• 가정∙방문간호학회지
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• 제11권1호
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• pp.57-70
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• 2004

Purpose: This study was to develop a cost-effective and efficient curriculum for advanced practice nurse (APN) programs in home health care and hospice. Method: The process was to: (1) compare and analyze the present curriculum in home health care and hospice programs, (2) identify the needs of 7 expert nurses in home health care and hospice, and (3) develop a common curriculum structure and contents between home health care and hospice specialty courses. Result: Out of the 10 credits constituting the home health care and hospice specialty courses respectively, 6 credits were identified the common courses, Common content areas included introduction to hospice, communication skills, pain control. symptom control. teaching methods, and agency management. Conclusion: These results can be utilized in the development of APN programs for home health care and hospice in terms of qualified and cost-effective aspects of education.

• 한국정보전자통신기술학회논문지
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• 제13권6호
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• pp.511-522
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• 2020

본 논문은 공공영역에서 의료 마이데이터 사업을 추진하기 위한 생태계 구축 방안을 도출하는 것을 목적으로 하였다. 이를 위해 먼저 마이데이터 사업의 유형을 비즈니스 도메인별, 주체별, 목적별, 방식별로 구분하고, 이를 바탕으로 국내 및 해외에서 추진되고 있는 마이데이터 사업을 유형별로 분석하였다. 그 후 분석 결과를 바탕으로 시나리오 기법을 통해 공공영역에서 추진할 수 있는 마이데이터 사업의 시나리오를 도출하고, 각 시나리오를 추진하기 위한 주체별 역할 및 주요 이슈를 파악하여 생태계 구성 주체별 전략방향을 제시하였다. 이와 같은 시도는 민감 정보를 대상으로 하여 민간에서 시작하기에 이슈가 많은 의료 마이데이터 사업이 국내에 정착하기 위해 공공영역에서 주도적으로 할 수 있는 역할이 무엇인지를 드러내는데 1차적 의의가 있다. 이를 통해 국내에서 생태계가 구축되기 위해 예상되는 이슈를 파악하고, 향후 마이 데이터 사업이 국내에서 올바른 방향으로 추진될 수 있는 방향성을 제시하기 위한 논의의 초석이 될 것으로 기대한다.

• 디지털융복합연구
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• 제17권10호
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• pp.149-158
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• 2019

조직 내의 세대, 인종, 성별이 다양해짐에 따라 갈등이 첨예하게 증가하고 있다. 이를 해결 하기 위해서 커뮤니케이션이 중요한데, 원활한 커뮤니케이션은 조직 내 긍정적 행동을 증가시킬 뿐만 아니라 부정적 행동을 감소시켜준다. 본 연구는 조직 내 커뮤니케이션의 만족이 조직에 대한 정서적인 몰입 및 이직의도와의 관계, 그리고 정서적 몰입의 매개효과 등을 일반 행정업무, 영업, 품질, 연구 등의 직무를 수행하는 보건의료업 종사자 267명을 대상으로 실증했다. 주요 시사점으로 조직 내 소통을 통해서 구성원들의 조직에 대한 태도가 결정된다는 것을 보여줬다는데 의의가 있으며, 최근과 같이 다양성이 증가하고 있는 시대에 조직 내 소통을 통해서 조직에 대한 몰입과 이직의도를 낮출 수 있다는 점을 밝혀냈다는데 실무적 기여점이 있다. 향후의 추가연구에서는 세대, 인종 및 성별 등의 다양성 요소에 따라서 그 효과성을 살펴볼 수 있을 것이다.

• Journal of Information Science Theory and Practice
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• 제9권4호
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• pp.50-62
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• 2021

This study aims to unravel the shift in the customary method of disseminating information about the ritual of Perang Topat (literally translated as "rice-cake war") as carried out by the custom community of Kemaliq Lingsar in the West Lombok Regency of Indonesia during the COVID-19 pandemic. Grounded in the ethnography of communication research methodology, this study examines the process of the cultural ritual during the 2020 period of the pandemic and compares it to the ones held in 2018 and 2019 (before the current pandemic). Drawing on findings from observations, in-depth interviews, and documentation, it was revealed that the traditional or custom-oriented community of Kemaliq Lingsar abandoned all three prominently used methods of disseminating the information of the Perang Topat ritual that had been used prior to the pandemic, and that they were replaced by a strategy with solely face-to-face (FTF) interpersonal communication carried out by visiting the homes of the target participants of the cultural event. This method was relevant to the current viral crisis because it enabled the committee to minimize the number of spectators which might potentially violate COVID-19 health protocols. This finding also reinforces the hypothetical statement that interpersonal communication via FTF is effective in disseminating information in a limited manner and empowering the emotional bond between the individuals who share relationships and similar interests. The findings of the present study can be a reference for any events where physical distancing must be strictly imposed and require a limit to the number of participants during the pandemic.

• 보건행정학회지
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• 제31권4호
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• pp.387-398
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• 2021

Moon Jae-in Care can be seen as a 2.0 version of Roh Moo-Hyun Care. Just as Roh Care failed to achieve its coverage rate goal and 30% share of public beds, Moon Care also failed to achieve its expected goal. The reason is that it followed Roh Care's failed strategy. Failure to control non-covered services has led to a long way to achieve a 70% coverage rate and induced the expansion of voluntary indemnity insurance, resulting in increased public burden. The universal coverage of non-covered services caused an immediate backlash from doctors. And Moon government also failed to control the private insurance market. The expansion of publicly owned beds has not become realized and has not obtained public support. Above all, it failed to overcome the resistance of doctors and failed to obtain consent from budget power groups in the cabinet for public investment. It was also insufficient to win the support of civic groups. Communication with interested groups failed and the role of private health care providers was neglected. The next government should also continue to strengthen health care coverage, but it should prioritize preventing medical poor and create a consensus with both medical providers and consumers for the control of non-covered services. Ahead of the super-aged society, the establishment of linkage between medical services and long-term care and visiting health care or welfare services is an important task. All public and private provisions and resources should be utilized in the view of a comprehensive public health perspective, and public investment should be input in sectors where public medical institutions can perform more effective functions. The next government, which will be launched in 2022, should design a new paradigm for health care in the face of a period of transformation, such as the coming super-aged society in 2026 and the Fourth Industrial Revolution, and recognize that the capabilities of the health care system represent the nation's overall capacity.

• 대한의용생체공학회:의공학회지
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• 제26권2호
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• pp.65-71
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• 2005

The main obstacles for adopting a mobile health information system to existing hospital information system are the redundancy of clinical data and the additional workload for implementing the new system. To obtain a seamless communication and to reduce the workload of implementation, an easy and simple implementation strategy is required. We propose a mobile clinical information system (MobileMed) which is specially designed for the easy implementation. The key elements of MobileMed are a smart interface, an HL7 message server, a central clinical database (CCDB), and a web server. The smart interface module transfers the key information to the HL7 message server as new clinical tests data is recorded in the existing laboratory information system. The HL7 message server generates the HL7 messages and sends them to the CCDS. As a central database the CCDS collects the HL7 messages and presents them to the various mobile devices such as PDA. Through this study we might conclude that the architecture for the mobile system will be efficient for real-time data communication, and the specially designed interface will be an easy tool for implementing the mobile clinical information system.

• International Journal of Advanced Culture Technology
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• 제10권3호
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• pp.210-219
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• 2022

Psychiatric nursing is a specialty where nursing students experience many difficulties in applying what they have learned in theory to clinical practice. Therefore, a situation-oriented case-based strategy is required to help them overcome the limitations of psychiatric nursing clinical practice and reduce their burden. This study aimed to measure the effectiveness of a psychiatric nursing clinical practice program using situation-oriented case-based learning. Participants comprised 63 nursing students in psychiatric nursing classes. The students were asked to create a scenario of interaction between a nurse and patient based on a case study. Empathy, therapeutic communication ability, and attitudes toward mental illnesses were measured. We analyzed the effectiveness of the program by comparing changes in the nursing students' empathy, therapeutic communication ability, and attitude toward mental illness after the program. The participants showed significant increases in empathy and therapeutic communication abilities. However, there were no significant changes in attitudes toward mental illnesses. Based on the results of this study, it is expected that situation-based learning will be effective for students who have difficulties in certain aspects, such as COVID-19, or where there are limited clinical practice opportunities, such as psychiatric nursing.

• 한국학교보건학회지
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• 제34권1호
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• pp.76-86
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• 2021

Purpose: This study was conducted to describe the experience of school health teachers in regard to the COVID-19 pandemic in South Korea. Methods: We conducted a qualitative study using content analysis. Ten school health teachers were recruited from 6 elementary schools, 2 middle schools and 2 high schools in Seoul, using purposive sampling. They participated in semi-structured in-depth interviews in person or using an online communication system from January to February, 2021. Interviews were transcribed verbatim and analysed using qualitative content analysis. Results: Three main categories and nine generic categories emerged from the analysis. Firstly, it was discovered that school health teachers had psychological and physical stress to cope with COVID-19 due to the 1) fear of the unexpected infectious disease, 2) burden of having to deal with it alone, 3) breakdown of personal life and physical exhaustion and 4) heavy duty as a health teacher caused by the lack of an organic cooperation system with institutions related to school infectious diseases. Secondly, school health teachers had an increased sense of empowerment in regard to infectious disease management as a result of 1) feeling rewarded and appreciated and 2) gaining confidence and trust in infectious disease management. Finally, school health teachers experienced the urgent need for an effective response strategy for infection control because of the 1) confusion over infectious disease response due to lack of practical manuals applicable to the field as well as training, 2) disappointing response system without an expert response team dedicated to managing infectious diseases in schools, and 3) growing awareness of the need for change. Conclusion: It is expected that school health teachers' experience of COVID-19 will be used as important data for building effective and advanced school infectious disease response systems.

• 한국환경보건학회지
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• 제43권6호
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• pp.447-456
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• 2017

Objectives: Pregnant women and those of childbearing age are a well-known sensitive population for human mercury exposure. Therefore, this study was conducted to reveal and enrich basic information for effective risk communication to reduce the adverse health effects of mercury exposure. Methods: A self-administered questionnaire survey was conducted among 432 women aged 19-44 years, recruited conveniently from three different regions (Busan, Ulsan, and Gumi City). Questionnaires were developed by referring to the existing literature and through expert meetings. They consisted of questions on knowledge and awareness of mercury exposure risks, health information literacy, and relevant information. Results: The rank of perceived mercury health risk score was 5 out of 16 environmental risk factors, and 41.7% of participants thought that even a very little mercury could lead to an adverse health effect. Although 90.3% of participants had knowledge that childbearing age women must pay attention to fish intake, only 38.9% of participants knew the national fish intake guidelines for pregnant women. Conclusions: Although risk perception and knowledge of pregnancy-specific features of mercury were relatively high, the national fish intake guidelines were still not well recognized. It could be an effective strategy to provide evidence-based and targeted information articulated by professionals using internet based communication channels.

• 부모자녀건강학회지
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• 제8권1호
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• pp.75-88
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• 2005

Purpose: This study was to examine the relationship between perceived the past parent-child relationship(caring and overprotection), present parent-child attachment (communication, confidence, alienation) and self-concept of woman college students. Method: The data was collected from March 15 through 26, 2004. The subjects in this study were 395 students who attended universities located in N and T city. The data analyzed using with SAS program, and analysis of variance, Pearson correlation analysis, multiple regression. Results: Concerning the connection of demographic variables to the past parent-child relations(caring and overprotection), current parent-child attachment(communication, confidence, alienation) made a Significant difference in economic family standard (p<.05), educational level of their fathers(p<.01), birth of order(p<.05) and whether or not they lived with their parents under the same roof(p<.05), past experience of living with their parents under the same roof(p<.01). The relationship of the past parent-child relations(caring and overprotection), and current parent-child attachment(communication, confidence, alienation) made a significant difference to communication(p<.001), confidence(p<.001), alienation(P<.001). The correlation among the past parent-child relations(caring and overprotection), current parent-child attachment(communication, confidence, alienation) and self-concept, caring had significantly positive correlation(p<.001) with communication(r=0.631), confidence(r=0.669) and self-concept(r=0.520), and had significantly negative correlation(p<.001) with overprotection(r=-0.369), alienation(r=-0.531). The overprotection had Significantly negative correlation(p<.001) with communication(r=-0.303) confidence(r=-0.369) and self-concept(r=-0.292), and that had significantly positive correlation(p<.001) with alienation (r=0.275). Overall, the past parent child relations(caring and overprotection) made a 28.2% prediction of self-concept, and the current parent-child attachment(communication, confidence and a sense or alienation) made a 46.1% prediction or self-concept, and their predictability was all significant. Conclusion: This study suggests that perceived the past parent-child relationship(caring and overprotection) is significant influencing factors on present parent-child attachment(communication, confidence, alienation), self-concept. Therefore, nursing strategy is needed to manage these revealed factors.