• 한국사회복지학
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• 제51권
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• pp.211-228
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• 2002

본 연구는 사회복지관에서 욕구조사의 결과가 어떻게 활용되고 있는지를 파악하고, 활용정도에 영향을 미치는 변인은 무엇인지를 조사하는데 목적을 두고 있다. 조사방법으로는 서울시 소재 종합사회복지관을 대상으로 기관에서 욕구조사를 담당하고 있는 직원을 응답자로 하여 우편으로 설문조사를 실시하였다. 종속변수로는 욕구조사 결과의 개념적 활용, 도구적 활용, 그리고 두 활용을 모두 포함하는 포괄적 활용이며, 독립변수로는 욕구조사에 대한 태도, 기관장 및 욕구조사 담당자의 욕구조사과정의 참여, 욕구조사보고서의 특징, 욕구조사에 관한 교육 및 자신감이다. 모든 변수에 대해서 신뢰성검증과 기술통계분석을 했으며, 종속변수에 대한 독립변수의 영향력을 살펴보기 위해서 다중회귀분석이 이루어졌다. 욕구조사가 결과의 활용 중에서도 개념적 활용이 도구적 활용 보다 높게 나타났다. 포괄적 활용에 가장 많은 영향을 미치는 변수로서는 욕구조사 담당자의 조사에 대한 자신감과 욕구조사에 대한 태도, 그리고 기관장의 참여 순서로 나타났다. 개념적 활용에 영향을 미치는 변수는 욕구조사 담당자의 욕구조사에 대한 태도와 자신감 순시로 나타났으며, 도구적 활용에 영향을 미치는 변수는 기관장의 욕구조사참여이다. 주요 결과를 바탕으로 이론적 및 실천적인 함의를 논하였다.

• 대한감각통합치료학회지
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• 제16권3호
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• pp.23-33
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• 2018

목적 : 본 연구는 국내 아동 작업치료사들이 사용하고 있는 평가도구를 영역별로 구체화하여, 평가도구의 사용 동향을 파악하고자 하였다. 연구방법 : 본 연구는 아동 작업치료사를 대상으로 평가도구 사용에 대한 설문을 실시하였다. 평가도구의 하위영역은 작업수행, 일상생활활동, 교육, 놀이, 감각-지각, 운동 및 실행, 인지, 사회적 상호작용 기술, 발달, 이학적 검사로 구성하였다. 설문에 응답한 105명의 자료를 대상으로 기술통계 및 빈도분석을 사용하여 분석하였다. 결과 : 본 연구 결과는 초기 평가 시 소요되는 시간은 30~60분(41.9%)이 가장 많았으며, 재평가 주기는 3~6개월(41.0%)로 가장 많이 실시하는 것으로 나타났다. 영역 별 평가도구를 살펴보면, 작업 수행은 Canadian Occupation Performance Measure(55.2%)을, 일상생활활동은 Wee Functional Independence Measure(57.1%)을, 교육은 School Function Assessment(2.5%)를, 놀이 평가도구는 Revised Knox Preschool Play Scale(28.6%)을, 감각-지각은 Developmental Test of Visual Perception(94.3%)을, 운동 및 실행 평가도구는 Bruininks-Oseretsky Test of Motor Proficiency-2(42.9%)를, 인지 평가도구는 Lowenstein Occupational Therapy Cognitive Assessment(11.4%)를, 사회적 상호작용 기술은 Evaluation of Social Interaction(6.1%)을, 발달은 Denver Developmental Screening Test-II(92.4%)를, 이학적 검사는 임상관찰(89.5%)을 주로 사용하는 것으로 나타났다. 결론 : 본 연구를 통하여 국내 아동작업치료사들이 사용하고 있는 평가도구를 영역별로 구체적으로 파악할 수 있었으며, 이를 통해 추후 평가 교육 및 개발을 위한 기초적인 근거자료가 될 것으로 기대된다.

• 지역사회간호학회지
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• 제15권1호
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• pp.5-17
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• 2004

Purpose: The purpose of this study is to identify the health promoting lifestyle and need assessment of a health promotion program. and to develop a health promotion program for rural elderly. Method: The subjects of the study were 366 adults chosen from 24 villages located in Geochang Gun, Korea. Data sampling used a quota sampling method. Analysis of the data was done by using descriptive statistics, t test, ANOVA and the Scheffe test with SPSS. Results: 1) The average score of performance in the health promoting lifestyle was 1.85. In the subscales, the highest degree of performance was 'nutrition', followed by 'interpersonal relationships', 'health responsibility', 'stress management', 'spiritual growth', and the lowest degree of performance was 'physical activity'. 2) Health promoting lifestyles were significantly correlated with such demographic variables as age (F=2.684, p=.047), education (F=10.989, p=.000), monthly pocket money (F=3.516, p=.008), religion (F=7.160, p=.000), current health status F=3.375, p=.035), health education (t=2.476, p=.014). 3) Health promoting lifestyles were significantly correlated with such life style pattern variables as milk drinking (F=3.767, p=0.035), hobbies (t=3.072, p=0.002), exercise (t=7.186, p=0.000). 4) There is a high level of need for the need assesment of the health promotion program for the elderly in the rural area. Conclusion: With the above findings. I propose that it is necessary to understand a health promoting lifestyle and need assessment for a health promotion program, and to develop a health promotion program considering regional and environmental elements.

• 성인간호학회지
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• 제25권1호
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• pp.24-32
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• 2013

Purpose: The aim of the study was to identify the most appropriate fall-risk assessment tool for neurological patients in an acute care setting. Methods: This descriptive study compared the reliability and validity of three fall-risk assessment tools (Morse Fall Scale, MFS; St Thomas's Risk Assessment Tool in Falling Elderly Inpatients, STRATIFY; Hendrich II Fall Risk Model, HFRM II). We assessed patients who were admitted to the Department of Neurology, Neurosurgery, and Rehabilitation at Asan Medical Center between July 1 and October 31, 2011, using a constructive questionnaire including general and clinical characteristics, and each item from the three tools. We analyzed inter-rater reliability with the kappa value, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools. Results: The analysis included 1,026 patients, and 32 falls occurred during this study. Inter-rater reliability was above 80% in all three tools. and the sensitivity was 50.0% (MFS), 84.4%(STRATIFY), and 59.4%(HFRM II). The AUC of the STRATIFY was 82.8. However, when the cutoff point was regulated as not 50 but 40 points, the AUC of the MFS was higher at 83.7. Conclusion: These results suggest that the STRATIFY may be the best tool for predicting falls for acute neurological patients.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5901-5908
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• 2014

Background: Data from BreastScreen Australia Screening and Assessment Services (SAS) for 2002-2010 were analysed to determine whether some SAS characteristics were more conducive that others to high screening performance, as indicated by high priority performance indicators and standards. Materials And Methods: Indicators investigated related to: numbers of benign open biopsies, screen-detected invasive cancers, and interval cancers, and wait times between screening and assessment. Multivariate Poisson regression was undertaken using as candidate predictors of performance, SAS size (screening volume), urban or rural location, year of screening, accreditation status, and percentages of clients from culturally and linguistically diverse backgrounds, rural and remote areas, and socio-economically disadvantaged areas. Results: Performance standards for benign biopsies and invasive cancer detection were uniformly met irrespective of SAS location and size. The interval cancer standard was also met, except in 2003 when the 95% confidence interval of the rate still incorporated the national standard. Performance indicators improved over time for: benign open biopsy for second or subsequent screening rounds; rates of invasive breast cancer detection for second or subsequent screening rounds; and rates of small cancer detection. No differences were found over time in interval cancer rates. Interval cancer rates did not differ between non-metropolitan and metropolitan SAS, although state-wide SAS had lower rates. The standard for wait time between screening and assessment (being assessed ${\leq}28$ days) was mostly unmet and this applied in particular to SAS with high percentages of culturally and linguistically diverse women in their screening populations. Conclusions: Gains in performance were observed, and all performance standards were met irrespective of SAS characteristics, except wait times to assessment. Additional descriptive data should be collected on SAS characteristics, and their associations with favourable screening performance, as these may be important when deciding on SAS design

• 문화기술의 융합
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• 제8권6호
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• pp.471-478
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• 2022

좋은 수업은 수업을 구성하는 요소들이 하나의 체제로서 유기적 연관성을 갖는다. 평가 준거에 대한 충분한 설명이나 합의 없는 일방적 평가, 평가과정의 신뢰성을 담보할 수 없는 주관적 평가 그리고 학습 과정과 분리된 탈 맥락화된 평가는 좋은 수업이나 건강한 학습생태계를 위협하는 요소가 될 수 있다. 이 연구는 교육 평가와 관련된 문제를 해결하기 위해 루브릭(rubric)을 통한 평가와 그 효과를 분석하였다. '루브릭'은 수업목표를 토대로 수행과제를 평가하는 준거와 수행의 질을 여러 단계로 상세히 묘사한 서술적 평가도구다. 영화 리터러시 평가를 위해 적용한 루브릭은 '분석적 루브릭'으로서 영화 이해 리터러시, 영화 제작 리터러시, 그리고 영화 활용 리터러시를 포괄한다. 루브릭에 대해 학습자들은 타당하고 매우 유용한 학습 성찰 도구로 인식하였다.

• 한국병원경영학회지
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• 제28권3호
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• pp.58-67
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• 2023

Purpose: The purpose of this study was to analyze the factors associated with long-term hospitalized patients in long-term care hospitals using the quality assessment data for long-term care hospitals by the Health Insurance Review. Methods: Among 1,376 long-term care hospitals, frequency analysis and descriptive statistics were used to analyze the characteristics of these hospitals. Multiple linear regression was conducted to examine the associations between infrastructure characteristics, medical personnel characteristics, health outcomes and the proportion of long-term hospitalized patients. Results: The research findings indicate that the number of patients per doctor, the number of patients per nurse, and the number of patients per nursing staff were positively associated with the proportion of long-term hospitalized patients. Among health outcomes, a higher proportion of patients with more than a 5% weight loss compared to the previous month and the proportion of patients showing improvement in ADL, were more likely to have a lower proportion of long-term hospitalized patients. However the proportion of diabetic patients with HbA1c test results within the appropriate range was positively associated with the proportion of long-term hospitalized patients. Conclusion: The present study results provide fundamental data for the establishment of policies for long-term care hospitals. Based on this study, it is important to suggest screening methods for unnecessary long-term hospitalizations, such as sufficient medical personnel to improve the quality of care in long-term care hospitals. It is also necessary to clearly separate the roles of medical institutions and long-term care facilities and implement policies to support patients' social reintegration.

• 한국초등수학교육학회지
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• 제17권1호
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• pp.87-103
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• 2013

본 연구는 Polya의 문제해결 4단계에 따른 쓰기 활동이 학생들의 학업성취도와 태도에 미치는 영향을 조사하였다. 이를 위해 G광역시에 소재한 P초등학교 6학년 2개 학급(실험집단 : 27명, 비교집단 : 27명)을 대상으로 수행되었다. 실험집단은 Polya의 문제해결 단계에 따른 쓰기 활동을 구안하여 문제해결이나 탐구활동 단계를 선별하여 수업에 적용하였고, 통제집단은 같은 활동을 전통적인 방법으로 수업을 진행하였다. 학업성취도 사전검사는 G광역시교육과학연구원에서 개발한 5학년 2학기 서술형 평가에서 영역별로 5문항을 선정하였다. 그리고 사후검사는 6학년 1학기 내용 중에서 서술형 평가를 선정하여 사용하였다. 수학적 태도는 사전 검사와 사후 검사 모두 동일한 문항을 이용하였다. 학기 초에 사전검사를 실시하였고, 동일한 검사지를 한 학기간의 실험 처치 후 사후검사를 실시하였다. 연구결과 첫째, 학업성취도는 t-검정한 결과 유의수준 5%에서 유의미한 차이가 있었다. 둘째, 수학적 태도는 t-검정한 결과가 유의미한 차이가 있는 것으로 나타났다. 이는 Polya의 문제해결 단계에 따른 쓰기 활동이 학업성취나 수학적 태도의 향상에 도움을 주었다는 것을 나타낸다.

• 임상간호연구
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• 제25권2호
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• pp.120-132
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• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

• 대한간호학회지
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• 제32권2호
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• pp.176-185
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• 2002

Knowing the accurate GA is critical in nursing care of high-risk newborns. A descriptive study was performed to examine the reliability and clinical applicability of the new Ballard examination (NBE) in high-risk infants. Method: A NBE was performed to measure GA by assessing the neuromuscular and physical maturity in the course of physical examination of a convenient sample of 50 high-risk infants. Results: 1) There was a highly correlation between both the GA by LMP (GA-LMP) and GA by NBE (GA-NBE) (r = .894, p = .000) 2) There was a greater positive relationship in neuromuscular maturity than physical maturity in the GA-NBE of the high-risk newborn (r = .657 versus r = .915, p <. 05). 3) The high-risk infants were thoes with congenital anomalies, prematurity, and RDS(Respiratory Distress Syndrome). Male infants showed a higher neuromuscular maturity, compared to female infants. 4) There was a positive correlation between neuromuscular, physical, total maturity, GA-LMP and GA-NBE in the birth weight, 1 minute Apgar score. Conclusion: The study supports the reliability an clinical relevance of NBE in assessment of the accurate GA in high-risk infants.