• 한국보건간호학회지
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• 제13권1호
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• pp.114-127
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• 1999

In order to care the persons who are dying a nurse should first solve her / his own conflicts about death. and be aware of their own concepts of death and dying. In order to find out patient's spiritual needs and to give better spiritual nursing care. a nurse should know her / his own spiritual needs and be aware of their own concepts of spiritual nursing problems. To improve nurse's understanding towards death and dying and nurse's knowledge towards spiritual needs and spiritual nursing care. 14 weeks(two hours a week) spiritual nursing care education was given to 3th grade baccalaureate nursing college student. Before and after spiritual nursing care education. 30 items of prepared questionare focused on the attitudes toward death and dying was asked. Pre and post results are as follow ; 1. The dying patient's emotional and physical needs. There was no significant difference between pre and post educated groups. Both of the situations. they agreed upon$(69.64\%)$ that the dying patients have high emotional and physical needs to solve. 2. Telling the truth of dying process. There was no significant difference between pre educated group$(53.33\%)$ and post educated group$(55.95\%)$. 3. Attitudes of medical personnels. There was no significant difference between pre$(51.49\%)$ and post educated groups $(53.87\%)$. These responses indicate that nursing college student didn't have enough experiences on dying patients care. 4. General attitudes on death and dying. Number of nursing students who were thinking positively toward death and dying were Increased (pre $39.68\%$. post $45.44\%$) and who were thinking negatively toward death and dying were also decreased (pre $37.30\%$. post $33.93\%$). 5. Attitudes toward mechanical assistance for life-expanding of helpless patient. There was a significant difference between pre and post educated groups. About $34.13\%$ of them approved upon mechanical assistance for life and about $33.14\%$ of them disapproved. 6. Attitudes of family members of dying patient. There was no significant difference between pre and post educated groups. About $45.24\%$ of both groups, agreed upon that the family members feel annoyed with dying patients and about $22.42\%$ of both groups disagreed. Whether they received the spiritual nursing education or not, they were aware of that the family members feel annoyed with dying patients. 7. Special facility and educational preparation for dying patient. There was a significant difference between pre$(82.14\%)$ and post$(90.87\%)$ educated groups. These responses indicated that after they received the education, they felt more about the necessity of special facility and educational preparation for the death and dying patients. 8. Special facility and welfare system for the old. There was a significant difference between pre$(58.33\%)$ and post$70.64\%$ educated groups. There responses indicated that after they received the education, they felt more about the necessity of special facility and welfare systems for the old.

• 농촌지도와개발
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• 제20권2호
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• pp.431-450
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• 2013

본 연구의 목적은 우리나라 농촌지역 공공보건시설의 잠재적 접근성을 측정하고 지역 간의 차이를 분석하는 것이다. 공공보건시설의 수요에 해당하는 인구를 대시메트릭 매핑기법을 활용하여 공간적으로 미시적인 수준에서 구축 분석하여 보다 정확한 접근도를 측정하였다. 최소거리 기반의 공공보건시설의 접근도 측정결과, 군지역과 읍면지역은 거주지로부터 각각 1,845m와 1,777m가 떨어져 있었다. 강원도와 경상북도에 입지하고 있는 지역들이 상대적으로 접근도가 낮았으며, 면지역의 접근도가 읍지역보다는 다소 우수한 것으로 나타났다. 본 연구의 결과는 농촌지역 공공보건시설의 잠재적 접근도의 현황과 지역 간의 격차를 구명하였다는 점에서 의의가 있다. 아울러, 향후 공공보건시설의 입지를 탐색하고 의료시설의 전달체계를 높이기 위한 기초자료로서 활용이 가능하다.

• 보건의료생명과학 논문지
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• 제8권2호
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• pp.121-125
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• 2020

인원계수는 특정 시설의 혼잡도나 이용량을 파악하여 시설을 효율적으로 관리하거나 화장실 등 특정 장소의 출입인원을 파악하여 자동으로 절전기능을 구현함으로써 에너지 절약을 최대화하기 위한 용도로 늘 관심있는 방법이었다. 영상처리에 의한 인원계수 방법은 매우 비용이 비싸며 조명의 주위환경에 심하게 영향을 받는 단점이 있고 area sensor의 경우 인원이 팔짱을 끼고 근접하여 통과할 경우 1명의 인원으로 계수하는 단점이 있다. 비용이 비싸고 조명에 영향을 받거나 특정한 경우 인원계수가 부정확한 기존의 방법을 해결하기 위하여 본 논문에서는 라이다(LIADAR)의 원리를 이용한 새로운 인원계수 방법을 제안한다. 병원 출입인원을 정확하기 계수하는 것은 병원시설을 관리하는 데도 도움이 되겠지만 코로나19가 만연한 현시점에서 효율적인 방역대책을 세우는 데도 도움이 될 것이다.

• 한국학교ㆍ지역보건교육학회지
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• 제20권2호
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• pp.53-67
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• 2019

Objectives: The purpose of this study is to obtain the basic data for the development of maternal health care by analyzing the status and needs of service target persons in Timor-Leste. Methods: The subjects were selected through the non-probability sampling method applying the FGI. Researchers interviewed 3 maternal health service managers, 6 midwives at Gleno and Railaco Health Centers and 2 women between 15 and 45 years of age. Results: In the results of on-site visit of the delivery facility and the FGI, we found poor sanitation in delivery room, lack of medical equipment related to antenatal consultation and delivery. In the case of the health center manager, the public health center provides various maternity health services, but the lack of the staff has difficulty in providing the service and managing the subjects. Midwives asked for regular maintenance education. Women in child bearing age living in mountainous areas had poor access to delivery facilities and lack of awareness of delivery services. Conclusions: It is necessary to increase the maternity management rate through regular maternity and maternal health check service and application to maternal management database, to improve the sanitation of the maternity clinic in the public health center, to strengthen the midwife competency program.

• 한국농촌건축학회논문집
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• 제23권1호
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• pp.27-34
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• 2021

The senior welfare centers should provide integrated welfare services to the elderly whose needs are in change. So this paper tried to find a direction for improvement by identifying the spatial organization of the centers which are in Yeosu, Suncheon and Gwangyang. Classification of spaces of senior welfare center followed the guidelines 2020 for senior welfare center from Ministry of Health and Welfare which are consultation, medical rehabilitation, day or short-term protection, social education, home welfare, employment, welfare and public relations and PR planning and by adding management and public space. The above factors are invested and analyzed. The results of the survey and analysis of seven senior welfare centers are as follows. First, in the survey, the spatial organization of the senior welfare centers surveyed showed that the larger the size is, the dominantly lager the social education space is. Second, the space for day or short-term care, and employment is less than 1% of the total area, and most senior welfare centers do not have a basic space for this. Third, the space related to home welfare and counseling is very small, and more than half of the senior welfare centers do not have space related to it.

• Journal of Preventive Medicine and Public Health
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• 제17권1호
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• pp.37-45
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• 1984

의료보호사업의 의료이용 현황을 파악하고 그동안 시행과정에서 나타난 문제점을 발견하여 이에 대한 합리적인 개선책을 마련하는데 도움을 주고자 경산군의 전 의료보호대상자 17,527명이 1981년 10월 1일부터 1982년 9월말까지 1년동안에 진료증을 사용하여 진료를 받은 의료이용과 상병상태를 일차진료기관의 진료기록부와 매달 각 의료기관에서 군에 제출한 진료비청구서 및 내역서 기타 군과 읍, 면의 각종 행정통제자료에서 조사분석하였다. 경산군의 의료보호대상자는 전인구의 12.7%로서 전국의 9.5%보다 높았다. 대상자들의 의료이용율은 1차진료의 경우 대상자 100명당 월간 환자수는 9.3명, 방문회수는 14.0회, 투약일수는 42.9일이었다. 2,3차 진료의 경우는 연간 대상자 100명 당 입원이 1.7건, 외래이용이 9.3건이었다. 1종대상자가 2종대상자에 비해 1차진료 및 2,3차 진료 모두에서 의료이용이 월등히 높았다. 성별이용율은 1차진료는 여자가, 2,3차 진료는 남자가 많았다. 월별이용율은 7월이 가장 높고 1월이 가장 낮았다. 1월이 가장 낮은 것은 진료증의 갱신때문인 것으로 생각된다. 2,3차 진료기관의 연간 이용자수는 1,931명이고 이중 84.4%가 외래진료이었고 15.6%가 입원이었다. 전문과목별로는 정신과 환자가 66명중 55명이 입원으로 가장 높은 입원율을 나타내었으며, 이비인후과, 안과, 피부과, 비뇨기과 등은 연 입원환자가 $1{\sim}4$명으로 아주 낮은 입원율을 나타내었다. 2,3차 진료기관의 평균입원일수는 21.2일, 외래평균치료기관은 4.7일, 입원과 외래전체의 평균치료기간은 8.6일이었다. 정신과 환자의 평균 입원일수가 74.4일이나 되어 정신과를 제외할 경우 평균 입원일수는 9.3일이었다. 질환군으로 분류한 환자분포는 1차진료는 호흡기질환(35.4%)이 가장 많고, 2,3차 진료는 신경감각기질환(20.1%)이 가장 많았다. 연간 의료보호대상자 1인당 평균 진료비는 9,821원(1종: 24,240원, 2종: 7,464원)이고, 가구당 평균진료비는 40,531원(1종: 66,605원, 2종: 33,559원)이었다. 일차진료기관의 건당진료비는 3,901원, 일당진료비는 840원이고, 2,3차 진료기관의 건당진료비는 49,875원, 일당진료비는 5,822원이었다. 본 조사결과 다음과 같은 의료보호제도의 개선책을 제시하고자 한다. 첫째, 의료보호증의 연초에 일제갱신시 재발급절차를 신속히 할 수 있는 방안이 마련되었으면 한다. 둘째, 전문과목별로 1차지정의료기관을 지정함으로(관내에 전문의료기관이 없을 경우 인근 진료권에 지정) 2,3차 진료기관으로 이송되는 환자를 줄여서 예산의 절감과 이용자의 불편을 덜어주어야 한다고 생각된다. 셋째, 1차지정의료기관과 2,3차 지정의료기관의 진료비 산출방법이 좀더 합리적으로 개선되어야 한다고 생각된다.

• 한국실내디자인학회논문집
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• 제23권2호
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• pp.21-29
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• 2014

This study analyzed some of nursing homes in various domestic and foreign regions in order to find solutions to reduce suicidal incidents from the loneliness. To analyze community space of nursing homes, elderly community is analyzed into three categories based on their characteristics (morphological characteristics, Social characteristics, Environmental characteristics). With those three characteristics above, architectural spaces are analyzed the relation with them. Elderly nursing homes are divided with living, nursing, management, and public spaces. The space of elderly nursing homes (classification of function)-elderly community (classification of elderly characteristics) is approached in an architectural way related to the space of elderly nursing homes and elderly characteristics. Through some case studies, specific space relation of elderly nursing homes and elderly community is analyzed. Also, with the building analysis for summary, plans, wards(hospital rooms), cafeteria, program rooms and alley, some of general information and elderly community space is understood. In this study, there will be an analysis of relation of elderly community(morphological, social, environmental characteristics) which is separated into some spaces of elderly nursing homes(living, nursing, public spaces and facilities) written above. Furthermore, if people can recognize the importance of community space for elderly facilities, there will be a new guide line for that which can have a play on catalyst.

• 한국보건간호학회지
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• 제31권1호
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• pp.19-33
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• 2017

Purpose: This study was conducted to explore the meaning and contents of high-quality aged care facilities and provide basic data for evaluation of service quality in such facilities. Methods: The focus group interviews and participants consisted of two user groups, for a total of 16 family caregivers of the elderly living in facilities and four service provider groups, for a total of 26 chief managers and caregivers working in aged care facilities. All interviews were recorded and transcribed as they occurred. Content analysis was used and debriefing notes were referred to in order to analyze the data. Results: Four themes of a high-quality aged care facility emerged from the analysis; 1) a place to rest for comfortable later years; 2) systematic value-based management; 3) providing professional care; 4) comprehensive service provision in response to diverse needs. Conclusion: The findings of the study showed the importance of client centered care and ethical mindset of providers, which had not been included in the existing quality evaluation programs. Based on these results, medical treatments, end-of-life care and more comprehensive and extended services including family care need to be provided in facilities to ensure good quality aged care.

• International Journal of Advanced Culture Technology
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• 제9권4호
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• pp.71-85
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• 2021

The history of the Bakken Museum, the Museum of Electricity in Life, is useful to understand the universality and particularity of a local science museum. Beginning with the small collections at the medical device company, the Bakken Museum has expanded its scope and facilities by reidentifying its mission from research institute to educational center. The educational turn of the Bakken Museum has been completed with two remarkable events: the launch of the Summer Institute in 1984 and the construction of the new education facility, New Wing, in 1999. During this change, the museum staff developed unique strategies for public engagement, using the history of science and technology as an educational tool. The shift of the Bakken Museum's mission provides an excellent example of how a local museum could meet the social needs for museums to be educational centers by utilizing its history and collections.

• 대한영양사협회학술지
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• 제8권2호
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• pp.143-153
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• 2002

The purpose of this study was to verify the dietitian’s job description(2000) for dietitians working at schools. The survey was carried out for the frequency, criticality and difficulty of each job description with 4 point scales. The number of subject was 125 dietitians, who have been working over 3 years at their position. The results are following ; 1. Duties with high frequency and criticality were menu managements, purchasing, storage and inventory controls, food productions, meal services, managing equipments and facility, waste managements, sanitation managements and self promotions. 2. Duties with middle frequency and high criticality were human resources managements and financial managements. 3. Duties with low frequency and high criticality were nutrition assessment (life cycles, certain diseases, specific condition), medical nutritional theraphy, nutrition education and public health nutrition. 4. For difficulty, duties related food service had lower points than that of nutrition service.