 국가 경제에도 부담을 초래한다. 따라서 낙상 예방 활동은 간호사와 간호조무사 업무의 중요한 부분을 차지한다. 본 연구는 요양병원에서 근무하는 간호사와 간호조무사가 직면하는 낙상 예방 활동의 방해요인에 관한 사실적 맥락을 파악하기 위해 수행되었다. 36명의 요양병원 간호사 및 간호조무사를 대상으로 초점면담을 실시하였으며, Elo & Kyngäs의 귀납적 내용분석 방법에 의거하여 면담자료를 분석하였다. 환자 요인, 환경 요인, 개인 요인의 총 3개의 카테고리가 도출되었으며, 환자 요인에는 '저하된 인지 기능'이, 환경 요인에는 '인력지원의 부족'과 '낙상 위험을 고려하지 않은 입원환자 배정'이 개인 요인에는 '무력감'과 '비난에 대한 불안' 등이 포함되었다. 환자의 건강결과를 향상시키고 사회적 비용을 줄여나가기 위해 낙상 예방 활동을 증진하기 위해서는 요양병원의 간호 인력을 점차적으로 늘리고, 낙상위험에 따른 병실 배정 체계 마련, 간호 인력의 교육 및 지원 시스템을 보완할 필요성이 있다.

• 문화기술의 융합
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• 제8권1호
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• pp.469-481
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• 2022

이 연구는 여고 기숙사에서 피난 시 층별 및 실별 인원 배치에 따른 RSET(피난소요시간)을 분석하여 피난 안전성을 높이는 데 있다. 이를 위해 학생 개개인의 체력이 피난에 영향을 미칠 수 있다는 전제 하에 그동안 연구되지 않았던 PAPS 결과를 분석하여 피난 시뮬레이션에 반영하였다. PAPS 결과를 바탕으로 4개의 시나리오를 적용하되 피난로 미지정 시와 지정 시로 구분하여 Pathfinder를 활용한 피난 시뮬레이션을 실시하였다. 시나리오 중에서 피난로 지정 시 시나리오 4가 RSET 168.5초로 가장 빠르게 나타났다. 본 연구의 결과, 학생체력을 배제한 체 학력신장과 생활지도에 중점을 두고 기숙사생을 배치하는 것은 피난 안전성에 문제가 있으며, 이에 대한 개선책으로 PAPS를기반으로 평가등급이 낮은 학생들을 저층, 평가등급이 높은 학생들을 고층에 배치하고 실별 피난로를 지정하는 것이 피난 안전성에 효과적임을 확인할 수 있었다. 향후 연구과제로는 실질적인 피난대피훈련을 통하여 피난 안전성을 높이는 방안과 여학생들의 생활습관 및 체력을 반영한 피난 안전성 평가 방안의 연구가 필요하다.

• 대한공업교육학회지
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• 제32권2호
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• pp.69-86
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• 2007

이 연구는 중소기업분야 특성화 전문계 고등학교의 운영실태를 조사, 분석하기 위해서 수행된 것으로, 중소기업분야 특성화 전문계 고등학교로 선정된 29개교의 특성화 담당교사와 면담 및 전화 인터뷰를 통하여 자료를 수집, 분석하였다. 연구결과 첫째, 29개교 중소기업분야 특성화 전문계 고등학교는 제조업기반기술과 제조업 지원업종으로 특성화하고 있으나 제조업 기반기술 분야가 79%로 큰 비중을 차지하고 있었다. 둘째, 신입생 지원 현황은 2006, 2007년 모두 1.01의 경쟁률로 비교적 낮게 나타났다. 셋째, 전체교원 중 여교사가 차지하는 비율은 32%였으나 보직교사이상에서는 14%로 매우 낮았다. 넷째, 실험 실습실은 확보율은 94%로 비교적 안정적이었고, 기자재 보유율은 76.4%로 조금 낮았다. 마지막으로 다른 사업 추진 현황을 분석한 결과 72.4%의 학교가 다른 사업과 병행하고 있었다. 따라서 중소기업분야 특성화 전문계 고등학교 육성 방향은 다른 사업과의 차별성에 중점을 두고 이루어져야 한다.

• 기본간호학회지
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• 제2권1호
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• pp.87-101
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• 1995

This study was conducted with the subject of showing the importance of early rehabilitation and exercise therapy in patients who have stroke, of confirming the adavntage of ward exercise conducted by nurse, which had been conducted mainly by physical therapist only in physical thrapy room and of developing the exercise program as the independent rehabilitation nursing intervention. A total of 62 patients were selected as object from April, 5th, to May, 17th, 1995, who had been hospitalized in K medical center, and the half of them were assigned to Experimental group in ramdom assignment using a coin. It was ADL check list tool developed by Kang and Ward Exercise Program developed by the researcher that were used as a treatment. Ward Exercise Program was conducted by the reseacher and the physical therapist measured ADL score before and after Ward Exercise Program. The data were analyzed using ANOVA, pearson correlation, Chi-Square test and the effect of Ward Exercise Program was analyzed by t-tast. The result of this study is as follows. 1. The experimental group showed eminent improvement of ADL compared with the counter group with statistical significance. In eating(t=6.10, df=60, p=.000), personal hygiene performing(t=4.86, df=60, p=.000), wearing(t=5.86, df=60, p=.000), elimination(t=7.89, df=60, p=.000), mobility on the bed(t=13.36, df=60, p=.000), moving(t=9.11, df=60, p=.000), walking(t=7.45, df=60, p=.000) 2. There was no qualitative difference between experimental group and control group with the significance of $p{\le}.05$. 3. There was no relation between the general condition and the difference of ADL, while there was significant relation between the starting point of exercise and the difference of pre-exercise and post exercise ADL. As a result, it should be emphasized that the early rehabilitation and exercise therapy are important in patients who have stroke, and that it is necessary to extend the exercise therapy to the ward. Therefore, this Ward Exercise Program could be recommended as a independent clinical exercise nursing intervention in rehabilitation nursing of patients who have stroke.

• 간호행정학회지
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• 제1권1호
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• pp.97-111
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• 1995

In our society today, a variety of medical caring system, along with a scientific development in the area of oriental medical science plus national demand, has increased the augmentation and the opening of oriental wards and hospitals (Han Bang), which has come to create an additional requirement of nursing activity at oriental medicine wards should be different from that of the general wards or the same as the other. In view of this, various studies need to be made in this connection. The purpose of this study is to comprehend the number of nurses who want to work at oriental medicine wards and measure job satisfaction in nursing as compared with those working at general wards so as to provide basic materials for future assignment and supplementary training for the nurses. An attempt was made to contribute toward nursing administration on the one hand improving nursing training course on the other hand. A total of 72 nurses currently working at two oriental medicine hospitals available in Seoul and 82 general nurses were selected for this study using the questionaire from December 1993 to January 1994. An instrument for the study was based on the measurement of work satisfaction developed by Paula L. Stamps including 37 questions complemented by Kim for revision (1993) and 14 questions regarding general characteristics and oriental medicine wards. The instrument to test dependability showed Cronbach's=0.7711. The collected data have been processed by computer package SPSS. General characteristics of the two groups and the matters involved in oriental medicine wards were calculated into real figure and percentage an similarities between the two groups were analyzed by t-test and F-test according to the characteristics of variables. The comparative test on work satisfaction among the two groups including general characteristics and work factors were conducted by t-test and F-test. The major findings as a result of the study are as follows : 1. As general characteristics, age group of $26{\sim}30$ years are more than any segment of age. As to marital status, the number of those in single status is slightly higher than the married. Approximately 80% of them are graduates of nursing schools and nursing colleges. They are mostly in service for one to three years. There is no significant difference between the two groups. 2. The number of those who want to work at oriental medicine wards represents 40.3% against 58.4%, being in favor of general wards. 3. The reason for service at oriental medicine wards is that "there is room for potential research" which happened to rank first, followed by "easy job," "good working atmosphere" and "growing interest in oriental medicine." 4. Work satisfactions among nurses who work at oriental medicine wards prove greater than that of nurses who work at general wards. 5. Work satisfaction between the two groups by work factors is reflected with significant difference statistically on task requirement, interaction and doctor-nurse relationships. 6. The general charcateristics and the work satisfaction by work factors prove that there are significant difference in age, marital status, education and the period of work. They tend to be more satisfied with the work as they grow in age. Significant differneces are found in the work factors such as autonomy, adiministration and professional job in the relationship with doctor-nurse. As to marital status, the married are more satisfied than the unmarried. There are significant differneces in the factors respecting administration and doctor-nurse college graduates are highly satisfied with task requirement. However, satisfaction with the professional level has proven the highest degree for those having master degree. The period of work and satisfaction : There are significant differneces in task requirement, administration, interactions, professional level and doctor-nurse relationships. As a general rule, the degree of satisfactions is in proportion to the lengrh of service. The following conclusions are drawn based on the fndings mentioned above. Even though the work satisfaction of the nurse who work at oriental medicine ward is relatively high, it is desired that personal consultation be given as to disposition of nurses when they are assigned to oriental medicine wards. It is also recommended that lectures on oriental medicine be conducted through supplementary training and/or basic nursing course in order that they may be motivated for ingenious activities with an increasing sense of self-esteem which will eventually enhance positive changes for the patients who are in need of oriental medicine nursing and for the medical teams. In addition, joint reseaches involvingclinical care and education should be in constant process for unique and scientific development for those who are subject to oriental medicine nursing care.

• 헤리티지:역사와 과학
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• 제49권1호
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• pp.22-43
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• 2016

매장문화재 국가귀속제도는 일제강점기의 문화재 법규에서 연유하여 문화재보호법을 거쳐 현행 매장문화재법에 계승되고 있다. 국가귀속제도는 국가문화유산의 근간을 형성하는 국가귀속문화재를 확정하는 절차로서 문화유산 분야에서 중요한 의미를 가지고 있음에도 그동안 행정의 영역으로만 취급되어 학술적 연구나 정책적 검토에 소홀하였다. 최근 전통문화에 대한 국민들의 관심이 고조되고, 문화재가 지역의 문화적 정체성 확립과 관광 활성화에 촉매 역할을 할 수 있다는 인식이 확산됨에 따라 지방자치단체의 국가귀속문화재 관리위임 요구가 증대하고 특히, 중요 유물의 확보와 관련해서는 중앙과 지방 간 문화적 헤게모니 현상까지 나타나고 있다. 그런데, 국가귀속제도에 있어서 중요한 절차인 국가귀속대상 문화재 선정방식과 보관관리기관 지정과 관련해서는 그동안 지속적인 개선 노력이 있었음에도 각계로부터 보다 객관적이고 합리적인 제도개선 요구를 받고 있다. 본 논문은 2011년 매장문화재 법제가 제정 시행된 이후 그 운영과정에서 나타난 문제점과 개선과제를 도출하여 국가귀속제도의 정책 개선방안을 고찰하였다.