• 임상간호연구
• /
• 제19권1호
• /
• pp.81-95
• /
• 2013

Purpose: The purpose of this study was to identify the frequency and severity of role conflict experienced by nurses in the hospital. Methods: For this survey a self-report questionnaire on nurses' role conflict was used for data collection. Participants were 472 nurses in hospitals with over 500 beds. The questionnaire had 82 items classified into five categories (role activity, relationships between: nurse-nurse, nurse-patient/caregiver, nurse-doctor, and nurse-other department staff). The questionnaire was developed through focus group interviews with nurses according on their work experiences and literature reviews that were validated by the researchers. Data were analyzed using descriptive statistics for frequency and severity of nurses' role conflict. Cronbach's ${\alpha}$ for the questionnaire was .95 (frequency), .97 (severity). Results: Mean score for nurses' role conflict was 1.64. The highest frequency for nurses' role conflict was in the category, relationship between nurse and patients or their families ($2.00{\pm}0.46$). The highest severity for nurses' role conflict was in the category; relationship between nurses and doctors ($1.96{\pm}0.56$). Conflict about nurses' role activity showed both high frequency ($1.99{\pm}0.39$) and severity ($1.95{\pm}0.43$). Conclusion: Results indicate a need to develop programs to improve interpersonal relationship so as to reduce role conflict and encourage nurses' professional satisfaction and achievement.

• 대한간호학회지
• /
• 제29권5호
• /
• pp.1072-1086
• /
• 1999

This study has been attempted using the Q methodology to clarify leader type of nurse managers that head nurses and general nurses recognize, and to clarify its relative relation. Sixty-three statements were extracted through interviews with general and professional people interested in the subject of nurse leaders to extract the Q population. A total of 314 Q population was formed added with 251 questions extracted from related documents. Final 32 Q samples were selected by reorganization of 314 Q population after reexamining statements through inquiry of 1 professor of the nurse department, 2 students in course of nurse science masters degree and 2 students in course of doctoral degree. The P sample selection standard of this study were 25 nurses and 30 head nurses. Examination subjects themselves filled out 32 statements classified in a measure of 9 points from agreeable items to disagreeable items. Principal component factors were analyzed using the QUANL pc program after grading the contents of the P sample. Nurses recognizing subjective structure for leader behaviors of nurse manager were analyzed to be 3 factors: vision presentation type, self-capability consideration type, relationship consideration type, and head nurses recognizing subjective structure were analyzed to be 2 types: task pursuit leader type, and concord pursuit type. Nursing manager's leader behavior, expected by staff nurse are more complex and higher level which may combined with task pursuit leader type in concord pursuit leader of head nurse. Also according to Horsey and Blanchard theory(1977), the effectiveness of leadership becomes to be larger as the accordance rate between the behaviors of nurse leaders and followers reaction increase Two suggestions have been made based on the conclusion. 1. Studies on creating strategies in relation to development, management, selection of nurse leaders should be made based on this study. 2. There is a need for relative study of production and degree of similarity of leadership types based on this study.

• 의료법학
• /
• 제7권2호
• /
• pp.219-268
• /
• 2006

In July 1989, Korea had achieved the national medical insurance system comprehensively covering the whole population since its inception of 12 years before, and subsequently the plural medical insurers had integrated to the unique health insurer system in July 2000. But there yet remain some problems to be improved under low contributions rates and poor benefit packages, especially the shortage of assuring beneficiaries' rights. The Health Insurance Appeal System is composed of a two-tiered system of committee. The Formal Objection Committees built in the National Health Insurance Corporation and in the Health Insurance Review Agency respectively examine the formal objections to the decisions of the Corporation, or the Review Agency. And the Dispute Mediation Committee built under the command of the Minister of Health and Welfare reviews the protests against the decisions on the formal objections by each Formal Objection Committee. To cope with the appellant in relation to the administration on the qualification of the insureds, contributions, and insurance benefits etc, is found to be unsatisfactory. There's the reason of poor function on right-relief caused by the loose composition of the Appeal Committee, the deficit of people's recognition and P.R., the lack of professional manpower and the Committee's independency, and time lag in making decisions and so on. Consequently the Appeal System should be improved to secure the rights-relief function, to empower the professionalism of the Appeal Committee, to strengthen P.R. for the beneficiaries, to build up the staff's proficiency through training, and to develop the quality of administrative services.

• 한국전자통신학회논문지
• /
• 제8권8호
• /
• pp.1257-1264
• /
• 2013

본 연구는 국방2020계획으로 군부대 축소에 따른 첨단화된 훈련장으로 통합할 필요성이 대두되어 경기도 지역을 중심으로 실태를 파악하고 연구하였다. 연구결과 첫째 지역개발계획과 조화된 훈련장 보유기준을 재설정하여야 한다. 둘째 폐기되거나 방치된 훈련장은 지역경제를 활성화 할 수 있는 방안으로 처리절차 통해 정리하여야 한다. 셋째 군과 주민이 대화할 수 있는 전담협의체와 전담부서, 전문인력을 갖추어야 한다. 넷째 사격장 등 민원소지가 있는 훈련장은 지하화하여야 한다. 마지막으로 특별법 제정이나 조례규정 반영으로 원활하게 지원될 수 있도록 하여야 한다. 본 자료는 국방부와 경기도에서 정책을 입안하고자 할 때 활용될 수 있을 것으로 본다.

• 한국실내디자인학회논문집
• /
• 제22권3호
• /
• pp.108-116
• /
• 2013

This study has the purpose to review the way of experience element and property of space design appearing in vocational experience space and accumulate basic study material for children's vocational experience space and build systematic and specialized modules. Analysing the marketing elements of experience space through pilot research to arrange frame of analysis, and in a determined range, experimental marketing's property appearing in children's vocational experience center is analysed. This researcher analysed experimental displaying space's function of recognition, emotional, behavior, sense marketing and experimental marketing induced from pilot research on space design expressive elements of experimental marketing when it is applied to spaces through the frame of analysis with the combination of total 8 kind's experience display space function such as investigative, conceptional, aesthetic, entertaining, logical, relative, participating, and comprehensive experience based on 5 vocational experience spaces located in Seoul and Gyeonggi, opened after 2010, being operated at present with more than 500 pyeong (about 1,650 square meter) and targeted for children, after this researcher visited the site directly to make check list with the frame of analysis together with the staff and administrator in charge of vocational experience education. As a conclusion, vocational experience center is a space of edutainment helping children experience various profession more easily to find their interest and to bring up their dream. By analysing current vocational experience center through the element called experimental marketing, current status of vocational experience center could be known. the experience itself in vocational experience center becomes a merchandise. Instead of mere experience, so as to get professional experience and new information, new experiences should be provided by incessant variation and development. This study is to build basic research data for children's vocational experience space, however not only drawing specialty of vocational experience center through the connection of enterprises based on the contents arranged above but also systematic and specialized modules are expected to be built in next researches.

• 보건행정학회지
• /
• 제30권3호
• /
• pp.335-344
• /
• 2020

Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement. Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss. Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was 'failure to obtain check-ups.' Causal conditions were observed as a 'lack of communication method,' 'physical difficulties,' and 'staff unfamiliar with people with disability,' Interventional conditions comprised 'physical accessibility,' 'staffs' competency,' and 'assistant manpower.' The active strategy was included 'to investigate the professional medical institution,' 'to find the medical institution of convenient traffic accessibility,' 'to overcome communication difficulties through equipment,' and 'to overcome linguistic barriers through sufficient communication.' Whereas, 'utilization of ancillary equipment,' 'the education of staffs on people with disability,' 'universal design manual,' and 'customized check-ups' were included in the passive strategy. Such processes arose in the contextual conditions of 'lack of expectations for daily lives' and 'lack of government support.' As a consequence, the subjects participated experienced the 'disadvantages,' 'discrimination,' and 'reduced reliability of the health check-ups.' Conclusion: The subjects who participated in this study emphasized 'staffs familiar with people with disability' and 'systems customized for people with disability' are mandatory to secure complete health check-ups for people with disability.

• 한국산학기술학회논문지
• /
• 제21권2호
• /
• pp.448-459
• /
• 2020

최근 도시재생사업을 실질적으로 추진하는 도시재생지원센터에 대한 논의가 활발히 진행되고 있다. 그 이유는 역할과 권한이 명확하지 않고, 각 지자체 센터별 운영 경험이 축적되지 않아 많은 시행착오와 부작용이 따르고 있기 때문이다. 따라서 본 연구는 충북지역 도시재생지원센터를 대상으로 운영 현황을 분석하여, 향후 바람직한 도시재생지원센터의 운영 방안을 모색하는 데 있다. 이를 위해 기초현황과 설문조사 자료를 활용하였으며, 특히 관계자 심층면담을 통한 현장중심의 연구를 수행하였다. 충북지역 도시재생지원센터는 첫째, 광역센터·기초센터·현장센터간 역할 및 업무분담이 명확하지 않다는 점, 둘째, 센터 운영 방식의 한계와 운영 자율성 및 독립성이 확보되지 않은 점. 셋째, 도시재생 참여주체로써 행정에 비해 상대적으로 매우 낮은 권한과 위상을 갖고 있다는 점. 넷째, 도시재생 관련 전문 인력 확보 부족과 직원 고용의 불안전성이 전반적인 문제점으로 도출되었다. 따라서, 향후 도시재생사업이 더욱 체계적이고 효율적으로 추진되기 위해서는 우선 현장의 목소리에 귀를 기울여 각 지역마다 실제적 여건이 반영될 수 있는 안정적인 운영시스템 구축이 반드시 필요할 것으로 보인다.

• 한국도서관정보학회지
• /
• 제38권2호
• /
• pp.337-352
• /
• 2007

이 연구의 목적은 외국의 통합도서관에 대한 사례와 그 효과를 조사하여 우리나라 통합도서관 설치 방향을 제시하는데 있다. 통합도서관의 모델은 크게 두 가지로 구분할 수 있는데, 하나는 학교도서관/공공도서관 통합도서관이며, 다른 하나는 대학도서관/공공도서관 통합도서관이다. 통합도서관을 운영하면 얻을 수 있는 장점은 전문인력 활용, 장서의 증가, 다양한 프로그램 제공, 효율적인 시설활용 등이다. 반대로 단점은 학교에 위치한 통합도서관의 문제점, 협소한 공간, 소장 자료의 제한, 학교도서관 기능의 축소 등이다. 우리나라의 통합도서관이 성공적으로 설치되고 운영되기 위해서는 인구수, 주민들의 통합도서관 설치 의지, 시설, 법적 문서의 존재 등의 요소가 충족되어야 한다. 우리나라에 적용 가능한 모델로 농산어촌 지역에는 학교도서관/공공도서관 통합도서관과 소규모 시에는 대학도서관/공공도서관의 통합도서관의 두 가지 모델을 제시하였다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권11호
• /
• pp.4653-4658
• /
• 2015

Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

• 동아시아식생활학회지
• /
• 제20권1호
• /
• pp.159-165
• /
• 2010

This study was conducted to evaluate food service satisfaction of senior citizens in three charged silver towns in Gyeonggido. Food satisfaction factors influencing the satisfaction of silver town residents' included satisfaction and word of mouth. For this study, 210 silver town residents were surveyed; however, 16 of these resident did not complete the survey. Therefore, the results of 194 survey questionnaires were analyzed. All results were conducted using the frequency, factor analysis, and regression procedure of SPSS 12.0. The determinant factors of the silver town feeding service included food service, food feeding, emotional, physical, and sensory characteristics of the senior citizens. Among these, food service, food feeding, emotional, and sensory characteristics of the respondents had a significant effect on their level of satisfaction. In addition, satisfaction of the residents was affected by word of mouth. Thus, the results of this study suggests that if the food service is well-arranged by hiring professional workers in the food service industry while considering the needs of senior citizens, feeding service can be improved. In addition, if the feeding service is focused on providing better service with more trained and educated staff members so that the clients perceive that they receive more personalized care and differentiated concern, it would be possible to enhance the relationship with customers continuously and to induce potential customers' residence in the silver town.