• Journal of the Korean Data and Information Science Society
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• 제27권1호
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• pp.179-189
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• 2016

본 연구는 저소득층 아동들의 삶의 만족도와 자아존중감과의 관계에서 우울이 가지는 매개효과를 검증하는데 목적이 있다. 2013년 3월부터 4월까지 2개 광역시에 소재한 영구임대아파트에 거주하는 기초수급1, 2급 및 차상위계층 가정의 초등학교 5, 6학년 과 중학생 자녀 385명을 대상으로 설문을 실시하였다. 자료분석은 SPSS 20.0 프로그램을 이용하여 빈도분석, 기술통계 분석, 그리고 상관관계분석을 실시하였고, AMOS 20.0 프로그램을 이용하여 구조방정식 연구모형을 검증하였다. 그 결과 저소득층 자녀들의 자아존중감이 삶의 만족에 긍정적인 영향을 미치는 것으로 나타났다. 또한 자아존중감이 우울을 감소시키고, 감소된 우울은 삶의 만족도에 영향을 미치는 우울의 부분매개효과를 나타내었다. 이상의 연구결과에 기초하여 저소득층 아동의 자아존중감을 향상시키기 위한 이론적, 실천적, 정책적 합의가 필요함을 밝히는 바이다.

• 여성건강간호학회지
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• 제4권1호
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• pp.103-122
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• 1998

This study measures the subjectivity(opinions attitudes) of college women. Identifying the schemata (structure of subjectivity) would be a basic step for the sexual educational program and alternative strategies of induced abortion. More concretely, those following research questions are focused. 1) The subjective schemata : find out typologies based on the opinions and attitudes toward the induced abortion. 2) Applications : describe the characteristics of each type. 3) Alternatives : provide suggestion of the alternative strategies for solving the induced abortion problems of women. Q-Methodological method was used for that purpose. As the research method, Q-statements were collected preliminary to the study of through in-depth interviews and a literature review. For the study 34 Q-statements were selected. There were 48 college women as subjects for the research. The 48 college women sorted the 34 statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure the individual opinions, was called. Q-Factor Analysis by using PC Quanl Program to supply the material. According to the outcomes of this study, there were four categories of special opinion about the induced abortion in college women. The first type is called Practical type. The second type is called Responsible type. The third type is called Ambivalent type. As a result, We now need to change our perspective of women's health problems and need to develop realistic way of caring those women in suffering women's problems. Followings are to be suggested of the alternative strategies for solving the induced abortion problems. Finally, The result of the study will provide us the clue for developing the sexual educational program and alternative strategies for women's induced abortion problems.

• 융합정보논문지
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• 제9권8호
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• pp.180-188
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• 2019

본 연구는 청소년의 우울과 관련한 다양한 요인을 파악하기 위함이다. 이를 위해 2016년 한국아동 청소년패널조사를 이용하여 중학교 1학년 1,881명의 우울에 영향을 미치는 요인을 다중회귀분석을 실시하였다. 연구분석 결과, 청소년이 지각하는 주의집중 문제, 공격성, 신체 증상, 사회적 위축이 우울에 유의미한 영향을 미치는 것으로 나타났으며, 그중 신체 증상이 우울에 가장 큰 영향요인으로 확인되었다. 청소년의 주의집중 문제, 공격성, 신체 증상, 사회적 위축이 높을수록 우울 증상이 증가하는 것으로 청소년의 우울을 54.1% 설명하였다. 이러한 연구 결과를 토대로 청소년들의 정신건강을 증진하기 위한 교육적 지원 및 실천적인 개입에 도움을 제공하고자 한다.

• 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.

• 한국병원경영학회지
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• 제25권4호
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• pp.60-75
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• 2020

Purpose: This study aims to develop a cost model for NRP (Nursing Residency Program) operation and ultimately provide evidence for financial factors for NRP operation in the future by simulating a cost model. Methodology: This study developed a model for the NRP education cost calculation model based on the review of Hansen's model, which has systematically reported on the development and operation of NRP, and discussions with nursing education experts at a university-affiliated hospital. With the simulation, it was intended to predict nurses' supply and demand in the long term and to calculate changes in long-term education costs. Findings: Firstly, turnover model, term model, cost model necessary for calculating a model for the NRP education cost calculation model was set up. Secondly, the simulation showed the following results; 1) the proportion of newly graduated nurses less than 5 years of working decreases gradually over time, which will make the composition of nurses more balanced. 2) In the first year of the partial introduction of NRP, the cost of training new nurses was about 2.1 times higher than before. After the introduction, the training cost in the 13th year began to be lesser than before the introduction, and in the 25th year, it decreased by 28.1% compared to before the introduction. Practical Implications: Firstly, NRP would be an effective way to solve the higher turnover and frequent departure of new nurses and the imbalance of nurses' composition. Secondly, although the costs of NRP are incurred in the early stages, in the end, NRP training costs are reduced compared to before the introduction of NRP. It is necessary to systematically understand the contribution effect of NRP by analyzing the economic value of NRP considering financial and non-monetary returns in the future and providing a basis for decision-making related to NRP implementation.

• 한국노년학
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• 제28권4호
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• pp.1023-1039
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• 2008

본 연구는 집단인정치료가 치매노인에게 미치는 영향에 대해 알아보고자 하였으며 구체적으로는 집단인정치료가 치매노인의 인지기능, 일상생활활동, 문제행동, 우울 및 치매노인의 삶의 질에 미치는 영향에 대해 알아보았다. 이를 위하여 대상자인 치매노인 40명을 실험집단 및 통제집단으로 각각 20명씩 무작위 배정하였고, 두 집단의 동질성 검사와 사전검사 후 집단인정치료를 실시하였다. 이후 사후 검사를 실시하였으며 36명의 최종 결과를 얻게 되었다. 본 연구의 분석 결과, 통계적으로 집단인정치료는 치매노인의 인지기능의 향상, 일상생활활동 증가, 우울 감소, 삶의 질 향상에 유의미하였으나 문제행동 감소에는 유의미하지 않았다. 결론적으로 집단인정치료는 치매노인의 인지기능 향상뿐만 아니라 일상생활활동을 증진시키고 우울을 감소시켰으며, 삶의 질을 높이는데 효과적이었다. 그러므로 향후 집단인정치료는 치매노인을 돕는데 효율적인 심리사회적인 치료방법으로 실무에서 충분히 활용할 수 있을 것으로 기대된다.

• 문화기술의 융합
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• 제8권6호
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• pp.317-326
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• 2022

이 연구에서는 신규 보건교사들의 코로나-19 시기에 교직적응 과정에서 경험한 어려움, 해결과정, 그리고 그것이 시사하는 바를 알아보기 위해 J도에 발령받은 3명의 신규 보건교사들을 대상으로 FGI 연구방법을 통해 분석하였다. 연구결과, 첫째, 코로나-19 업무처리 과정에서 수많은 전화와 매일의 학교 현황보고 과정에서 특히 학부모들과 관계의 어려움이 있었다. 코로나-19 업무가 어느 정도 익숙해진 이후에는 보건실 업무를 혼자서 고민해야 한다는 부담감, 다양한 학생을 대상으로 한 보건 수업의 어려움, 응급상황에서 유일한 의료인으로서 전문성을 발휘해야 한다는 부담감을 느끼고 있었다. 둘째, 신규 보건교사들은 교직 적응과정에서 느낀 어려움을 해결하기 위해 온라인을 통한 보건교사 소모임, 유튜브 등을 통해 계속해서 관련 정보를 공유하며 소통하고 있었다. 셋째, 이러한 교직 적응 과정이 시사하는 바는 교육청 차원에서 신규 보건교사에게 실질적인 도움을 주는 구체적인 연수가 필요하고, 보건수업과 관련한 수업 콘텐츠 등의 인프라를 지원하는 것이 필요하다는 것이다.

• International Journal of Advanced Culture Technology
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• 제10권1호
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• pp.180-186
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• 2022

This study is a pilot study to confirm the effectiveness of training after applying emergency simulation training for inactive nurses and to present a new model of simulation training operation method. In this study, the control group is a group that directly participates in the simulation activity, and the experimental group is the group that observes the control group's simulation activity. Experimental group and control group were matched 1:1 to experience all the roles of the resuscitation team. The study participants were 5 inactive nurses in the experimental group and 5 inactive nurses in the control group, and the total training time was 5 hours. The emergency simulation operation composition consists of theory education, skill education, and simulation. The interview was conducted. The educational satisfaction of the participants was 4.65 points for theory education and 4.70 points for practical education based on 5 points. Participants' performance confidence improved from 3.60 points before operation to 7.20 points after operation. Emergency simulation operation consisted of pre-test, theory education, skill education, simulation implementation, debriefing, and post-test. Participants expressed that the choice of group greatly reduced the burden and anxiety about performing the role of the resuscitation team. However, difficulties and inexperience in the operation of the defibrillator were reported in the experimental group. The control group reported that the simulation activity of the experimental group was not significantly different from theirs. Through the results of this study, it was confirmed that emergency simulation education not only reduced the burden and anxiety of inactive nurses, but also had an effect of education. Based on the research results, it is proposed to expand the participants and verify the effectiveness of education through specific variables such as learning commitment, learner confidence, simulation satisfaction, and team effectiveness.

• 한국병원경영학회지
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• 제28권2호
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• pp.21-31
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• 2023

Purposes: Patient experience is a tool to evaluate the process and results of medical services provided by medical institutions from the patient's point of view. Patient satisfaction surveys are a meaningful and essential source of information for improving quality in healthcare organizations. This study aims to provide basic data for improving the quality of medical service that patients can feel by analyzing the recommendation intention and satisfaction of inpatients in specialty hospitals. Methodology: The subjects of this study were 879 inpatients in 28 specialty hospitals in 14 designated fields. We conducted a telephone survey with a structured questionnaire on the satisfaction and recommendation intention for specialty hospitals. Findings: In inpatients, hospital satisfaction was higher in nursing care services and hospital satisfaction was low in physicians care services. The overall patient satisfaction score was 91.4(SD=11.9) out of 100, and the intention of recommendation was 92.0(SD=14.1) out of 100. The factors affecting patient experience were designated fields, sex, age, residential area, monthly household income, and perceived health status. Practical Implications: This study confirmed the high level of patient satisfaction and recommendation intention among inpatients of specialty hospitals. Patient satisfaction can be of great value to healthcare providers in recognizing and improving the quality of care, as well as predicting patients' willingness to revisit medical institutions. This study can be used to improve the quality of hospital care services in specialty hospitals rather than general and tertiary general hospitals.

• 보건교육건강증진학회지
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• 제7권2호
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• pp.78-88
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• 1990

The subject of this study is to review the practical approaches of Home Care Services. Included is a brief overview of its nature, providers of Home Care Services, recent history of Home Care Services, and the impact of the national movement toward cost containment in health care. The data used in this study are obtained from the Elderly Program of the Medical Services and other data on the Home Care Services in Japan. With the growing elderly population in Japan, it is to be expected that the medical care expenditure for this sector will continue to increase. With the aim of keeping expenditure for medical care within reasonable bounds, it is essential that this increasing expenditure on the elderly be used effectively. With the Health and Medical Services Law for the Aged was enforced, therefore, remuneration for medical treatment of the elderly and what is known as the staff placement standard at hospital for the elderly were rationalized. In addition to rationalization from the point of view of medical care supply, it is necessary to guarantee the appropriate treatment within the community and at home for those elderly who are bedridden but not in need of hospital care. For this it is required that Home Care Services, such as health services like visiting guidance by public health nurse in hospital of Health Center. So that the elderly can feel secure in receiving treatment within the community and at home, allowances for guidance on leaving hospital and for intermittent nursing and guidance thereafter are to be newly introduced. Home care Services in one aspect of comprehensive health care, it is comprised of health services provided to individuals and families in their homes. Its purposes include promoting, maintaining and restoring health, specifically maximazing independent functioning and minimizing the disabling effects of illness, including terminal illness. Services appropriate to the needs of clients and their families are planned, coordinated, and delivered by providers organized for the delivery of home health care through the use of contractual arrangement, employed staff, or a combination of the two.