• 한국치위생학회지
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• 제7권1호
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• pp.73-89
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• 2007

The purpose of this study was to examine the reality of inservice education provided to members of Korean Dental Hygienists Association, the state of relevant academic conferences, and the perception of the members about inservice education and academic conference. It's basically meant to help boost their participation in inservice education and their satisfaction with it, and to show some of the right directions for that. The subjects in this study were dental hygienists who attended a symposium on July 1, 2006. After a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. General hospitals and university hospitals made up the largest group(91.4%) that gave a monthly leave of absence, and the second largest group was dental hospitals(75.4%), followed by dental clinics(58.3%) and public dental clinics(48.0%). The most common closing time in dental clinics and dental hospitals was 5 p.m., and that was 12 p.m. in general hospitals and university hospitals. The dental hygienists in public dental clinics didn't work on Saturdays. By type of workplace, treatment was the most common duty for the dental hygienists in dental clinics and dental hospitals to perform, and those who worked at general hospitals, university hospitals and public health clinics were in charge of extensive range of jobs. 2. The rates of the dental hygienists who took that education stood at 94.9% in public dental clinics, 78.7% in dental hospitals and 75.3% in dental clinics, general hospitals and university hospitals. Regarding how many marks they got on an yearly basis, those who got eight marks or more made up the largest group(55.6%), followed by four marks or more(11.8%), six marks or more(3.4%), and two marks or more(1.5%). As for the usefulness of inservice education for their job performance, the largest number of the dental hygienists(40.8%) found it to be helpful, and the second greatest group(37.5%) considered its effectiveness to be so-so. The third largest group(8.4%) found it to be of great use, and the fourth biggest group(4.2%) considered it to be of no service. The fifth biggest group(l.3%) thought it was absolutely useless. By type of workplace, the workers in dental clinics, dental hospitals, general hospitals and university hospitals wanted the most to learn how to take care of clinical work(acquisition of up-to-date technology), and those in public health clinics hoped the most to learn about public dental health. By type of workplace, the workers in dental clinics had their sight set on self-development the most, and the dental hygienists in dental hospitals, general hospitals, university hospitals and public health clinics were most in pursuit of acquiring new knowledge. By type of workplace, the specific given conditions at work were most singled out by the dental clinic workers as the reason, and the dental hospital employees pointed out time constraints the most. The dental hygienists in general hospitals and university hospitals cited time constraints and financial burden the most, and the public health clinic personnels mentioned inaccessibility of a place for inservice education as the reason. 3. The public health clinic workers participated in academic conferences the most(90.8%), followed by the general and university hospital personnels(68.8%), dental hospital employees(65.6%) and dental clinic workers(65.5%). By type of workplace, the public health clinic workers(73.5%) expressed the most satisfaction, followed by the general and university hospital employees(67.7%), dental clinic workers(62.3%) and dental hospital personnels(54.1%). By type of workplace, the employees of dental clinics, dental hospitals, general hospitals and university hospitals preferred Saturdays, and the public health clinic workers had a liking for weekdays. As for a favored place, hotels were most preferred, followed by university hospitals, general hospitals, college lecture rooms, district halls and local public institutions. Hotels were most favored regardless of the type of workplace. 4. Regarding outlook on inservice education, they had the highest opinion on the facilities and given conditions of lecture rooms($3.41{\pm}0.83$), followed by the professionalism of lecturers($3.34{\pm}0.83$), procedures of receipt and attendance confirmation($3.34{\pm}0.83$) and class size($3.13{\pm}0.89$). On the contrary, they took the most dismal view of the inaccessibility of a place of inservice education($2.08{\pm}0.92$), followed by limited opportunity and limited date for that education($2.51{\pm}0.99$), extra financial burden($2.53{\pm}1.18$) and high tuition fee($2.57{\pm}0.96$).

• 산업경영시스템학회지
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• 제39권4호
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• pp.106-116
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• 2016

MTO (Make to Order) is a manufacturing process in which manufacturing starts only after a customer's order is received. Manufacturing after receiving customer's orders means to start a pull-type supply chain operation because manufacturing is performed when demand is confirmed, i.e. being pulled by demand (The opposite business model is to manufacture products for stock MTS (Make to Stock), which is push-type production). There are also BTO (Build to Order) and ATO (Assemble To Order) in which assembly starts according to demand. Lean manufacturing by MTO is very efficient system. Nevertheless, the process industry, generally, which has a high fixed cost burden due to large-scale investment is suitable for mass production of small pieces or 'mass customization' defined recently. The process industry produces large quantities at one time because of the lack of manufacturing flexibility due to long time for model change or job change, and high loss during line-down (shutdown). As a result, it has a lot of inventory and costs are increased. In order to reduce the cost due to the characteristics of the process industry, which has a high fixed cost per hour, it operates a stock production system in which it is made and sold regardless of the order of the customer. Therefore, in a business environment where the external environment changes greatly, the inventory is not sold and it becomes obsolete. As a result, the company's costs increase, profits fall, and it make more difficult to survive in the competition. Based on the customer's order, we have built a new method for order system to meet the characteristics of the process industry by producing it as a high-profitable model. The design elements are designed by deriving the functions to satisfy the Y by collecting the internal and external VOC (voice of customer), and the design elements are verified through the conversion function. And the Y is satisfied through the pilot test verified and supplemented. By operating this make to order system, we have reduced bad inventories, lowered costs, and improved lead time in terms of delivery competitiveness. Make to order system in the process industry is effective for the display glass industry, for example, B and C groups which are non-flagship models, have confirmed that the line is down when there is no order, and A group which is flagship model, have confirmed stock production when there is no order.

• 한국비블리아학회지
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• 제27권3호
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• pp.129-149
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• 2016

본 연구는 문헌정보학 전공의 교육과정에서 NCS를 적용한 교과목을 실제로 운영한 교수자들의 경험을 FGI 조사를 통해 심층적으로 분석하여, 향후 NCS 기반의 교육과정 설계 및 운영의 개선에 기여하고자 수행되었다. 분석 결과는 첫째, 교육현장에 도입된 NCS에 대해 교수자들은 전반적으로 NCS의 취지와 배경을 잘 알고 있었고, 문헌정보학 NCS 교과과정에 대해 직무요소 도출의 비 적절성, 실제 교육 및 실무현장의 의견 미반영, NCS 분류체계의 문제 등을 제시하였다. 둘째, NCS 교과 운영 경험에서는 산출물 서류 작업의 부담감, 평가의 방법이나 시기의 차별성, 학생과의 의사소통 필요성에 대한 의견 등이 제시되었다. 셋째, NCS 교과 운영의 문제점에 대해서는 적절한 수업인원 및 교육시간의 부여 필요성, 추가 교육시간 및 재평가의 필요성, NCS 교육과정 운영을 위한 지원시스템의 구축 필요성, 실습기자재의 구비 필요성, 상대평가제도와 NCS 평가제도와의 불일치 문제, 교육현장 및 실무에 적용될 수 있도록 능력단위와 수행준거의 보완 필요성 등을 제기하였다. 넷째, 향후 NCS 교과의 개선방안에 대해서는 수업인원의 적절한 배정, 실습기자재의 충분한 지원, 문헌정보학 분야의 특수성 및 현장 실무와 경험을 반영한 능력단위 및 능력단위요소의 개선 등이 제시되었다. 이러한 분석결과를 기반으로 문헌정보학 전공에서 향후 NCS에 기반을 둔 적절한 교육과정 설계 및 운영을 위한 몇 가지 시사점을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제49권4호
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• pp.220-229
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• 2016

Objectives: The association between educational status and 10-year risk for acute coronary syndrome (ACS) and all-cause mortality was evaluated. Methods: From October 2003 to September 2004, 2172 consecutive ACS patients from six Greek hospitals were enrolled. In 2013 to 2014, a 10-year follow-up (2004-2014) assessment was performed for 1918 participants (participation rate, 88%). Each patient's educational status was classified as low (<9 years of school), intermediate (9 to 14 years), or high (>14 years). Results: Overall all-cause mortality was almost twofold higher in the low-education group than in the intermediate-education and high-education groups (40% vs. 22% and 19%, respectively, p<0.001). Additionally, 10-year recurrent ACS events (fatal and non-fatal) were more common in the low-education group than in the intermediate-education and high-education groups (42% vs. 30% and 35%, p<0.001), and no interactions between sex and education on the investigated outcomes were observed. Moreover, patients in the high-education group were more physically active, had a better financial status, and were less likely to have hypertension, diabetes, or ACS than the participants with the least education (p<0.001); however, when those characteristics and lifestyle habits were accounted for, no moderating effects regarding the relationship of educational status with all-cause mortality and ACS events were observed. Conclusions: A U-shaped association may be proposed for the relationship between ACS prognosis and educational status, with participants in the low-education and high-education groups being negatively affected by other factors (e.g., job stress, depression, or loneliness). Public health policies should be aimed at specific social groups to reduce the overall burden of cardiovascular disease morbidity.

• 대한간호학회지
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• 제26권4호
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• pp.917-929
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• 1996

The purpose of this study is to explore types of postpartum depression and to understand the nature and structure of the postpartum depression by using Q-methodological approach. As a way of research, 55 statements concerning postpartum depression were selected through individual interviews with postpartum mothers and literature review. 30 women were chosen as a subject group for the study, with opinions shown in 55 statements divided into 9 scales by forced distribution. PC QUANL Program was used for analysis and Q-factors were analyzed by using principal component analysis. As a result, postpartum depression experience was classified into 5 types. There are "Role-Strain Type", "Unattributional Depression Type", "Psychosomatic Symptoms Type", "Self-Compassion Type", and "Role-Crisis Type". Type I was named "Role-Strain Type", referring to the strain generally experienced by mothers with regard to the new role as a mother and as a social member. Type II was named "Unattributional Depression Type", referring to the symptom experienced by people who were in a state of vanity and a sense of loss. They often break into tears for no specific reasons. In case of Type III, people in a state of "Psychosomatic Symptoms Type" develop physical symptoms after suffering from inherent emotional conflict. Type IV was named "Self-Compassion Type" refers to the symptom shown by those who feel pity for their children and for themselves. And they show inability to cope with the reality properly. Type V was named "Role -Crisis Type", which is experienced by people who have a burden and a severe fear of their own job and their children in their mind, also showing serious conflict with maternal role. Futhermore, it was carried out to examine structure of postpartum depression in terms of degree of depression and adjustment ability. Type I showed mild degree of depression and relatively good adjustment ability. Type II showed broad range of degree in depression and moderate adjustment ability. Type III showed moderate depression and relatively low adjustment ability. Type IV revealed relatively serious degree of depression and the lowest adjustment ability. Type V revealed very serious degree of depression and the lowest adjustment ability. As a result, considering the structure of postpartum depression. Type I is considered to be a normal depression sympton which most mothers generally experience, followed by Type II, Type III, Type IV and Type V, each of which show increasingly worse degree of depression and lower adjustment ability. In conclusion, it seems to be it is necessary to understand distinct symptoms of postpartum depression and to examine the characteristics and structure of those types, so that it could lead to more individual nursing approach.cteristics and structure of those types, so that it could lead to more individual nursing approach.

• 지역사회간호학회지
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• 제13권1호
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• pp.161-170
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• 2002

Purpose: To evaluate community health nursing practice by nursing students for basic data to improve nursing practice education, and to determine the clinical practice experiences of nursing students at public health centers. Method: According to methodological triangulation, all data was collected from March 2001 to June 2001 through prepared questionnaires with 62 Participants, and in depth interviews with 2 Participants, and content analysis with 8 Participants. Results: 1. Clinical practice content was needed to make up professionally. 2. Clinical practice instructor was satisfied with teaching by community health nursing professor, but not by public health center nurse. 3. Clinical environment was perceived as good. 4. Clinical practice time was perceived suitable, but practice evaluation was given a low grade. 5. Experience of nursing students was grouped into 9 categories and 20 themes. 9 Categories are as follows: change of public health center image, difficulty in the personal relationship, positive personal relationships, doubt about the attitude, doubt about the task, tension, worth, ambivalance of the conference, feeling about the end stage of the clinical practice. Twenty themes are stereotypic of the public health care center: recognition, difficulty between tasks and interrelationships with the clients, decrease of self esteem due to deficiency of trust with the students, exchange of feelings in the relationships, the situation of clients was not considered, feelings were disregarded, not systematic, regarding students as supplementory manpower, independent work but not enough contents, anxiety & fear, self-trust, be skilled in the practice, pragmatic knowledge formation, understanding of the old person, self-study of oneself. live up to the expectation, consider as the job, dissolve the stress and impose burden, feeling the lack regarding active approach in the practice. Conclusion: The students have perceived the need of community health nursing through the clinical practice. Clinical practice of community health nursing requires content supplement, correction of instruction by public center nurses, environmental alteration, evaluation criteria set up. Experience of clinical practice in the public health center was as follows: Getting rid of the stereotype about public health center, nursing students comprehended variety and were worth while to do clinical practice in spite of tension& anxiety and fear. And they thought to be a community nurse someday.

• 자원ㆍ환경경제연구
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• 제14권4호
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• pp.893-921
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• 2005

본 연구는 1992년~2002년 기간 동안 한국 제조업의 환경오염방지활동이 노동수요에 미치는 효과를 제조업 노동수요함수 추정을 통해 확인하여 보았다. 추정에 있어서 전통적인 의미에서의 생산기술과 생산 과정에서 발생하는 환경오염물질을 방지하는 기술에 따른 노동수요효과를 식별하는 문제가 제기되었다. 이러한 문제를 해결하기 위해 Morgenstern et al. (2002)이 제안한 방식을 원용하였으나 Morgenstern et al. (2002)의 방식 역시 생산기술과 오염물질발생 간의 내생적인 문제를 해결하기에는 적합하지 않았다. 따라서 고정효과 모형의 이단계 추정방식(fixed effect IV estimation)을 통해 환경오염방지기술에 따른 노동수요 변화 효과를 식별하였다. 추정결과를 보면 1992년~2002년 기간 동안 우리나라 제조업의 환경오염방지활동은 노동수요를 증가시켜 왔으며 특히 우리나라 제조업의 환경오염방지비용이 총생산비의 1% 내외를 차지하여 왔음을 고려할 때 동 기간 동안 환경오염방지활동은 기업의 생산 활동에 큰 부담은 아니었음을 노동수요 변화를 통하여 확인할 수 있었다. 그러나 전통적인 노동수요변화의 요소인 실질임금과 생산량 변화에 따른 노동수요효과보다는 환경오염방지활동에 따른 노동수요변화효과가 상대적으로 작은 것으로 나타났다. 향후 환경오염방지비용이 총생산비용에서 차지하는 비중의 관점에서 적절한 노동수요를 유지하기 위한 환경오염방지활동비용의 범위를 알아보는 것은 좋은 연구주제가 될 것이다.

• 한국콘텐츠학회논문지
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• 제10권10호
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• pp.334-350
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• 2010

본 연구는 국제회계기준이 도입될 경우 기업의 세무조정 과정과 과세소득에 어떠한 영향이 있는지 살펴보고, 이에 따른 문제점을 해결하기 위한 실무적 방안을 제시하는데 목적이 있다. 또한, 2010년 6월 재정부가 발표한 법인세법 개정안에 대해 세무사를 대상으로 한 설문조사를 실시하였으며, 이를 통해 개정안의 실효성을 사전 검토하고자 하였다. 설문조사의 결과는 다음과 같다. 먼저 공정가치 평가와 외화환산손익인식 및 자산유동화 분류 규정은 현행 법인세법을 유지하는 것이 타당하다고 응답하였다. 리스분류에 대해서는 이원화된 기업회계의 수용시 자의적으로 분류가능성이 발생하므로 타당하지 못하며, 예약매출 수익인식은 국제회계기준을 수용하는 방안이 타당하다고 응답하였다. 또한 기능통화와 관련하여 개념의 도입 필요성은 인식하면서도, 환산된 재무제표가 과세소득의 기초자료로 과연 적절한가에 대한 깊은 우려를 나타냈다. 감가상각은 현행 결산조정제도를 유지하되, 장기적 관점에서는 기업회계와 세무회계의 분리방안에 대한 논의가 필요하다고 응답하였다. 마지막으로 대손충당금은 신고조정으로 손금인식하는 것이 더욱 타당하다고 응답하였다. 둘째, 개정안의 시행시 기업의 업무가 경감될 것인지에 대한 질문에서는 모든 개정항목에 대해 보통이하로 응답하였다. 특히, 재정부가 기업의 업무부담 경감을 최우선으로 고려하였다고 발표한 기능통화, 리스분류 등의 항목에 대한 기대치도 낮게 나타났다.

• 한국의료질향상학회지
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• 제20권1호
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• pp.76-88
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• 2014

Objectives: Parents of a premature baby feel a pressure on their baby's growth and they are highly in need for proper education. However, the lack of proper education can cause the difficulty of follow-up care and rehospitalization. Currently, methods of education among each nurse are based on verbal explanation and can be often different. Therfore, it is true that the psychological burden is great during education. Hence, by enforcing discharge education activities, we intend to provide information; induce participation of parents; promote the level of performance; standardize education program; and increase the job satisfaction of nurses. Methods: NICU conducted a questionnaire survey of the demand and satisfaction for discharge education among mothers that left hospital. And before and after the improvement activity, the satisfaction level of mothers and nurses were studied, and rehospitalization rate were analyzed. Results 1)The survey results of the satisfaction level of mothers towards education program as followes: The level of understanding of content, general babysitting, special situation, education method, and educator attitude showed statistically significant increase. 2)The survey results of the satisfaction level of nurses towards education program as followes: While, the need for education program decreased, the adequacy of education content and method, consistency of education, understanding of learner, and learner's performance increased. All the factors except for the need for education program and the adequacy of education content showed statistically significant difference. 3)Rehospitalization rate of premature babies decreased. According to analysis of the cause of rehospitalization, breast-feeding related apnea turned out to be the highest. Conclusion: Through QI, satisfaction of mothers and nurses improved more than 10%. And rehospitalization rate of premature babies decreased by the same amount as well. Therefore, with the help of the standardized discharge education program, mothers who is not easy to take care of after leaving hospital can be seen to significantly affect their healthy growth and development.

• 농촌의학ㆍ지역보건
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• 제44권4호
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• pp.195-208
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• 2019

의료급여수급권자는 낮은 본인부담으로 인해 공급자에 의한 유발의료수요가 발생하거나 수급권자의 도덕적 해이가 발생하여, 의료서비스 남용으로 인한 의료급여 재정의 건전성을 저해한다는 지적을 받고 있다. 이 연구는 관상동맥중재술과 같은 질병부담이 높은 의료서비스 이용에 있어서 우리나라의 대표적인 의료보장형태인 건강보험환자와 의료급여환자의 진료비 발생 구조를 분석하여 진료비 관리의 정책적 방향을 제시하고자 수행되었다. 관상동맥중재술 시행을 받은 환자에서 의료보장형태에 따라 의료서비스 이용 양상 및 진료비 구조에 차이가 있었다. 의료급여군이 건강보험군에 비해 재원일수가 길고, 응급실을 경유하여 입원한 환자의 비율이 높았으며, 비급여진료비, 선택진료비, 일당 비급여진료비가 적게 발생하였고, 재원일수와 관련 있는 진찰료 및 입원료, 식대, 투약 및 주사료 항목에서는 총 진료비가 많이 발생하였다. 따라서, 국가차원의 효율적인 진료비 관리를 위해서 취약계층에 대한 예방과 교육서비스를 제공하여 사전적 진료비관리가 이루어져야 하며, 의료급여 환자의 재원일수 증가에 따른 급여진료비 발생을 관리하는 전략이 필요할 것으로 보인다. 또한, 비급여 진료비에 있어서 의료급여환자의 미충족 의료서비스가 발생하지 않도록 의료비 지원방안도 마련되어야 한다.