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Historical Review of Modern Public Health Nursing (근대 보건간호의 역사적 고찰)

  • Lee, Bong-Suk;Han, Young-Ran;Yang, Sook-Ja
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.114-124
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    • 2018
  • Objectives: The purpose of this study is to examine the modern history of public health(PH) and suggest a way forward for PH nursing(PHN). Methods: This paper is a review article that derives results from literature review. Results: In the period of beginning (up to 1944), PHN began as the PH Department was created in the Hygiene Bureau in 1908 and tasks about nurses were legislated. PHN was limited to infectious disease tasks and performed mostly by missionaries. In the period of foundation formation (1945 to 1961), the Republic of Korea was founded, and PH policies and tasks were defined with the establishment of the central government organization and the applicable laws. In the period of foundation establishment (1962 to 1979), the Regional PH Act was amended, and as a result, PH Centers(PHCs) spread across the country. In the period of foundation expansion (1980 to 1994), the PH referral system of PHCs, PH Units, and Primary Health Care Post was established. In the period of organization in each area (1995 to 2005), PH programs reflecting changes in disease structure and public needs for the quality of life. A regional health care plan was launched. In the period of funtion expansion (2006 to present day), Centers for support health living were established. Conclusions: In the future, PH nurses need to have a macroscopic perspective that views PH through the overall PH system, and to expand from the existing healthcare concept to the national and global healthcare one.

A Study on Public Health Doctors' Participation in District Public Health Program of Health Sub-centers in Korea (보건지소 공중보건의사의 지역보건사업 참여 실태)

  • Lee, Jae-Chun;Park, Yong-Moon;Ahn, Song-Vogue;Lee, Hae-Young;Hwang, Jin-Won
    • Journal of agricultural medicine and community health
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    • v.28 no.1
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    • pp.53-66
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    • 2003
  • Objectives: To investigate the state of medical care around health sub-centers, public health doctors' participation and opinion in the process of district public health programs. Methods: The study included 1,036 public health doctors who worked at health sub-center all over the country. The data were collected for Feb, 2002 using self-administered questionnaire by mail. Results: One or two doctors were working at health sub-center and 33.5% of health sub-centers was located in the region of the separation of prescription and dispensing. There were another medical facilities in 45.9% of the administrative district(eup or myon) where health sub-centers were located. The count of medical utilization went down to 14.8${\pm}$14.8 per a day in Nov, 2001 from 18.0${\pm}$15.6 in May, 2000, and the decline was much more in the region of the separation of prescription and dispensing. Among public health programs in health sub-centers, public health doctors participated mostly in preliminary medical examination for vaccination and least in health education. They participated in implementation rather than planning or evaluation of health program. Over a half of public health doctors were found to be positive that health programs implemented in their health sub-centers would promote the level of health in community people and they were willing to participate in district public health program if community people were in need. Conclusions: Recently health sub-centers are required to turn into health promotion facilities rather than medical practice facilities. Health program in health sub-centers will be advanced in both quality and quantity by turning the role of public health doctors who have provided medical services mainly into managing health program. Persistent education about managing health program and the policy to motivate participation in health program should be provided for public health doctors.

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The Effects of Mother's Parenting Efficacy and Emotional Expressiveness on Infant's Social Emotional Development (어머니의 양육효능감과 정서표현성이 영아의 사회 정서발달에 미치는 영향)

  • Park, Mi Suk;Chung, Hee Jung
    • Korean Journal of Child Education & Care
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    • v.18 no.3
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    • pp.21-34
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    • 2018
  • Objective: The purpose of this study is to investigate the effects of maternal parenting efficacy and emotional expression on infant's social emotional development. Methods: The subjects of this study were 269 infants and their mothers who attended day care centers in G district of S city and the data was collected by survey. The collected data were analyzed by frequency analysis, t-test and ANONA test using SPSS 16.0 program, $Scheff{\acute{e}}$ test by post test, correlation analysis and multiple regression analysis. Results: First, parenting efficacy, emotional expressiveness, and social emotional development of infants showed differences according to age, participation time, and academic background. Parenting efficacy showed a significant difference in age and parenting time, and emotional expressiveness showed significant difference in education and parenting time. Infant's social emotional development showed a significant difference in educational attainment and parenting time. Second, maternal parenting efficacy and emotional expressiveness were found to have an influence on infant's social emotional development. Conclusion/Implications: Maternal parenting efficacy and emotional expressiveness seem to influence the development of social emotions in infants, and these results suggest that, in order to grow the children healthy in social, emotional aspect, various education programs which could improve parenting efficacy and positive emotional expression are necessary.

Analysis of Mediating and Moderating Effect of Directors' Leadership between Early Childhood Teachers' Emotional Labor and their Burn Out (정서노동이 유아교사의 심리적 소진에 미치는 영향: 원장 리더십의 조절효과 분석)

  • Jung, Jae Eun;Kim, Sung Hyun
    • Korean Journal of Child Education & Care
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    • v.18 no.1
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    • pp.193-216
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    • 2018
  • The purpose of this study was to analyze the mediating and moderating effect of directors' transformational leadership or transactional leadership between early childhood teachers' emotional labor and their burn out. The subjects were 211 early childhood teachers in the kindergartens and day care centers located in Kyonggido. 'Emotional Labor Assessment for Early Childhood Teachers', 'Assessment of Directors' Transformational Leadership or Transactional Leadership', and 'Early Childhood Teachers' Burn Out Assessment' were used in the collection of data. It used Pearson's correlation and Multi-Regression Analysis to analyze the data. The results of this study are as follows; first, there were positive correlations between early childhood teachers' emotional labor and their burn out. And, there was negative correlations between early childhood teachers' burn out and directors' transformational leadership or transactional leadership. Second, it was revealed that early childhood teachers' emotional labor was found as the positive predict variable for effecting their burn out. Third, it was revealed that directors transformational leadership or transactional leadership was found as the negative predict variable for effecting early childhood teachers' burn out. Fourth, directors' transformational leadership was a mediating effect of job environment dissatisfaction which is a sub area of burn out. In addition, directors' transactional leadership was a mediating effect of physical-emotional exhaustion which is a sub area of burn out.

The Effect of School Dental Service on Dental Health Knowledge, Beheaviors and Dental Health Status Among Elementary School Students (학교 구장보건실 운영이 초등학생들의 구강보건지식, 행태 및 건강상태에 미치는 영향)

  • Lee, Tae-Yong;Yun, Go-Eun;Kim, Kwang-Hwan
    • The Journal of Korean Society for School & Community Health Education
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    • v.10 no.1
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    • pp.87-104
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    • 2009
  • Objective: In this study, the dental health care knowledge, dental health behaviors and dental health status of elementary school students were compared and analyzed in the cases of their schools having dental health care center or not one. Methods: The target groups were 167 students of A school (experimental group) where pit-and-fissure sealants, fluoride mouthrinsing, and fluoride gel application were carried out with all grades of students by school dental health care center and 158 students of B school (control group) where fluoride mouthrinsing, for all grades students and pit-and-fissure sealants for the first grade students are carried out but have no the school dental health care center. Results: This study was carried out through the answer sheets and recordings of dental inspection. The findings of this study are as follows: 1. The dental health care knowledge was compared and the results showed that on average 14.2$\pm$2.1 in experimental group and 14.0$\pm$1.9 in the control group were no significantly different (p>0.05). 2. The dental health behaviors were compared and the results showed that the experimental group was significantly different(p<0.05) in terms of the number of times of dental brushing a day, the method of tooth brushing, the time of tooth brushing, the experience of tooth brushing with fluorine, the kinds of snacks and tooth brushing in school after lunch. But there was no significant difference(p>0.05) in the time of tooth brushing and the tooth brushing after eating snacks. 3. The DMF rate was compared and the results showed the significantly difference between the average experimental group and 53.8$\pm$5.0 in the control group(p<0.05). 4. The DMFT index was compared and the results showed the significantly difference between the average 0.6$\pm$2 in the experimental group and 1.4$\pm$1.6 in the control group(p<0.05). 5. The DMFI rate was compared and the results showed the significantly difference between the average 4.2$\pm$8.3 in the experimental group and 9.5$\pm$11.0 in the control group. (p<0.05). 6. The DT rate were compared and the results showed the significantly difference between the average 10.2$\pm$29.5 in the experimental group and 32.4$\pm$44.0 in the control group(p<0.05). 7. The FT rate were compared and the results showed the significantly difference between the average 88.5$\pm$31.0 in the experimental group and 67.5$\pm$44.0 in the control group(p<0.05). Conclusions: Based on the results, above there was no significant difference in dental health care knowledge between both the experimental and the control group. But we discovered that the experimental group is better than the other one in dental health care behaviors and dental health status. Therefore, we could conclude that the school dental health care center efficiently carried out the dental care and treatment. As school dental health care centers did not work out efficiently in terms of their educating on the dental health acre knowledge, the related programs to be developed and supported.

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Analysis of Factors that Influence to Dental Utilization of Mothers (어머니의 치과의료이용에 영향을 미치는 요인분석)

  • Kim, Soo-Kyung
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.171-177
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    • 2005
  • This study aims to analyze effects of mothers' socioeconomic features, and knowledge and behavior of oral health on experience and purpose of using dentistry. By survey to 103 mothers of 5-6 year old children, who use day care centers in seoul, the results are obtained as follows: 1. As for the rate of experiencing dental care classified by its purpose, 56.7% for dental treatment, 23.3% for regular check-up and 20.0% for precaution 2. There was no significant difference of correlativity between mothers' socioeconomic features and knowledge of oral health and experience of using dental care, while the lower rate of using dental floss, the higher rate of experiencing dental care(p < 0.01). 3. In respect of correlativity between mother's socioeconomic features and purpose of using dental care, the purpose of regular checkup was high in a group of mothers between 33 and 35 years old(71.4%) by ages and in a group of mothers who graduated from college(57.1%) by academic background(p < 0.05). 4. In correlativity between mothers' behavior of oral health and purpose of using dental care, the result showed that the higher the rate of using dental floss was, the higher the rate of experiencing dental care for a regular check-up was(p < 0.001) and the higher the rate of using fluoride dentifrices was, the higher the rate of using dental care for cure was(p < 0.05). 5. Multiple regression based on dependent variable of experience in using dental care showed that average monthly income(less than 2,500,000 won) was significant explanatory factor with 65% of explanatory variance. On the other hand, multiple regression based on dependent variable of purpose of using dental care showed that vocation(professional job) and age(between 33 and 35 years old) was significant explanatory factor with 70% of explanatory variance for a regular check-up, age(between 33 and 35 years old) and average monthly income (less than 2,500,000 won) was significant factor with 78% of explanatory variance for precaution and age(less than 32 years old) was significant explanatory factor with 33% of explanatory variance for treatment.

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Analysis of Early Childhood Teachers' Concept Map on the Contents of History Education for Young Children (유아역사교육에 대한 유아교사의 개념도 분석)

  • Min, Bo Gyeong;Lee, Si Ja
    • Korean Journal of Child Education & Care
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    • v.17 no.4
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    • pp.187-208
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    • 2017
  • This study surveyed 60 early childhood teachers at the kindergartens and day care centers in Incheon Metropolitan City to examine the contents and extent of the teachers' knowledge on early childhood history education by using the definition map designed by Novak and Gowin(1984). To be more specific, the researcher asked the participating teachers through group meetings to draw the definition maps and analyzed them. The results were as follow. First, 11 categories for high level definition of early childhood history education used by early childhood education were identified, among which the most frequently used high level definition were 'life style' followed in order by 'culture/art' and 'great men.' Second, in terms of the average number of dependent definitions included in the given high level definitions, the largest was 'life style' which was followed in order by culture/art, activity methods. It means that the widest area of early childhood teachers' knowledge on early childhood history education was about 'life style,' while it shows that the extent of knowledge on teaching-learning methods was relatively wide. However, in the case of great men, although it was frequently recognized in the high level of definition it was not so in the dependent definitions, meaning the extent of their knowledge was rather narrow. Scholars explain that the higher the teachers' attention and knowledge about the content of curriculum the more options of teaching method they tend to employ to teach in a more extensive and diverged way. Therefore, in order to improve early childhood education, efforts should be more focused on deepening and systemizing the knowledge of early childhood teachers.

Study of the Effects of Early Childhood Teachers' Social Support and Teacher Efficacy on Resilience (유아교사의 사회적 지지 및 교사효능감이 회복탄력성에 미치는 영향)

  • Park, Young Sim;Song, Hwa Jin
    • Korean Journal of Child Education & Care
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    • v.18 no.3
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    • pp.77-90
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    • 2018
  • Objective: The objective of this study is to find out the relationship among early childhood teachers' social support, teacher efficacy, and resilience, and the effects of social support and teacher efficacy on early childhood teachers' resilience. Methods: The study was conducted with 282 teachers working in kindergartens and day care centers located in Jeollabukdo, The data were analyzed using Pearson's Product-Moment Correlation Analysis, and Stepwise Multiple Regression Analysis. Results: The results of this study are as follows. First, significant positive correlation appeared among early childhood teachers' resilience, social support, and teacher efficacy. The whole social support showed positive correlation in all sub-factors of resilience, and the whole teacher efficacy did positive correlation in all sub-factors of resilience. Second, according to the results of the study of the effects of social support and teacher efficacy on early childhood teachers' resilience, personal teacher efficacy, material support, and general teacher efficacy acted as significant factors in their whole resilience. Conclusion/Implications: In conclusion, this study suggests that improving resilience should be backed up by self-improvement of teachers who are able to upgrade teacher efficacy, and social support.

Differences in Infant Problem Behaviors According to Adult Attachment and Parenting Attitudes of Mother (어머니의 성인애착과 양육태도에 따른 유아의 문제행동에서의 차이)

  • Lee, Seung Hee;Kim, Sag Ok
    • Korean Journal of Child Education & Care
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    • v.19 no.1
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    • pp.75-86
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    • 2019
  • Objective: The study looked at the relationship between the mother's adult attachment, the children's problematic behavior and the mother's nurturing attitude. In doing so, this study tried to determine whether the mother's nurturing attitude would play a moderating role in the context of the effect of mother' adult attachment on the children's problematic behavior. Methods: we surveyed 352 mothers of 3~5 year old infants who were financially dependent on day care centers. Results: The problematic behavior of being daunted is high when mothers' adult attachment of avoidance is high and when mothers have low level of controlling pattern in their nurturing of their children. The problematic behavior of anxiety and depression was observed when adult attachment of anxiety was high and low level of controlling pattern in their nurturing. Meanwhile, when the externalized problematic behaviors were examined, no interaction effect of mothers' adult attachment and nurturing pattern was observed in all sub-levels of the children's externalized problematic behaviors. Conclusion/Implications: We could see how the influence of parenting attitude appears in mothers with unstable adult attachment. In addition, mothers with unstable adult attachment may be able to confirm that the quality of the interaction of the parent-child relationship and the form of the child's problem behavior differ according to the level of the mother's parenting attitude in the child's problem behavior. The results of this study showed that mothers with unstable adult attachment differed in the form of problem behaviors of infants according to mother's parenting attitude in infant problem behaviors.

The Moderating Effect of Mothers' Play Support Beliefs on the Relation Between Mothers' Insecure Attachment and Children's Playfulness (어머니의 불안정 애착성과 유아의 놀이성 간의 관계에 대한 어머니의 놀이중심지지 신념의 조절효과)

  • Chae, Min Kyung;Jahng, Kyung Eun
    • Korean Journal of Child Education & Care
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    • v.19 no.1
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    • pp.59-73
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    • 2019
  • Objective: The purpose of this study was to investigate the moderating effect of mothers' play support beliefs on the relation between mothers' insecure attachment and children's playfulness. Methods: The research participants of this study include 254 children aged 3 to 5, who attended kindergartens and day care centers located in Seoul, Gyeonggi and Chung-cheong, and their 254 mothers. For data analyses, descriptive statistics, Pearson's correlation and hierarchical multiple regression were conducted using SPSS 23.0 program. Results: First, there was negative association between mothers' insecure attachment and play support beliefs. Social spontaneity and expression of joy were negatively related to mothers' insecure attachment. However, mothers' play support beliefs showed positive associations with children's playfulness, particularly including children's physical spontaneity and expression of joy. In addition, mothers' play support beliefs moderated the relation between mothers' insecure attachment and children's expression of joy. However, the beliefs did not moderate the relation between mothers' insecure attachment and other playfulness traits. Conclusion/Implications: The findings of the present study indicate that mothers' understanding of the importance of play may buffer the adverse effect of mothers' insecure attachment on children's capabilities of expressing their sense of pleasure.