• 제목/요약/키워드: Community-Based

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지역사회간호학의 문제중심학습(Problem-Based Learning) 평가 (Evaluation Research on the Application of Problem-Based Learning Program in Community Health Nursing)

  • 조원정;서미혜;김의숙;이경희;배선형;김광숙;서구민;함옥경;;이정렬
    • 지역사회간호학회지
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    • 제14권4호
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    • pp.579-586
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    • 2003
  • The goal of community health nursing courses is to prepare student nurses so that they become able to perform a variety of nursing roles in community. To achieve this goal, programs for community health nursing must develop students' abilities to function independently as community health nurses. This study evaluated the effectiveness of Problem-based Learning(PBL) as a teaching method in programs for community health nursing at four-year colleges of nursing. The subjects of this study were senior students at Y University. The study was designed as a descriptive & comparative survey. To determine the effectiveness of PBL, the author analyzed the process and results of teaching. The PBL teaching method was found to be significantly effective in building critical thinking abilities and increasing knowledge. The results also showed that the 43 students who were taught by both PBL and lecture teaching methods got a significantly higher' knowledge score than the other 28 students who were taught only by lectures. As for the future direction of community health nursing courses, a teaching strategy involving both PBL and lectures is recommended.

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Older Adults' Perceptions of Age-friendliness with an Emphasis on Community Supports and Health Services in a City in South Korea

  • Lee, Chi-Young;Cho, Belong;Cho, Youngtae;Park, Yeon-Hwan
    • 지역사회간호학회지
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    • 제30권2호
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    • pp.234-242
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    • 2019
  • Purpose: This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives. Methods: 166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses. Results: emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services. Conclusion: Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.

노년층을 위한 마을단위 죽음준비 교육 프로그램 개발 및 효과 (Development and Effects of a Community-Based Death Education Program for Older Adults)

  • 김숙남;김소영
    • 지역사회간호학회지
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    • 제32권4호
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    • pp.445-456
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    • 2021
  • Purpose: This study was conducted to investigate the effects of a community-based death education program for older adults. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The subjects were community elders aged over 65 registered at a community health center and were convenience sampled. The experimental group consisted of 33 participants and the control group consisted of 32 participants. Experiments are conducted from June 18 to July 24, 2020. We tested our hypothesis using an independent t-test, and paired t-test. Results: The experimental group had significantly higher scores for psychological well-being than the control group after treatment (t=2.24, p=.028). In general attitude toward the use of life-sustaining technology, however, only the experimental group had a significant difference before and after the experiment with lower scores compared to the control group (t=-5.41, p<.001). Conclusion: We found that the community-based death education program developed in this study was partially effective in improving older adults' psychological well-being and general attitude toward the use of life-sustaining technology.

농어촌 개발과 의료보장 개혁에 따른 보건진료원의 책임 (The role and responsibility of community health practitioner based on the rural community development and the reform of health care system)

  • 김화중
    • 지역사회간호학회지
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    • 제5권2호
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    • pp.101-108
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    • 1994
  • This study was conducted by community survey of 215 community health practitiner's posts and literature review of official documents. The result was as follows ; 1. The role and responsibility of community health practitioner's post must be studied by the community health practitioner and the community health leader, and on the basement of community health needs, community development plan, and reforom of health care system. 2. Comprehensive health care of community is very important role and responsibility of community health practitioners. However, it was supervised by the senior community health practitioner in provincial government. 3. The community health practitioner must be trained by formal inservice educational program focused on comprehensive health care. 4. The community health practitoner must be the health guider and health leader as the member of community.

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오오타 지구의 부흥·활성 협의회와 마을 자치회의 연계를 통한 지역 가꾸기 계획안 책정 방법이 지속적인 지역 가꾸기에 미친 효과 -일본 츄에츠 지진 피해지역 니가타 현, 나가오카 시, 지역부흥디자인책정지원사업 사례- (Effect that The way Making Community Development Plan by Rehabilitation Promotion Council and Village Together in Ota-District Affected Continuous Community Development -The Case of Revitalization Community Development Making Plan, which is Chuetu Earthquake Affected Area, in Nagaoka-city, Niigata-Prefecture, Japan-)

  • 김두환
    • 농촌계획
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    • 제19권3호
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    • pp.89-106
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    • 2013
  • In this study, the effectiveness of the method for the promotion council to make rehabilitation community development plan with rural villages to continue community development is investigated in Ota-district, which is affected by chuetu earthquake. Initially, Ota-district made the acting contents of the plan based on the village's request, which is considered resident life and problems in village. Next, Ota-district made the vision of plan based on the acting contents. This plan procedure has been effective to compliment the village community facilities and running on village event, in addition to setting the village's community to continue to manage community facilities and event. As a result, this way has helped good management of village event using the facilities and interchanging among residents. Also, the use of acting contents by request of the promotion council and village's community, while respecting both, has been effective in that the promotion council assists the village event after the rehabilitation community development plan is finished.

The Factors of Product Purchase Decisions for Distribution of Community Enterprises in Nakhon Si Thammarat, Thailand

  • NAKUDOM, Sor sirichai;NAKUDOM, Siwaporn;NOOBUTR, Pinrudee;KHIAWNOI, Pannapa;WANNAPIROON, Panita
    • 유통과학연구
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    • 제21권1호
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    • pp.45-52
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    • 2023
  • Purpose: This study aims to analyze the confirmation the purchase decision of community enterprise products, such information is an important issue for community enterprise entrepreneurs to develop a marketing strategy through the purchasing decision of community enterprise products Research design, data and methodology: The research was designed by using mixed methods research (exploratory design), starting with in-depth interviews of consumers of community enterprise products to determine the reasons for their purchase decisions. The researcher then used the data from the in-depth interviews to create a questionnaire for consumers of community enterprise products. These data were used to analyze the confirmation components of such elements. Results: The analysis found the following. 1. Decision-making is based on a product 2. Decision-making is based on social context considerations Conclusions: Develop an image to make a difference between community enterprise entrepreneurs and general entrepreneurs for distribution. The local wisdom, it is a local intellectual resource. It should be used in adjusting or blending old knowledge with new knowledge together appropriately. Creating community participation, love, unity, and the sympathy of the people in the community can help in participation in the operation of community enterprises.

A Study for a Community-based Mental Health Model for House Bound Long-term Mentally Disabled - focusing on the community residents of the Taegu-Kyungpuk area -

  • Lee, Kyunghee
    • 대한간호학회지
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    • 제29권5호
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    • pp.1155-1166
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    • 1999
  • The purpose of this study was to investigate the residents' opinions about community mental health in the Taegu-Kyungpuk area for the future development of a community mental health program and model appropriate for Korea, The subjects were 152 residents in the Taegu - Kyungpuk area. In July 1999, the data was collected using a convenience sample technique. Mental health status was significantly different for the level of occupational advantage(x$^2$=15.684, p<.05) and physical health(x$^2$=39.262, p<.000). Factor structure for mental health problems with the percentage of variance was as follows. optimistic view(27.518), dark view(10.758), mastery(6.200), discomfiture(6.101) and life style(5.641). Most of the respondents(92.1%) took the mental health problems seriously. The serious aspects of the mental health problem were found to be epilepsy, mental retardation, neurosis and schizophrenia respectively. Concerning about the view of community mental health, most of the respondents answered that the a C.M.H.C. was ‘useful and urgent’ concerning the need for C.M.H,(77.6%). They answered positively on the utilization of C.M.H.C(75.7% ) and preferred the separately new community mental heath center. A psychiatrist was preferred as the key person in charge(44.1%). If community mental health centers were established in a community health center, they answered that the expected major problem would be quality control of care(44.7%). They preferred the psychiatrist's office as the recommended agency for the insane(44.7%). Opinions of the asylum system were found very negative in respect to psychiatric therapy and humanitarianism. The results of this study will help establish a relevant model for this community as the primary site for a community-based mental health model.

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취약계층 아동집단의 비만예방을 위한 생태학적 요인과 해결전략 탐색: 지역사회 기반 참여연구 기반으로 (Ecological Factors and Strategies for Childhood Obesity Prevention Targeting Vulnerable Children: Using Community-Based Participatory Research)

  • 박수연;추진아
    • 지역사회간호학회지
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    • 제31권3호
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    • pp.256-268
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    • 2020
  • Purpose: This study aimed to explore ecological factors and strategies for childhood obesity prevention targeting vulnerable children using a community-based participatory research (CBPR) methodology. Methods: The CBPR was conducted by following basic process steps. Participants were 12 community stakeholders such as community child center directors (n=4), vulnerable children's mothers (n=3), community health center officials (n=2), and lay health advisors (n=4); they were purposively sampled from K municipal county in Seoul, South Korea. The qualitative content analysis was performed to explore main themes of the ecological factors and strategies by using data obtained from 5 times of focus group interview. Results: Twelve ecological factors associated with childhood obesity prevention were identified: Intrapersonal factors including emotional overeating; interpersonal factors including permissive parenting style of children's eating behaviors; organizational factors including social workers' less educational opportunities; and community/policy factors including less government financial support. Four ecological strategies for childhood obesity prevention were addressed: Developing obesity prevention programs targeting vulnerable children' lifestyles; promoting parents' active participation in education; building healthy meal service environments through empowering social workers; and building supportive community environment and securing community resources for child obesity prevention. Conclusion: Our findings may be informative in terms of providing a comprehensive understanding of multi-level ecological barriers against vulnerable children' obesity prevention and, moreover, guiding multi-level strategies for preventing childhood obesity targeting children enrolled in community child centers.

지역사회 기반 조직을 이용한 지역사회역량의 측정과 건강증진 기획 -서울시 S구를 중심으로- (The Measurement of Community Capacity Using Community-based Organizations Network and the Development of Health Promotion Plans)

  • 정민수;길진표;조병희
    • 보건교육건강증진학회지
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    • 제26권3호
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    • pp.35-48
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    • 2009
  • Objectives: The community network is a foundation laid by the local community which has been formed historically and geographically to develop itself. This paper as a Korean way of healthy network survey for the community capacity building is an exploratory research to grasp the character of Korean society and then to organize an resident-governing partnership for that. Methods: Research objectives are CBOs(Community-Based Organizations) in S-district of Seoul. This region is a new town, however the solidarity and volunteerism of this resident is lively. The survey tool is Cho's CBOs Evaluation Questionnaire which was originated to measure the community capacity. The period of survey is from the January 2009 to the March 2009 and the study organizations which were collected by snowball sampling were 80. Results: The result shows two main networks: one is the civil society and craft union cluster, the other is welfare organization cluster. Groups of high centrality were organizations whose members are mainly women and craft organizations which were organized before 1990's. The group of high betweenness was the Association of Women's Organizations(0.188). Bi-components were six and they could be divided by organization's aim. In terms of the determinants of the participation to the health center enterprise, only the number of link(B=-0.60, p<0.04) was statistically significant. It means that when organization variables are controlled a tendency appears: the more the voluntary associations network, the less participation in the health enterprise. Conclusion: CBHOs(Community-Based Health Organizations) enhances residents' spontaneity and cohesion to increase the capability of the local community. If the surveyed healthy network, together the community health project, are used for various community development projects, the existing CBOs including CBHOs will be reorganized and furthered newly. For this it will be needed to construct an effective partnership of healthy network by restructuring the existing networks of voluntary associations.

일본의 원격의료현황과 지역사회작업치료의 역할 (Telemedicine in Japan and Role of the Community-based Occupational Therapy)

  • 김도훈;윤태형
    • 대한지역사회작업치료학회지
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    • 제5권2호
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    • pp.23-30
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    • 2015
  • 목적 : 일본의 원격의료현황을 살펴보고, 이에 대한 지역사회작업치료의 역할에 대해 논한다. 연구방법 : 본 연구에서는 원격진료현황에 대한 자료를 수집하고 분석하였다. 원격진료에 대한 정의와 형태에 대해 조사하였고, 일본에서 원격진료가 등장하게 된 배경에 대해 분석하였다. 이를 통해 지역사회 작업치료의 역할에 대해 논하였다. 결과 : 일본의 저출산 고령화로 인한 의료비의 증가로 보다 효율적인 의료서비스의 제공형태로 원격진료가 등장하였다. 또한 의사수 부족과 도시와 농촌간의 진료편차 및 진료기기와 통신수단의 발달로 인해 등장하였다. 한국의 경우 일본의 이러한 추세를 따라가고 있으며, 이에 따라 원격의료에 대한 수요가 있다. 결론 : 원격진료와 관련하여 지역사회중심재활에서 작업치료는 보건의료전문가로써 환자에게 작업치료를 수행할 수 있을 것으로 예상되는 바 이에 대한 교육시스템 개편이 필요하다.