• 지능정보연구
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• 제25권4호
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• pp.123-139
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• 2019

주요 구인구직사이트의 직무분류체계가 사이트마다 상이하고 SW분야에서 제안한 'SQF(Sectoral Qualifications Framework)'의 직무분류체계와도 달라 SW산업에서 SW기업, SW구직자, 구인구직사이트가 모두 납득할 수 있는 새로운 직무분류체계가 필요하다. 본 연구의 목적은 주요 구인구직사이트의 구인정보와 'NCS(National Competaency Standars)'에 기반을 둔 SQF를 분석하여 시장 수요를 반영한 표준 직무분류체계를 구축하는 것이다. 이를 위해 주요 구인구직사이트의 직종 간 연관분석과 SQF와 직종 간 연관분석을 실시하여 직종 간 연관규칙을 도출하고자 한다. 이 연관규칙을 이용하여 주요 구인구직사이트의 직무분류체계를 맵핑하고 SQF와 직무 분류체계를 맵핑함으로써 데이터 기반의 지능형 직무분류체계를 제안하였다. 연구 결과 국내 주요 구인구직사이트인 '워크넷,' '잡코리아,' '사람인'에서 3만여 건의 구인정보를 open API를 이용하여 XML 형태로 수집하여 데이터베이스에 저장했다. 이 중 복수의 구인구직사이트에 동시 게시된 구인정보 900여 건을 필터링한 후 빈발 패턴 마이닝(frequent pattern mining)인 Apriori 알고리즘을 적용하여 800여 개의 연관규칙을 도출하였다. 800여 개의 연관규칙을 바탕으로 워크넷, 잡코리아, 사람인의 직무분류체계와 SQF의 직무분류체계를 맵핑하여 1~4차로 분류하되 분류의 단계가 유연한 표준 직무분류체계를 새롭게 구축했다. 본 연구는 일부 전문가의 직관이 아닌 직종 간 연관분석을 통해 데이터를 기반으로 직종 간 맵핑을 시도함으로써 시장 수요를 반영하는 새로운 직무분류체계를 제안했다는데 의의가 있다. 다만 본 연구는 데이터 수집 시점이 일시적이기 때문에 시간의 흐름에 따라 변화하는 시장의 수요를 충분히 반영하지 못하는 한계가 있다. 계절적 요인과 주요 공채 시기 등 시간에 따라 시장의 요구하는 변해갈 것이기에 더욱 정확한 매칭을 얻기 위해서는 지속적인 데이터 모니터링과 반복적인 실험이 필요하다. 본 연구 결과는 향후 SW산업 분야에서 SQF의 개선방향을 제시하는데 활용될 수 있고, SW산업 분야에서 성공을 경험삼아 타 산업으로 확장 이전될 수 있을 것으로 기대한다.

• 기술혁신연구
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• 제11권1호
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• pp.147-176
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• 2003

This Paper Presents a new measurement technique to derive the level of BSRC (Basic Science and Research Capacity) index by use of the factor analysis which is extended with the assumption of the standard normal probability distribution of the selected explanatory variables. The new measurement method is used to forecast the gap of Korea's BSRC level compared with those of major OECD countries in terms of time lag and to make their international comparison during the time period of 1981∼1999, based on the assumption that the BSRC progress function of each country takes the form of the logistic curve. The US BSRC index is estimated to be 0.9878 in 1981, 0.9996 in 1990 and 0.99991 in 1999, taking the 1st place. The US BSRC level has been consistently the top among the 16 selected variables, followed by Japan, Germany, France and the United Kingdom, in order. Korea's BSRC is estimated to be 0.2293 in 1981, taking the lowest place among the 16 OECD countries. However, Korea's BSRC indices are estimated to have been increased to 0.3216 (in 1990) and 0.44652 (in 1999) respectively, taking 10th place. Meanwhile, Korea's BSRC level in 1999 (0.44652) is estimated to reach those of the US and Japan in 2233 and 2101, respectively. This means that Korea falls 234 years behind USA and 102 years behind Japan, respectively. Korea is also estimated to lag 34 years behind Germany, 16 years behind France and the UK, 15 years behind Sweden, 11 years behind Canada, 7 years behind Finland, and 5 years behind the Netherlands. For the period of 1981∼1999, the BSRC development speed of the US is estimated to be 0.29700. Its rank is the top among the selected OECD countries, followed by Japan (0.12800), Korea (0.04443), and Germany (0.04029). the US BSRC development speed (0.2970) is estimated to be 2.3 times higher than that of Japan (0.1280), and 6.7 times higher than that of Korea. German BSRC development speed (0.04029) is estimated to be fastest in Europe, but it is 7.4 times slower than that of the US. The estimated BSRC development speeds of Belgium, Finland, Italy, Denmark and the UK stand between 0.01 and 0.02, which are very slow. Particularly, the BSRC development speed of Spain is estimated to be minus 0.0065, staying at the almost same level of BSRC over time (1981 ∼ 1999). Since Korea shows BSRC development speed much slower than those of the US and Japan but relative]y faster than those of other countries, the gaps in BSRC level between Korea and the other countries may get considerably narrower or even Korea will surpass possibly several countries in BSRC level, as time goes by. Korea's BSRC level had taken 10th place till 1993. However, it is estimated to be 6th place in 2010 by catching up the UK, Sweden, Finland and Holland, and 4th place in 2020 by catching up France and Canada. The empirical results are consistent with OECD (2001a)'s computation that Korea had the highest R&D expenditures growth during 1991∼1999 among all OECD countries ; and the value-added of ICT industries in total business sectors value added is 12% in Korea, but only 8% in Japan. And OECD (2001b) observed that Korea, together with the US, Sweden, and Finland, are already the four most knowledge-based countries. Hence, the rank of the knowledge-based country was measured by investment in knowledge which is defined as public and private spending on higher education, expenditures on R&D and investment in software.

• 한국응급구조학회지
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• 제15권3호
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• pp.31-44
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• 2011

Purpose : The purpose of emergency medical services(EMS) is to save human lives and assure the completeness of the body in emergency situations. Those who have been qualified on medical practice to perform such treatment as there is the risk of human life and possibility of major physical and mental injuries that could result from the urgency of time and invasiveness inflicted upon the body. In the emergency medical activities, 119 emergency medical technicians mainly perform the task but they are not able to perform such task independently and they are mandatory to receive medical direction. The purpose of this study is to examine the recognition and request for medical direction by 119 emergency medical technicians in order to provide basic information on the development of medical direction program suitable to the characteristics of EMS as well as for the studies on EMS for the sake of efficient operation of pre-hospital EMS. Method : Questionnaire via e-mail was conducted during July 1-31, 2010 for 675 participants who are emergency medical technicians, nurses and other emergency crews in Gyeongbuk. The effective 171 responses were used for the final analysis. In regards to the emergency medical technicians' scope of responsibilities defined in Attached Form 14, Enforcement regulations of EMS, t-test analysis was conducted by using the means and standard deviation of the level of request for medical direction on the scope of responsibilities of Level 1 & Level 2 emergency medical technicians as the scale of medical direction request. The general characteristics, experience result, the reason for necessity, emergency medical technicians & medical director request level, medical direction method, the place of work of the medical director, feedback content and improvement plan request level were analyzed through frequency and percentage. The level of experience in medical direction and necessity were analyzed through ${\chi}^2$ test. Results : In regards to the medical direction experience per qualification, the experience was the highest with 53.3% for Level 1 emergency medical technicians and 80.3% responded that experience was helpful. As for the recognition on the necessity of medical direction, 71.3% responded as "necessary" and it turned out to be the highest of 76.9% in nurses. As for the reason for responding "necessary", the reason for reducing the risk and side-effects from EMS for patients was the largest(75.4%), and the reason of EMS delay due to the request of medical direction was the highest(71.4%) for the reason for responding "not necessary". In regards to the request level of the task scope of emergency medical technicians, injection of certain amount of solution during a state of shock was the highest($3.10{\pm}.96$) for Level 1 emergency rescuers, and the endotracheal intubation was the highest($3.12{\pm}1.03$) for nurses, and the sublingual administration of nitroglycerine(NTG) during chest pain was the highest($2.62{\pm}1.02$) for Level 2 emergency medical technicians, and regulation of heartbeat using AED was the highest($2.76{\pm}.99$) for other emergency crews. For the revitalization of medical direction, the improvement in the capability of EMS(78.9%) was requested from emergency crew, and the ability to evaluate the medical state of patient was the highest(80.1%) in the level of request for medical director. The prehospital and direct medical direction was the highest(60.8%) for medical direction method, and the emergency medical facility was the highest(52.0%) for the placement of medical director, and the evaluation of appropriateness of EMS was the highest(66.1%) for the feedback content, and the reinforcement of emergency crew(emergency medical technicians) personnel was the highest(69.0%) for the improvement plan. Conclusion : The medical direction is an important policy in the prehospital EMS activity because 119 emergency medical technicians agreed the necessity of medical direction and over 80% of those who experienced medical direction said it was helpful. In addition, the simulation training program using algorithm and case study through feedback are necessary in order to enhance the technical capability of ambulance teams on the item of professional EMS with high level of request in the task scope of emergency medical technicians, and recognition of medical direction is the essence of the EMS field. In regards to revitalizing medical direction, the improvement of the task performance capability of 119 emergency medical technicians and medical directors, reinforcement of emergency medical activity personnel, assurance of trust between emergency medical technicians and the emergency physician, and search for professional operation plan of medical direction center are needed to expand the direct medical direction method for possible treatment beforehand through the participation by medical director even at the step in which emergency situation report is received.

• 한국기록관리학회지
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• 제4권2호
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• pp.118-162
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• 2004

기록물 보존기관에서의 정리와 기술은 기록물 관리와 열람제공에 중요한 역할을 한다. 국가기록원(NRAS; National Records & Archinves Service)에서도 역시 정리와 기술에 대해 노력을 기울이고 있다. 하지만, 기록보존 선진국과 비교하면 이론 및 실제 처리과정에서 많은 차이와 문제점을 가지고 있다. 이론에 있어서 큰 차이는, 기록물의 기능분류와 원질서의 유지나 다계층기술이 정리 기술의 실제 업무처리에 반영되고 있지 않다. 즉, 기록물이 도서의 정리방식과 같이 낱권 단위로 등록순서에 따라 정리된 후 서가에 배열되고 있다. 이 외에도, 기록물 생산기관의 변천내력이나 색인어의 관리 등의 문제점을 가지고 있다. 이런 이유로 기록물의 이용이 매우 불편하다. 이들 문제점을 개선하기 위해서, 본 연구에서는 정리와 기술의 의의와 중요성, 국가기록원의 정리와 기술의 현황과 문제점, 그리고 외국의 국립기록보존소 기술지침을 소개하였다. 다음은 ISAD(G)를 적용한 사례를 소개하였다. 논문은 총 8장으로 구성하였는데, 제1장 서론, 제2장 정리 기술의 의의와 중요성 및 제8장 결론을 제외한 제3장부터 제7장의 내용은 다음과 같다. 제3장에서는 국가기록원의 정리 기술 현황으로, 현재 사용하고 있는 기록물관리 시스템(Govt) 운영현황과 사용하는 기술항목을 설명하였다. 제4장에서는 미국, 영국 및 호주의 국립기록보존소 기술지침 소개로 첫째, 미국의 국립기록관리청(NARA)의 기록물 생명주기 데이터 준수사항 지침(Lifecycle Data Requirements Guide)을 소개하였으며, 기술 항목중 타이틀요소 1개에 대한 기술요령을 소개하였다. 둘째, 영국국립기록보존소(Public Records Office)의 기술지침을 소개하였다. 기술지침의 명칭은 영국국립기록보존소 편목지침(National Archives Cataloguing Guidelines Introduction)이다. 이 지침에서 사용하는 "PROCAT"라는 전산목록시스템을 소개하였다. 이 시스템에서 사용하는 7단계 기술에 대해 설명하였다. 셋째, 호주 국립기록보존소(NAA; National Archives of Australia)의 기록물 시스템은 CRS(Commonwealth Record Series)이다. 이 시스템을 위한 기록물 등록과 기술절차(Registration &description procedures for CRS system)에 대해 연구하였다. 제5장에서는 ISAD(G)를 적용한 사례로, 국가기록원이 과거 총무처 소청심사위원회에서 생산한 기록물의 기술서를 소개하였다. 제6장, 7장에서는, ISAD(G)의 사용결과 문제점, 각 기관 처리과에서 문서제목 부여, 기술항목 부족, 기록물 종류나 유형분류, 관리번호, 상세한 기술규칙의 부재, 기능분류나 계층기술, 입력포맷, 서가배열, 전거통제 등의 문제점을 지적하였다. 개선 방안으로는 계층분류 체계의 마련, 관리번호 및 배열순서의 개선, 전거제어시스템 개발, 기술 입력항목의 증가, 기술규칙 제정 및 입력포맷개선 마련 등이다. 현재 국가기록원의 정리 기술 개선의 가장 좋은 방법은 기록물관리 선진국 국립기록보존소의 표준, 지침, 매뉴얼의 상세한 검토이다. 따라서 학계에서 이 분야의 많은 연구가 있어야 한다는 것을 제안하였다.

• 생물환경조절학회지
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• 제22권4호
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• pp.408-412
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• 2013

본 연구는 토마토 코이어 자루재배시 습해의 원인을 구명하고 습해를 방지하기 위하여 실시하였다. 실험은 미니찰을 고시하고 단동형 2중 플라스틱하우스에서 실시되었다. 배양액은 Yamazaki 토마토 전용배양액을 사용하였으며, 배양액 공급시간은 해뜨고 1시간 후 시작하여 해지기 2시간 전에 종료하였다. 자루당 I자형 찢기 및 L자형 찢기는 6개씩 15cm 길이로 찢었으며, 밑 찢기는 3개씩 15cm 길이로 뚫었다. 배액구 위치에 따른 배지무게는 포습 24시간 후 I자형 찢기는 14.2kg, L자형 찢기는 13.8kg, 밑 찢기는 12.8kg로 밑 찢기가 가장 가벼웠다. 포습 24시간 후 1일 관수하여 무게를 측정한 결과 I자형 찢기는 14.5kg, L자형 찢기 14.2kg, 밑 찢기 13.3kg로 역시 밑 찢기가 가벼웠다. 이것은 밑 찢기에서 배지내 함수량이 가장 적은 것을 의미한다. 부정근 발생정도는 I자형 뚫기 및 L자형 뚫기에서 160 및 170개 발생하였으나 밑 뚫기에서는 53개 발생하였다. 뿌리의 건물중(5주)은 밑 찢기가 57g으로 I자형 찢기 23g 및 L자형 찢기 25g과 비교해서 2배 이상 높았으며, 뿌리길이도 밑 찢기가 31.4cm로 다른 찢기 방법과 비교하여 길었다. 상품수량은 밑 찢기가 26.5kg/20주 로 I자형 찢기 19.7kg, L자형 찢기 24.0kg와 비교해 높은 수량성을 보였다. 따라서 U자형 베드에서 코이어 자루배지를 이용하여 수경재배를 할 경우 배액구는 밑 찢기로 만들어야 습해를 방지하여 생산성을 높일 수 있을 것으로 사료되었다.

• 한국운동역학회지
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• 제12권1호
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• pp.63-87
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• 2002

The purpose of this study was to analyze the kinematic variables when Uchi-mata(inner thigh reaping throw) performing by Kumi-kata(engagement position, basic hold) types A, B(A: grasping part-behind neck lapel, B: chest lapel) in Judo with three dimensional analysis technique DLT method by videography. The subjects were four male judokas who have been training in Yong-In University(YIU), on Korean Representative level and Uchi-mata is their tokui-nage(favorite technique), the throwing form was filmed on two S-VHS 16mm video camera( 30frame/sec. Panasonic). Kinematic variables were temporal, posture, and COG. The data collection was performing by Uchi-mata. Six good trials were collected for each condition (type A, B) among over 10 trials. The mean values and the standard deviation for each variable were obtained and used as basic factors for examining characteristics of Uchi-mata by Kumi-kata types. The results of this analysis were as follows : 1) Temporal variables The total time elapsed(TE) by Uchi-mata of types A, B were 1.45, 1.56 sec. respectively. Types A shorter than B. 2) Posture variables In performing of Uchi-mata, the range of flexion in type A, left elbow was $45^{\circ}$ and B was $89^{\circ}$ from Event 2(E2) to Event 6(E6). Type A and B were quite different in right elbow angle in Event1(E1). Left shoulder angle of type A was extended and type B was flexed in E4. Both types right shoulder angles were showed similar pattern. Also both hip angles(right/left) were showed similar pattern. When type A performed Uchi-mata the knee-angle of supporting foot showed $142^{\circ}$in the 1st stage of kake phase[KP], and extended to $147^{\circ}$in the 2nd stage of KP. And the foot-ankle angle of supporting foot showed $83^{\circ}$in the 1st stage of KP, and extended to $86^{\circ}$in the 2nd stage of KP. moreover, The knee angle of attacking foot showed $126^{\circ}$in the 1st stage of KP, and extended to $132^{\circ}$in the 2nd stage of KP, and the foot-ankle angle of attacking foot showed $106^{\circ}$in the 1st stage of KP, and extended to $121^{\circ}$in the 2nd stage of KP. When type B performed Uchi-mata the knee-angle of supporting foot showed $144^{\circ}$in the 1st stage of KP, and extended to $154^{\circ}$in the 2nd stage of KP. And the foot-ankle angle of supporting foot showed $83^{\circ}$in the 1st stage of KP, and extended to $92^{\circ}$in the 2nd stage of KP. moreover, The knee angle of attacking foot showed $132^{\circ}$in the 1st stage of KP, and extended to $140^{\circ}$in the 2nd stage of KP, and the foot-ankle angle of attacking foot showed $103^{\circ}$in the 1st stage of KP, and extended to $115^{\circ}$in the 2nd stage of KP. During Uchi-mata performing, type A showed pulling pattern and type B showed lift-pulling pattern. As Kumi-kata types, it were different to upper body(elbow, shoulder angle), but mostly similar to lower body(hip, knee, ankle angle) on both types. 3) C. O. G. variables When the subjects performed Uchi-mata, COG of type A, B up and down in vertical aspect was 71cm, 73.8cm in height from the foot in the 2nd stage of KP. As Kumi-kata types, it were different on medial-lateral direction aspect but weren't different in Kuzushi phase on vertical direction aspect.

• 복식
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• 제30권
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• pp.261-274
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• 1996

In the present age dominate by both cer-taingty of 1% and uncertainty of 99% 'Fuzzy thinking' of Bart Kosko that is the way to solve the problems by the scientific way through a worldview of Buddhism or Taoism greatly prevails around the world over 'Lateral greatly prevails around the world over 'Lateral thinking' and the authenticity or the right and-wrong of the uncertainty which is the thinking way to find the answer of the problems of illogical way of Edward de Beno against the western vertical thinking were Concurrently fashion designers over the world also adopt the oriental elements. But there exist differences of thoughts between the orient and the occident. And they have dif-ferent thinking way of aestheticism and references of the value on the beauty. Not only beauty but the view through the mind as intuitional thought in which not only the rec-ognition of sense but also the rationalism and the naturalness play key role. The aesthetic sense in the orient contains both the truth and virtue. 2) The beauty of the mean It's from the thought of neutralization of Confucius. The mean or moderation state which in harmony with ethical virtue and aes-thetic beauty is the ideal and is the ultimate. Therefore the thought of Confucian is the creativity in which the balance and the har-mony is most important. Fashion design is also one of the representation of the mean because the spirit of the designer is harmonized for-mlessly with the object of the model of the fashion design. 2) The beauty of skillfulness It indicates the Taoism of Lao-tzu and Chuangtzu. It takes a super-artistic declar-ation that human can feel and recognize the color of colorlessness the sound of sound-lessness and the taste of tastelessness. The thought of arts affected by Taoism is 'ad-vanced age' called the beauty of skillfulness. The view of arts of lao-tzu takes the beauty of cosmos and the nature as a standard. Es-pecially the beauty of inactivity is recognized by the linkage between the beauty and the ugliness. And these things appear in fashion design as a design element such as humor or exaggeration. 3) The beauty of non-dualism It is thought of Buddhism that all evil passions of worry occur form the opposition in dualism. Finally this thought leads to that everything is consistent and truth is only one from the point of view that virtue and vice has on linkage that is 'no virtues no vices' and 'one with two, two, with one, one is not two' A big tendency like this became the root forma-tion of the thought of the oriental arts. 3. Characteristics of the oriental aesthetic sense on the present fashion design 1) The formation of the fashion design on the oriental elements In the picture-incantation which was a representation of an era when the thought of 'cosmic dual forces' dominated the basic polygons of 'a circle square triangle' means both 'one two three' and 'the negative positive mean' of cosmic elements. From this point of view the was of planner cutting in the Orient is dif-ferent from that of the Occidental which is in three-dimensional. The planner polygon type of the cut-pieces comes to have the meaning of the three-dimension when they consist of a suit that has the combination of each cut-piece. This shows the consistency with the principle of cosmos creation of Taoism that one is two two is three and three is every-thing. 2) The coloring and the symbolic represen-tation of the fashion design on the orien-tal elements The sense on the colors in the Orient from the thought of 'the cosmic dual forces and the five elements' is not the experi-enced from the knowledge but contains the consideration of philosophy Five-primary-color representing compass directions Blue(East) Red(South) Yellow(Center) White (West) and Black (North) is called ' the posi-tive' for this five-primary-color secondary-color which comes from the compound of the primary colors is called 'the negative' The thought of 'the cosmic dual forces and the five elements' is also an theory containing the natural order of the cos-mos and this shows the perceptional differ-ence that they are not conceptual but to be recognized and fell directly. A thought of Buddhism which is 'Colors are colorlessness and Clolorlessness are color's proves that. 3) The pattern and symbolic representation of the fashion design on the oriental elements The pattern as a visual style is a figure of symbolic representation which adopt the mental and physical world of human and are the compo-sition of artistic revelation of the human nature and the religous thought of incantation. Es-pecially the symbolic representation of the oriental thought of Confusion. Buddhism and Taoism There are patterns such as plants aminals the oriental four gods and geometry. From the above it's the time toward the 21'th century when the world is constructing one global area and one historical zone. And the exotic mood of the Orient represented in the fashion which doesn't make the common feeling in general does not cease to develop only to express the visual modeling but also adopts the thought religion and the art which are the root of the Orientail and contains inherent willing of modeling.

• 간호행정학회지
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• 제2권1호
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• pp.97-114
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• 1996

INSTRODUCTION Service quality is, unlike goods quality, an abstract and elusive constuct. Service quality and its requirements are not easily understood by consumers, and also present some critical research problems. However, quality is very important to marketers and consumers in that it has many strategic benefits in contributing to profitability of marketing activities and consumers' problem-solving activities. Moreover, despite the phenomenal growth of medical service sector, few researchers have attempted to define and model medical service quality. Especially, little research has focused on the evaluation of medical service quality and patient satisfaction from the perspectives of both the provider and the patient. As competition intensifies and patients are demanding higher quality of medical service, medical service quality and patient satisfaction has emerged as a critical research topic. The major purpose of this article is to explore the concept of medical service quality and its evaluation from both nurse and patient perspectives. This article attempts to achieve its purpose by (1)classfying critical service attibutes into threecategories(satisfiers, hygiene factors, and performance factors). (2)measuring the relative importance of need criteria, (3)evaluating SERVPERF model and SERVQUAL model in medical service sector, and (4)identifying the relationship between perceived quality and overall patient satisfaction. METHOD Data were gathered from a sample of 217 patients and 179 nurses in Seoul-area general hospitals. From the review of previous literature, 50 survey items representing various facets of the medical service quality were developed to form a questionnaire. A five-point scale ranging from "Strongly Agree"(5) to "Strongly Disagree"(1) accompanied each statement(expectation statements, perception statements, and importance statements). To measure overall satisfaction, a seven-point scale was used, ranging from "Very Satisfied"(7) to "Very Dissatisfied"(1) with no verbal labels for scale points 2 through 6 RESULTS In explaining the relationship between perceived performance and overall satisfaction, only 31 variables out of original 50 survey items were proven to be statistically significant. Hence, a penalty-reward analysis was performed on theses 31 critical attributes to find out 17 satisfiers, 8 hygiene factors, and 4 performance factors in patient perspective. The role(category) of each service quality attribute in relation to patient satisfaction was com pared across two groups, that is, patients and nurses. They were little overlapped, suggesting that two groups had different sets of 'perceived quality' attributes. Principal components factor analyses of the patients' and nurses' responses were performed to identify the underlying dimensions for the set of performance(experience) statements. 28 variables were analyzed by using a varimax rotation after deleting three obscure variables. The number of factors to be extracted was determined by evaluating the eigenvalue scores. Six factors wereextracted, accounting for 57.1% of the total variance. Reliability analysis was performed to refine the factors further. Using coefficient alpha, scores of .84 to .65 were obtained. Individual-item analysis indicated that all statements in each of the factors should remain. On 26 attributes of 31 critical service quality attributes, there were gaps between actual patient's importance of need criteria and nurse perceptions of them. Those critical attributes could be classified into four categories based on the relative importance of need criteria and perceived performance from the perspective of patient. This analysis is useful in developing strategic plans for performance improvement. (1) top priorities(high importance and low performance) (in this study)- more health-related information -accuracy in billing - quality of food - appointments at my convenience - information about tests and treatments - prompt service of business office -adequacy of accommodations(elevators, etc) (2) current strengths(high importance and high performance) (3)unnecessary strengths(low importance and high performance) (4) low priorities(low importance and low performance) While 26 service quality attributes of SERPERF model were significantly related to patient satisfation, only 13 attributes of SERVQUAL model were significantly related. This result suggested that only experience-based norms(SERVPERF model) were more appropriate than expectations to serve as a benchmark against which service experiences were compared(SERVQUAL model). However, it must be noted that the degree of association to overall satisfaction was not consistent. There were some gaps between nurse percetions and patient perception of medical service performance. From the patient's viewpoint, "personal likability", "technical skill/trust", and "cares about me" were most significant positioning factors that contributed patient satisfaction. DISCUSSION This study shows that there are inconsistencies between nurse perceptions and patient perceptions of medical service attributes. Also, for service quality improvement, it is most important for nurses to understand what satisfiers, hygiene factors, and performance factors are through two-way communications. Patient satisfaction should be measured, and problems identified should be resolved for survival in intense competitive market conditions. Hence, patient satisfaction monitoring is now becoming a standard marketing tool for healthcare providers and its role is expected to increase.

• 간호행정학회지
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• 제2권1호
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• pp.35-56
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• 1996

Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

• 한국과학교육학회지
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• 제20권3호
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• pp.396-410
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• 2000

본 연구에서는 BSCS 위원회가 생물학적 소양의 함양을 위하여 제시한 중등 생물 교육과정 개발 지침과 우리 나라 제6차, 제7차 교육과정을 개념 제시 형태, 하위 개념들의 내용 일치도, 개념 수의 측면에서 비교 분석하였다. 연구 결과 우리 나라 교육과정의 내용 체계에서의 상위 수준으로서의 지식 영역과 하위 수준으로서의 내용 요소 부분에 제시되어 있는 개념들이 포괄성의 차이 없이 단순히 개념 나열적으로 제시되어 있는 상태라서 개념 수준간 등급화가 충분하지 못한 것으로 나타났다. 그리고 우리 나라 생물 교육과정에는 생태계, 유전과 생식, 물질대사 부분에 너무 많은 개념들이 들어 있는 것으로 나타났는데 이로부터 BSCS가 학문중심 교육 과정기에 제시했던 많은 개념들에 대해서 현 시대 흐름에 비추어 학생들의 생물학적 소양의 함양을 위해 재조정하도록 권고하면서 제시한 6개의 통합 원리들을 편중되지 않게 고르게 포함하기 위해서는 우리 나라에서도 생물교육과정에 대한 재구성 노력이 필요한 것을 알 수 있었다. 한편 생물 I보다 생물 II에 생물학적 소양의 함양을 위한 필수 개념들이 더 많이 제시되어 있는 것으로 분석되었는데 이는 우리 나라 제7차 교육과정의 과학 10에서 과학적 소양이, 그리고 생물 I에서 생물학에 대한 기초 소양이 강조되고 있고, 생물 II에서는 생물학 관련 전공 과목 이수 준비를 강조하고 있는 과목별 성격과 목표에 부합되지 않는 것이며 따라서 우리나라 교육과정에서도 각 과목별 특성을 분명히 제시 및 반영하려는 노력이 필요함을 알 수 있었다. 이상과 같은 연구 결과로부터 현재 우리 나라 과학 및 생물 교육의 중요한 목적의 하나로 설정되어 있는 학생들의 생물학적 소양의 함양을 위해서 제7차 교육과정에 의한 생물 교과서와 교수 자료 개발 및 장차 제8차 교육과정 개발에 사용할 수 있는 실제적인 지침을 마련하기 위한 구체적인 논의가 있어야 함을 시사받았다.