• 제목/요약/키워드: Community of Practice

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간호학생들의 보건소 방문간호 실습 경험 (Nursing students' Experiences on Home Visiting Nursing Service in Public Health Center)

  • 오진주
    • 지역사회간호학회지
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    • 제14권2호
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    • pp.299-311
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    • 2003
  • Purpose: This is a phenomenological study to describe the experiences of nursing students on home visiting nursing service as a community nursing practice. Method: Individual interviews were conducted on subjective experiences of 17 nursing students. Data were analyzed through Colaizzi's method in which meaningful statements were extracted and these were clustered into 6 themes. Result: The nursing students started practice with anxiety and expectation at the same time. They were frightened at the clients' inferior environment and their level of loneliness. They also felt pity and experienced complicated feelings for the clients. However, the home visiting practice was a chance for them to discard prejudice on the clients. Positive experiences on visiting nursing practice reported by the nursing students included lively interactions between nurses and the clients, and variable provision of primary nursing care. However, facts such as much limited visiting time, non-professional and limited scope of practice were reported as negative experiences. They felt both worthiness of the home visit service and restricted self-capability at the same time through the practice. They also felt sorry for the clients because the home visit services were carried out during limited time period. Regardless of this, the home visit experience provided them an opportunity of self-growth. This self-growth includes increased awareness of issues for elderly, building of self-identity as a nursing student, self-reflection, and realization of the value of family. Conclusion: This study may provide data for better understanding of nursing students experiences of home visiting nursing services. However, more study on the barriers of their community health practice is needed in the future. Moreover, it is needed to establish desirable practice environment through the collaborative relationships between the university and staffs in the public health center.

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수업개선 관행공동체를 통한 교사의 변화 탐색: 수학 수업관행을 중심으로 (Exploring Teacher Change Through the Community of Practice Focused on Improving Mathematics Teaching)

  • 오영열
    • 대한수학교육학회지:수학교육학연구
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    • 제16권3호
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    • pp.251-272
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    • 2006
  • 이 연구는 수학 수업개선에 초점을 맞춘 관행공동체의 형성과 참여를 통해서 교사들의 변화를 탐색하는데 그 목적이 있다. 수업개선 관행공동체를 통해서 교사들은 수학 수업에 관한 다양한 담론과 지식을 공유하게 되고 결과적으로 수학 수업전문성 신장을 위한 다양한 기회를 갖게 되었다. 이 연구에서는 교사들의 변화를 신념과 수업관행의 측면에서 접근하였다. 그 결과 아동들의 수학 학습방법에 대한 교사들의 신념 측면에서 지속가능한 수학 수업개선의 가능성을 보여 주었다. 또한, 수업관행의 변화 측면에서 교사들의 수학 수업이 학습자 중심 경향으로 변화하고 있는 것으로 드러났다. 이러한 변화는 설문분석에서뿐만 아니라 실제 수업분석 결과에서도 그대로 드러나고 있다. 결국 성공적이고 지속가능한 수학 수업의 변화를 위해서는 수업의 변화에 대한 가치 및 수학 교과와 관련된 전문적인 지식을 공유할 수 있는 환경이 조성되어야 함을 본 연구는 시사한다.

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지역사회 구강보건프로그램이 아동의 구강건강관리 행태 변화에 미치는 영향 (The influence of community oral hygiene promotion program on oral hygiene practice behavior in children)

  • 김영숙
    • 한국치위생학회지
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    • 제15권6호
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    • pp.1083-1090
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    • 2015
  • Objectives: The purpose of the study is to investigate the influence of community oral hygiene program on oral hygiene practice behavior in children. Methods: Oral hygiene promotion program was performed in 23 community child centers in Seoul, Incheon and Gyeonggido. The study analyzed the effect of community oral hygiene promotion programs on the oral hygiene practice behavior in children from September to December, 2014. The trained dental hygienists in 23 public health centers and dental hygiene students participated in the oral hygiene promotion program for oral health examination and education for the children. The contents of the program was standardized and instructed to the team members. The individual improvement in children oral hygiene practice was assessed using PHP(patient hygiene performance) index score. Data were analyzed using SPSS 12.0 program. Results: After the program, children who stopped eating confectioneries and those eating once a day increased to 32.12% and 14.24%, respectively. Those eating more than four times a day were still high(32.44%), but it was a lower rate than before the program (p<0.001). The rate of toothbrushing of more than 2 to 3 times a day was 82.75% and it was higher than before the education (p<0.001). The knowledge level of children increased from 18.83% to 66.30%. The oral hygiene practice performance in children was highly improved. Conclusions: The four months duration of oral hygiene program remarkably improved the oral hygiene practice in the children. So the community health centers and welfare centers must cooperate and improve the children oral health promotion by developing the oral health promotion program.

방문간호사의 감염관리에 대한 지식, 태도 및 수행 (Knowledge, Attitude, and Practice towards Infection Control among Community-visiting Nurses)

  • 박한나;이인숙;김지은;권소현;추진아
    • 가정간호학회지
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    • 제29권1호
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    • pp.18-30
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    • 2022
  • Purpose: Purpose: This study aimed to identify whether infection control practice would correlate significantly with the knowledge and attitude of infection control in the pre-, mid-, and postvisiting rounds among community-visiting nurses. Methods: A descriptive study was conducted based on the knowledge, attitude, and practice (KAP) model by administrating questionnaires during September-October 2020. A total of 65 nurses working for 15 community health centers in Seoul, South Korea were included. The questionnaires were developed based on the epidemiologic triangle model and comprised of 28 items on practice, 18 items on knowledge, and 10 items on attitude. Results: The infection control practice showed a mean of 88.9 (range, 0-100). The infection control knowledge had 89.2% on the host domain, 80.0% on the environment domain, and 74.8% on the agent domain (range, 0-100). The infection control attitude showed a mean of 39.5 (range, 0-50). Higher scores on the infection control practice are significantly correlated with the higher scores on the infection control knowledge about the host domain (p= .004) at the pre-, mid-, and post-visiting rounds. Higher scores on the infection control practice are significantly correlated with the higher scores on the infection control attitude at the mid- (p= .018) and postvisiting rounds (p= .028). Conclusions: The infection control practice by community-visiting nurses may be enhanced with increased knowledge and attitude levels of infection control at the mid- and post-visiting rounds. The enhancement should be included in the on-the-job education for community-visiting nurses.

An Exploratory Study of the Experience and Practice of Participating in Paper Circuit Computing Learning: Based on Community of Practice Theory

  • JANG, JeeEun;KANG, Myunghee;YOON, Seonghye;KANG, Minjeng;CHUNG, Warren
    • Educational Technology International
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    • 제18권2호
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    • pp.131-157
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    • 2017
  • The purposes of the study were to investigate the participation of artists in paper circuit computing learning and to conduct an in-depth study on the formation and development of practical knowledge. To do this, we selected as research participants six artists who participated in the learning program of an art museum, and used various methods such as pre-open questionnaires, participation observation, and individual interviews to collect data. The collected data were analyzed based on community of practice theory. Results showed that the artists participated in the learning based on a desire to use new technology or find a new work production method for interacting with their audiences. In addition, the artists actively formed practical knowledge in the curriculum and tried to apply paper circuit computing to their works. To continuously develop the research, participants formed a study group or set up a practical goal through planned exhibitions. The results of this study can provide implications for practical approaches to, and utilization of, paper circuit computing.

전문직 간 교육의 의미와 방향: 담을 허물고 환자가 속한 현장으로 나가는 교육 (Interprofessional Education in Medical Education: Can We Break the Silos?)

  • 한희영
    • 의학교육논단
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    • 제19권1호
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    • pp.1-9
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    • 2017
  • For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.

대학생의 저염식이 지식, 태도, 행위에 대한 지역사회 중재효과 (Effect of Community Intervention on Knowledge, Attitude and Behavior of Low-salt Diet among College Students)

  • 정영해;우상준;조유향;박영희
    • 한국학교ㆍ지역보건교육학회지
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    • 제18권1호
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    • pp.57-68
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    • 2017
  • Objectives: The purpose of the study was to evaluate the effect of community intervention on reducing salt intake among college students on their knowledge, attitude and practice of low-salt diet. Methods: A community intervention planned to increase college students' knowledge, attitude and practice of low-salt diet. The intervention comprised of 1 lecture on salt and health, 4 campaigns on low-salt diet, and 2 taste testing was carried out from March 24 to May 19, 2015. All the intervention was open to entire university while data was collected from a panel of convenient sample. We used the baseline data of 251 students, 226 students completed post-test. Post-test data on knowledge, attitude, and practice, blood pressure measurement, and urine salt test were collected on May 25 and 26 by trained nursing students and graduates. Baseline data were collected on March 17 and 18. Data were analyzed using IBM-SPSS 21.0 for t-test and ANCOVA. Results: Regarding a general characteristic and health behavior, there was statistically significant difference in living arrangement(p<0.001), amount of monthly allowance(p=0.005) and frequency of eating-out(p<0.001) between the two regions in this study. However, there was no statistically significant difference in gender, major, smoking, drinking and frequency of breakfast. Regarding a characteristic related to low-salt diet, there was statistically significant difference in diastolic blood pressure level(p=0.002), urine test(p=0.001). But there was no statistically significant difference in knowledge, attitude, practice of low-salt diet and systolic blood pressure. There was no statistically significant difference in their knowledge of low-salt diet(F=1.588, p=0.209), attitude(F=2.182, p=0.141), practice(F=3.507, p=0.062) and systolic blood pressure(F=1.723, p=0.191), diastolic blood pressure(F=1.552, p=0.214), urine test after a community intervention. Conclusions: Community intervention that does not have concrete target group doesn't seem to be effective on increasing knowledge, attitude and practice of the entire community, not even in university-a somewhat closed community. It is suggested to apply a target specific intervention in order to have efficient and effective outcome from a intervention.

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지역사회건강증진을 위한 참여: 이해와 적용 (Community Participation for Health Promotion: Definitions and Applications)

  • 유승현
    • 보건교육건강증진학회지
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    • 제29권4호
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    • pp.57-66
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    • 2012
  • Objectives: This paper describes the concept, principles, and strategies and directions for community participation in health promotion. Methods: Descriptions of and discussions on community participation in this paper are based on the results of selected peer-reviewed research articles, white papers, and practice manuals which address the issues of community participation and community empowerment, and principles and strategies for practice in community health promotion. Results: In ladder-of-community-participation models, the level of participation ranges from non-participation to the stages where communities have partnerships, delegated power, and control. Enhancement of participation is presented as a continuum of informing - consulting - involving - collaborating - empowering. For community participation to reach its fullest potential, the types and levels of participation desired should be clearly decided at the beginning. Along with community readiness for participation, public health system should also be in place readily to process community participation for health promotion with appropriate procedures, guidelines, methods, resources, and stakeholders' commitment and support. Conclusions: For the promotion of participation in community health, readiness for participation of both community and public health system should be prepared.

시민연극과 커뮤니티: 주체-객체 패러다임의 변화에 대한 소고 (Applied Theatre and Community: Reflections on the Subject and Object Paradigm Shift)

  • 김병주
    • 공연문화연구
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    • 제38호
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    • pp.5-31
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    • 2019
  • 본 연구의 목적은 국내에도 이미 소개된 바 있는 '시민연극(applied theatre)'의 개념과 배경을 정리하고 그 특성을 논의하는 데 있다. 이를 위해 시민연극이 지닌 특성의 배경, 우산용어로서의 형성 과정을 정리하였다. 여전히 생소한 용어와 개념이 지닌 모호함과 혼란의 본질인 커뮤니티와 만나는 연극행위의 주체를 인식하는 패러다임의 변화를 고찰하고, 그러한 맥락에서 시민연극과 '커뮤니티 연극', 그리고 '커뮤니티 기반 연극' 개념을 비교하고 논의하였다. 이를 통해 '시민연극' 개념과 특성에 대한 가장 본질적 이해는 연극의 양식이나 유형적 관점이 아닌, 참여자와 커뮤니티를 주체로서 인식하는 시대와 사회의 패러다임 변화를 인지하는 것에서 비롯됨을 확인하게 되었다.

보건소 시범영양사업 실태조사 (A Survey of the Model Nutrition Services in Community Health Centers)

  • 계승희;신애자
    • 대한지역사회영양학회지
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    • 제5권2호
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    • pp.343-351
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    • 2000
  • The Korean government enacted the National Health Promotion Act in January, 1995 and proclaimed its regulations and rules in September 1995, which became the basis of the national health policy. The health promotion programs consist of education for health, prevention of diseases, improvement of nutrition, and practice of healthy life style as defined in that Act. The Community Health Act was amended in 1995, which included implementing nutrition services in community health centers. The purpose of this report is to summerize the nutrition services conducted in 32 community health centers. the main nutritional activities were as follows : 1) nutritional guidance by counseling and education for pregnant or lactating women, infants, preschool children, and those with chronic diseases, 2) collection, analysis, and interpretation of data collected from the community, on background conditions and target population for the assessment of community needs, 3) evaluation of nutritional status of population in the community 4) nutritional guidance for mass feeding in different institution including schools and welfare institutions. In order to meet the government's expectations and desires, the community health centers have made continuous efforts to put nutritional activities into practice in the community. However, there are constraints, such as relative staff shortages, lack of funds, and information which hampers the nutritional activities.

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