• Journal of Preventive Medicine and Public Health
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• 제49권5호
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• pp.323-328
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• 2016

Objectives: A clean India is the responsibility of all Indians. One of the objectives of the Swachh Bharat Abhiyan (Clean India Initiative) is to bring about behavioural changes regarding healthy sanitation practices. While large-scale programs in India have increased latrine coverage, they have to some extent failed to bring behavioural changes ensuring optimal latrine use, including the safe disposal of child faeces, which is a significant source of exposure to faecal pathogens. Hence, this study was done to explore child faeces disposal practices in rural West Bengal and to elicit the determinants of unhygienic faeces disposal. Methods: Data collection was done using an interview method among the mothers of 502 under-5 children, following a pre-designed, semi-structured schedule during house-to-house visits in a set of villages in the Hooghly district of West Bengal. Results: The prevalence of unsafe disposal of child faeces was 72.4%, and maternal education, per capita income, and water source were found to be significantly associated with unsafe child faeces disposal. Conclusions: This study draws attention to the unsafe disposal of child faeces in this area of India and raises questions about the efficiency of sanitation campaigns in rural India that focus on expanding coverage rather than emphasizing behavioural changes, which are crucial to ensure the safe disposal of child faeces. Thus, it is urgently necessary to strengthen efforts focusing on behavioural changes regarding the safe disposal of child faeces in order to minimise adverse health outcomes.

• 한국콘텐츠학회논문지
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• 제17권4호
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• pp.25-35
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• 2017

본 연구에서는 한국의 유아 교사들이 창의성 교육에 관한 개념을 어떻게 인식하고 있는지 그 과정에 관하여 탐색하는 것을 목적으로 질적 연구를 수행하였다. 면접대상자는 서울 소재 유치원에 재직하고 있는 현직교사 4명이며, 반구조화된 심층면접을 통하여 면접 자료를 수집하였다. 수집된 자료는 질적 연구방법 중 木下(기노시다)의 수정근거이론(Modified Grounded Theory Approach)을 채택하여 분석하였다. 자료 분석 결과, 유아교육 분야의 전문가 집단이라 할 수 있는 유아 교사들은 독특한 사고, 풍부한 표현력 등이 창의성교육의 핵심개념이라고 파악하고 있었다. 이와 같은 개념은 주로 아이들과의 직접적인 만남이 이루어지는 학습, 누리과정 교수 등을 통해서 창의성 개념을 형성하는 것으로 나타났다. 이보다 앞서 수행된 초 중등 교사들을 대상으로 창의성 개념을 탐색한 선행연구와 비교해 볼 때, 유아 교사들은 창의성 교육에 관하여 상당히 일치된 핵심개념을 서로 공유하고 있다는 것이 본 연구를 통해 밝혀졌다. 본 연구결과는 유아교육 분야에서는 비교적 창의성 교육에 관한 개념이 일관성 있게 받아들여지고 있으며, 교육현장에서도 유아들에게 개념 및 교수방법 등이 양호하게 잘 전달되고 있음을 의미한다.

• 정보관리학회지
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• 제26권3호
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• pp.435-449
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• 2009

새로운 기술의 발달과 병행하는 정보이용환경의 급격한 변화는 정보원의 이용 및 정보서비스에 대한 새로운 고찰을 요구한다. 이용자 정보추구의 올바른 이해는 정보서비스의 향상에 핵심적인 역할을 하고 있으므로 변화하는 정보이용환경에 따라 이용자의 정보추구를 시기적절하게 새롭게 고찰할 필요가 있다. 많은 이전 연구들이 이용자 정보추구에 초점을 맞추고 있으나 의사들의 정보추구, 특히 진료정보 및 의학지식 추구를 동시에 대상으로 한 연구는 거의 없다. 이에 따라 본 연구는 진료와 의학연구를 동시에 수행하는 대학병원의 강사인 의사들의 정보추구행태를 탐구하는 것을 목적으로 하고 있다. 본 연구는 연세의료원 강사 12명을 대상으로 개방형 반구조화 형식의 심층 면접을 통하여 수집하였다. 면접 내용은 크게 연구 환경, 진료와 관련된 정보 추구 행태, 선호하는 정보원과 자료 유형, 검색과정과 만족도의 4가지 주제로 구성하였다. 응답 결과 연구 목적의 정보추구에 있어서는 PubMed를 통한 전자학술지 대한 신뢰도가 더 높았으나 진료 목적인 경우에는 인쇄형태의 교과서를 더 선호하는 것으로 나타났다. 이는 정보원에 대한 권위와 근거를 매우 중요시하는 의사들의 태도에서 그 원인을 찾을 수 있다.

• 대한간호
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• 제35권1호
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• pp.66-80
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• 1996

Reacently one the main issues has been to develop useful strategies to improve hospital services for patients in the health care delivery system in our rapidly changing society. This study has focused on exploring the perceptions that the clinical nurses have concerning who they are and what they are going to become in the days ahead as medical care reaches a new stage of advancement centered around the patient and hospital services. This study in also based upon the premise that the role of the clinical nurse practitioner. is central to the progress of any patient centered nursing program. This study was carried out by the members of the academic committee of Seoul Branch of Korean Nurses Association from January 1995 to February 1995. The interview method was a semi-structured questionnaire used to collect data from 25 staff nurses who were working more than 3 years at 3 different university hospitals in Seoul. The 6 interviews were selected from each hospital and they were trained for the interviewing techniques. The data were analysed qualitatively and 10 elements of the nurse's responsibilities classified such as caring for the patients (which includes specific medical care as well as general); assessing; diagnosing; coordinating with other health personnel; careful listening; teaching and the patient guiding; administering the prescriptions; giving information and counseling the patient; ward management. Although the premise of this study was based on a wholistic concept, the overall behavioral aspects of hospital clinical nursing were the major thrust of the questionnaire. Broad philosophical questions regarding the nature of nursing need to be further explored. The data gathered for this questionnaire should be useful as a reenforcement tool in educating nursing students as well as in continuing education for clinical nurses. For the future, another study should be done to determine the nursing/patient relationship.

• 시큐리티연구
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• 제49호
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• pp.133-154
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• 2016

지하철은 서울에서 수송 분담률이 가장 높은 이동수단 중 하나로서 많은 이용객들이 이용하는 만큼 범죄도 자주 발생하고 있다. 이에 따라 2009년 서울메트로에서는 지하철 내에서의 안전을 확보하기 위해 지하철보안관제도를 신설하였다. 그러나 획기적인 제도에도 불구하고 그동안 여러 가지 문제로 인해 그 효과성에 의문을 제기하는 시민들이 많았다. 본 연구에서는 지하철보안관과의 심층면담을 통해 지하철보안관제도의 운영상황을 분석하여 제도의 문제점과 활성화 전략을 도출하고자 시도하였다. 심도 있는 문제점 분석을 위해 본 연구에서는 근무경력 4년 이상의 반장급 지하철보안관들을 대상으로 반구조화된 면담을 실시하였고, 이를 분석한 결과를 바탕으로 강점과 지하철보안관제도의 활성화를 위한 발전요인, 약점과 지하철보안관제도의 활성화를 저지하는 요인을 도출하여 제도의 개선방안을 제시하였다. 제시된 개선방안은 체계적 테러대응교육 도입, 인력충원과 정규직 전화, 부분적 사법권부여, 근무환경 개선, 지하철보안관제도에 대한 홍보강화 등이었다.

• 시큐리티연구
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• 제59호
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• pp.9-35
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• 2019

지금까지 사이버보안에 대한 부분적인 연구는 많이 시도되었으나, 기업 내부적인 요인과 외부 요인의 관계를 총체적으로 분석한 연구는 국내뿐만 아니라 국외에서도 거의 없었다. 따라서, 본 연구에서는 중소기업의 내부 요소 뿐 아니라 기업경영 환경을 고려한 사이버보안 관리에 대하여 살펴보았다. 혼합적 연구방법론을 통하여 1차 질적 분석, 2차 양적 분석을 실시하였다. 질적 분석은 반구조적 인터뷰 방식을 통해 진행하였고 사이버보안 관리체계의 미비, 사이버보안에 대한 내부적인 비협조, 의사결정체계에 파생되는 문제점이라는 세 가지 주제를 발견하였다. 양적 분석은 설문 조사를 통해 확보한 데이터를 대상으로 다중회귀분석을 실시하였으며, 독립변수 중에 사이버위협에 대한 인식과 내부적인 지지가 종속변수인 사이버보안 관리체계에 (+)의 방향으로 영향을 미치며 통계적으로 유의미한 것으로 나타났다. 이 연구를 통해 중소기업의 사이버보안에 있어서는 외부적 환경 변수보다는 내부적인 변수가 사이버보안 관리체계에 인과적 영향이 있었으며, 이는 직원들의 인식 등 조직 문화와 관련되는 변수가 중요하다는 것을 말해준다. 이러한 결과는 중소기업에서 사이버보안 관리체계를 높이는데 실질적인 의의를 제공해 줄 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8595-8598
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• 2016

Background: Decision making modalities for screening for many cancer conditions and different stages have become increasingly complex. Computer-based risk assessment systems facilitate scheduling and decision making and support the delivery of cancer screening services. The aim of this article was to survey electronic risk assessment system as an appropriate tool for the prevention of cancer. Materials and Methods: A qualitative design was used involving 21 face-to-face interviews. Interviewing involved asking questions and getting answers from exclusive managers of cancer screening. Of the participants 6 were female and 15 were male, and ages ranged from 32 to 78 years. The study was based on a grounded theory approach and the tool was a semi-structured interview. Results: Researchers studied 5 dimensions, comprising electronic guideline standards of colorectal cancer screening, work flow of clinical and genetic activities, pathways of colorectal cancer screening and functionality of computer based guidelines and barriers. Electronic guideline standards of colorectal cancer screening were described in the s3 categories of content standard, telecommunications and technical standards and nomenclature and classification standards. According to the participations' views, workflow and genetic pathways of colorectal cancer screening were identified. Conclusions: The study demonstrated an effective role of computer-guided consultation for screening management. Electronic based systems facilitate real-time decision making during a clinical interaction. Electronic pathways have been applied for clinical and genetic decision support, workflow management, update recommendation and resource estimates. A suitable technical and clinical infrastructure is an integral part of clinical practice guidline of screening. As a conclusion, it is recommended to consider the necessity of architecture assessment and also integration standards.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.3939-3943
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• 2016

Background: According to recent statistics, the breast cancer rate is growing fast in developing countries. In North West of Iran, the incidence of breast cancer after esophageal and gastric cancers has the highest rate. Previous studies have also indicated that women in this region show reluctance to do breast cancer screening. There is a great need for change to promote breast cancer screening among women. Social marketing is a discipline that uses the systematic application of commercial marketing techniques to promote the adoption of behavior by the target audience. Materials and Methods: In the present qualitative study, thirty-two women with breast cancer were interviewed about their experiences of breast cancer screening. A semi-structured interview guide was designed to elicit information specific to the 4 P's in social marketing. Results: Three main categories emerged from the analysis: price, service and promotion. Subcategories related to these main categories included factors effective in increasing and decreasing cost of screening, current and desirable features of screening services, and weakness of promotion. Conclusions: Screening programs should be designed to be of low cost, to meet patients' needs and should be provided in suitable places. Furthermore, it is essential that the cultural beliefs of society be improved through education. It seems necessary to design an executive protocol for breast cancer screening at different levels of primary health care to increase the women's willingness to undergo screening.

• 대한간호학회지
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• 제24권4호
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• pp.557-567
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• 1994

The purpose of this study was to defined mothers perception of their infants when the babies were high - risk babies, and to describe the feelings and responses of the mothers following on the birth of high - risk babies and on their hospitalization. The subjects of the study were 30 mothers of high-risk infants at D and M Hospital of E University. Data were collected between August 1993 and June 1994. Using the Neonatal Perception Inventory(NPI ) devised by Broussard to determine the perception of mothers and an open-ended, semi-structured interview which was conducted in the nursery room within 24 to 72 hours after delivery And NPI tested 1 month after the babies were discharged from the NICU also. Data were analyzed using SAS and content analy-sis. The results of this study are as follows ; 1. The mothers tended to perceive their infants positively, regardless of the condition of the infant. Mothers who perceived their infant negatively were slightly increased at 1 month after the babies were discharged from the NICU, but the difference was not statistically significant. 2. Mothers reported that they thought that the newborn can see and hear well, and also they can ex-press themselves. 3. There were many types of response noted such as anxiety, fear, helplessness, pity, resentment, guilt, resignation, hope, relief, appreciation, and feelings of being able to overcome the situation. These were differentiated into positive and negative responses. The finding of positive responses being expressed by mother of high -risk infants while their infants were in NICU was a unique finding especially, appreciation and feelings of being able overcome the situation. The results suggest the need for replication studies and for research on nursing interventions directed at improving the quality of life of high-risk infants and their mother.

• 생물정신의학
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• 제13권2호
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• pp.95-102
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• 2006

Object : Nerve growth factor(NGF) is a protein involved in neuronal survival and plasticity in the central nervous system, which might play an important role in stress, depression and suicide. This study was performed to determine whether there is an alteration in plasma NGF concentrations in depressed patients with suicidal attempt. Methods : The subjects were 32 depressed patients who attempted suicide and admitted in emergency room. Forty-four hospitalized non-suicidal depressive patients and the 30 normal controls were closely matched with the suicidal group in terms of age and sex. Individuals in all 3 groups were evaluated independently by a semi-structured interview for the purpose of establishing a DSM-IV criteria diagnosis. The severity of depressive symptoms was evaluated using Hamilton depression rating scale(HDRS). The severity of the suicidal behavior was evaluated by Weisman and Worden's risk-rescue rating(RRR) system and the Lethality Suicide Attempt Rating Scale(LSARS). Plasma NGF level was measured by the enzyme linked immunosorbent assay(ELISA) method. Results : There were no statistically significant differences of the plasma NGF levels among groups. LSARS and RRR did not reveal any significant correlation with ${\beta}$-NGF level in suicidal depressive patients. Conclusion : This study do not support an association between ${\beta}$-NGF and suicidal depression. However it is necessary to investigate this association through other route such as postmortem brain.