• 의학교육논단
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• 제22권2호
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• pp.67-76
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• 2020

The structures and processes of medical education have changed little since the publication of Flexner's report, which stressed the scientific orientation of medical education and the curricular structure of 2 years of formal knowledge education and 2 years of clinical experience. However, the previous perspectives on medical education are facing challenges, and these call for new pedagogy and theories on which to base medical education practice. Considering that social dimensions of learning have been emphasized in practice, perspectives that integrate these aspects are needed. Among the various learning theories, social cognitive theory refers to the theoretical framework which contends that learning occurs within interactions with others and environments. From a social cognitive standpoint, learning through observation is a critical component in human functioning. Indeed, observational learning has particular significance in medical education in that it provides the context for which the importance and meaning of role models can be understood. In addition, as theoretical constructs such as self-efficacy and outcome expectations allow us to establish an effective learning environment, exploring the concepts of the theory could be beneficial to medical education practice. In this context, the present review article aims to provide a glimpse of the fundamental assumptions and theoretical concepts of social cognitive theory and discusses the implications the theory has on teaching and learning. Further, a review of previous studies could help explain how the theory has informed medical education practice. Finally, the author will conclude with the implications and limitations of applying social cognitive theory in medical education.

• 한국과학교육학회지
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• 제21권1호
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• pp.59-75
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• 2001

이 연구는 개념생태 구성요소 중 학습자가 지닌 동기 심리적 관점의 측면에서 수행되었다. 즉 학습자가 학습동기와 관련하여 과학학습에 대한 개념을 어떻게 구성하고 있는가에 대하여 정성적인 방법으로 연구하였다. 수도권에 소재한 '가나' 고등학교 2학년 학생 3명의 사례를 제시하였다. 연구의 신뢰도와 타당도를 위하여 자료의 수집과 분석 의 전과정 동안 삼각측정법을 사용하였다. 면담, 직접 및 간접 관찰, 문서를 통한 자료 수집을 하여 분석한 후, 사례 연구를 하였다. 연구 결과, 학습자들의 과학 학습에 대한 열정은 과학 학습에 대한 관점과 관련되는 것으로 나타났다. 과학 학습에 대한 학습자들의 관점은 지식의 본성, 학습의 본성, 인식론적 확신 근거를 포함한 과학 및 과학 수업에 대한 관점에 영향을 받았다. 이러한 과학학습관은 학습자들의 자아 효능과 과학학습 동기에 영향을 주는 것으로 보여진다.

• 약학회지
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• 제58권2호
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• pp.112-124
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• 2014

This study aimed to develop a regulation system for off-label drug use to secure the safe use of marketed drugs. We searched governmental documents for national and global regulating systems of off-label drug uses and a body of academic literature to explore current regulating trends. We included European Union, United Kingdom, United States of America, Australia and Japan, and critically reviewed the regulation of off-label drug use in four issues, which were a regulatory structure, safety control before and after off-label use, and information management. The findings of the present investigation called for several measures in off-label drug uses: enhancing prescribers' self-regulation, providing up-to-date information to prescribers for evidence-based practice and to patients for their informed consent, making evidence with scientific rigor, building an official registering process for off-label use in good quality and extending the role of pharmaceutical industry in pharmacovigilance. At last, we proposed a new system so as to regulate and evaluate off-label drug uses both at national and institutional level. In the new system, we suggested a clear-cut definition for clinical evidence that applicants would submit. We newly introduced an official 'Off-Label Drug Use Report' to evaluate the safety and clinical efficacy of a given off-label drug use. In addition, we developed an algorism of the regulation of off-label drug use within an institution to help set up the culture of evidence-based practices in off-label drug uses.

• 대한화학회지
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• 제66권1호
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• pp.31-41
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• 2022

이 연구는 PISA 2015에서 실시한 과학교사 설문을 분석하여 향후 한국 과학교육을 위한 시사점을 도출하는 것을 목적으로 하였다. 이를 위해 한국, 미국, 중국의 과학교사 설문 원자료를 분석하여, 설문 항목별로 기술통계와 차이 검정을 실시하였다. 연구 결과는 다음과 같다. 첫째, 한국 과학교사는 전문성 계발 활동에 의무적으로 참여해야 한다는 인식이 비교국들에 비해 낮았고, 학생 맞춤형 지도 방법과 다양한 평가 방법의 실제 등에서 개선이 필요한 것으로 나타났다. 둘째, 한국 과학교사는 대체로 교직에는 만족하고 있었으나, 현재 근무하는 학교에서 여러 가지 자원의 제한으로 과학교육 활동에 지장을 받는다는 응답이 비교국에 비해 상대적으로 높았다. 셋째, 한국은 과학 교육과정과 과학 수업에서 과학 탐구가 덜 강조되고 있었으며, 탐구의 교수과정에서 과학교사의 자기 효능감도 상대적으로 낮게 나타났다. 넷째, 한국은 과학 수업에서 토의와 토론 수업, ICT 활용 수업 등이 적게 이루어지는 것으로 나타났다.

• 한국환경보건학회지
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• 제49권4호
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• pp.228-235
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• 2023

Background: As the public interest in chemical substances found in daily life has increased, environmental health education content has been developed and related studies have been conducted. However, there is still insufficient research on methodologies for environmental health education. Objectives: This study aimed to explore risk communication strategies by focusing on N-nitrosamines in rubber balloons. Methods: In this study, two different health messages were composed: a gain-framed message emphasizing the advantages of practicing the health behavior and a loss-framed message emphasizing the negative consequences of not practicing the health behavior. The effect of the message containing risk information was evaluated by measuring the health beliefs and health behavior potential for female caregivers. As the Environmental Health Act defines a child as "a person under the age of 13," a total of 131 women with children under the age of 13 were studied. Results: The age, awareness, and interest of the participants in the gain frame group and these in the loss frame group were similar. In terms of message framing effect, the gain-framed message was more effective in terms of health belief and potential health behavior than was the loss-framed message. As a result of an independent t-test, among the six variables of health belief model the message effect was statistically significant at the level of p<0.05 in three variables: perceived severity (t=2.287, df=129, p=0.024), self-efficacy (t=2.123, df=129, p=0.036), and health behavior potential (t=2.094, df=129, p=0.038). Conclusions: This study presented a direction for effective environmental health education by studying the effects of risk communication messages based on scientific evidence. It is necessary to extend the scope of environmental health education research by expanding research into various household products.

• 한국학교보건학회지
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• 제6권1호
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• pp.9-44
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• 1993

An explorative and descriptive study in order to determine the effect of family structure and other socio-demographic variables on health behavior, belief, locus, and value and utilization of public health service was carried out. Data were collected from 1,653 subjects randomly sampled in three areas, Seoul, Kyunggi province, and Cheju province. From Seoul 849 subjects were selected, 397 subjects Kyunggi, and 407 subjects from Cheju, respectively. Self-reporting questionaires were administered during the period from March to June, 1992. The major findings were as follows: 1) The subjects visited herb-doctor's at irregular intervals mainly to have tonic medicine prepared. They preferred herb-doctor's rather than with doctors at clinics and hospitals. Statistically significant difference was found among the regions studied (p<0.05). 2) The reason for visiting hospitals was primarily for treatment of diseases. They preferred hospital because they felt that the hospitals offer much highly reliable treatment services as well as medical accessibility. For the purpose of hospital utilization, statistically significant differences existed among sex, educational level, family type and region. However, no significance was found among sex, educational level, and region (p<0.05). 3) The subjects utilized general hospitals mainly for diagnosis and treatment of diseases. They preferred general hospitals because of their much better facilities and reliability. Statistical significance was found among sex, educational level, and region (p<0.05). 4) The subjects visited dentist at irregular intervals basis. They visited once half a year or three to four months. their purpose of visit was mainly for diagnosis and treatment of diseases. Statistical significance differences were found among educational level, region and economic standard (p<0.05). 5) Whenever their illnesses were mild and the pharmacies was located in nearby they visited to pharmacies. They visited once a month and patient medicines. Statistically significant differences were found among sex, educational level and region (p<0.05). 6) The subjects believed that herb medicine was quite efficacious for treatment of some diseases, particularly by information handed down through time-honored tradition and experience. However, they recognized that the efficacy of folk medicine can vary with type and severity of diseases. Statistical significance was among sex, educational level, region and economic standard (p<0.05). 7) The reason why subjects believed that pray and superstition are effective for treatment of certain type of diseases, particularly in neuropathy, was the belief in God's almighty. Statistically significant differences were found among sex, educational level, regions and economic standard (p<0.05). 8) Most of subjects under same condition preferred western medicine because they believed that it is more scientific and prompts in showing therapeutic effect. Statistical significance was not found in the choice of type of public health service among, regions. But significant differences were found among sex, educational level and region (p<0.05). 9) The subjects looked for pharmacy if they thought the symptom was mild. However, they visited hospitals for chronic disease and general hospitals for emergency treatment. Statistical significances were found among educational level, region and economic standard (p<0.05). 10) Although most of students wanted to have a healthy life as for the component of health standard and value, they think that they are not healthy (p<0.05). As for the health behavior, significant difference was found in the proportion of smoking and drinking between educational level and region (p<0.05). The health locus was affected by educational level, and health behavior was influenced by region, sex and educational level. The utilization of type of public health service was influenced by family type and region, and health belief by region and educational level, and the health values by region and economic standard respectively, most of correlation showed statistical significance. Among them, the highest correlation was seen between locus of control and external/internal locus of control, which is quite obvious. The correlation between health belief and behavior was the next highest, but still low (0.343). All the other variables are low but significant except only a few of those. These findings indicate that health education should be incorporated into the curriculum so as to develop desirable health habit, and ability of self-control in accordance with their growth stages. A systematic and scientific understanding on the herb/folk medicine is needed, and greater reliability of the utilization of public health services are is still required. Health policy for equal distribution of health service throughout the country along the hierarchical health service system and complementary mutual assistance and cooperation among various health organizations are also required.

• 한국과학교육학회지
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• 제33권2호
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• pp.511-521
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• 2013

본 연구에서는 과학 수업의 정리 단계에서 글쓰기를 강조한 수업이 학생들의 과학 관련 태도, 학습 동기 및 학업 성취도에 미치는 영향을 알아보았다. 경기도 소재 중학교 1개교의 2학년 학생 127명을 연구 대상으로 총 30차시에 걸쳐 수업을 진행하였다. 수업 정리 단계에서 실험반은 학습 목표와 연관된 과학 개념을 글쓰기로 정리하였고, 비교반은 문제 풀이로 정리하였다. 학생들의 과학 관련 태도는 TOSRA를 수정 보완한 과학 관련 태도 검사지, 과학 학습 동기는 PALS와 MSLQ를 수정 보완한 과학 학습 동기 검사지, 학업 성취도는 학교의 지필 평가를 이용하여 측정하였다. 본 연구 결과는 다음과 같다. 첫째, 과학 관련 태도 검사 결과, 과학 글쓰기 수업은 학생들의 전체적인 과학적 태도 함양에 유의미한 효과가 있었다(p<.05). 특히, 하위 영역에서는 학생들의 '과학 탐구에 대한 태도'와 '과학 수업의 즐거움', ' 과학에 대한 적극성'에 유의미한 효과가 있었다(p<.05). 둘째, 과학 학습 동기 검사 결과, 과학 글쓰기 수업은 학생들의 전체적인 학습 동기를 유의미하게 향상시켰으며(p<.05), 하위 영역에서는 '과제에 대한 가치'와 '자기 효능감'에 효과가 있었다. 셋째, 과학 글쓰기를 활용한 수업은 학생들의 학업 성취도 향상에 긍정적인 영향을 미치는 것으로 나타났다(p<.05). 특히 상위 수준의 학업 성취도 집단에 더 효과가 있는 것으로 나타났다.

• 근관절건강학회지
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• 제4권2호
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• pp.197-220
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• 1997

The lack of a comprehensive theory describing the mechanism of adaptation scientifically has been one of the limiting factors for the development of nursing intervention of patients with chronic illness. Since Roy's theory provides the general conceptual framework depicting adaptation process with structural stimuli and control mechanism, it is appropriate to understand the process of adaptation. But in Roy's theory, the propositions about cognator and regulator as control mechanisms are not clearly defined. For this reason, most of the previous researches applying the Roy's theory have disregarded the study of cognator and regulator. For the patients with chronic illness such as rheumatoid arthritis, it was reported that adaptation states were different for the same stimuli due to the difference of the control mechanism. Moreover in nursing it is important to identify the control mechanism which can be and must be intervened by nurses. It was the Lazarus and Folkman's theory that proposed the control mechanism. They suggested that individual differences in the reaction against the perceived stress are due to the difference in appraisal and coping. Therefore, the synthesis of Roy's and Lazarus and Folkman's propositions might help to clearly understand the mechanism of adaptation. From this point, a theoretical framework has been developed and tested. The subjects were the 297 patients who had been diagnosed rheumatoid arthritis and attended the outpatient clinic. A hypothetical prediction model of adaptation was tested by the covariance structure analysis with PC-LISREL 7.13. As a result, the overall fit was good($x^2$=78.83, p=0.00 ; GFI=0.96 : AGFI=0.90 ; RMR=0.04) for the hypothetical model. In the final model added GA(5, 1), the overall fit was increased ($x^2$=57.82, p=0.003 ; GFI=0.97 ; AGFI=0.93 : RMR=0.036). Except the fact that illness symptoms affected physical adaptation directly, it was supported that focal and contextual stimuli affected physical and psychosocial adaptation through appraisal and coping. Therefore, it was asserted that the synthesis of two theory's propositions was appropriate. So this model would be useful for the theoretical framework in the nursing practice. And this study synthesizing and testing the theory might contribute to establish nursing's scientific base.

• 한국초등과학교육학회지:초등과학교육
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• 제41권4호
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• pp.740-753
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• 2022

본 연구의 목적은 교육 소외계층 저학년을 위한 사회정서학습기반의 학교밖 STEAM 프로그램 모형을 개발하고 적용하는 것이다. 이를 위해 사회정서학습(Social Emotional Learning, SEL) 기반 STEAM 프로그램을 개발하였고, 그 특징은 다음과 같다. 첫째, 본 프로그램에는 전통적인 STEAM 학습요소와 SEL 요소를 통합하여, 마음 챙김 명상-상황제시-창의적 설계-감성적 체험-성찰과 같은 일관된 구성 체계로 설계하였다. 둘째, 초등학생들이 일상생활 속 문제상황에서 수학적 사고와 과학적 탐구능력을 기를 수 있도록 구성하였다. 셋째, 각 STEAM 프로그램별 세부 주제를 스토리텔링 문제 상황과 놀이 및 교감 중심 활동으로 구성하여 교육 소외계층 아동들의 학습 요구를 반영하였다. 이러한 특징을 바탕으로 총 33차시의 5개의 프로그램을 개발하여 전국 16개 지역아동센터의 16명의 교사와 354명의 초등 저학년 학생에게 시범 적용하였고, 그 결과는 다음과 같다. 첫째, STEAM 프로그램에 대한 전체 학생의 만족도는 4.16이었으며, 학생 성별에 따른 STEAM 만족도의 유의한 차이는 없었다. 둘째 전체 학생의 STEAM 태도의 하위 영역 중 흥미와 자아효능감은 유의하게 향상되었으나, 학생 성별에 따른 STEAM 태도의 유의한 차이는 없었다. 셋째, 전체 학생의 전체 사회정서학습 역량의 향상이 유의하지는 않았지만, 관계 기술은 유의하게 향상되었으며, 학생 성별에 따른 사회정서학습 역량의 유의한 차이는 없었다. 이러한 결과를 바탕으로 교육 소외계층을 위한 학교 밖 STEAM 프로그램의 효과에 관한 논의와 함께 후속 연구에 대한 방향을 제언하였다.