• Journal of Preventive Medicine and Public Health
• /
• 제20권1호
• /
• pp.165-203
• /
• 1987

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

• Journal of Preventive Medicine and Public Health
• /
• 제34권1호
• /
• pp.1-8
• /
• 2001

Objectives : To gather information about the factors which influence the interest and intention of admission into charging nursing hones for the elderly(CNH), as these homes represent an important method for resolving the problems related to the rapid population aging occurring in Korea. Methods : A face-to-face interview survey was carried out with 320(men 159, women 165) patients over 60 years old who were admitted at 2 university hospitals and 5 general hospitals in the Busan area between December 1998 and March 1999. Data were analyzed through t-test, ANOVA, correlation and multiple regression analysis. Results : The mean age and years of education of the study population was 67.0 and 7.7 years, and the types of chronic degenerative disease included musculoskeletal disorders(20.1%), cerebrovascular disease(17.1%), and diabetes(14.3%). The major forms of household living arrangement prior to admission were elderly alone(22.6%), and elderly couple(33.5%), while about half of them(55.5%) didn't want to live with their children id the future. Almost half were paying medication fees by themselves(46.6%). The level of actual intention of admission$(3.07{\pm}1.39)$ into a CNH was lower than that of interest$(3.22{\pm}1.33)$(p<0.01). Multiple analysis revealed that the intention of admission increased with decreasing number of future supportive persons$(\beta=-0.107)$, lower level of activity in daily life$(\beta=-0.447)$, and longer years of education$(\beta=-0.447)$ with 32.7% of $R^2$. As for the factors which determined the admission into a CNH, the fee and facilities were considered to be most important, and professional nursing and physician's care were the most desired services. In nomenclature, they preferred 'elderly hospital' or 'elderly health center' to CNH. Conclusions : Interest in CNH is increasing recently, but existing studies about patient experiences in CHN are still limited. This study may form a basis for future examinations of the needs and uses for CNH. Active financial support and public information are considered by the authors to be important factors for the induction of welfare services for the elderly, though CNH.

• 여성건강간호학회지
• /
• 제1권1호
• /
• pp.119-137
• /
• 1995

Maternity nurses' roles are to find out women's various responses related to the health problems during pregnancy, to intervene adequate nursing and supports, and to help them adapt satisfactorily to new situation, such as hospitalization. The purposes of this study are : firstly, to inquire about women's emotional status, feeling of discomfort, and the nursing need during hospitalization because of discomfort, and the nursing needs during hospitalization because of the possibility of abortion by threatened and habitual abortion : secondly, to provide fundamental data for developing adequate nursing intervention and improving hospital management. The subjects of this study were 62 women who were hospitalized, visited out-patient clinic for follow-up, and stayed at home after discharge since August, 1993 from one hospital located in Seoul, from March 23 to April 13, 1994. The questionnaire was consisted of 21 items of emotion(Reliability Cronbach's alpa, .77), 19 items of feeling of discomfort(.79), and 21 items of nursing needs (.89), and nurses' performance according to nursing needs,(.90). These were measured by using Likert Scale and analyzed by using SPSS / $PC^+$ with the descriptive statistics, $X^2$-test, and ANOVA. Research findings are as follows : 1) The subjects' average age, hospitalized days, and gestational age are 32.2, 15.7, 12.9 by respectively. 2) 88.7% of the subjects are getting antepatal care, 66.1% are experiencing 1.75 times of spontaneous abortion, and 82.3% are nuclear family. 3) The Emotions were mainly comprized negative and subjective state of minds such as uneasiness, anxiety, and discomfort. The domains of emotions were related to 'fetus', 'herself', 'hospitalization', and 'husband's 'families', in rank. The highest scored item was "I, above anyone else, am mostly stressed from abortion." 4) The feelings of discomforts were firstly related to 'personal discomfort arising from absolute bed rest', 'meals provided', Usage of hospital, perse', 'health team', in rank. 5) The nursing needs frequently pointed out were 'Nurses kindly explain of me the purpose, method, and results of the lab. test', 'Nurses sincerely pay attention to my word in communication'. The least nursing needs were 'Nurses observe my feces and whether I have constipation or not'. 'When I can't move, nurses help me by holding my arms or pulling my bed'. 6) The highest performed items were 'Nurses observe whether I bleed or not', and 'Nurses give me drug with exact dose in time'. The least performed items was about hospital environment, such as 'Temperature, ventilation & humidity in the room should be controlled'. 7) Besides religion that is related to nursing need with statistically significant difference, none of general characteristics were related to emotion, feeling of discomfort, and nursing needs.

• 한국보건간호학회지
• /
• 제12권1호
• /
• pp.55-74
• /
• 1998

In the past most major accidents resulted in death, but today there is a dramatic increase in the number of people who survive such accidents but who are left with permanent injury. Particularly, children who are inquisitive about their surroundings but immature in their ability to assess danger, are more vulnerable to accidents and their causes as well as to determine attitudes towards prevention. The main objective of the study was to assess the effectiveness of using an accident prevention manual for accident for accident prevention education. The study was a quasi-experimental study using a questionnaire format. The subjects of the study were 393 mothers of children attending six day care centers in Seoul. Data collection was done between May 1 and June 15, 1997. The tools used for the study were a questionnaire developed the researchers and a manual for accident prevention. The collected data were analyzed using SPSS. The results of the study are as follows: 1. Types of accidents included stabbing, bums, falls from heights, choking, falls on slippery surfaces, traffic accidents, drowning, poisoning, and electrical shock in that order of frequency. 2. The main causes of accidents in children were from cosmetics and household medications. 3. The most frequent locations of accidents in the home were the bathroom, kitchen, and stairways in that order. 4. For $90.4\%$ of children safety seats were not used when the ridding in a car. 5. In examining the parents' accident prevention practices, it was found that many parents used only . one electrical outlet for many appliances, tending to overload the electricity lines and that they were not practically concerned bout the flammability of children's pajamas, indicating a less than positive attitude towards fire prevention. 6. The parents had not provided their children with any instruction on accident prevention or on what to do after an accident had occurred. 7. After the use of pamphlet in an accident prevention education program, it was found that there was a statistically significant difference in the degree to which children carried out safety measures (t=14.96, p=.000) and in their safety habits (t=-1.67, p<.1) indicating an effectiveness in this method of education. The results of this study showed that there are many things in a child's environment that can cause accidents and that the possibility of an accident occurring is high. So nurses looking after children should be aware of the need for safety education to prevent accidents in the home and plan to provide appropriate educational material to help parents with this education.

• 감성과학
• /
• 제11권4호
• /
• pp.531-540
• /
• 2008

본 연구는 중국 여대생의 라이프스타일과 기초 화장품 용기디자인의 상관관계를 밝히는 것을 목적으로 진행하였다. 연구결과 중국 여대생 라이프스타일은 크게 4가지로 분류될 수 있으며 군집1은 용기 가운데의 폭이 넓은 형태로 단골점포 신뢰의 독립적 성향과 관련성이 있다. 군집2는 상단부로 올라갈수록 좁아지는 용기형태를 선호하며 적극적 투자, 외국어 중시, 인터넷 쇼핑을 선호하는 성향이 관련 있는 것으로 나타났다. 군집3은 전체적으로 부드러운 곡선의 유기적인 형태를 선호하며 큰 점포 신뢰, 점포구경취향, 자기취향에 맞는 제품을 추구의 성향과 관련 있는 것으로 나타났다. 군집4는 상단부가 넓고 하단부가 내려갈수록 날씬해지지만 하단부에서 다시 넓은 형태를 선호하며 가정의지, 브랜드와 디자인 중시하는 성향이 관련 있는 것으로 나타났다. 위의 내용을 정리해보면 소비자들은 그들의 라이프스타일 특성에 따라 선호하는 화장품 용기 디자인이 다양하고 소비자들은 용기 형태에 따라 서로 다른 감성이미지를 느끼고 있다는 것을 알 수 있다. 따라서 화장품 용기디자인에 있어서 이러한 세분화된 소비자의 특성에 대한 연구, 세분화된 제품 형태에 대한 연구 들이 서로 상관요소의 관계 안에서 이루어져야 하며 소비자 시장의 마케팅 전략에 있어서도 보다 세분화된 분석방법들이 요구되는 것을 알 수 있다.

• 여성건강간호학회지
• /
• 제7권3호
• /
• pp.305-316
• /
• 2001

The purpose of this study was to identify characteristics related to self assertiveness in teenage girls, and to identify the relationship between the self assertiveness and sexual experiences in teenage girls in Korea. The subjects for this study were 12,733 girls from an accessible population of 19,000 girls who were a multi-stage cluster sample from a population of 1,988,902 girls attending to 4,684 schools in the seven large cities and nine provinces of Korea. The response rate was 68.9%. Data were collected by mail from October 2 to October 28, 2000. A structured questionnaire of 125 items which included measurement of general characteristics, sexual experiences, and self-assertiveness was used. The sexual experiences were defined as dating, holding hands, putting arms on the shoulders, light kissing, French kissing, touching breasts, touching genitalia, and coitus. The self assertiveness measurement was developed by S. B. Chang et al.(2000) and has a Cronbach's alpha of .6031. Data was analyzed with SPSS 10.0 Program using descriptive statistics, reliability, and t-test. The results of this study are as follows; 1. The subjects were from 9th to 11th graders and 42.7% answered that they followed their partner's request. The range for the self assertiveness score was 7-21 out of a possible range of 7-21. The group of girls who were in vocational schools, lived away from family or in rural areas, attended night school, took part in drinking, smoking, and glue inhalation, who had cyber sex or phone sex or were exposed to pornography, and who had run away from home showed significantly lower self assertiveness scores than those without these characteristics (P<.05). 2. The group which had experience in dating(t=2.379, P=.017), French kissing (t=5.425, P=.000), touching breasts (t=8.637, P=.000), touching genitalia (t=6.057, P=.000), and coitus(t=6.057, P=.000) showed significantly lower self assertiveness scores than the group which had not had these sexual experiences. But there was no difference in the self assertiveness scores between the group which had experience of holding hands, light kissing, and using contraceptives compared to the group which did not. It can be concluded that the group which had delinquent behavior showed lower self assertiveness, and the lower self assertiveness led to unwanted sexual experiences. It is suggested that self assertiveness training be provided for the group with delinquent behavior as a first priority, and then analyze of the process of self assertiveness in relation to sexual experiences.

• 지역사회간호학회지
• /
• 제10권2호
• /
• pp.455-466
• /
• 1999

Western missionary nurses practiced in Korea from 1891. and the first trial to begin missionary public health nursing service in 1909 could not put into practice for short of nursing staff and budget. The main focus of missionary medical practice was not in public health program but in the management of missionary hospitals. A few of missionary western R.N. tried district nursing in 1910s. but their activities were personal and focused on the rescue of poor and sick patients. In 1917 the North American Methodist Church dispatched R.N. Elizabeth S. Roberts to begin district nursing in Korea. Roberts began maternal and child district nursing service. Her service was focused on teaching the method of bringing up children. bathing service, and home visiting for delivery. She could not but stop district-nursing service in 1918 to serve for a hospital in Siberia. The North American Methodist Church dispatched a few of R.N. to Korea in early 1920s and the missionary public health nursing of Korea could be activated. R.N. E. T. Rosenberger began public health nursing program in Seoul with Korean graduate nurse, Shin-gwang Han, and missionary M.D. Hall. Their public health nursing program was focused on maternal and childcare. They did home visiting in the morning, and served at a well baby clinic in the afternoon. The first baby competition began in 1925. and contributed to the teaching the method of bringing up children. They expanded public health nursing activity to school health nursing and milk station. Their public health nursing program was such a success that In 1929 Severance hospital. Eastgate Hospital. Taehwa Social Evangelistic center organized Seoul Child Health Union. Maren P. Bording, another missionary R.N. and midwife dispatched by the North American Methodist Church began public health nursing program at Kongjoo in 1924. Her program was focused on the maternal and childcare and close to that of Seoul. She started the first milk station in Korea in 1926. As she was a midwife and could get M. D. license in Korea, her program was more focused on maternal care than that of Seoul. The first day nursery school in Korea and the first graduate course for public health nursing in Korea began at Kongjoo in 1930. As the city of Choongcheongnam Province moved from Kongjoo to Daejeon in 1932, missionary public health nursing service in Kongjoo extended to Daejeon. There were lots of public health nursing program in Korea in 1920s and 1930s by missionary western nurses and Korean nurses. There were 13 missionary public health-nursing center in Korea in 1932. But in the late 1930s. Japan extended colonial war and drove out western missionaries. The missionary service in Korea was daunted. and the missionary public health nursing service could not but shrink.

• 한국항만경제학회지
• /
• 제27권2호
• /
• pp.137-161
• /
• 2011

본 연구의 목적은 국내 외 전환교통의 추진실태의 분석과 시사점을 토대로 한국에서 전환교통을 수립하기 위한 기본정책방향을 제시하는 데 있다. 중요한 연구내용은 전환교통정책의 이론적 고찰, 국내 외 전환교통실태와 정책분석, 한국의 전환교통정책의 수립방향 등을 포함하고 있다. 전환교통(modal shift)은 여객 또는 화물을 운송하는 데서 운송수단을 화물차에서 철도 또는 선박으로 전환하는 것이다. 전환교통은 범세계적인 환경규제의 시대에 친환경 물류체계를 달성할 수 있는 중요한 정책수단이다. 한국에서 기존 전환교통정책은 대상화물의 선정, 지원금의 지급대상과 산정기준 등에서 문제점이 나타나고 있다. 선진 외국의 전환교통정책을 살펴보면, 전환교통정책방향의 명확화, 실천 가능한 정책목표의 설정, 전환교통의 간접지원 강화 등의 시사점이 발견된다. 따라서 한국에서 전환교통정책을 활성화시키기 위해서는 정책의 수립단계부터 계획과 관리 측면에서 정책방향을 강구하는 것이 중요하다. 계획 측면의 전환교통정책의 수립방향은 전환교통정책 수립방향의 명확화, 운송수단별 사회적 비용 등 기초연구의 실시 및 철도시설정비방향의 설정 등으로 제시되고 있다. 한편 관리 측면에서 전환교통정책의 수립방향은 도로운송 지원정책과의 사전 상호조정 및 전환교통 대상화물의 전략적 관리 등으로 확인되어진다. 본 연구는 학술적인 정책연구의 특성이 강하다. 그래서 전환교통정책을 수립하는 데필요한 기본이론을 제공하며, 정책수립의 중요한 기본방향을 강구하는 데 연구의의가 있다.

• 동양고전연구
• /
• 제68호
• /
• pp.9-34
• /
• 2017

본고는 일옹 최희량의 무인의 삶과 시세계를 살펴보는데 목적을 두었다. 최희량은 무인으로서는 드물게 227수의 한시를 남겼으며 후대 문인들에게 시적 성취를 인정받고 있다. 따라서 최희량 한시를 살펴보는 일은 무인(武人)의 의식세계를 밝힌다는 점에서 의의가 있을 것으로 판단된다. II장에서는 최희량 한시를 이해하기 위한 기저단계로서 생애를 살펴보았다. 최희량은 젊은 시절 학문을 배웠으나 21세 때 무과(武科)로 전향하였다. 이는 문무(文武)를 가리지 않는 집안의 가풍과 최희량의 장대한 신체적 조건, 그로 인한 무인적 기질에서 비롯된 것이다. 최희량은 무과에 급제한 후 이순신의 막하에서 7차례나 전공을 세운다. 하지만 이순신이 노량에서 전사하자 벼슬을 버리고 고향인 나주에 은거하여 92세로 생을 마감할 때까지 재출사하지 않았다. 이는 최희량이 당대의 현실을 난세로 인식하고 명철보신(明哲保身)했기 때문이다. III장에서는 II장을 토대로 최희량의 시세계를 살펴보았다. 최희량의 시세계는 크게 무인의 기질을 드러내는 것과 강호에서 자락하는 삶 및 우국지정을 드러내는 것들로 나눌 수 있다. 무인의 기질을 드러내는 시들은 은거 이전 전쟁에 임하거나 은거 이후 병란과 관련하여 읊은 것으로 감각적인 시어와 직설적인 화법으로 시화(詩化)되고 있었다. 강호에서 자락적인 삶을 보여주는 시는 귀거래 한 후 나주에서의 평화로운 삶을 읊은 것이며, 우국지정을 드러내는 시는 병란(丙亂)을 당하자 전직 무인으로서 나라를 근심하는 마음을 나타낸 것이다. 최희량이 현실을 벗어나 은거하면서도 우국지정을 강하게 드러낸 것은 최희량의 은거가 자의에 의한 것이 아니라 타의에 의한 것이었기 때문에 현실을 완전히 외면할 수 없었던 것이다.

• 간호행정학회지
• /
• 제5권1호
• /
• pp.63-76
• /
• 1999

The main objective of this study was to develop a concept of service marketing promotion in nursing that is derived from the concepts of service marketing theory. This research was a descriptive study, at the factor isolation level. The principle of concept derivation suggested by Walker and Avant (1988) and the Hybrid model suggested by Schwarz-Barcott and Kim (1993) were employed as the research method. The data were collected from December, 1997 to April. 1998 at a large general hospital located in Seoul. The procedures of this study were as follows: First. at the theoretical phase: the meaning, attributes, and definition of service marketing promotion were identified through an extensive review of the literature. Second, at the empirical phase: fieldwork was done to identify the promotional activities and events in nursing. Top nurse managers from 4 units (Director of Nursing, Head nurses of inpatient nursing unit, outpatient nursing unit. and home care nursing unit) were interviewed and the content of the interview was analyzed to identify the meaning and attributes of promotion in nursing. Other methods such as brochures and other audio-visual materials which were relevant to nursing promotion were used to supplement the interviews. Finally, the results of the theoretical and empirical analyses were intergrated to develop a concept of service marketing in nursing practice. A final definition of service marketing promotion in nursing was identified as follows. 1. Promotion as a marketing function in nursing service is concerned with communication to target markets on all information related to nursing service in order to satisfy the objectives of both a nursing service organization and the target markets. 2. The goals of nursing service promotion include: 1) increasing visibility of nursing services and delivering the information on nursing services, 2) affirming the value of nursing services, so it can contribute to formulation of reimbursement policy for nursing services. 3) advancing the general image of the nursing profession and nursing services. 4) achieving and attaining a desirable positioning for nurses among health care professionals. and 5) creating and stimulating the demand for nursing services. 3. In order to obtain these goals it is necessary to provide information on nursing services, to persuade target markets. to remind them about nursing services. and to establish a collaborative relationship with related departments. 4. The tools used to carry out the above functions of promotion in nursing are the providing nursing services, public relations and publicity. QA of nursing, advertising, and sales promotion. 5. The target markets of nursing service include the nursing customer markets. the internal markets, the influence markets. the recruitment markets. the supplier markets. and the nursing referral markets. In conclusion, the concept of promotion in other service marketing areas can be applied to the promotion of nursing service marketing. The promotion of nursing service is more than just effective communication in nursing service. it is the effective use of the concepts of service marketing promotion. Promotion of nursing service will contribute to create and expand nursing services.