• 디자인학연구
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• 제20권3호
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• pp.299-314
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• 2007

20세기 후반 불어 닥친 급격한 기술변동과 산업구조의 변화에 따라 기업은 갈수록 현장 중심적인 디자인 전문 인력을 요구하고 있다. 미술단과대학 중심의 디자인교육은 성과도 있었지만 이러한 환경변화 요구에 적절히 대응하기에는 여러 가지 부족한 점이 나타나고 있다. 이에 대해 최근 나타나고 있는 진보적 디자인 교육 프로그램의 공통점은 복합 지식기술 기반의 다학제 교육이다. 이를 통하여 산업수요에 즉각 대응하고 국제사회에서 디자인 혁신을 주도하고 있으며 정보, 지식, 문화, 융복합 지식기술과 새로운 학문 및 직업 분야가 속속 출현하고 있는 시점에서 그 유용성을 높여가고 있다. 본 연구는 제품 디자인혁신에 초점을 둔 디자인, 공학, 경영분야의 복합적 지식과 기술을 갖춘 인재를 교육하고 훈련시킬 수 있는 교육프로그램을 제시하고있다. 성공적 신제품 개발과 위해 디자인, 공학, 경영 분야의 전문가들은 각 분야의 지식과 기술을 겸비하고 효과적으로 협력하여야 한다. 본 연구에서 제안하는 IPDI 다학제 교육프로그램은 공간적 효율성과 분야 전문성을 기초로 종합대학(university) 환경에서 디자인, 경영학, 공학의 학제간 교육을 중심으로 이루어지며 단계적으로 주변 분야를 연계 통합할 수 있는 응복합형 교육프로그램이다. 프로그램의 실제 적용이 가능하도록 전공수업의 협동운영, 현장실습연계, 학제간 연구기반 조성, 혁신 디자인 개발프로그램 적용, 교육시설공유에 대한 세부적이며 종합적 프로그램 구성으로 이루어져있다. 단, 프로그램 속성 상 단과대학(college)이나 인스티튜트(institute) 같은 중소형 교육기관에는 적합지 않을 수도 있다.성에 대한 만족도가 비고령자와 고령자간에 어떤 차이가 있는지, 그리고 이를 활용하여 한글서체 환경에서 웹 표준방식에 맞게 활용할 수 있도록 구체화 하여, 고령자를 위한 웹 컨텐츠에서의 서체활용 가이드를 개발하여 급속도로 다가오는 고령화 사회에서 고령자도 쉽게 인터넷을 통하여 정도를 습득하고 사용할 수 있는 유니버설 웹 인터페이스를 위한 기반자료로 활용될 것으로 전망된다. 제외지를 통합하여 TIN분석을 실시하여 범람 홍수해석에 활용할 수 있도록 하였다. 하천수리해석의 기능을 보강하기 위해 역산조도계수 산정모형, 상류-사류 천이류 구간에 대한 부등류 해석모형, 범람 홍수류에 대한 홍수위 산정모형, 하천수리계산시의 불확실도 해석모형 등의 새로운 기능을 추가하여 제시하였다. 모든 입출력자료는 프로젝트 단위별로 운영되어 data의 관리가 손쉽도록 하였으며 결과를 DB에 저장하여 다른 모형에서도 적용할 수 있도록 하였다. 그리고 HyGIS-HMS 및 HyGIS-RAS 모형에서 강우-유출-하도 수리해석-범람해석 등이 일괄되게 하나의 시스템 내에서 구현될 수 있도록 하였다. 따라서 HyGIS와 통합된 수리, 수문모형은 국내 하천 및 유역에 적합한 시스템으로서 향후 HydroInformatics 구현을 염두에 둔 특화된 국내 수자원 분야 소프트웨어의 개발에 기본 토대를 제공할 것으로 판단된다.았다. 또한 저자들의 임상병리학적 연구결과가 다른 문헌에서 보고된 소아 신증후군의 연구결과와 큰 차이를 보이지 않음을 알 수 있었다. 자극에 차이가 있지 않나 추측되며 이에 관한 추후 연구가 요망된다. 총대장통과시간의 단축은 결장 분절 모두에서 줄어들어 나타났으나

• 대한간호학회지
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• 제30권5호
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• pp.1195-1206
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• 2000

The purpose of this study was to analyze womens' health problems using Green & Kreuter's 1991 PRECEDE model and to develop a model for a womens' health care center located in the community. The subjects were recruited from Wonju City. 1. The results showed that 23% of the sample population felt there was a need for a womens' health care center. The mean number of health problems was 3.1. The prevalence rate, was 44.4%, and the rate for an artificial abortion, was 36.4%. Also 30.5% did not have a health examination in the past year. Women using the hospital for medical care accounted for 45% of the sample, while 40% used the drugstore. The average score on the HPLP was 2.41, and this was influenced by self-efficacy, family support, sexual role, and health locus of control. There are a few educational programs in the city provided by the Wonju Health Center and by community health nurse practitioners. 2. The nursing center, as defined in North America, is a nurse-anchored system of primary health care delivery or neighborhood health center. Centers offer various services ranging from primary care to the more traditional such as education, health promotion, wellness screening, and coordination of services by advanced practice nurses. For examples in Sweden MCH centers provide total services for childbearing women and their families, sexual counseling and education for adolescents, and screening by midwives for cervical cancer. 3. The developed model combines purpose, target population, organization, and services, and is related to health resources. The purpose is primary health care and promotion of the quality of life. The target population can be grouped according to the life cycle, (premarriaged age group, the childbearing/child rearing age group, and middle aged and elderly women) and focuses on self-help. The organization of the center includes an advisory committee to plan and evaluate, and a health services team that will be multidisciplinary to provide health care, counseling education, and research. The model development suggested that a variety of women's health care centers are needed to insure adequate management of women's health. Follow-up research using PROCEED is needed to analyze health outcomes. Also a health nursing specialist system is required to develop health promotion, and improve the quality of life of women.

• 한국간호교육학회지
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• 제3권2호
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• pp.163-192
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• 1997

As the population over the age of 65 increases, the demand for nurses who care for this group also continues to grow. Well-prepared nurses who are knowledgeable and skilled for the elderly can be prepared through systematic gerontological nursing curricula. This study was carried out to identify the needs for gerontological nursing curricular contents. The subjects for this study were two participant groups the educators who teach gerontological nursing in three-year and four-year baccalaureate nursing programs, and the nurses who are working with the elderly in hospitals, community health centers, social welfare agencies, and community health practioner's posts. The major findings of the study are as follows : 1. The differences between actual contents and essential contents of the educators : Concerning the actual contents that is actually taught, the educators showed the highest scores on the demographics of older adults and the lowest scores on the cultural variations affecting health care. Regarding the essential contents, the educators showed the highest scores on the demographics and the lowest scores on the economics of aging. Aside from the demographics, all of the items were found to have significant differences between essential and actual contents. This implies that all the content areas except demographics should be emphasized. 2. The differences between actual knowledge and essential knowledge of the nurses : Concerning the nurses' actual knowledge, the nurses showed the highest scores on the common health problems and their treatment and the lowest scores on the politics of aging. Regarding the essential knowledge, nurses showed the highest scores on the chronic illness and common health problems and the lowest scores on their roles and functions. However, they thought all the items to be essential. All of the items were found to have significant differences between actual and essential knowledge. The nurses who studied gerontological nursing in their school years and after graduating had more knowledge. However, they felt more knowledge was needed. This implies that the nurses need more education in all content areas of gerontological nursing. 3. The differences between educators and nurses : Concerning the essential contents, the educators showed higher scores on the demographics and growth and development than the nurses. Whereas, the nurses showed higher scores on the cultural variations, long-term care, economics of aging, politics of aging, legal and ethical issues, and common health problems than the educators. 4. Activities of nursing care for the elderly : Most common activities were related to direct nursing care such as giving physical care, counseling/teaching clients, and assessing and planning care for the clients. Nurses thought that all the items were critical, but they showed relatively low scores on the following :'serve on multidisciplinary committee', 'preparing reports', 'evaluation of outcomes of care', 'determine policy for nursing service', 'set patient care standards', and 'participate in nursing research' The constraints in providing better nursing service were time constraints, administrative restraints, social restraints, and inadequate knowledge.

• 한국학교수학회논문집
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• 제17권4호
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• pp.771-804
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• 2014

'무게중심'의 개념은 현재 초등교과영역에서 처음 등장하여 대학의 수학과 물리학, 공학 분야 등 폭넓게 응용되고 있지만 실제 교육은 실생활과 유리된 이론수업의 형태가 대부분이었다. 2013년 '${\bigcirc}{\bigcirc}$대학교 과학영재교육원'에서 영재학생들을 대상으로 '무게중심 확인 융합 프로그램'을 개발하였고, 본 연구에서는 이 프로그램을 수준별 수업으로 재구성하여 비영재학생들에게 적용시켜 그 효과성을 분석하고자 한다. 물체의 빈 공간이나 물체 밖에 무게중심이 존재하는 경우를 확인하는 실험 등 새로운 과정을 포함하였으며, 무게중심을 구할 때 핵심이 되는 지렛대의 원리에서 지렛대의 무게를 고려한 계산 방식을 제시하여 보다 실제적으로 개념에 다가갈 수 있도록 하였다. 초 중 고등학교 학생 총 65명을 대상으로 기존 8차시 프로그램을 4차시로 재편성하여 적용하였고, 수업 후 설문과 토론, 인터뷰 등을 통하여 분석한 결과, 학생들은 정밀한 오차분석 등의 과정을 통하여 수준 높은 성공의 경험을 하였다.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.561-571
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• 2016

연구목적: 본 연구는 미국의 학부 간호교육에서 노인간호에 대한 바람직한 태도를 강화하기 위해 시도된 새로운 교육적 접근법을 고찰하고 국내 간호교육에서의 적용방안을 모색하고자 수행되었다. 연구방법: PubMed, CINAHL의 검색엔진을 사용해 미국 John A. Hartford 재단의 지원으로 노인간호교육을 위한 획기적인 전략개발 프로젝트를 수행한 간호대학의 연구 8편과 그 외 다양한 교육적 방안을 고찰한 논문 4편을 포함한 12편의 연구를 고찰하였다. 연구결과: 노인간호에 대한 올바른 태도형성을 위해 제시된 교육적 접근법은 다음의 네 가지로 구분할 수 있다: 1) 노인간호에 대한 간호전공교과 간의 연계교육, 2) 지역사회 노인의 교육적 멘토 역할, 3) 시청각 매체의 활용, 4) 자기성찰을 통한 토론학습. 향후 응용: 국내 간호교육에서의 효과적인 적용을 위해서는 연계교육을 위한 간호전공교과목 간의 긴밀한 협의 및 교육과정의 탄력적 운영을 위한 교육행정부서의 협조가 수반되어야 한다. 또한, 교육기관과 지역사회와의 긴밀한 파트너십을 구축함으로써 지역사회 노인이 교육적 멘토로 참여하는 방안을 적용해 나갈 수 있다. 무엇보다, 노인간호에 대한 바람직한 태도형성을 위한 간호교육의 중요성을 인식하고 교수자의 교육역량강화와 새로운 교수법 개발을 위한 지속적 노력이 요구된다.

• Clinical and Experimental Pediatrics
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• 제52권11호
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• pp.1185-1193
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• 2009

An act of children's welfare was made in 1961 for the first time in Korea but it had been nothing but the name in view of practical impact to prevention of child abuse. Real undertakings of Child Abuse Prevention were commenced overtly since 2000 in Korea, when the law for children's welfare was revised to put protective settings for the victims and to establish criterion for children's safety. The history of Child Abuse Prevention is very short in Korea but the reporting cases increased very fast from 4,133 cases in 2001 up to 9,570 cases in 2008 with the enthusiastic activities from people of the associated organizations along with the national supports. But the portion reported by the mandated reporters such as teachers or doctors is still low compared to those of the developed countries. The National Child Protection Agency (NCPA) was founded in 2001 by the Ministry of Health and Welfare to prevent child abuse and to aid recovery of abused and neglected children including their families, through the cooperation of related organizations. NCPA refers reported cases of child abuse to appropriate local centers, operates a computer database system for case management, publicizes national reports of child abuse on a yearly basis and technically supports the Local Child Protection Agency (LCPA) by developing scales for assessment of child abuse and neglect and distributing programs for the education of mandatory reporters. LCPAs operate 24-hour telephone hotline, investigate and visit homes and provide in home services networking with local resources, and operate multidisciplinary teams for screening child abuse victims and supervising case management through multimodal systems. We summarized the present state of child abuse in Korea and reviewed the operating systems for child protection in this country. Through this article, we hope that medical peoples are to be informed on the seriousness of child abuse and to be able to devote themselves for the prevention of child abuse.

• 기본간호학회지
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• 제19권1호
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• pp.109-121
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• 2012

Purpose: This study was conducted to provide background information on nursing interventions to further enhance the quality of nursing practice and related professions, based on those performed for stroke patients. Methods: The analysis was performed in light of 84 researches papers on nursing intervention published between 1990 and 2010, and based on NIC(Nursing Interventions Classification) and NOC(Nursing Outcomes Classification). Results: 1. The quasi-experimental design was used as the most primary form of research design across 69 papers that constitute 82% of the total. 2. The number of nursing intervention methods identified throughout 84 research papers was 144. Based on the NIC that 90(62.5%) of those interventions fell into the physiological basic domain while 53(36.8%) belonged to the behavioral domain. 2) Interventions on activity and exercise management, physical comfort promotion, patient education conducted by class level of NIC were 40(27.78%), 34(23.61%), and 31(21.53%) respectively. 3) Outcomes of mobility, psychological well-being, energy maintenance, health & life quality measured by class of NOC among 317 dependent variables 79(24.92%), 64(20.19%), and 63(19.87%) respectively. Conclusion: Most interventions were classified as belonging to few particular domain types, which triggers needs for the development and application of multidisciplinary intervention methods through a more collective approach.

• 임상간호연구
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• 제23권3호
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• pp.376-387
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• 2017

Purpose: This study was to systematically review the contents and effects of nurse-led transitional care programs for discharged patients from hospital to home. Methods: Randomized controlled trials published between 2005 and 2015 were searched in Pubmed, Embase, Cochrane(Central Register of Controlled Trials) and CINAHL. Data were analyzed using Cochrane Review Manager(Revman) software 5.3. Results: Nine studies were selected and analyzed. Patient assessment, education and discharge planning were included in pre-discharge phase. Referring, communication and care planning were performed by nurses in transition phase. Home and phone visits, monitoring and multidisciplinary advices were included in post-discharge phase. Various outcome measures such as hospital utilization(30 days readmission and emergency department visit), quality of life, and cost were used to identify effectiveness of nurse-led transitional care programs. 30 days readmission(OR=.73, 95% CI 0.54, 0.98; p=.03) and emergency department visit(OR=.67, 95% CI 0.50, 0.88; p=.005) were statistically significant in meta-analysis. However, participant blinding was not done in seven studies which put at the risk of performance bias. Conclusion: The results indicated that nurse-led transitional care program is effective in reducing unnecessary hospital utilization. Nevertheless, small sample size and risk at performance bias are the limitation of this study. Thus, we suggest that well-designed randomized controlled trials need to be conducted.

• 지역사회간호학회지
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• 제13권2호
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• pp.260-271
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• 2002

Objectives: The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods: Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results: 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal. state, and local governments. 2) Of the total health management members, 37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion: A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.

• 종양간호연구
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• 제4권2호
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• pp.110-123
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• 2004

The purpose of this study was to develop a clinical pathway for the allogeneic bone marrow transplantation donor. For this study, a conceptual framework was developed through a review of the literature including six steps which are using in Jones Hopkins Hospital. USA. The researcher reviewed 129 medical re-cords of donor who had bone marrow donation between January 2002 to January 2004, to identify the overall service contents required by these patients and to make a preliminary clinical pathway. A content validity test was done for the preliminary clinical pathway, a professional group screened 51 medical re-cords and adopted with 3 hospitalization days as the clinical pathway framework. In the fifth step, clinical pathway test was also done to 7 donors from April 28th to July, 2004. After these processes the final clinical pathway was developed. The results of this study are as follows: 1. The vertical axis of the clinical pathway Includes the following 9 items: vital signs, nursing assessment, activity, diet, intervention, medication, test, consultation and patient teaching. The duration of the horizontal axis was 3days from admission to discharge 2. Analysis of the 129 medical records indicated that the average length of stay was 3 4 days. The medical performance according to the vertical axis in the preliminary clinical pathway consisted of 51 items After clinical validity test, it steel consisted of 51 items in the final form. 3. Clinical Validity test was done to 7 bone marrow donors. During these process, The first patient was deleted because he was out of the criteria the investigate set and 6 patients were used, finally The result of this study indicated all of 7 donors were discharged on expected day. 4. Clinical pathway enables to improve the quality of care, multidisciplinary team work It also helps nursing bone marrow donor, effective education to donor or medical member. The results of this study suggest that clinical pathway may be able to improve the quality of nursing care for bone marrow transplantation donors.