• 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.

• 가정∙방문간호학회지
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• 제6권
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• pp.46-58
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• 1999

The purpose of this research was to find out the state of the nursing performance of the home care nurses in Seoul in order to provide the data for the practical work guide. The data were collected from fifty home care nurses working in 22 institutions located in Seoul. The research tool used for this research was modified and tested by Song Jong-Rye(1999) which was originally modified the standard tool of American Nurses Association (1998) and was partly supplement and adjusted for this research. The reliability of this tool was Cronbach's $\alpha$=.0982. The collected data were statistically processed using SAS for t-test, ANOVA. $Scheff\'{e}$ test. Among the surveyees, 50% have been working as a home care nurse more than three years and 74.0% of them were married. And 52% have B.S degree with certification of home care nurse from the certification program for Home Care Nurses affiliated at nursing schools. Half of the home care nursing organizations were based on the general hospitals, and most(78%) of the responsible senior personnels of those organizations were nurses. The following results are drawn from this research. 1) The level of nursing performance by the task sectors General performance level of home care nurses was relatively high in grade of 3.06 from total 4.00. Among the task sectors. the ethical field scored the highest points, and the next were nursing intervention, professional training, and data gathering, and the research sector scored the lowest point. 2) The level of nursing performance by general features of home care nurses Statistically relevant correlation between performance according to the duration of working experience as a nurse(p=0.8951) and performance according to the duration of working as home care nurse(p=0.2263) did not emerge. Also, performance by marriage status(p=0.2218), education(p=0.5733), and taking the certification program for home card nurse(p =0.1560) has no statistically meaningful correlation. 3) The level of nursing performance by the type of home care nursing organizations There exists a significant difference(p=0.002) between performances by the types of organizations. Most of the responsible senior personnels of the home care nursing organization were nurses. The level of nursing performance of the home care nursing organization under nurse management was relatively higher than that of home care nursing organizations led by medical doctors or non-medical professional, but this was not proved as statistically meaningful(p =0.3617). 4) The level of nursing performance by task sectors according to the characteristic of home care nursing service organization There exists a significant difference between nursing performances by task sectors according to the characteristics of home care nursing organization(p=0.002). In case of model research center of one College of Nursing, the nursing performance in the sectors of organization, theory, and data gathering were lower than that of in hospital based home care nursing service. And in case of local home care centers, performances in sectors of organization, theory, data gathering, nursing intervention. professional training, and research sectors were significantly low. Based on the obtained results, overall performance of home care nurses can be appraised as relatively good. Especially, performances in sectors of the nursing intervention, nursing plan. and data gathering including the in direct nursing were recorded high scores. From this, it can be concluded that high quality of nursing is relatively practicing for home patients at these days. Since the high quality of nursing for patients was directly related to the level of nursing performances of home care nurses, it is required to improve practical performance level of them by making constant evaluation and running continual education program and supplementing curriculum for the sectors with low scores.

• 한국식품조리과학회지
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• 제21권3호
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• pp.301-310
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• 2005

본 연구에서는 빵의 재료로 열량이 낮고 단백질이 우수하고 지방이 적은 탈지 대두분의 이용 효과를 극대화시켜 이를 이용한 기능성 제빵을 제조하기 위해 탈지 대두분을 첨가하여 제빵을 제조하여 제빵 적성 및 품질 특성을 살펴본 결과는 다음과 같다. 입도 분포는 전반적으로 밀가루와 탈지 대두분이 $45\~75{\mu}m$에 속하였다. 일반성분 분석은 밀가루는 수분함량 $13.12\%$, 조지방 $2.24\%$, 조단백 $12.91\%$, 회분 $0.49\%$이었고 탈지 대두분은 수분 $8.68\%$, 조지방 $0.75\%$, 조단백 $47.7\%$, 회분 $7.08\%$이었다. Pelshenke test는 대조구가 113.4분이고 탈지 대두분 $12\%$ 첨가구가 105.9분이었고 sedimentation value는 대조구가 66mL, 탈지 대두분 $12\%$가 42mL로 탈지 대두분의 첨가량이 증가할수록 감소하는 경향을 보였다. Water holding capacity와 alkaline water holding capacity는 대조구에 비해 탈지 대두분의 첨가량이 증가할수록 증가되고 flour swelling volume는 감소되었다 Mixograph는 탈지 대두분 첨가에 따라 midline peak time은 유의적으로 차이가 없었고 midline peak height는 탈지 대두분 첨가량이 증가할수록 작은 값을 나타내고 첨가구간에 유의적인 차이가 나타났다. Right of peak slope는 첨가량이 증가됨에 따라 점점 낮게 나타났으며 width at peak와 함께 첨가량에 따라 유의적인 차이가 없었으나 width at 8 min은 유의적인 차이를 보였다. 탈지 대두분 첨가량이 증가할수록 비체적은 감소하였으며 빵 표피의 색도는 탈지 대두분 첨가량이 증가할수록 L 값과 b값은 감소되고 a값과 AE값은 증가하였다. 빵 속의 색도는 L 값과 ${\Delta}E$값은 감소하고 a값과 b값은 증가하였다. 탈지 대두분의 첨가량이 증가할수록 springiness, cohesiveness은 증가하고 gumminess, chewiness은 감소며 유의적인 차이를 보였다. 탈지 대두분으로 제조한 빵의 저장기간에 따른 hardness는 $2.5^{\circ}C$의 저장보다 $5^{\circ}C$의 저장이 빠르게 증가함을 보여 $25^{\circ}C$에서 저장하는 것이 노화 지연 효과가 있었다. 관능 검사에서는 부피와 맛은 탈지 대두분 첨가량에 따라 유의적인 차이가 없었고 그 외의 평가 항목은 유의적인 차이가 나타났다. 부피, 빵 표피 색, 기공, 조직감, 빵 속의 색, 향, 맛은 대조구를 가장 선호하였으며 $12\%$ 첨가구의 경우가 가장 낮은 선호도를 보였으며 첨가량이 증가할수록 선호도가 유의적으로 감소하는 경향을 보였다. 이상에서 살펴본 봐와 같이 빵의 주원료인 밀가루 대신 탈지 대두분을 사용할 때 빵의 품질평가에 중요한 요인인 부피와 관능적 특성에 의해 탈지 대두분을 $4\%$까지 첨가한 것이 기능성 식품으로의 이용 가능성이 있다고 할 수 있다.

• 대한간호학회지
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• 제3권2호
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• pp.31-43
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• 1973

The trend in modern nursing is toward the performance of comprehensive nursing care. Psychiatric nursing emphasizes education which enables the nurse to understand the underlying difficulties being expressed through a wide range of emotions and through practice to be more adept in her selection of a manner of approach which best meets the needs of a given situation. Presently, in Korea, there is nothing in the literature regarding evaluation of the effect of psychiatric nursing education on the attitudes of nurses towards mental illness and mentally ill patients. This stud!1 was attempted in order to understand 1) some of the problems in psychiatric nursing education 2) some of tile factors which affect the attitudes of nurses towards mental illness and mental patients. A questionnaire, a Korean translation of the "Opinions about Mental illness Scale" by Cohen and Stranding, 1962, was administered to 188 nonpsychiatric registered nurses employed in Yonsei University Hospital (Y. Hospital) and Seoul National University Hospital (S. Hospital) located in the city of Seoul. All of the nurses were directly involved with adult patient care. They graduated from various nursing schools. The data was collected during the period of October 2 to October 16,1972. The age, educational background , marital status, type of previous psychiatric experience, experience as a graduate nurse and close personal relationship with someone who was a psychiatric patient were compared with the O.M.I. scores. The mean and standard errors for each of the comparison groups were computed and tile relationships calculated by a t-test. The results of the study are summarized as follow: 1. There is no significant difference between the age of the nurses and their attitudes toward mental illness and mental patients. 2. There is no significant difference between the. educational backgrounds of the nurses and their attitudes toward mental illness and mental patients. 3. There is a significant difference in the nurses ′student psychiatric nursing experience and their attitudes towards mental illness and mental patients for the nurses in 5. Hospital only. The nurses who had 3-4 week of student psychiatric nursing experience had a significantly higher mean score for Benevolence (factor B) than nurses whose student psychiatric experience had been less than 1 Ivcek (P<0.05). The nurses who had 1-2 weeks, 3-4 weeks and more than 4 weeks of student psychiatric nursing experience had significantly higher mean scores for Interpersonal Ethology (factor E) than nurses whose student psychiatric had been less than 1 week (p<0.05), 4. There is a significant difference in the nurses′student psychiatric nursing experience by types of institution and their attitudes towards mental illness and mental patients for S. Hospital nurses only. The nurses who had their student psychiatric nursing experience in the government psychiatric hospitals recorded significantly higher mean score for Authoritarianism (factor A) than nurses who had their. experience in private psychiatric hospitals (p<0.05). 5. There is no significant difference in the nurses′psychiatric nursing experience as a graduate nurse and their attitudes toward mental illness and mental patients. 6. There is no significant difference in the nature and variety of the nurses′experience as a graduate nurse and their attitude toward mental illness and mental patients. 7. There is no significant difference in the presence or absence of a close personal relationship with a mentally ill person and the nurses′attitude toward mental illness and mental patients. 8. There is no significant difference in the nurses′ marital status and their attitude toward mental illness and mental patients. 9. There is no significant difference between the nurses who were employed ill S. and Y. hospitals and their attitudes towards mental illness and mental patients. Major suggestion for further study was to have more larger and wider scale research for establishing of the reliability and validity of the Korean translation of the O.H.I. Scale.

• 한국인구학
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• 제4권1호
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• pp.105-130
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• 1981

This study was conducted to compare the characteristics of high performane areas for family planning with that of low performance areas and to find factors which strongly affected contraceptive practice behavior. For the study, eight areas were selected from 274 rural family planning canvassing areas of Korean Population Policy and Program Evaluation Study, which was an action study operated in all areas of Cheju Island from July 1, 1976 until December 31,1979. As a first step of the action study, Cheju Island was devided up 318 family planning canvasser areas Each area was consisted of 200 households in rural district and 300 households in urhan one Duriog the period of project, each canvassing area had been managed by a female family planning canvasser, selected by director of health center considering several individual conditions needed for family planning activities Basic activities of canvassers were to counsell all the eligihie couples in own charged area about family planning methods and also to distribute contraceptives such as condoms and oral pills. In case couples desire to accept sterilization including vasectomy and tubal-ligation, the canvassers played a linking role connecting potential client with family planning field workers. Canvassng areas shows significant differentce in performance for family planning, nevertheless they are supposed to have almost the same conditions regarding family planning distribution channel. Because the purpose of the Cheju project was to eliminate all the problems that existed in governmental distribution system, that is to remove geographic, economic, cognitive and administrative barriers Accumulated performances of family planning methods accepted by residents in each area were calculated by eligible women aged 14-49. And then canvassing areas were ranked according to performance score. Consequently, 4 areas in extremely high and low family planning performance areas were selected respectively. Major results were obtained by comparing characteristics of high performance area with that of low performance areas, which are as follows: 1. The mean number of living children was about the same both in high and low performance areas for family planning. But respondents' mean age (38.5) in high performance areas was higher than that (37.0) in low performance areas 2. Respondents' perception in the expectant educational level of others' children in high performance areas was higher than that in low performance areas, although respondents educational level, monthly expenditure and ratio of children in high school and above was not different. 3. Ratio of ownerships of TV and newspaper in high performance areas was highen than that in low performance areas 4. The duration of canvasser' charge in high performance areas was longer than that of low performance areas, showing the fact that canvassers didn't move cut in high performance areas 5. In high performance areas, canvassers' houses were relatively located in the center part of the village. And so villagers resided in near distances from the anvasser's house 6. 4H clubs' activities in high performance areas were more active than those in low performance areas Therefore it was assumed that cohesiveness of community in high performance areas were stronger than that in low areas. 7. Canvassers' family planning practice rate was higher than that in low performance areas, and also canvassers' human relationship was more sociable than that of canvassers in low performance areas. 8. Fourteen variables which showed relatively high significance level in $X^2$ and F test were selected as independent variables for stepwise regression analysis. According to the results of regression analysis. five of 14 variables-distributors education level ($R^2$=.4439), duration of distributor's charge ($R^2$=.6166), 4H club activities ($R^2$=.6697), canvasser's contraceptive practice ($R^2$=.7377) and location of distributions house ($R^2$=.8010) explained 80.1 percent of total variance.

• 한국가정과교육학회지
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• 제24권2호
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• pp.117-134
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• 2012

본 연구의 목적은 가정과교육에서 창의 인성 교육에 대한 가정과 교사의 관심 단계와 실행 수준, 그리고 실행 실태를 알아보는데 있다. 연구 자료는 전국의 중학교 가정과 교사를 대상으로 체계적 표집과 편의 표집을 하여 우편과 이메일을 통해 설문지를 배포하고 회수된 187부를 최종 분석에 사용하였다. 조사 도구는 주로 Hall(1987)이 개발한 혁신에 대한 교사의 관심도와 실행 수준에 대한 질문지를 수정 보완하여 사용하였고 그 외는 선행연구를 기초하여 개발하였으며 타당도와 신뢰도를 검증하였다. 자료는 SPSS/window(12.0) 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, t-test, ANOVA를 실시하였다. 본 연구를 통해 밝혀진 결과를 요약하면 다음과 같다. 첫째, 창의 인성 교육에 대한 가정과 교사의 관심 단계는 정보적 관심 단계(85.51)가 가장 높았으며 다음으로 개인적 관심 단계(85.18), 운영적 관심 단계(81.88), 지각적 관심 단계(82.15), 강화적 관심 단계(68.80), 협동적 관심 단계(61.97), 그리고 결과적 관심단계(59.76)의 순으로 나타났다. 둘째, 창의 인성 교육에 대한 가정과 교사의 실행 수준은 기계적 실행 수준(수준 3; 21.4%)이 가장 많았으며, 다음으로 탐색 수준(수준 1; 20.9%), 정교화 수준(수준 5; 17.1%), 사용하지 않는 수준(수준 0; 15.0%), 준비 수준(수준 2; 10.2%), 통합 수준(수준 6; 5.9%), 갱신 수준(수준 7; 4.8%), 일상화 수준(수준 4; 4.8%) 순이었다. 셋째, 창의 인성 교육에 대한 가정과 교사의 실행 실태를 조사한 결과, 반 이상의 가정과 교사(56.1%)는 가정과 수업에서 인성 교육에 치중하고 있으며, 31.0%의 교사는 창의 인성 교육을 모두 실행한다고 응답하였다. 반면 소수의 교사(6.4%)는 창의성 교육을 실행한다고 응답하였고 같은 수의 교사(6.4%)는 창의성과 인성 교육 어느 것도 실행하지 않는다고 응답하였다. 가정과 교사의 창의 인성 교육 요소의 실행 정도를 조사한 결과, 창의 인성 교육 요소의 실행은 평균은 5점 만점에서 3.76이었고 창의성 요소의 평균은 3.59, 인성 요소의 평균은 3.94로 보통보다 높았다. 창의성 교육 요소의 실행 정도에 대해서, 개방성/민감성(3.97)을 가장 많이 실행하였고 다음으로 문제해결능력(3.79), 호기심/흥미(3.73), 비판적 사고(3.68), 논리/분석적 사고(3.63), 문제발견능력(3.61), 독창성(3.57), 유추성(3.47), 유창성/융통성(3.46), 정교성(3.46), 상상력(3.37), 몰입/공감(3.37)의 순으로 실행하였다. 인성 교육 요소는 실천력(4.07)을 가장 많이 실행하였고, 다음으로 협동/배려/공정(4.06), 자기관리능력(4.04), 시민의식(4.04), 진로개발능력(4.03), 환경친화능력(3.95), 책임(감)/소유(3.94), 의사결정능력(3.89), 신뢰/정직/약속(3.88), 자율성(3.86), 글로벌역량(3.55)의 순으로 실행한 것으로 나타났다. 창의 인성 교육을 실행할 때 어려운 점으로, 많은 가정과 교사(64.71%)는 창의 인성 교육을 실행할 수업 자료가 부족한 데 있다고 하였으며, 40.11%의 교사는 창의 인성 교육의 연수 기회가 적은데 있다고 응답하였다. 한편 38.50%의 가정과 교사는 창의 인성 교육에 대한 평가 기준을 설정하거나 평가 도구를 개발하는 것이 어렵다고 응답하였고, 25.67%의 교사는 창의 인성 교육 방법을 모른다고 응답하였다. 창의 인성 교육 실행을 위해서 필요한 지원에 대해서, '창의 인성 교육과 관련된 학생들의 체험활동의 확대'(4.34), '창의성과 인성을 중시하는 가정과 수업 문화 조성'(4.29), '학생 발달 단계에 적합한 창의 인성 교육 내용'(4.27), '창의 인성 교육을 담당할 교수 인력 확보'(4.21), '창의 인성 교육의 개념과 가치 확립'(4.09), '지역 사회 기업 등과 연계한 창의 인성 교육 추진'(3.94)의 순으로 응답하였다.