• Child Health Nursing Research
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• 제7권2호
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• pp.245-257
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• 2001

This study analyzed the services as operated by the Child Health Telephone Service Center. The Center is a toll free service operated as part of the community services of the Korean Academic Society of Child Health Nursing. The aim of the study was to describe the concerns of child caregivers regarding child health care as discussed during telephone counseling. Specific objectives were as follows: 1. To analyze the activities of the Center. 2. To describe the characteristics of caregivers who made phone calls for counseling services and also the characteristics of their children. 3. To analyze the content of the counseling sessions. 4. To analyze counseling content according to the characteristics of the caregivers and their children. Data used for the study were obtained from the counseling records for the period from Sept. to Dec. 1999, as kept by the three counselors at the Center. The total number of calls was 8,261 and that consisted of 15,150 questions. The total questions were merged into 13,236 by eliminating those questions which overlapped or were of similar content. The final 13,236 questions were used for the final analyses. Almost of the callers (98.4％) were mothers. Among them 89.6％ were between 25 and 35 years of age. Geographical distribution of the callers covered the whole nation. The largest numbers who made the calls were from the Seoul metropolitan area (36％), followed by 28％ from Kyung Gi Province, and 20％ were from the Kyung Sang area. Among 8,261 callers, 72.8％ were first users. Sex of the babies and children in question for counseling was about even for males and females and ages ranged from one month to six years. The largest group (62.5％) was the less than six month age group. The finalized 13,236 questions/problems were categorized into 11 problem areas. They were in order of frequency, physical problems, feedings and nutrient concerns, information on child rearing, growth and development, guidance on utilization of child care facilities, elimination problems, sleeping concerns, immunization related concerns, behavior problems, injury and accidents, and safety measures. The most frequent problems for counseling were physical signs and symptoms (27.3％), followed by feeding and nutrients, information on child rearing, and growth and development. Of physical problems, abnormal gastrointestinal signs and symptoms were the most frequent concern and skin problems were next at 25％ and 23.3％ respectively. Loose bowels, vomiting and constipation were the most frequent gastrointestinal problems. Atopic dermatitis had the highest frequency at 53.3％ with diaper rash being the second highest among the skin problems. About 80％ of the growth and developmental category were physical development concerns related to physiological, body growth, and motor and sensory development. This study constitutes the activity report for the first year of the Center. The findings correspond with literature reports on child health problems and parents educational needs. One recommendation from this study is that since the services of the Center are carried out only by telephone, the psychology of the counselees and the counselor relationship must be considered for better services.

• Tuberculosis and Respiratory Diseases
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• 제41권5호
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• pp.462-474
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• 1994

연구배경 : 급성 폐손상에서는 호중구가 조직손상에 중요한 역할을 하는데 호중구는 외부자극에 의해 단핵식세포에서 분비되는 여러 화학주화인자에 인하여 국소염증부위로 이동하며, 이중 대표적인 물질이 호중구에 비교적 특이적으로 작용하는 IL-8이다. IL-8은 호중구에 대한 주화작용외에 호중구 표면에 유착성 분자의 발현을 증가시키고 호중구 자체를 활성화 시키는 등 직,간접적으로 염증반응에 관여한다. 그러나 아직까지 급성폐손상의 표본인 성인성 호흡곤란증후군의 가장 흔한 원인인 내독소에 의한 단핵식세포에서 IL-8의 분자생물학적 조절기전에 대한 연구는 많지 않은 설정이다. 방법 : 정상인의 페포대식세포와 말초혈액 단핵세포를 분리하여 내독소에 의한 IL-8 mRNA 발현양상을 관찰하기 위하여 내독소의 여러 농도와 배양시간에 따라 IL-8 mRNA에 대한 Northern blot analysis를 시행하였다. 내독소에 의한 IL-8 유전자 발현의 분자생물학적 조절기전을 규명하기 위해 actinomycin D와 cycloheximide로 전처치한 후 내독소에 의한 IL-8 mRNA와 배양액에서 면역반응성 IL-8을 측정하기위해 각각 Northern blot analysis와 ELISA를 시행하였다. 결과: 1) 폐포대식세포와 말초혈액 단핵세포 모두에서 내독소에 의한 IL-8 mRNA의 발현은 내독소 1 ng/ml의 농도에서부터 증가되었으며 내독소 농도의 증가에 따라 증가되었다. 또한 내독소에 의한 IL-8 mRNA의 발현은 내독소 투여 2시간후부터 증가되기 시작하여 24시간까지 지속되었으며 폐포대식세포에서는 8시간, 말초혈액 단핵세포에서는 4시간에 각각 정점을 이루었다. 2) actinomycin D는 페포대식세포와 말초혈액 단핵세포 모두에서 IL-8 유전자 발현을 mRNA와 단백질 수준에서 억제시켰다. 3) cycloheximide는 폐포대식세포와 말초혈액 단핵세포 모두에서 IL-8 유전자 발현을 단백질 수준에서는 억제시켰으나 mRNA발현은 폐포대식세포에서는 약간 증가 시켰고 말초혈액 단핵세포에서는 약간 억제시켰다. 결론 : 폐포대식세포와 말초혈액 단핵세포 모두에서 내독소에 의해 IL-8 mRNA의 발현과 IL-8 단백의 분비가 증가되었는데 이는 일부 전사이전 수준에서 (pretranslational level) 조절되며 폐포대식세포에서는 de novo 단백합성과는 관계가 없고 불안정한 억제인자 (labile repressor)의 조절을 받고 있고 말초혈액 단핵세포에서는 지속적인 de novo 단백합성이 중요할 것으로 생각된다.

• Asia pacific journal of information systems
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• 제18권2호
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• pp.95-114
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• 2008

Recent interests in data mining result from the expansion of the amount of business data and the growing business needs for extracting valuable knowledge from the data and then utilizing it for decision making process. In particular, recent advances in association rule mining techniques enable us to acquire knowledge concerning sales patterns among individual items from the voluminous transactional data. Certainly, one of the major purposes of association rule mining is to utilize acquired knowledge in providing marketing strategies such as cross-selling, sales promotion, and shelf-space allocation. In spite of the potential applicability of association rule mining, unfortunately, it is not often the case that the marketing mix acquired from data mining leads to the realized profit. The main difficulty of mining-based profit realization can be found in the fact that tremendous numbers of patterns are discovered by the association rule mining. Due to the many patterns, data mining experts should perform additional mining of the results of initial mining in order to extract only actionable and profitable knowledge, which exhausts much time and costs. In the literature, a number of interestingness measures have been devised for estimating discovered patterns. Most of the measures can be directly calculated from what is known as a contingency table, which summarizes the sales frequencies of exclusive items or itemsets. A contingency table can provide brief insights into the relationship between two or more itemsets of concern. However, it is important to note that some useful information concerning sales transactions may be lost when a contingency table is constructed. For instance, information regarding the size of each market basket(i.e., the number of items in each transaction) cannot be described in a contingency table. It is natural that a larger basket has a tendency to consist of more sales patterns. Therefore, if two itemsets are sold together in a very large basket, it can be expected that the basket contains two or more patterns and that the two itemsets belong to mutually different patterns. Therefore, we should classify frequent itemset into two categories, inter-pattern co-occurrence and intra-pattern co-occurrence, and investigate the effect of the market basket size on the two categories. This notion implies that any interestingness measures for association rules should consider not only the total frequency of target itemsets but also the size of each basket. There have been many attempts on analyzing various interestingness measures in the literature. Most of them have conducted qualitative comparison among various measures. The studies proposed desirable properties of interestingness measures and then surveyed how many properties are obeyed by each measure. However, relatively few attentions have been made on evaluating how well the patterns discovered by each measure are regarded to be valuable in the real world. In this paper, attempts are made to propose two notions regarding association rule measures. First, a quantitative criterion for estimating accuracy of association rule measures is presented. According to this criterion, a measure can be considered to be accurate if it assigns high scores to meaningful patterns that actually exist and low scores to arbitrary patterns that co-occur by coincidence. Next, complementary measures are presented to improve the accuracy of traditional association rule measures. By adopting the factor of market basket size, the devised measures attempt to discriminate the co-occurrence of itemsets in a small basket from another co-occurrence in a large basket. Intensive computer simulations under various workloads were performed in order to analyze the accuracy of various interestingness measures including traditional measures and the proposed measures.

• Asia pacific journal of information systems
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• 제19권3호
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• pp.25-49
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• 2009

Advances in technology have resulted in the emergence of new information systems. The convergence of IT and manufacturing sectors has blurred the boundaries among industries. Also, such convergence has become established as a paradigm to build a new area. Especially the convergence of broadcasting and telecommunication, notably in the case of IPTV (Internet Protocol Television), is among the most salient examples of its kind in recent years as a major case of disruptive technology innovation. Despite its much fanfare, such convergence, however, has not fulfilled the expectation; it has not produced positive economic effects while negatively affecting the growth of IPIV. Stakeholders in and around IPIV including telecommunication companies, broadcasting corporations, and government bodies wish to gain control of IPTV under their wings. IPTV has drifted in the midst of conflicts among the stakeholders in and around IPTV, particularly telecommunication and broadcasting organizations in a broad sense. Our empirical research intends to deal with how audiences accept IPTV and how firms provide IPTV services to utilize their resources. Three research questions in this paper include, first, whether Technology Acceptance Model (TAM) can sufficiently explain the acceptance of IPTV as an information system. The second question concerns with empirically testing the playful aspect of IPTV to increase its audience acceptance. Last, but not least, this paper deals with how firms can efficiently and effectively allocate their limited resources to increase IPTV viewers. To answer those three main questions of our study, we collect data from 197 current subscribers of high speed internet service and/or cable/satellite television. Empirical results show that 'perceived usefulness (PU) $\rightarrow$ Intention to use' and 'perceived ease of use (PEU) $\rightarrow$ Intention to use' are significant. Also, 'perceived ease of use' is significantly related to 'perceived usefulness.' Perceived ease of handling IPTV without much effort can positively influence the perceived value of IPTV. In this regard, engineers and designers of IPTV should pay more attention to the user-friendly interface of IPTV. In addition, 'perceived playfulness (PP)' of IPTV is positively related to 'intention to use'. Flow, fun and entertainment have recently gained greater attention in the research concerned with information systems. Such attention is due to the changing features of information systems in recent years that combine the functional and leisure attributes. These results give practical implications to the design of IPTV that reflects not just leisure but also functional elements. This paper also investigates the relationship between 'perceived ease of use (PEU)' and 'perceived playfulness (PP).' PEU is positively related to pp. Audiences without fear can be attracted more easily to the user-friendly IPTV, thereby perceiving the fun and entertainment with ease. Practical implications from this finding are that, to attract more interest and involvement from the audience, IPTV needs to be designed with similar or even more user friendly interface. Of the factors related to 'intention to use', 'perceived usefulness (PU)' and 'perceived ease of use (PEU)' have greater impacts than 'perceived playfulness (PP).' Between PU and PEU, their impacts on 'intention to use' are not significantly different statistically. Managerial implications of this finding are that firms in preparation for the launch of IPTV service should prioritize the functions and interface of IPTV. This empirical paper also provides further insight into the ways in which firms can strategically allocate their limited resources so as to appeal to viewers, both current and potential, of IPTV.

• Asia pacific journal of information systems
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• 제20권3호
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• pp.191-204
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• 2010

Recently, the CO2 emission and energy consumption have become critical global issues to decide the future of nations. Especially, the spread of IT products and the increased use of internet and web applications result in the energy consumption and CO2 emission of IT industry though information technologies drive global economic growth. EU, the United States, Japan and other developed countries are using IT related environmental regulations such as WEEE(Waste Electrical and Electronic Equipment), RoHS(Restriction of the use of Certain Hazardous Substance), REACH(Registration, Evaluation, Authorization and Restriction of CHemicals) and EuP(Energy using Product), and have established systematic green business/IT strategies to enhance the competitiveness of IT industry. For example, the Japan government proposed the "Green IT initiative" for being compatible with economic growth and environmental protection. Not only energy saving technologies but energy saving systems have been developed for accomplishing sustainable development. Korea's CO2 emission and energy consumption continuously have grown at comparatively high rates. They are related to its industrial structure depending on high energy-consuming industries such as iron and steel Industry, automotive industry, shipbuilding industry, semiconductor industry, and so on. In particular, export proportion of IT manufacturing is quite high in Korea. For example, the global market share of the semiconductor such as DRAM was about 80% in 2008. Accordingly, Korea needs to establish a systematic strategy to respond to the global environmental regulations and to maintain competitiveness in the IT industry. However, green competitiveness of Korea ranked 11th among 15 major countries and R&D budget for green technology is not large enough to develop energy-saving technologies for infrastructure and value chain of low-carbon society though that grows at high rates. Moreover, there are no concrete action plans in Korea. This research aims to deduce the priorities of the Korean green business/IT strategies to use multi attribute weighted average method. We selected a panel of 19 experts who work at the green business related firms such as HP, IBM, Fujitsu and so on, and selected six assessment indices such as the urgency of the technology development, the technology gap between Korea and the developed countries, the effect of import substitution, the spillover effect of technology, the market growth, and the export potential of the package or stand-alone products by existing literature review. We submitted questionnaires at approximately weekly intervals to them for priorities of the green business/IT strategies. The strategies broadly classify as follows. The first strategy which consists of the green business/IT policy and standardization, process and performance management and IT industry and legislative alignment relates to government's role in the green economy. The second strategy relates to IT to support environment sustainability such as the travel and ways of working management, printer output and recycling, intelligent building, printer rationalization and collaboration and connectivity. The last strategy relates to green IT systems, services and usage such as the data center consolidation and energy management, hardware recycle decommission, server and storage virtualization, device power management, and service supplier management. All the questionnaires were assessed via a five-point Likert scale ranging from "very little" to "very large." Our findings show that the IT to support environment sustainability is prior to the other strategies. In detail, the green business /IT policy and standardization is the most important in the government's role. The strategies of intelligent building and the travel and ways of working management are prior to the others for supporting environment sustainability. Finally, the strategies for the data center consolidation and energy management and server and storage virtualization have the huge influence for green IT systems, services and usage This research results the following implications. The amount of energy consumption and CO2 emissions of IT equipment including electrical business equipment will need to be clearly indicated in order to manage the effect of green business/IT strategy. And it is necessary to develop tools that measure the performance of green business/IT by each step. Additionally, intelligent building could grow up in energy-saving, growth of low carbon and related industries together. It is necessary to expand the affect of virtualization though adjusting and controlling the relationship between the management teams.

• Journal of Preventive Medicine and Public Health
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• 제31권2호
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• pp.310-322
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• 1998

국민들의 주치의에 대한 인식도 및 수요 등을 알아보고 주치의제도와 관련된 기초자료를 제공하기 위하여 1997년 1월 현재 서울시, 청주시, 안성군 3곳에 사는 주민들을 대상으로 3개 지역에서 각각 600 개씩 총 1,800개의 전화번호를 다단계 층화 무작위 표본추출(multi-stage stratified random sampling)하였다. 이와 같이 선정된 전화번호를 대상으로 각 지역마다 200명씩 조사가 완료될 때까지 20세 이상의 전 가구원을 대상으로 전화설문조사를 실시하였다. 이 조사 결과를 요약하면 다음과 같다. 1. 주치의가 있는지 여부를 물었을 때 남성은 9.9%, 여성은 13.2%가 가지고 있다고 응답하여 남녀간에 의미 있는 차이가 없었다. 이를 전체로 보면 11.9%가 주치의를 가지고 있는 반면 85.4%는 가지고 있지 않았고 2.7%는 모른다고 응답했으며 이는 지역별로 유의한 차이를 보이지 않았다. 또한 학력 수준에 따른 차이는 없었으며, 연령이 증가할수록 주치의를 가진 사람들이 많았다. 2. 현재 주치의가 어떤 과 의사인지를 살펴보면 내과의사 62.1%, 일반외과 의사 12.1%, 소아과 의사 6.1%, 한의사 4.5% 순이었다. 이를 남녀별로 비교해본 결과 한의사를 주치의로 둔 남자는 20명중 3명(15%) 이었으나 여자들은 한 명도 한의사를 주치의로 두고 있지 않았다. 이외의 모든 과 에서 남녀간에 통계학적인 차이가 없었다. 지역별로는 서울 지역보다는 안성, 청주 등 지방에 거주하는 사람들이 내과의사를 주치의로 두고 있는 경향을 보였다. 3. 주치의로 삼고 싶은 진료과목은 내과가 61.8%로 가장 많았고, 가정의가 15.9%로 두 번째였으며, 그밖에 소아과 5.8%, 산부인과와 한의사가 각각 5.6%였다. 여자들이 남자들에 비해 가정의학과, 산부인과를 선호하고 있고, 여자들에 비해 남자들이 내과를 더욱 선호하고 있었다. 이들 과를 제외한 다른 과 에서는 남녀간 차이가 없었다. 지역별로는 청주 지역에서 가정의학과 의사를 선호하고 있었고, 내과 의사인 경우 지역별로 선호도의 차이는 없었다. 또한 학력이 높을수록 가정의학과를 선호하고 있었고, 내과 의사에 대한 선호도는 학력 수준과 관련성이 없었다. 4. 주치의 등록제에 대해서 들어본 적이 있느냐는 질문에 16.0%만이 알고 있다고 응답했고, 84.0%는 모른다고 응답했다. 이와 같은 인지율은 남녀간에 차이가 없었다(p>0.05). 서울 지역에 거주하는 사람들이 여타 지역보다 인지율이 높은 것을 알 수 있었다. 5. 주치의 등록제가 시행될 경우 등록할 생각이 있느냐는 질문에 48.0%는 그렇다고 대답했으며, 17.4%는 할 생각이 없다고 응답했고, 34.6%는 잘 모르겠다고 응답했다. 남자들이 여자들보다 유의하게 등록 의사를 가진 사람들이 많았고, 대도시 지역으로 갈수록 등록 의사를 가진 사람들이 많았다. 또한 학력이 높을수록 등록 의사가 많았다. 6. 주치의 등록을 하겠다는 경우에 등록하는 이유에 대해서 질문한 결과 건강을 지키는데 도움이 될 것 같아서가 68.2%, 병원 이용이 편해질 것 같아서가 28.7%, 보험료 혜택이 있으니까가 2.3% 등이었다. 7. 주치의 등록제를 이용하지 않는다면 어떤 이유에서인지를 물은 결과 귀찮기만 하고 도움이 될 것 같지 않아서가 68.8%, 주치의 등록료가 너무 비싸서와 보험료 혜택이 적어서가 각각 10.9%, 7.81% 등이었다. 8. 1인당 1년에 2만원인 주치의 등록료에 대한 의견을 물은 결과 적당하다는 의견이 63.1%, 비싸다는 의견이 32.7%, 싸다는 의견이 4.2%였다. 이를 남녀별로 비교한 결과 여자들이 등록료에 대하여 유의하게 비싸다고 생각하고 있었으며, 지역별로는 차이가 없었다. 또한 학력이 낮을수록 1년에 1인당 2만원인 현행의 주치의 등록료에 대하여 너무 많다고 생각하는 사람들이 많았다.

• 호스피스학술지
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• 제2권1호
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• pp.58-74
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• 2002

This paper constitutes a descriptive investigation and used a structured questionnaire to investigate nurses' and doctors' recognition of cancer patients. The subjects were extracted from the medical personnel working at the internal medicine, the surgery ward, the obstetrics and gynecology department, the pediatrics department, the cancer ward, and the emergency room of five general hospitals located in Seoul and Gyeonggi Province. The research lasted from August, 2001 to September 2001. Total 137 nurses and 65 doctors were included and made out the questionnaires directly distributed by the investigator. The study tool was also developed by the investigator and consisted of such items as the demographic and social characteristics, the medical personnel's recognition degree of cancer and cancer patients, their recognition of the management of cancer patients, and their participation in a hospice. The results were analyzed using the SPSS Window program in terms of technological statistics, ranks, t-test, and ANOVA. The reliability was represented in Cronbach' α=.75. The nurses' and doctors' recognition degree of cancer and cancer patients had an overall average of 3.86 at the 5 point-scale. The items that received an average of 4.0 or more included 'Medical personnel should explain about the cancer cure plans to the cancer patient and his or her family', 'A patient whose case has been diagnosed as a terminal cancer should be notified of it, 'If I were a cancer patient, I would want to get informed of it,' and 'Cancer shall be conquered whenever it is'. In the meantime, the items that received an average of 3.0 or less was 'My relationship with the cancer patient's family has gotten worse since I announced his or her impending death.' And according to the general characteristics and the difference test, the recognition degree of cancer and cancer patient was high among the subgroups of nurses, females, married persons, who were in their 30s, who had a family member that was a cancer patient, and who received a hospice education. The biggest number of the nurses and doctors saw 'a gradual approach over several days'(68.8%) as a method to tell a cancer patient about his or her cancer diagnosis or impending death. Those who usually tell tragic news were the physician in charge(62.8%), the family members or relatives(32.1%) and the clergymen(3.8%) in the order. The greatest number of them recommended a cancer patient's home as the place where he or she should face death because they thought 'it would stabilize his or her mentality'(91.9%) while a number of them recommended the hospital because they 'should give the psychological satisfaction to the patient'(40%) or 'should try their best until the last moment of the patient's death'(30%). A majority of the medical personnel regarded 'smoking or drinking' and 'diet' as the causes of cancer. The biggest symptom of a cancer patient was 'pain' and the pain management of a cancer patient was mostly impeded by the 'excessive fear of drug addiction, tolerance to drugs and side effects of drugs' by medical personnel, the patient, and his or her family. The most frequently adopted treatment plan of a terminal cancer patient was 'to do whatever the patient or his or her family wants' to resort to a hospice' and 'to continue active treatment efforts' in the order. The biggest reasons why a terminal cancer patient went to see a doctor were 'pain alleviation' 'control of symptoms other than pain(intravenous supply)' and 'incapability of the patient's family' in the order. Terminal cancer patients placed their major concern in 'spiritual(religious) matter' 'emotional matters' their family' 'existence' and 'physical matters' in the order. 113(58.5%) of the whole medical personnel answered they 'would recommend' an alternative treatment to a terminal cancer patient mostly because they assumed it would 'stabilize the patient's mentality.' Meanwhile, 80(41.5%) of them chose 'not to recommend it mostly due to the unverified effects and high cost of it(78.7%). A majority of them, I. e. 190(94.1%) subjects said they 'would recommend' a hospice to a terminal cancer patient mostly because they thought it would help the patient to 'mentally prepare'(66.6%) Only 17.3% of them, however, had received a hospice education, most of which was done through the hospital duty education(41.4%) and volunteer training(34.5%). The follows are results of this study: 1. The nurses and the doctors turned out to be still passive and experience confusion in dealing with a cancer patient despite their great sense of responsibility for him or her. 2.Nurses and Doctors realize the need of a hospice, but an extremely small number of them participate in a hospice education or performance. Thus, a whole recognition of a hospice should be changed, for which purpose a hospice education for nurses and doctors should be provided. 3.Terminal cancer patients preferred their home to a hospital as the place to face their impending death because they felt it would bring 'mental stability.' And most of nurses and doctors think it would be unnecessary for them to be hospitalized just for control of their symptoms. Accordingly a terminal cancer patient can be cared at home, and a home hospice care needs to be activated.

• 경영과정보연구
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• 제33권3호
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• pp.129-154
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• 2014

점점 더 변화의 속도가 빨라지고 예측하기 힘들어지고 있는 글로벌 기업환경은 기업들에 새로운 대처방안을 끊임없이 요구하고 있다. 고객들의 니즈가 더 다양해지고, 시장과 기술이 끊임없이 변화하며, 글로벌 경쟁이 점점 더 심화되고 있는 상황에서, 현실에 안주하고 변하지 않거나 새로운 가치를 창출하지 못하는 기업은 생존할 수 없는 시대인 것이다. 불확실성을 극복하고 기업이 생존하기 위해서 '창의적'이어야만 하는 시대가 된 것이다. 기업의 창의성은 업무능력이나 성과와는 달리 금전적 물리적 보상으로 쉽게 활성화되지 않는다. 다양한 재능 경험 배경을 가진 사람들이 자기 의견을 마음껏 개진해 나아갈 수 있는 환경이 존재할 때 가능해지는 것이다. 이러한 중요성에도 불구하고, 지금까지의 연구는 기업 경영의 측면에서보다는 창의성 교육위주로 진행되어 왔으며, 기업 연구에서도 실제 성과로 이어지는 프로세스에 관한 연구보다는 주로 종업원들의 성격요인을 중심으로 연구가 진행되어왔다. 즉, 종업원이 처한 조직 내 상황적 특성으로서 현재의 비금전적 비물리적으로 동기부여를 최대한 이끌어낼 수 있는 환경적 요소들에 대한 연구는 매우 부족한 실정이다. 이에 본 연구에서는 기업의 비제도적 측면에서 종업원이 가장 근접하게 가지게 되는 조직 내 특징적 환경 속에서 창의적 성과를 일으키게 하는 과정을 규명해 보았다. 창의성을 발현하는 과정으로서 조직의 창의성을 이해하는데 필수적인 동기부여와 창의적 프로세스참여를 매개체로 하여 종업원의 직무특성과 상사가 보여주는 태도라는 상황적 요인들이 종업원들의 창의성 발현의 결과물이라 할 수 있는 창의적 성과에 어떠한 영향을 미치는지를 규명하고자 하였다.

• 치위생과학회지
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• 제10권3호
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• pp.185-190
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• 2010

치과위생사가 지각하고 있는 임파워먼트 정도와 병원조직 내에서 업무성과에 영향을 미치는 요인들간의 관계를 파악하여 치과의료 발전에 도움이 될 기초자료를 제공하고자 2010년 3월22일부터 4월 30일까지 서울에 소재하고 있는 일부 치과의료기관을 임의추출하여 재직하고 있는 여자 치과위생사 256명을 분석대상으로 하였다. 설문지를 이용하여 일반적 특성, 임파워먼트에 관한 자료를 수집하였고, 수집된 모든 자료는 SPSS 12.0 통계프로그램을 이용하여 분석하였다. 본 연구 결과는 다음과 같다. 1. 연구대상자의 임파워먼트 수준은 3.63이었고, 근무경력, 연봉이 많을수록 임파워먼트가 높아 통계적으로 유의한 차이를 보였다(p<0.05). 2. 교육 상담업무(p<0.01), 정규직(p<0.05)에서 임파워먼트가 높았다. 3. 역량성과 연령, 근무경력, 연봉은 상관관계가 있었다(p<0.01). 4. 자기결정성과 연령(p<0.05), 근무경력(p<0.01), 연봉(p<0.05)은 유의한 상관성이 있었다. 5. 회귀분석 결과, 임파워먼트와 유의한 관련성이 있는 요인은 근무경력(p<0.05)이었다. 결론적으로 직무관련 치과위생사의 임파워먼트는 근무경력, 연봉, 교육 상담업무, 정규직에서 높게 나타났다. 이로써 치과조직은 효율적인 인력관리를 통해 조직의 역량과 효과성을 높여야하며, 특히 치과위생사가 전문직으로서의 독자적인 의사결정이나 역할수행을 통해 스스로 임파워먼트를 증진시킬 수 있는 리더십 훈련과 다양한 교육프로그램 개발이 마련되어야 할 것이다.

• Journal of Hospice and Palliative Care
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• 제13권2호
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• pp.98-108
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• 2010

목적: 본 연구는 암환자의 삶의 질, 피로 정도를 확인하고 삶의 질과 피로와의 관계를 파악함으로써 암환자의 삶의 질 향상을 위한 간호중재 개발에 필요한 기초자료를 제공하고자 실시되었다. 방법: 대상자는 D, Y, A시에 소재한 대학부속병원에서 암 진단을 받고 치료를 받는 입원환자 94명을 대상으로 하였으며, 자료는 2007년 5월 8일부터 8월 10일까지 구조화된 설명지로 수집하였다. 연구도구로는 피로는 FACIT (Functional Assessment of Chronic Illness Therapy, www.facit.org)에서 개발한 측정도구인 한국어판 FACIT-Fatigue Scale인 13개 문항과 삶의 질은 FACIT에서 개발한 한국어판 FACT-G (Version 4) 27개 문항을 이용하였다. 수집된 자료는 SPSS Win 12.0을 이용하여 실수와 백분율, 평균과 표준편차, t-test와 ANOVA, Pearson correlation coefficients로 분석하였다. 결과: 암환자의 피로 정도는 22.48로 중간 정도의 상태를 보였다. 암환자의 삶의 질 정도는 평균 55.52로 중간 정도였고, 삶의 질의 하위영역에서는 신체적 영역이 평균 15.96로 가장 높았고, 기능적 영역이 평균 11.34로 가장 낮게 나타났다. 암환자의 피로는 피로의 정도에 차이를 보인 일반적 특성은 없었으며, 피로의 정도에 차이를 보인 질병관련 특성은 치료형태(F=3.216, P< 0.05), 체중변화(F=9.094, P<0.001), 일상생활 수행상태(F=7.297, P<0.001), 운동(F=5.919, P<0.05), 수면(F= 4.546, P<0.05) 등이었다. 암환자의 삶의 질 정도에 차이를 보인 질병관련 특성은 치료목적(F=4.392, p<0.05), 체중변화(F=23.118, P<0.001), 일상생활 수행상태(F= 9.886, P<0.001), 운동(F=7.699, P<0.001), 수면(F=5.893, P<0.001)이었다. 암환자의 삶의 질은 피로(r=-0.752, P<0.001)와 유의한 역 상관관계가 있는 것으로 나타났다. 피로는 삶의 질 하부 영역 중 신체적 영역(r=-0.834, P<0.001), 정서적 영역(r=-0.610, P<0.001), 기능적 영역(r=-0.560, P<0.001)과 유의한 역 상관관계를 보였다. 결론: 암환자의 삶의 질에 피로가 중요한 변수임을 확인하였고, 암환자의 삶의 질과 피로는 유의한 역 상관관계가 있음도 확인하였다. 이상의 연구결과를 기초로 암환자의 전반적인 삶의 질과 하부영역별 삶의 질을 향상시키고 피로를 감소시킬 수 있는 간호중재 프로그램을 우선적으로 개발하고 적용해야 할 것이다.