• 한국보육지원학회지
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• 제7권2호
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• pp.181-203
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• 2011

본 연구에서는 서울형 어린이집 공인인증을 통과한 보육시설의 종사자를 대상으로 서울형 어린이집 공인인증에 대한 인식을 알아보았다. 이를 위해 시설장 69명과 보육교사 240명, 총 309명을 대상으로 설문조사를 하였으며, 빈도분석, ${\chi}^2$ 검증을 이용하여 수집된 자료를 분석하였다. 그 결과 첫째, 시설장과 교사 모두 서울형 어린이집 공인인증 시행의 주요 목적은 보육서비스에 대한 효과적인 질관리 시스템 마련이며, 서울형 어린이집의 인증 대상으로 가장 적합한 시설은 민간보육시설이고 다음은 가정보육시설이라고 인식하는 것으로 나타났다. 서울형 어린이집 공인인증을 준비하는 것이 보육시설 평가인증에 비해 쉽다는 응답이 높았으며, 서울형 어린이집 공인인증을 통해 국 공립과 민간보육시설 사이의 선호도 차이가 해소될 것을 시설장과 교사 모두 기대하는 것으로 나타났다. 둘째, 서울형 어린이집의 운영체계에서 시설장은 맞춤보육서비스 평가 시 '계획서만 제출'하는 방식을, 교사는 '맞춤보육서비스 실시 후 평가'를 가장 원하는 것으로 나타났다. 안심보육서비스와 클린운영 영역에서는 시설장과 교사 모두 현재 제도에 대한 선호도가 높았다. 셋째, 서울형 어린이집 공인인증의 활성화를 위해 가장 필요한 것은 보육교사의 시간 외 수당에 대한 보완과 정부의 연속성 있는 보육정책이라는 응답이 높았다.

• Child Health Nursing Research
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• 제24권4호
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• pp.465-474
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• 2018

Purpose: The purpose of this study was to identify and describe health care providers' perceptions of family-centered care in pediatrics. Methods: A qualitative descriptive study was designed. Data were collected from individual interviews using open-ended questions. Fifty-six pediatric health care providers participated in the study from January to April 2015. Data were analyzed using qualitative content analysis to identify the major perceptions of pediatric health care providers. Results: The providers perceived that the concept of family-centered care has been incompletely implemented. Five themes (respecting a child's family, taking care of a child with the child's family, sharing information about children, supporting a child's family, a child's family participating in child care) with 11 sub-themes were identified in the providers' experiences with families. To achieve the goal of family-centered care in pediatrics, medical and nursing conditions must be improved, education about family-centered care must be provided, and improvements should be made in the mindset of health care providers regarding patients and in families' willingness to participate in care. Conclusion: The findings from this study provide insight into pediatric health care providers' perceptions of family-centered care. It will contribute to the establishment of a foundation for implementing family-centered care in pediatric nursing.

• Journal of Hospice and Palliative Care
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• 제25권2호
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• pp.85-97
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• 2022

Purpose: This study aimed to describe nurses' perceived needs and barriers to pediatric palliative care (PPC). Methods: Mixed methods with an embedded design were applied. An online survey was conducted for nurses who participated in the End-of-Life Nursing Education Consortium- Pediatric Palliative Care (ELNEC-PPC) train-the-trainer program, of whom 63 responded. Quantitative data were collected with a survey questionnaire developed through the Delphi method. The 47 items for needs and 15 items for barriers to PPC were analyzed with descriptive statistics. Qualitative data were collected through open-ended questions and analyzed with topic modeling techniques. Results: The mean scores of most subdomains of the PPC needs were 3.5 or higher out of 4, and those of PPC barriers ranged from 3.22 to 3.56, indicating the items in the questionnaire developed in this study properly reflect each factor. The needs for PPC were divided into 4 categories: "children and adolescents," "families," "PPC management system," and "community-based PPC." Meanwhile, PPC barriers were divided into 3 categories: "healthcare delivery system," "healthcare provider," and "client." The keywords derived from the topic modeling were perception, palliative, children, and education for necessities and lack, perception, medical care, professional care providers, service, and system for barriers to PPC. Conclusion: In this study, by using mixed-methods, items of nurses' perceived needs and barriers to PPC were identified, categorized, and weighted, and their meanings were explored. For the stable establishment of PPC, the priority should be given to improving perceptions of PPC, establishing an appropriate system, and training professional care providers.

• 한국보육지원학회지
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• 제12권1호
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• pp.123-142
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• 2016

본 연구는 영아의 어린이집 이용에 대한 보육교사들의 태도를 탐색하고, 이들의 보육신념을 분석하여 영아무상보육에 대한 보완 및 개선점을 제시하였다. 연구참여자는 영아반 보육교사 26명이며, 자료수집을 위해 개별심층면접을 실시하였다. 연구결과, 영아반 보육교사들은 취업모의 어린이집 이용을 불가피한 것으로 여기지만 전업주부의 어린이집 이용에 대해서는 부정적인 태도를 보였다. 연구참여자들은 영아무상보육 이후 어린이집을 이용하는 영아의 양적팽창과 함께 어머니들이 주양육자로서 수행해야하는 역할을 공보육에 의존하는 경향이 높아졌다고 지적하였다. 보육교사들은 영아기에 적합한 양육환경에 대한 신념을 밝히면서, 영아의 주양육자로서 어머니가 수행해야하는 역할의 중요성을 강조하였다. 또한, 어린이집을 이용하는 어머니와 보육교사 간의 양육 파트너십이 양질의 보육에 필수적임을 설명하고, "제2의 어머니"로서 영아반 보육교사의 정체성을 피력하였다. 본 연구는 영아무상보육 시행 이후 서비스 제공의 핵심 주체인 보육교사들이 보육현장에서 경험한 변화들을 분석함으로써 향후 개선되어야 할 방향을 제시하는 것에 의의가 있다.

• 대한영양사협회학술지
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• 제23권4호
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• pp.384-396
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• 2017

School gardens are known to be effective for increasing vegetable consumption in children. This study was carried out to examine the perception of garden program leaders for actual conditions and barriers to promote school gardens according to their sense of dedication. The 49 garden program leaders at schools and child care centers in Pocheon city were surveyed and grouped into two groups: dedicated (57.1%) and less dedicated (42.9%) as program leaders. Compared to dedicated leaders, leaders in the less dedicated group less advocated promotion of school gardens (P<0.001) and were less willing to attend training for school garden (P<0.01), despite less experience as program leaders (P<0.01) and past training (P<0.05). Moreover, leaders in the less dedicated group less acknowledged the educational results of school garden in every aspect (P<0.001, respectively), less perceived support from parents and colleagues (P<0.05, respectively), and less used garden produce in more active activities such as donation and literature (P<0.05, respectively), compared to the dedicated group. The most answered barrier against the promotion of school gardens was work burden, followed by manpower shortage, shortage of technique, knowledge, and information, and time shortage. The results of this study provide evidence that developing strategies is needed to make more teachers and child care providers more dedicated as garden program leaders.

• 대한지역사회영양학회지
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• 제11권3호
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• pp.327-337
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• 2006

The major purpose of this study was to develop the nutrition education contents and material through the basic data from the service provider and the consumer. And also, to find out the differences of attitude and needs between the service provider (SP breastfeeding specialist), present consumer (PC, pregnant or lactating women) and future consumer (FC, college women). There were types of questionnaires, which consisted of needs and attitudes toward child and maternal nutrition, as well as the personal characteristics of the study subjects. The subjects consisted of 113 breastfeeding specialists who served at medical related institutions, 197 pregnant or lactating women and 309 college women. The self-administered questionnaires from subjects were collected from October to November 2005 in Seoul and Kyunggi Province. The data was analysed by SPSS Win 12.0, ANOVA and Kruskal-Wallis test. The results of this study were as following: 1) The most Important determining factors on breastfeeding was 'medical specialist's support' (3.51) and the next one was 'knowledge of maternity care practice' (3.39). And the importance score of determinating factors on breastfeeding was significantly different between each group (p < 0.001). The groups of consumer (3.50 at PC and 3.59 at FC) considered the service provider (3.32) more important. The service providers considered a more effective determining factor to be 'husband and family support' and 'peer support' than the others (p <0.001). 2) To compare the effective factors of breastfeeding practices between the three groups, the service providers were more significantly considered than the otters such as 'attendance of intervention program' (p < 0.001). But the PC group considered the most effective factors wis 'mother's job after delivery'. 3) The self-evaluated score of the breastfeeding knowledge was the most high in SP; the score was significantly different between groups. The knowledge score of nutritional aspects in human milk was most highly evaluated. But maternity care practice and public acceptance marked the lower evaluation score than other issues. 4) The desirable types of educational material was mass media, and the next was printed matter such as booklets. Two kinds if consumers preferred DVD or VCR tapes than and the service provider group (p < 0.001). 5) The priority contents of nutrition service PC group wanted the information about infant care more than maternal care (p < 0.05), but FC group's priority was significantly different compared with PC group (p < 0.001). The priority of SP group pointed out the information of practical child care methods. The results showed the needs of nutrition service, education channels, and perception toward effective factors on consumer behavior changes were significantly different between each group. Thus the result of this study may suggest that consumer oriented nutrition service programs must be developed.