• International Journal of Advanced Culture Technology
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• 제6권4호
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• pp.255-261
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• 2018

In the field of excavation, it is important to recognize and analyze the factors that cause the ground collapse in order to predict and cope with the ground subsidence. However, it is difficult for field engineers to predict ground collapse due to insufficient knowledge of ground subsidence influence factors. Although there are many cases and studies related to the ground subsidence, there is no manual to help practitioners. In this study, we present the criteria for describing and quantifying the influential factors to help the practitioners understand the existing ground collapse cases and classification of the ground subsidence factors revealed through the research. This study aims to improve the understanding of the factors affecting the ground collapse and to provide a GSRp for the ground subsidence risk assessment which can be applied quickly in the field.

• Nuclear Engineering and Technology
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• 제53권11호
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• pp.3694-3703
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• 2021

Instrumentation and Control systems (I&C) play a significant role in nuclear power plants (NPP) and other safety critical systems (SCS). We have conducted a rigorous study and discussions with experienced practitioners worldwide the strategy for the development of I&C systems to investigate the several aspects related to their dependability. We discussed with experienced practitioners that work on nuclear domain with the intention of knowing their approach, they use day-to-day for the development of such systems. The aim of this research is to obtain to provide guidance to those building I&C systems of NPP and have implications on state engineering licensure boards, in the determination of legal liability, and in risk assessment for policymakers, corporate governors, and insurance executives.

• 보건행정학회지
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• 제2권1호
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• pp.42-65
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• 1992

To survey the specialties or sujects of practice displayed by the private practitioners the authors visited 691 clinics in Taegu from April 1 to May 18, 1991, At the same time, a mail questionnaire was administered to ask the number of displayed subjects of practice, and the reasons for displaying the subjects, reasons for not displaying in case of no specialty was displayed, composition of patients, and role as a specialist. The questionnaire was returned by 308(44.6%) practitioners. The distributions of private practitioners by specialty were 13.9% for internal medicine (IM), 11.7% for pediatrics(Ped), 13.0% for obstetrics '||'&'||' gynecology(OBGY), 11.1% for general surgery(GS), 10.0% for family practice(FP), and 5.3% for general practitioner(GP). Ninety percent of the specialists have displayed their specialty in their offices. Among all the private practitioners, 61.9% of them have displayed their subjects of practice and 23.7% have shown telephone number. Among private practitioners who displayed the subjects of practice, 80.6% have signs of 'subjects of practice'. Mean number of the displayed subjects of practice for the all private practitioners is 1.20, and 1.93 for the private practitioners who displayed subjects of practice. FP and GS have displayed their subjects of practice in 91.2% and 87.0% respectively and OBGY have displayed in 32.2%, the lowest percentage among all the soecuaktues. IM specialists displays pediatrics as a major subject of practice in 72.1% the pediatricians display IM in 88.9% the OBGYs display pediatrics in 77.8%, and the GSs display IM in 51.9%. Most commonly displayed subjects of practice are Ped and IM. Sixty-five percent of the private practitioners answered that they don't display their specialties because their clinics are "primary health care facility". The reasons for displaying the subjects of practice and its relevance with their own specialty(45.6%), and the difficulty in clinic management only with the patients for their own specialty(36.9%). The proportion of clinics whose patients of other specialty are than their own specialty accounted less than 10% was 52.8% and that accounted more than 51% was 16.0%. Specially, 51.4% of GS specialists cared more than 51% of patients of other specialty area than their own specialty. Most of the patients of IM, Ped, and OBGY specialists are the patients of their own specialty. However, 56.8% of GS care more of IM patients and only 24.3% of them care mostly GS patients, The respondents to the mail questionnaire who stated that they can not play the role of specialist well are 30.5% and especially 72.9% of the GS specialists state so. The proportion of respondents who do not suffort the private practice of specialists is 71.1%. Among the surgical specialists, 82.7% of them rarely perform operation. The reasons for not performing operation are insufficient insurance fee (76.9%), and risk of operation(58.0%), so as the OBGY specialists. Above finidngs suggest that most of the specialists, especially surgeons, in the private practice can not play their role as a specialist. It is necessary to develop a policy that facilitates the production of practice and the retention of the specialists in the hospitals.s.

• 한국사회복지학
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• 제62권1호
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• pp.155-183
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• 2010

본 연구는 사회구성주의 시각에서 보건복지사무소와 사회복지사무소에 참여한 직원들의 보건복지 협력경험을 벤슨의 균형모델(Benson, 1975)과 바이크의 센스메이킹 이론(Weick, 1995)으로 분석함으로써 업무환경과 실무자의 역할을 구상하는데 함의를 얻고자 함에 그 목적이 있다. 두 시범사업의 각 네 지역을 선정하여 총 27명의 직원을 대상으로 반구조화된 면접을 실시한 결과, 양 분야 실무자들이 통합서비스 업무를 담당할 수 있는 구조적 관계적 환경을 초기에 구성하여 직역간 벽을 허물 수 있는 계기를 마련하는 것이 중요하다는 것이 부각되었다. 이러한 연구결과는 향후 이용자 중심 사회서비스 설계에 있어 보건 복지간 협력이 보다 중요해지고 관련된 정책구상이 불가피하다는 점에서 시사하는 바가 클 것으로 본다.

• 대한간호학회지
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• 제25권3호
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• pp.472-484
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• 1995

The purpose of this study was to develop a home health care model in the public health system and to test the effectiveness of the model. Seven com-munity health practitioners in Yon- Cheon county. Kyunggi province, carried out home health care service for this research. The subjects of the home health care were a total of 111 community residents with chronic health problems and risk-prone infants and children; 29 persons with hypertension, 18 persons with diabetes, 12 persons with neurologic problems, 12 elderly, and 40 infants and children. During the period of study, from December, 1993 to March, 1995, a demonstrative home health care model was developed in the Yon-Cheon County community health centers with the cooperation of the Yon-Cheon Medical Center and Yon-Cheon Public Health Center for the first six months. A home care practice manual and recording system for home visits were also co-developed by the researchers and community health practitioners. Four workshops and monthly conferences were held for this purpose. Actual home care practice took place for two months, and on-going evaluation and replanning accompanied this process. The result of the evaluation of home care service were as follows. 1) For persons with hypertension, diabetes, neurologic problems, there was significant improvement in knowledge of disease and care, but no significant difference was seen in health behavior or symptoms after home care service. 2) No significant difference was seen in level of self esteem or depression after reminiscence therapy among 12 elderly subjects. 3) There were significant differences in satis-faction toward child rearing and parental sup-port, but no significant difference In education needs for parental role after home care service among parents of infants and children. 4) There was significant improvement in the quality of life among the subjects after the home care service. 5) Subjects responded that they were highly satisfied with the home care service given by the community health practitioners. Although, the actual implementation period was very short, and not all of the evaluation outcomes showed significant improvement, the home health care model of community health practitioners was, in general, positively evaluated. Through this re-search, the possibility of community health practitioners working as active home care personnel in the public health care system is supported. Further research with an expanded area and subjects for a longer period is recommended. Cost effectiveness research is also needed.

• 보건행정학회지
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• 제3권1호
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• pp.124-145
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• 1993

General practitioners, internists, pediatricians, and family physicians are classified as so-called primary care physicians in the United States. We carried out this study for the purpose of answering the following question; "Who are the primary care physicians in Korea\ulcorner" We analyzed the 663, 154 claims which were drawn from the health insurance processing file made during the period of one month, April 1992 on the basis of systemic random sampling technique. The 663, 154 cases were matched with the doctor's file registered at the National Federation Medical Insurance by using the indivisual physician code number and analyzed according to the kind of specialty. If we follow the Geyman's definition of primary care physician in the United States, this study shows that they can take care of 43.2% of the total private clinic's claims in Korea. Provided that general practitioners and family physicians are considered the same way as in the United Kingdom, they could with only 8.3% of the total claims in Korea. The most frequent diseases are those which rank first to 46th in the total private clinic's claims. The proportion of the most frequent diseases was highest for pediatricians(90.4%) and followed by internists(81.4%), otolaryngologists(78.7%) and family physicians(76.5%). The proportion of the most frequent diseases in the most common 46 diseases was highest for radiologists(80.4%) and the next was as follows : general practitioners(78.3%), family physicians(67.4%), and internists(67.4%). We classified the most common 20 diseases of each specialty into 17 categories of ICD-9 and compared it with those of general practitioners. The specialists who had managed a similar disease pattern to those of general practitioners were identified as anesthesiologists, family physicians, general surgeons, and internists. Some specialists practicing at private clinics managed the diseases which were not quite appropriate for their specialties. After we evaluated each specialty by the most common diseases, the most frequent diseases, and the most frequent 20 diseases of each specialty in terms of the 17 categories of ICD-9, a tentative assumption is made that the primary physicians in the Republic of Korea are general practitioners, anesthesiologists, family physicians, internists, and general surgeons. This study has concluded that the categories of the primary care physicians are so diverse that their roles and distributions are distorted accordingly. Vigorous health policy efforts in correcting the malcomposition need to be made for the better provision of primary health care in Korea. in Korea.

• Journal of Hospice and Palliative Care
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• 제17권1호
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• pp.10-17
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• 2014

목적: 본 연구는 의료인과 간호학생의 웰다잉 의미와 주관성 유형을 확인하고, 유형별 특성을 분석하기 위해 Q 방법론을 적용한 조사연구이다. 방법: 간호학과 학생 8명, 호스피스전문병원 임상간호사 3명을 대상으로 심층면담과 선행연구고찰을 통해 102개의 Q-모집단을 구성하였으며, 이후 Q-방법론의 전문가인 간호학과 교수 1명과 간호학과 박사과정 중인 2명의 의견 교환 및 재조정을 통하여 총 33개의 Q-표본을 선정하였다. 4년제 간호학과 학생 11명과 경기도 일개 3차 종합병원의 간호사 9명과 의사 2명을 대상으로 총 22명의 P-표본을 대상으로 하였다. P-표본은 선정된 33개의 진술문을 강제 정상분포가 되도록 7점 척도 상에 분류하도록 하였고, 양극단에 분류한 진술문과 관련하여 추가 진술문을 작성하도록 하였다. 수집된 자료는 PC-QUANL Program으로 요인 분석하였다. 결과: 분류된 의료인의 웰다잉 의미 유형은 모두 3가지로 나타났으며 이들 유형에 의해 설명된 전체 변량은 57.97%였다. 제1형은 '현실중시형'으로 부담 없이 아름다운 모습으로 임종하는 것에 의미를 두었다. 제2형은 '관계중시형'으로 죽기 전 자선을 베풀고 주변인들과 화해와 용서의 시간을 갖는 것에 의미를 두고 있었다. 제3형은 '자연순응형'으로 살만큼 살다 가족의 간호를 받으며 임종하는 것에 의미를 두었다. 결론: 웰다잉에 관한 의료인과 간호학생의 주관성은 임종을 맞이하는 환자간호에 영향을 미친다. 따라서 의료인과 간호학생은 삶과 죽음에 대한 깊은 통찰을 가져야 하며, 이를 위해 웰다잉에 대한 주관성 유형별 특징에 맞는 죽음교육이 필요하다.

• 한국심리학회지 : 문화 및 사회문제
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• 제23권3호
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• pp.361-380
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• 2017

본 연구는 이혼 은퇴남성의 심리적 위기와 사회참여 간의 관계에 대한 복지기관 전문가 지지의 조절효과를 살펴보고자 하였다. 이를 위하여 서울특별시와 경기도 소재의 직업관련 기관에서 최근 5년간 구직활동을 한 적이 있는 은퇴남성 중 이혼 경험이 있는 248명을 연구대상으로 하여, 심리적 위기, 사회참여, 복지기관 전문가 지지를 측정하였다. 수집된 자료를 바탕으로 측정 변인의 일반적 경향을 알아보기 위해 상관분석을 실시하였고, 변인간의 관계를 알아보기 위해 단순 회귀분석을 실시하였으며, 조절효과를 살펴보기 위해 위계적 회귀분석을 실시하였다. 본 연구의 결과는 다음과 같다. 첫째, 심리적 위기는 사회참여, 복지기관 전문가의 지지와 부적 상관이 있는 것으로 나타났다. 둘째, 심리적 위기와 사회참여의 관계에서 복지기관 전문가의 지지는 유의미한 조절역할을 하는 것으로 나타났다. 이상의 연구 결과를 통해 이혼 은퇴남성을 대상으로 하는 사회참여 교육과 심리적 지원 프로그램에서 사회적 지지를 제공하는 개입의 필요성을 제언하였다는데 의의가 있다.

• 한국농촌간호학회지
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• 제19권1호
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• pp.25-34
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• 2024

Purpose: This study investigates the relationship between job stress and burnout among primary healthcare practitioners during COVID-19 pandemic through mixed methods study. Methods: Data were collected from October to November 2022 using Qualtrix, a web-based survey platform. 1,082 primary health care practitioners participated in the survey. Quantitative data were analyzed using correlation analysis using IBM SPSS/WIN 27.0. Qualitative data were analyzed using content analysis through open-ended questions. Results: Job stress and burnout among primary healthcare practitioners during COVID-19 were positively correlated. Four categories and seven subcategories were identified. Conclusion: Based on these findings, it is necessary to develop a support system for primary healthcare practitioners according to the type of residential area and the number of peopleto reduce job stress and burnout.

• 한국정보관리학회:학술대회논문집
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• 한국정보관리학회 1997년도 제4회 학술대회 논문집
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• pp.135-138
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• 1997

The purpose of this research is to analyze the usage of foreign legal information by Korean legal practitioners according to the field of legal service being provided. Among professional fields that showed a significant difference. legal information of commercial firms and banking was most searched from U.S. legal information, actions and arbitration was most highly sought for in Japanese legal information, and legal information of England was most frequently used for maritime field, but a significant difference was not shown for that of labor.