• 제목/요약/키워드: Change stages

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일개 기업의 40년 소음으로 인한 청력 손실 예방 활동을 통해 본 청력보존문화의 변화 단계 (Safety and Health Culture Change Stages: A Reflection on 40 years of Hearing Conservation History at a Multinational Company)

  • 박미진;윤충식;백도명
    • 한국산업보건학회지
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    • 제29권3호
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    • pp.298-309
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    • 2019
  • Objectives: This study aimed to investigate stages of safety and health culture change through a reflection on 40 years of hearing conservation history at a multinational company. Methods: The target workplaces were multinational companies with more than 1,000 employees. The research used the clinical case study and system analysis methods based on direct observation of the research from 1994 to 2009. The latter method performed an analysis of the equilibrium state of the cross-section in the given period and the longitudinal profile of the change during the given period. Results: The stages of cultural change are divided into five stages and summarized as follows. In the first stage, workplace noise was not widely recognized as a hazard, while in the second stage, the measurement of noise levels and audiometric testing were conducted under the Korean Occupational Safety and Health Act (KOSHA). The driving force for change in the second stage was the amendment of the KOSHA. In the third stage, noise came to be recognized as a hazard factor through awareness training. The driving force of change during the third stage was the strong executive power exerted by the audit of the industrial hygiene program from the US head office. In the fourth step, there was a change to actually reduce noise. The driving force in this stage was a change in company executives' risk perception resulting from lawsuits over noise-induced hearing loss and the task force team activities for culture change based on the action learning protocol. At the fifth stage, a 'buy quiet policy' was institutionalized. The management's experience that noise reduction was difficult was the motivation to manage noise from the time of purchase of equipment. Conclusions: The activities of a hearing conservation program are determined by the improvement of the legal system and by the way it is enforced. Noise control activities to reduce noise areas may be possible through the shared risk perception of noise-induced hearing loss and by a change agent role as a facilitator to implement noise control.

ERP 도입 후 사용자 만족도 향상을 위한 변화관리 모형에 관한 연구: A사 사례를 중심으로 (Post Implementation Change Management to Increase Users' Satisfaction on ERP: A Korean Company Case)

  • 신현식;송용욱;김창기
    • 한국정보시스템학회지:정보시스템연구
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    • 제19권2호
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    • pp.37-71
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    • 2010
  • This article identifies factors affecting successful ERP systems by focusing on the stages after stabilizing ERP systems and overcoming temporary performance dip by introduction of ERP systems, and suggests change management tactics to control those identified factors. We can not expect that every users are familiar with the usage of an ERP system even after they are informed about the expected advantage of the newly implemented ERP system and trained intensively for changed business process and system usage while implementing a new ERP system. Moreover, even after more than six months usage of the system, the users may still have some trouble due to the reason why they have insufficient information about the expected advantage of the system (recognition gap) and insufficient knowledge about the changed usage of the system (knowledge gap). Hence, this article diagnoses by conducting a case study that those recognition and knowledge gap would have a severe bad influence upon the users' trust and satisfaction on ERP systems. This article suggests an appropriate change management tactics to overcome those recognition and knowledge gap by considering the relationship with the efforts for change management before, during, and after the introduction of ERP systems and performing an in-depth analysis on the users' dissatisfaction and request for update during the stages after the stabilization of the ERP systems. This article also shows a corroborative evidence that these efforts of change management consequently contributes to the solution of users' distrust and dissatisfaction. In sum, this article identifies the factors influencing badly on the magnitude and seriousness of knowledge and recognition gap, and suggests a conceptual research model which says that the satisfaction of ERP users could be uplifted by the solution of their knowledge and recognition gap if we keep making efforts on appropriate change management considering those identified factors during the stages after the stabilization of an ERP system.

건강 앱 이용자들의 단계적 건강행위변화와 정보탐색행태 (Stages of Change to Health Behavior and Health Information-Seeking Behavior of Health Application Users)

  • 이용정
    • 한국문헌정보학회지
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    • 제51권4호
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    • pp.161-181
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    • 2017
  • 본 연구는 모바일 건강 애플리케이션을 활용하여 건강행위를 변화시키는 건강정보소비자 들이 그 역동적인 단계적 변화에 따라 추구하는 건강정보 탐색행태를 관찰하고자 하였다. 이를 위해 본 연구는 변화단계모형(Stages of change)을 이론적 틀로 사용하여 각 단계에서 나타나는 건강정보소비자들의 인식, 정보요구 및 탐색행태의 변화를 분석하였다. 본 연구에는 총 30명의 대학생 이용자들이 참여하여 3개월 동안 건강 애플리케이션을 사용하면서 금연, 금주, 및 규칙적 운동 등의 건강행위의 변화를 시도하였으며, 그들의 경험을 바탕으로 서면인터뷰를 실시하였다. 연구결과에 따르면, 연구 참여자들은 소셜 미디어와 인터넷을 포함하여 다양한 정보원을 사용할 뿐 아니라 정보요구에 따라 상이한 정보원을 탐색했다. 특히, 실행단계에 접어든 소비자들의 본격적인 건강 앱 활용에서 나타나는 정보요구와 정보탐색행태는 특별히 건강 앱을 통한 건강정보서비스의 함의를 시사한다. 또한, 행위변화를 시행하면서 경험하는 스트레스 관리와 퇴보(relapse), 그리고 행위변화의 긍정적 및 부정적 효과는 건강정보제공자에게 소비자의 건강행위변화를 지원할 수 있는 통찰력을 제공한다.

대학생의 체형 인식과 비만 정도 및 운동과 식습관 변화단계 영향요인: 범이론적 모형 적용 (The Level of Body Perception, Obesity, and Factors associated with Stages of Exercise and Dietary Habits Change in University Students: Application of the Transtheoretical Model)

  • 장인순;김유정
    • 근관절건강학회지
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    • 제22권3호
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    • pp.167-176
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    • 2015
  • Purpose: The purpose of this study was to identify the level of body perception, obesity, and factors associated with stages of exercise and dietary habits change in university students. Methods: A descriptive design was used. Data were collected from 279 university students using structured questionnaires. Results: The body perception was significantly associated with self rated health (F=27.89. p<.001), weight satisfaction (F=137.74. p<.001) and weight control interest (F=39.19. p<.001). The BMI was significantly associated with weight satisfaction (F=34.08. p<.001) and weight control interest (F=19.59. p=.003). But the body perception and BMI were not significantly associated with depression (F=2.17, p=.073, F=0.86. p=.462), the change of exercise (F=25.91. p=.055, F=20.34. p=.061), and dietary habits (F=12.96. p=.677, F=11.29. p=.505). The related factors affecting the change of exercise behavior were counter conditioning, self efficacy, eating behavior, and helping relationship, including 30.4% R-square. The related factor affecting the change of dietary habit was only eating behavior, including 20.0% R-square. Conclusion: This study can provide useful information to develop effective programs for the change of exercise and dietary habits considering university students' stages of change according to the transtheoretical model.

중년여성의 운동행동변화단계에 따른 변화과정, 의사결정균형 및 자기효능감 (Process of Change, Decisional Balance and Self Efficacy Corresponding to Stages of Change in Exercise Behaviors in Middle Aged Women)

  • 이윤미
    • 대한간호학회지
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    • 제34권2호
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    • pp.362-371
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    • 2004
  • Purpose: The study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of exercise behavior change based on a Transtheoretical Model in middle aged women. Method: The subjects consisted of 317 women by convenience sampling residing in city B. The collected data were analyzed using one-way ANOVA, Scheffe test, and Discriminant analysis by SPSS/WIN program. Result: The subjects were distributed in each stage of change of exercise behaviors: 53 subjects (16.7%) in the precontemplation stage, 86 subjects (27.1%) in the contemplation stage, 88 subjects (27.8%) in the preparation stage, 51 subjects (16.1%) in the action stage and 39 subjects(12.3%) in the maintenance stage. Analysis of variance showed that consciousness raising (F=24.96, p=.00), environmental reevaluation (F=7.l3, p=.00), self reevaluation (F=19.47, p=.00), dramatic relief (F=15.22, p=.00), social liberation (F=4.26, p=.00), counter conditioning (F=26.44, p=.00), a helping relationship (F=13.l7, p=.00), reinforcement management (F=21.25, p=.00), self liberation (F=27.70, p=.00), stimulus control (F=13.49, p=.00), pros (F=14.40, p=.00) and self-efficacy (F=39.9l, p=.00) were significantly associated with the stages of change of exercise behaviors. Through discriminant analysis, it was found that ‘stimulus control’ was the most influential variable in discriminating the five stages of change. Conclusion: This study can provide the basis of a staged matching exercise program using TTM for more effective and useful intervention.

Application of Change Detection Techniques Using KOMPSAT-1 EOC Images

  • Kim, Youn-Soo;Lee, Kwang-Jae
    • 대한원격탐사학회지
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    • 제19권3호
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    • pp.263-269
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    • 2003
  • This research examined the capabilities of KOMPSAT-1 EOC images for the application of urban environment, including the urban changes of the study areas. This research is constructed in three stages: Firstly, for the application of change detection techniques, which utilizes multi-temporal remotely sensed data, the data normalization process is carried out. Secondly, the change detection method is applied for the systematic monitoring of land-use changes. Lastly, using the results of the previous stages, the land-use map is updated. Consequently, the patterns of land-use changes are monitored by the proposed scheme. In this research, using the multi-temporal KOMPSAT-1 EOC images and land-use maps, monitoring of urban growth was carried out with the application of land-use changes, and the potential and scope of the application of the EOC images were also examined.

금연 변화단계를 적용한 전화 상담과 문자메시지 제공 프로그램이 심근경색증 외래환자의 금연에 미치는 효과 (Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction)

  • 공정현;하영미
    • 대한간호학회지
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    • 제43권4호
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    • pp.557-567
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    • 2013
  • Purpose: This study was done to identify effects of a smoking cessation program including telephone counseling and text messaging using stages of change for outpatients who have had a myocardial infarction (MI). Methods: This research was a quasi-experimental design with a nonequivalent control group pretest-posttest. The participants were 48 outpatients (experimental group=24, control group=24) recruited from one university hospital. They were randomly assigned to one of two groups: (a) an experimental group with telephone counseling (once a week) and text messaging (five times a week) using stages of change, and (b) a control group with traditional telephone counseling (once a month). Efficacy of the intervention was measured by comparing the two groups on smoking-related variables at 3 weeks and 12 weeks. Results: At the 3-week and 12-week measurements, there were significant differences between the experimental and control groups on smoking cessation self-efficacy (p<.001), nicotine dependence (p<.001), CO levels (p<.001), and smoking cessation rates (p<.001). Conclusion: The results indicate that the smoking cessation program including telephone counseling and text messaging using stages of change is effective for outpatients after a MI. Further attention should be paid to the intensity of the smoking cessation program and periods for long-term follow-up.

중년여성의 운동행위 변화단계, 운동 자기효능감, 우울 및 스트레스에 관한 연구 (A Study on the Stage of Change in Exercise Behaviors, Exercise Self Efficacy, Depression and Stress in Middle Aged Women)

  • 이윤미;박형숙
    • 여성건강간호학회지
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    • 제10권3호
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    • pp.218-225
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    • 2004
  • Purpose: The study was performed to identify exercise self-efficacy, depression, and stress by the stage of change in exercise behavior in middle aged women. Method: The subjects consisted of 317 women residing in B city by convenience sampling. The collected data was analyzed by the SPSS/WIN program. Result: The subjects were distributed in each stage of exercise behavior change: There were 53 subjects in the pre-contemplation stage, 86 subjects in the contemplation stage, 88 subjects in the preparation stage, 51 subjects in the action stage and 39 subjects in the maintenance stage. Analysis of variance showed that exercise self-efficacy (F=39.9, p<.001), depression (F=5.58, p<.001), and stress (F=6.33, p<.001) were significantly associated with the stages of exercise behavior change. There was a significant negative correlation between the stage of change and depression, and the stage of change and stress, but a significant positive correlation between the stage of change and self- efficacy, depression and stress. Conclusion: This study identified that exercise self-efficacy, depression and stress were significant variables to explain a possible relationship with exercise stages of middle aged women. This study provides new information to influence the development of better health promotion and exercise intervention for middle aged women in the community.

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Introduction of a New Staging System of Breast Cancer for Radiologists: An Emphasis on the Prognostic Stage

  • Jieun Koh;Min Jung Kim
    • Korean Journal of Radiology
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    • 제20권1호
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    • pp.69-82
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    • 2019
  • In 2017, the American Joint Committee on Cancer announced the 8th edition of its cancer staging system. For breast cancer, the most significant change in the staging system is the incorporation of biomarkers into the anatomic staging to create prognostic stages. Different prognostic stages are assigned to tumors with the same anatomic stages according to the tumor grade, hormone receptor (estrogen receptor; progesterone receptor) status, and HER2 status. A Clinical Prognostic Stage is assigned to all patients regardless of the type of therapy used; in contrast, a Pathologic Prognosis Stage is assigned to patients in whom surgery is the initial treatment. In a few situations, low Oncotype DX recurrence scores can change the prognostic stage. The radiologists need to understand the importance of the biologic factors that can influence cancer staging.

경기지역 일부 대학생의 지방제한 섭취 행동단계에 따른 영양소 섭취상태 비교 (Comparison of Nutrient Intakes Regarding Stages of Change in Dietary Fat Reduction for College Students in Gyeonggi-Do)

  • 정은정
    • 한국식품영양과학회지
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    • 제33권8호
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    • pp.1327-1336
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    • 2004
  • 경기지역 일부 대학생의 지방제한식에 대한 행동단계 분포는 연구대상자의 19.3%가 자각이전, 13.8%는 자각, 31.1%는 준비, 28.7%는 실시, 7.1%는 유지단계로, 성인보다 실시 및 유지 단계 비율이 낮아 대학생의 지방질을 선호하는 식생활을 엿볼 수 있었다. 행동변화 단계별로 BMI, 자신의 건강평가, 음주, 흡연 등은 차이가 없었으나 성별에 의한 차이는 뚜렷하여 남학생은 자각이전 및 자각단계가, 여학생은 준비, 실행 및 유지단계의 비율이 많았다. 식행동 단계의 주요 예측인자인 자아효능감은 자각이전에서 유지단계로 갈수록 증가하였다. 열량, 지방질, 포화지방산, linoleic acid($\omega$6), 콜레스테롤 섭취량은 남여 모두 자각이전과 준비단계에서 많고, 실행과 유지단계에서 적었다. 섭취열량중 지방질의 비율은 자각이전과 준비단계에는 권장수준인 20%를 크게 상회하였으나, 실행과 유지단계에서는 권장수준을 섭취하는 양호한 식습관을 갖고 있었다. 섭취 지방산의 P/S 비율은 모두 권장비율에 속하였으며, $\omega$6/$\omega$3 비율은 여학생은 권장범위에 속하였으나(자각이전단계 예외), 남학생은 모든 단계에서 권장범위 이상으로, 지방질의 질적 영양문제가 지적되었다. 행동단계별 영양소 섭취량의 차이는 여학생에게서 더 뚜렷하였으며 , 남학생은 실행단계보다 유지단계에서 열량, 포화지방산, 콜레스테롤 섭취량, $\omega$6/$\omega$3 비율 등이 오히려 증가하는 경향을 보여, 행동변화 모형 에 의한 대상자의 구분은 여학생에서 더 유용한 도구였다. 남학생의 열량, 지방질, 단백질 섭취량은 저녁식사에서만 행동단계별로 차이를 보였으나, 여학생은 저녁을 포함한 다른 끼니에서도 차이를 보여, 남학생보다 단계별 식행동의 차이가 뚜렷하였다. 이상의 결과에서와 같이 아주 간단한 과정을 통해 식행동 단계를 구분지어 주는 행동변화단계 모형은 대상자의 특성과 지방질 영양의 문제점을 파악할 수 있게 되어 각 개인별 맞춤 영양교육의 한 도구가 되어질 수 있음을 알 수 있었다. 따라서 본 행동변화단계 모형에서 자각이전, 자각, 준비 단계로 분류된 대상자들에게는 양적, 질적으로 모두 양호한 지방질의 섭취 패턴을 보이는 실행과 유지 단계가 되도록, 자아효능감 등을 증가시키는 영양교육이 이루어져야 할 것이다. 또한 남학생의 경우 여학생보다 지방제한식을 실시하는 비율이 적었으며, 행동변화 단계에 따라 영양소 섭취량의 차이도 뚜렷하지 않아, 이들을 위한 영양교육의 필요성이 지적되었다. 따라서 이들에게 구체적인 내용의 영양교육을 실시하기 위해, 열량과 지방질, 포화지방, 콜레스테롤 섭취량의 주요 급원식품에 대한 후속 연구가 이루어져야 할 것으로 생각된다.