• 한국보육지원학회지
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• 제2권1호
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• pp.1-15
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• 2006

본 연구는 보육시설의 안전사고를 예방하기 위한 대책으로서 보육시설의 안전관리 실천 실태를 점검하고 그 정도를 파악함으로써 보육시설 안전 환경에 대한 기초 자료를 제시하는 것을 목적으로 한다. 보육시설 평가인증 지침(2005)의 안전관리 영역 척도와 관련이 있는 문헌 고찰을 토대로 한 선행 연구를 참고로 하여 안전관리 실천에 관한 사항을 6개 하위 영역으로 나누고 하위 문항을 구성해 작성한 설문지를 가지고 전라북도 보육 시설장 102명을 연구 대상으로 하였다. 본 연구에서 나타난 결과는 다음과 같다. 첫째, 시설장들의 안전관리 실태 조사에서 실내시설 안전관리와 비상사태 대처방안 영역에서 다른 영역들에 비해 안전관리 실천 정도가 떨어지는 것으로 조사되었다. 둘째, 보육시설의 안전관리 실천에 대한 각 하위 영역별 평균을 비교해 보았을 때 안전지도 및 교육 항목에서 1.82점으로 가장 실천 정도가 높은 것으로 나타났고, 실내시설 안전관리 항목이 1.59점으로 가장 실천 정도가 낮은 것으로 나타났다. 셋째, 보육시설과 시설장의 관련 변인에 따른 안전관리 실천을 비교한 결과 보육시설 유형별, 시설장의 성별, 시설장의 경력에 따라 차이가 나타났다.

• International Journal of Computer Science & Network Security
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• 제23권11호
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• pp.142-148
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• 2023

The National Agency for Quality Assurance in Higher Education plays a crucial role in education in Ukraine, as an independent entity creates and ensures quality standards of higher education, which allow to properly implement the educational policy of the state, develop the economy and society as a whole.The purpose of the article: to reveal the crucial role of the National Agency for Quality Assurance in Higher Education to create quality management of higher education institutions, to show its mechanism as an independent entity that creates and ensures quality standards of higher education. and society as a whole. The mission of the National Agency for Quality Assurance in Higher Education is to become a catalyst for positive changes in higher education and the formation of a culture of its quality. The strategic goals of the National Agency are implemented in three main areas: the quality of educational services, recognition of the quality of scientific results, ensuring the systemic impact of the National Agency. The National Agency for Quality Assurance in Higher Education exercises various powers, which can be divided into: regulatory, analytical, accreditation, control, communication.The effectiveness of the work of the National Agency for Quality Assurance in Higher Education for 2020 has been proved. The results of a survey conducted by 183 higher education institutions of Ukraine conducted by the National Agency for Quality Assurance in Higher Education are shown. Emphasis was placed on the development of "Recommendations of the National Agency for Quality Assurance in Higher Education regarding the introduction of an internal quality assurance system." The international activity and international recognition of the National Agency for Quality Assurance in Higher Education are shown.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.642-649
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• 2016

본 연구는 어린이집 영아반의 하루일과를 관찰함으로써 교재 교구가 어떤 의미를 지니는 지를 이해하고 이를 바탕으로 유아교육 및 보육 교재교구 인증평가에 시사점을 주고자 하는 질적 연구이다. 교재 교구가 영아들에게 어떠한 의미를 지니는지 구체적으로 알기 위하여 문화기술지 방법을 택하였다. 특히 자유선택활동에서의 영역별 교재교구를 활용한 활동 뿐 아니라, 식사 시간, 낮잠시간, 및 바깥놀이까지 포함하여 살펴보았다. 본 연구를 위해 연구자는 어린이집을 방문하여 참여관찰과 교사면담, 현장노트 등을 통하여 자료를 수집하였으며 영아의 특성상 언어적 표현 뿐 아니라 비언어적 표현에 대한 관찰이 필요할 경우 이를 보다 더 심층적으로 이해하기 위해 캠코더 촬영도 이루어졌다. 이를 통해 얻은 연구자의 관찰기록노트, 교사 면담자료, 표준보육과정 지침서, 어린이집 연간 및 주간보육계획안, 보육과정 평가서 등의 각종 문헌을 통해 얻은 자료를 분류하고 유목화하는 귀납적 분석 방법으로 자료 분석을 하였다. 그 결과 영아들에게 교재교구는 첫째, '맞이하고 놀아주는 내 친구', 둘째, '포근한 나의 보금자리' 셋째, ' 또 한분의 선생님' 으로서의 의미를 갖는다. 이를 토대로 보육시설의 영아용 교재 교구의 비치 기준안을 재정립할 것과 추후 교재 교구 인증평가 시, 영아들이 사용하는 교재 교구의 대상을 비품형 교재 교구까지 폭넓게 고려해야 함을 제안하는 바이다.

• 한국간호교육학회지
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• 제6권2호
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• pp.171-185
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• 2000

The twenty-first century may be said to be entering into a specialized qualification age to meet the needs of new technical innovations such as environmental changes, demographical changes, changes in the constitution of diseases, changes in the needs of the national health, reforms of information and knowledge, etc., which requires the provision of competitive services that can fulfill the high level needs of consumers. In consequence, it is needed to apply a practical nursing model that can serve as a guide for healthy society and to secure the sphere that can affect nursing policy-making by keeping pace with the changing environment. Furthermore, it is also urgent to expand more the activity sphere of nurse specialists with authority and autonomy, establish their legal foundation, establish a qualification accreditation system for nurse specialists, and develop educational programs. In Korea, the law relative to organ transplant past the national assembly on February 9, 2000, legally acknowledged brain death, which indicated to us the emergence of an age of organ transplant. Therefore, it necessitates to find out those of brain death from whom organ transplant is feasible in clinical practices, with their families' consent link to those terminal organ failure patients who are in need of an organ, and mediate both parties so that smooth transplant can be accomplished. A series of these complicated procedures require systematically trained specialists with high level techniques of organic management. With this in mind, this study was conducted on 69 clinical nurse specialists for organ transplant, accredited by the hospital, who are in active service in clinical practices. The resultant findings were revealed, as follows: 1. The qualifications of clinical nurse specialists for organ transplant should be accredited by Ministry of Health and Welfare or Korea Nurses Association. 2. The validity of qualifications should be for three years, and their renewal should be based on marks of a supplemental training or an education course for more than 12 hours a year. 3. The qualification of the clinical nurse specialist necessitates theoretical lectures and practices on those nurses who have had clinical experience in the pertinent field. 4. The course of training is required to be one year in the length of training and take more than 20 credits (320 hours) and 5 credits (240 hours).

• Korean Journal of Acupuncture
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• 제37권3호
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• pp.172-182
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• 2020

Objectives : In this study, we conducted a focus group interview among expatriates living in Korea, to investigate their experiences and perceptions of acupuncture and Korean Medicine in order to improve the usage of Korean Medicine in the medical tourism market. Methods : The inclusion criteria for the focus group interview was: (1) participants between the age of 20 to 75 years old; (2) those who had lived in Korea for more than 90 days, and (3) those who were able to express their thoughts freely in English. The participants were informed that the interviews will be recorded and transcribed. We ended recruitment once saturation of materials was met. Semi-structured interviews were conducted, and the data was analyzed after each interview. Results : The interviews were held between June to December 2016. Twenty-four participants were recruited but four dropped out and a total of twenty participants successfully finished the interviews. Six focus group interviews were conducted. Analysis revealed that Korean Medicine was relatively less known compared to Traditional Chinese Medicine or Complementary and Alternative Medicine. Participants automatically associated acupuncture with the management of pain or stress and replied that these were the areas that they thought acupuncture would be most effective. Positive experiences with acupuncture and with the acupuncture practitioners were factors that promoted the use of acupuncture whereas lack of awareness, accessibility and accreditation were factors that hindered its use. Other factors that hindered the use of acupuncture was needle phobia and the perception that acupuncture lacks scientific evidence. Conclusions : Awareness on Korean Medicine and acupuncture is low. Participants lack awareness on what diseases acupuncture can treat, the scientific evidence behind the mechanism of action, and the rigorous education system that Korean Medicine doctors must go through to get their license. Rigorous marketing should be encouraged, which includes greater exposure in the media, more honest reviews from patients, and promotion of the scientific evidence base.

• 디지털융복합연구
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• 제17권11호
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• pp.29-37
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• 2019

노인들은 건강상태가 다소 좋지 않더라도 지역사회에 지속적으로 거주하기 원한다. 그러나 노인의 건강 및 기능상태에 맞는 통합적인 돌봄지원 시스템의 부재로 생활시설을 선택하는 경우가 증가하고 있다. 본 연구는 2017년 노인실태조사를 활용하여 장기요양인정을 신청한 노인들을 대상으로 욕구에 맞는 서비스를 이용하고 있는지를 탐색적으로 논의하고자 한다. 분석결과 첫째, 장기요양인정을 통해 등급을 받은 노인 중에서 경증 노인은 방문요양 등 재가서비스를 주로 이용하고 있었다. 그러나 경증 노인 중에서 일부는 요양시설에 입소하고 있어서 기능 상태에 맞지 않는 서비스를 이용하고 있었다. 둘째, 방문요양서비스가 주야간보호서비스에 비해 월등히 이용이 높아서 노인 상태에 맞는 복합적인 재가서비스가 이루어지지 못하고 있었다. 셋째, 등급 외 노인의 경우 등급인정 노인에 비하여 일상생활 수행을 위한 도움을 충분히 받지 못하고 있었으며, 경로당이나 노인복지관 등 지역사회복지서비스 이용도 낮았다. 따라서 장기요양인정자의 경우 건강 및 기능상태가 경증 임에도 지역사회에 계속 거주하지 못하고 시설에 입소하는 경우가 발생하고 있고, 등급 외 노인의 경우 필요한 지역사회 돌봄 서비스를 적절이 이용하지 못해서 장기요양인정자로 상태가 악화될 가능성이 높은 것으로 판단된다.

• 한국산학기술학회논문지
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• 제18권8호
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• pp.162-170
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• 2017

본 연구는 중소병원 간호인력 현황과 관련 정책을 분석하고 인력 확보에 영향을 주는 요인을 파악하여 중소병원 간호인력 확보를 위한 정책을 입안하고 결정하는 데에 근거를 제시하고자 실시되었다. 보건복지부와 건강보험심사평가원 등에서 제시한 통계자료를 2차 분석한 후 그 결과를 다양한 내 외적 보건의료환경에 대한 이해를 기반으로 조명하였다. 연구결과 우리나라의 활동 간호사 수는 면허간호사 수의 50% 미만으로 그 수는 해마다 감소하고 있었으며, 이는 간호대학 정원증가의 비용 대비 성과의 효율성을 재고할 필요가 있음을 의미한다. 또한 간호관리료 차등제 실시로 인해 신규간호사는 물론 간호사 인력부족이 심각한 중소병원의 경력간호사들이 상급종합병원으로 이동하게 되는 결과를 야기하였으며, 결국 중소병원 간호인력 부족 현상을 더욱 악화시키는 원인이 되었다. 따라서 입원환자 간호관리료 차등제가 중소병원 간호인력 확보 정책으로 실효성이 있는지에 대한 재검토가 필요하며, 면허간호사에 대한 추적 관리 시스템을 통해 간호인력 수급의 불균형을 해소할 수 있어야 한다.

• 대한영양사협회학술지
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• 제20권3호
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• pp.183-198
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• 2014

The purpose of this study was to investigate the status of clinical nutrition services provided at tertiary hospitals and general hospitals in Korea. In total, 157 questionnaires were distributed to the departments of nutrition at hospitals on September 2013. The results of this study are as follows. The median number of beds was 607 and average length of stay was 8 days. 63.1% of dietitians had over 5 years of career experience. Nutritional screening rate was 97% in tertiary hospitals but only 67.2% in general hospitals (P<0.001). The rate of equipment with computerized nutritional screening system was 100% in tertiary hospitals but 71.9% in general hospitals (P<0.001). Hospitals with the best regarding nutritional care were hospitals accredited by JCI (Joint Commission International). On the other hand, hospitals not accredited by the JCI but KOIHA (Korea Institute for Healthcare Accreditation) showed the lowest performance rate of nutritional care. Nutrition support teams (NSTs) were established in all tertiary hospitals but in only 73% of general hospitals (P<0.001). The rate of actively operating NSTs was 89% in tertiary hospitals but only 62% in general hospitals (P<0.001). There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service between hospitals. Therefore, local solutions are needed to implement nutritional programs and policies for improved service and care.

• 대한기관윤리심의기구협의회지
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• 제4권2호
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• pp.36-41
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• 2022

Purpose: The purpose of this study is to evaluate how university hospital Institutional Review Boards (IRBs) in Korea classify risk when reviewing clinical trial protocols. Methods: IRB experts (IRB chairman, vice chairman, IRB administrator) in the university hospitals obtaining a Human research protection program (HRPP) or IRB accreditation in Korea were asked to fill out the Google Survey from September 1, 2020 to October 10, 2020. Result: Among the 23 responder hospitals, 8 were accredited by the American Association for Human Research Protection Program (AAHRPP) and 8 were accredited by the HRPP of Ministry of Food and Drug Safety (MFDS). Seven were accredited by Forum for Ethical Review Committees in Asia and the Western Pacific or Korea National Institution for Bioethics Policy. Thirteen of 23 hospitals (56.5%) had 4 levels (less than minimal, low, moderate, high risk), 4 hospitals had 3 levels (less than, slightly over, over than minimal risk), 1 hospital had 5 levels (4 levels plus required data safety monitoring board), and 1 hospital had 2 levels (less than, over than minimal risk) risk classification system. Thirteen of 23 hospitals (56.5%) had difficulty classifying the risk levels of research protocols. Fourteen hospitals (60.9%) responded that different standards among hospitals for risk level determination associated with clinical trials will affect the subject protection. Six hospitals (26.1%) responded that it will not. Three hospitals (13.0%) responded that it will affect the beginning of the clinical trial. To resolve differences in standards between hospitals, 14 hospitals (60.9%) responded that either the Korean Association of IRB or MFDS needs to provide a guideline for risk level determination in clinical trials: 5 hospitals (21.7%) responded education for IRB members and researchers is needed; 3 hospitals (13.0%) responded that difference among institutions needs to be acknowledged; and 1 hospital (4.3%) responded that there needs to be communication among IRB, investigator, and sponsor. Conclusion: After conducting a nationwide survey on how IRB in university hospital determines risk during review of clinical trials, it is reasonable to use 4-level risk classification (less than minimal, low, moderate, high risk); the most utilized method among hospitals. Moreover, personal information and conflict of interest associated with clinical trials have to be considered when reviewing clinical trial protocols.

• 대한지역사회영양학회지
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• 제20권3호
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• pp.220-235
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• 2015

Objectives: The purpose of this study was to investigate how clinical nutrition services is provided at a long term care hospital in Korea and to investigate job satisfaction levels of the clinical dietitians. Methods: Survey questionnaire was sent to dietitians working at a long term care hospital in Korea. The participating hospitals (n=240) were randomly selected from 1,180 long- term care hospitals using a stratified sampling method. A total of 134 long term care hospital s and 223 dietitians completed the survey of clinical nutrition service s and job satisfaction questionnaires The job satisfaction questionnaire included 27 job satisfaction questions on task, stability vision, working conditions, and relationship areas. Results: The average nutritional screening rate was 17.9% and the rate of computerized nutritional screening system was 9.7% in the participating hospitals. Nutritional intervention rate was only 3.2% of all patients. KOIHA (Korea Institute for Healthcare Accreditation) accreditated hospitals showed only 50% performance rate of nutrition service evaluation area. This shows that after achieving KOIHA accredition, many hospitals do not emphasize the performance of nutritional services. The job satisfaction scores in all four areas ranged from 2/5 to 3/5, implying generally low job satisfaction level in hospital dietitians. Linear regression analysis results showed that the "hospital adequacy grade" type was a significant predictor of job satisfaction level for two areas (working conditions & relationship). Conclusions: There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service s in long term care hospitals. Therefore, government and local hospitals have to work on implementing nutritional programs and policies for improved service and care.