• 제목/요약/키워드: administrative structure

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건강믿음모형을 이용한 공무원의 생활습관병에 대한 건강행동 요인 (Factors Affecting Health Behaviors for Lifestyle-related Diseases of Public Officials Using Health Belief Model)

  • 강정숙;조영채
    • 한국산학기술학회논문지
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    • 제18권11호
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    • pp.239-251
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    • 2017
  • 연구는 일부 공무원들의 생활습관병에 대한 건강행동과 HBM을 구성하는 인자(생활습관병에 대한 취약성, 중대성, 건강행동의 유효성, 장벽, 가족력, 매스컴으로부터의 정보, 사회적 지원 네트워크)와의 관련성을 규명하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 정부 공공기관의 행정공무원 729명으로 하였으며, 자료 수집은 2016년 2월 1일부터 3월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 생활습관병에 대한 건강행동점수는 생활습관병에 대한 취약성, 건강행동의 유효성 및 매스컴으로부터의 정보와 유의한 양의 상관관계를 보인 반면, 생활습관병에 대한 건강행동의 장벽과는 유의한 음의 상관관계를 보였다. 또한, 공분산구조분석 결과, 생활습관병에 대한 건강행동에 영향을 미치는 요인으로는 생활습관병의 취약성 및 중대성이 가장 큰 요인이었으며, 다음으로 생활습관병의 가족력 및 매스컴으로부터의 정보, 건강행동의 유효성 및 장벽, 수단적 지원 및 정서적 지원의 순이었다. 위와 같은 연구결과는 HBM을 구성하는 각 인자(생활습관병의 취약성 및 중대성, 건강행동의 유효성 및 장벽, 생활습관병의 가족력 및 매스컴으로부터의 정보, 수단적 지원 및 정서적 지원)는 생활습관병에 대한 건강행동을 실천하는데 중요한 요인이 되고 있음을 시사한다. 따라서 앞으로 생활습관병에 대한 효과적인 예방 지도를 위해서는 대상자 개개인의 생활습관병에 대한 건강행동 실천에 관련된 요인을 정확히 파악하여 지속적으로 관리해 나가는 것이 중요하다고 생각된다.

총체적 혁신정책의 이론과 적용: 핀란드와 한국의 사례 (The theory and application of holistic innovation policy: Cases of Finland and Korea)

  • 성지은;송위진
    • 기술혁신학회지
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    • 제10권3호
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    • pp.555-579
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    • 2007
  • 본 연구는 제3세대 혁신정책의 주요 특성으로 나타나는 총체적 혁신정책을 살펴보고 실제 구현되는 모습을 핀란드와 우리나라의 사례를 통해 살펴보았다. 양 국가 모두 혁신정책의 영역이 경제발전이라는 단선적인 목표에서 벗어나 지속 가능한 발전, 균형발전, 삶의 질 제고 등 사회 전반의 변화와 관련된 것으로 외연을 확장하고 있다. 또한 기술혁신을 국정 운영의 중심에 두고, 인력, 교육, 지역 등 관련 정책을 새롭게 재배열하는 모습도 함께 이루어지고 있다. 특히 우리나라는 참여정부 출범이후 과학기술중심사회 구축이 국정 과제로 등장하면서 제3세대 혁신 정책의 맹아적 모습이 나타나고 있다. 반면 실제 구현 정도와 모습은 양 국가 간 차이가 있다. 핀란드는 북유럽 국가의 제도적 특성인 전형적인 코포라티즘의 전통으로 인해 전환의 장을 마련하고 추진하는 "공론의 장"을 활성화시켜 왔다. 정부의 지원 체계 또한 특정 부처의 개별 업무가 아니라 임무를 중심으로 공동의 프로그램과 수단을 개발 집행함으로써 정책의 실효성을 높여 왔다. 우리나라는 혁신 정책의 개념은 앞서 있으나, 실제 정책을 추진하거나 일하는 방식은 아직도 발전국가 시대의 틀을 유지하고 있다. 또한 전환 전반이 하향식으로 이루어지면서, 민간부문과 시민사회의 능동적인 참여가 부족했으며, 이로 인해 전환을 시도하려는 다양한 노력이 아직 탄력을 받지 못하고 있다.

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부산지역 토양 내 천연방사성핵종 분석 및 유효선량율 평가 (Evaluation of Radiation effective dose by Naturally Radionuclides in the Soil of Busan)

  • 김정훈;김창수;임창선
    • 한국산학기술학회논문지
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    • 제15권6호
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    • pp.3658-3666
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    • 2014
  • 본 논문에서는 대한민국의 제2의 도시인 부산지역의 일반토양을 대상으로 천연방사성핵종인 $^{238}U$, $^{232}Th$, $^{40}K$을 분석하고 이를 바탕으로 일반토양에 의한 거주민의 방사선피폭을 평가하였다. 측정방법으로는 부산지역의 토양 내 천연 방사성 핵종을 정밀 분석하기 위하여 16개의 행정구역을 중심으로 각 지역에서 세 개의 지점을 격자구조로 분리하였으며 이후 총 48개의 토양 시료를 2012년 7월부터 2013년 4월까지 채취하였다. 토양 중 $^{238}U$, $^{232}Th$는 ICP-MS를 사용하여 방사능 농도를 분석하고, $^{40}K$는 감마선 분석 검출기인 HpGe 검출기를 사용하여 방사능 농도를 분석하였다. 이 후 이를 바탕으로 동아시아 지역의 방사능 농도와 비교해 본 결과 $^{238}U$ 핵종은 우리나라가 평균보다 낮은 농도를 나타낸 반면 $^{232}Th$, $^{40}K$핵종은 높은 값을 나타냈다. 이는 한국의 지질대가 천연방사성핵종이 많이 포함되어 있는 화강암지대가 많기 때문이라 판단된다.

일선 간호관리자를 위한 리더십 훈련 프로그램 개발 (A Study on the development of leadership training program for first-line nurse managers)

  • 고명숙;한성숙
    • 간호행정학회지
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    • 제6권3호
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    • pp.333-345
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    • 2000
  • The health care environment becomes more competitive every day. It has fallen to nurse managers - from vice presidents of patient care to nurse managers and their assistants - to recruit and develop a workforce that successfully meets the needs of both patients and the organization. This means employees who demonstrate advanced critical thinking skills, creative problem solving, and sound decision making skills combined with clinical skills and patient advocacy. The environment which nurse managers create and the way they relate to their workforce, are pivotal to organizational viability. Especially leadership of first -line nurse managers contributes to the success of their organizations. First-line nurse managers are deserved to be one of the most administrative supervisors through the middle stratum in a hospital organization as being a manager in the field service if assessed from the overall aspects of hospital, as being an interim managers in the nursing department as well as being a supreme supervisor in a unit in terms of an organizational structure in the hospital. Similarly, as a compete leader, the first-line nurse managers have not only a professional which is qualified to perform a role of appropriate coordination with medical staff and key personnel but also hold an important key position a being responsible for performing his or her given role. The first-line nurse manager is expected to manage human and fiscal resources in ways not required before. While an identified need for well-prepared first-line nurse manager continues to plague the profession, first-line nurse managers often have difficulty providing the leadership required. The need leadership training to function effectively in their positions. But we hardly find a useful leadership training program for first-line nurse managers, therefore the purpose of this study was to developed the leadership training program for them. The steps of leadership program development were below: 1st step, 2 studies were done before develop a leadership program. One was done to ask to first-line nurse managers what they want to learn through leadership training, the other one was to ask the staff nurses what their opinions are for their first-line nurse managers leadership. 2nd step was searching other leadership programs contents. The results of this study were below: The total amount of hours is 24. Leadership training program contents are : Future of nursing profession (210min), understanding basic factor's of leadership and leadership theories(310 min), self understanding as first- line nurse managers(320 min), basic principle and practice of interpersonal relationship(210 min), assertiveness training, conflict management (180min), and group study(210min). This is challenging time to be a leader, especially in nursing. As nurse managers look toward the new millennium, it seems as through the same struggles are ahead that are behind. So nurse managers need to embrace change with a positive attitude. They need to demonstrate risk taking and support it in their staffs. All these things are possible that after they participate the leadership training program.

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현행 환경영향평가 제도의 문제점과 개선방안 - 실무자적 관점에서 검토 - (A Study on the Issues and Improvement of the Existing Environmental Impact Assessment System - Evaluation in an operator Viewpoint -)

  • 이승원;김정권;서정국
    • 한국환경과학회지
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    • 제27권5호
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    • pp.281-289
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    • 2018
  • The Korean environmental impact assessment(EIA) system, and explored ways to improve it as a more efficient and viable institution relevant to the demand of our time and conditions in study. The first problem this study identified is found in the fact that the party to write up the assessment report is itself the business operator or the one who is planning to work out the business plan. This structure translates into placing an order with an agent for EIA report. The reporting job may br subcontracted to the agent at a cost far below the rate specified in the 'Standard for Estimate of Agency Fee for Environmental Impact Assessment.' This practice also causes the vicious circle of producing a report that is written to justify the project or business in question or it leads to rough-and ready and poor documentation to minimize the time required. Second, in order to achieve the goal of the plan or business, which is the target of EIA, the local residents tend to ve regarded as an obstacle. This means elimination of the local people from participating in the EIA or their opinion being frequently ignored. This is the seed of distrust and hostility that sometimes provoke disagreements or fierce conflicts. The first proposal to improve these problem is to improve the factors that cause poor documentation of the assessment report as well as improve the understanding of the EIA system. This study proposes the following measures for improvement. The agency cost for EIA should be paid by the business operator or a third party that can ensure faithful implementation of the payment. A system should be established to verify transparent estimation of the agency cost. In order to enhance the professional quality of EIA agents, there should be implementation of qualification test for industrial engineer of related engineers in addition to the current EIA Qualification Test. The second proposal for improvement is to improve the citizen participation process by instituting a legal framework to make clear the purpose of the briefing session for local residents, which is held as a procedure of EIA, and to ensure more positive publicity during the stage of listening to the opinion of the local community. For a smooth and rational communication process, a moderator and a communicator of opinion, as is the case in a public hearing, could be instituted to clearly get the purpose of the briefing session across to the residents and to help to carry out the explanation and Q & A sessions according to the categories of the opinion of the residents. At present, the notification of the public inspection of the draft of the assessment report and briefing session for the residents is made on the newspaper and internet network. But some people have difficulty with access to this method of announcement. A higher participation rate could be secured if a legal provision is added to specify putting up placards in specific places such as the entrance to the place for the briefing session for residents or the building of administrative agencies of the area concerned.

전담간호사 운영현황과 역할 실태 (Current Roles and Administrative Facts of the Korean Physician Assistant)

  • 곽찬영;박진아
    • 한국콘텐츠학회논문지
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    • 제14권10호
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    • pp.583-595
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    • 2014
  • 본 연구는 전담간호사의 운영현황 및 업무 실태를 전수조사 하여 전담간호사 관련 정책 수립의 기초 자료를 제공하기 위해 시도되었다. 총 318개의 종합병원 이상의 의료기관 부서장에게 설문조사를 시행했고, 141개 병원에서 근무하는 704명의 전담간호사를 대상으로 2011년 4월부터 5월에 자료수집이 시행되었으며, 수집된 자료는 SPSS 12.0 program을 이용하여 분석하였다. 연구결과 전담간호사의 평균연령은 32.5세이며, 교육수준은 대졸이 가장 많았고, 전문간호사 자격증 보유자는 13.4%이었고, 전담간호사의 전반적인 업무 만족도는 5점 만점에 평균 3.13점이었으며, 불명확한 업무 구분이 전담간호사를 가장 힘들게 하는 요인으로 나타났다. 전담간호사 역할정립을 위해 업무에 대한 법적 보호 장치 마련(5점 만점에 평균 4.71)이 가장 시급한 것으로 나타났다. 현재 전담간호사 실태는 열악한 근무환경으로 인한 낮은 만족도, 부적합한 자격과 업무에 대한 법적 보호장치가 마련되어 있지 않은 속에서 어려움을 겪고 있다. 향후 전담간호사의 활용도를 향상시키기 위해 전담간호사를 법적으로 보호할 수 있는 장치를 마련하고, 교육 프로그램을 개설하며, 한국 실정에 맞는 전담간호사 제도 확립이 절실하다고 할 수 있겠다.

마이크로파이넨스 성공요인 연구 : 그라민 은행 사례 (Evaluating the Success Factors of Microfinance : A Case Study of Grameen Bank)

  • ;이상호;권경섭
    • 벤처창업연구
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    • 제7권3호
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    • pp.65-73
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    • 2012
  • 마이크로파이넨스 지원정책은 경제성장 및 빈곤완화를 위한 정책적 도구로 활용되고 있다. 이러한 중요성에 따라 그간 학계에서도 마이크로 파이넨스에 대한 이론적, 사례적 연구를 수행하여 왔다. 그러나, 그간의 연구들은 마이크로파이넨스에 대한 개념적 접근과 개별적 특성에 초점을 맞추어 온 관계로 이론과 프랙티스의 종합적 논의가 부족했고, 특히 마이크로파이넨스 시스템의 한계에 대해서는 관심이 미흡하였다. 이러한 문제의식에 따라 본 연구에서는 마이크로파이넨스의 대표적 사례인 방글라데시 그라민 은행의 성공 및 내재적 한계를 그간의 학술문헌과 최신 데이터를 이용하여 종합적으로 분석하였다. 주요 내용을 요약하면 다음과 같다. 그라민 은행의 대출제도는 일반 상업은행과는 반대의 형태로 운영되어 대출자의 자산이 많을수록 대출받는 금액이 큰 일반 상업은행과 달리, 그라민 은행은 대출자의 자산이나 소득이 적을수록 더 많은 대출이 가능하도록 설계되어 있다. 둘째, 그라민 은행의 성공은 혁신, 엄격한 감시통제 구조, 적응 및 학습, 인센티브 시스템 등의 복합적 요소의 결합에 의해서 가능하였다. 반면 그라민 은행 역시 금융시스템의 한 형태인 관계로 신용리크스는 내재적 리스크로 작용하고 있으며 빈곤 문제 해결에 대해 과대포장되었다는 비판도 제기된다. 그러나 분명한 것은 마이크로파이넨스 제도가 제도권 금융기관에서 자금을 융통하기 어려운 빈곤층의 금융수단으로서 작동해 왔으며, 지역사회의 빈곤문제는 물론 경제적 가치창출의 도구로서 기여한 것도 분명해 보인다. 향후 마이크로파이넨스의 건전성을 높이고, 대출자의 자립을 지원하기 위해서는 단순 대출에 머물지 않고 대출자에 대한 자문과 사업중계 등의 부가적 서비스를 제공하는 것도 고려할 사항이다.

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표준육계사의 지붕을 활용한 태양에너지 설비 타당성 분석에 관한 기초 연구 (A Basic Study on Feasibility Analysis for Solar Energy Facility using Standard Broiler House Roof)

  • 김진현;정성진;김태욱;최준학;하유신
    • 한국태양에너지학회 논문집
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    • 제34권4호
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    • pp.57-65
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    • 2014
  • In order to reduce greenhouse gas emissions in recent agricultural energy and increase the energy self-sufficiency rate of each farmer, it is extremely important to expand the supply of solar energy using unused space of agricultural facilities, roof. This study surveyed and analyzed the environmental and administrative factors such as problems according to the structure, azimuth and latitude of broiler houses and stability of standard broiler houses required to use broiler house roof based on the poultry houses in Sangju-si. The results can be summarized as follows: 55.6% of the solar energy facilities of according to the classification of arable lands of broiler houses were available, and 31.7% of them were available by classifying according to the azimuth. However, 20.6% of them were available in the survey considering all the arable land and azimuth. In the roof inclination of the broiler houses, from 20 to $25^{\circ}$ was the most common, 30 broiler houses. The broiler houses with the roof inclination more than $20^{\circ}$ accounted for 63% of the total. It was considered that the inclination was generally proper. In the structural safety, only 3 broiler houses that were constructed as a standard broiler house were available. In practice, all but one broiler house was inappropriate to expand the solar energy project using roof. The solar thermal facility weighed $63.6kg/m^2$ in total: the frame and solar thermal collector weighed $27.8kg/m^2$ and $35.8kg/m^2$, respectively. The standard broiler house required to be internally reinforced. This study suggested a plan for internal reinforcement and a feasible plan because there were problems with structural safety when installing solar thermal and photovoltaic systems.

공공도서관의 재원확보에 관한 연구 (A Study on Public Library Finance)

  • 서혜란
    • 한국문헌정보학회지
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    • 제23권
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    • pp.263-301
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    • 1992
  • In recent years, Korean public libraries, placed under changing circumstances, require that some new and positive financial policies be formulated for the improvement of their services. T he purpose of this study is to propose a scheme to ensure the revenues of Korean public libraries. The main contents of this study are as follows : (1) Public finance theory is applied to the question of why the public library is publicly supported. The public library does not contribute to stabilization, but it does playa role in each of the other public sector functions : allocation of resources and redistribution of income. In public finance terms there is justification for at least partial subsidy of public library services, which have the attributes of public goods, merit goods and externalities. (2) Public libraries in Korea find themselves suffering from limited budgets. They are neglected in national and local budgets. The lack of adequate funding for library collections prevents libraries from rendering efficient services. (3) In order to put the finances of the Korean public library system on a firm basis, the following proposals are made: 1) It is proposed that the parallel administration under which public libraries are organized be unified to be directly under the local governments. 2) It is proposed that the legislative and administrative system for public library finance be strengthened. (1) Library expenses should be itemized independently in the calculation of general grants-in-aid to local governments. (2) A fixed portion of the total municipal revenue should be appropriated for public library services. It can be executed by making provisions expressly in the annual guidelines for budgeting, municipal ordinances, or in the Library Promotion Law. The rate of allocation should be specified as a part of the national public library development plan. (3) Library tax as a local tax can be imposed. An indirect tax is preferable in order to avoid public misunderstanding and antagonism. 3) The augmentation of the specific grants-in-aid for the public library is proposed. The Library Promotion Law and the Law on Budget and Administration of Grants should be amended to oblige the central government to give financial assistance to local public libraries. 4) It is proposed that strategies to encourage private endowments be worked out. Revision of the Law on Tax Reduction and Exemption and the activation of an advisory library committee at each public library are recommended. 5) Funding and utilization of the envisioned Library Promotion Foundation is proposed. Government contributions, contributions from the Culture and Arts Foundation, and donations from individuals, corporations, and enterprises can be considered as the financial resources of the Foundation. 6) It is proposed that the structure of the Korean Library Association be consolidated to exercise greater influence over the formation of national policy on the public library system. 7) It is proposed as an ultimate guarantee of the health of the public libraries that the citizenry be educated to strongly support library services in responce to the active services provided by the public libraries.

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학교보건수업에 대한 양호교사의 태도 및 교수능력의 인식도에 관한 조사연구 -서울시 중학교 양호교사를 중심으로- (A Study on Teaching Competence and Attitudes of School Nurses for Health Education)

  • 김재희
    • 한국학교보건학회지
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    • 제10권1호
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    • pp.41-50
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    • 1997
  • The purpose of this study is to provide fundamental data supporting facilitation of a formal health education performed by school nurses as health educators. To evaluate the teacher expertise of school nurses as health educators, this study analyzed the present status of health education and the recognition of self-confidence in teaching ability of school nurses. Self addressing questionnaire were mailed out to 340 secondary school nurses in Seoul and out of them 244 nurses (71.8%) responded to the survey. Analysis of the data was made using t-test and ANOVA in SAS program. The major results are as follows : 1. The total health instruction performance rate was 84.6% (204). Regular health instruction was carried out by 66 nurses and the rest of the 155 subjects gave irregular instruction on health education. 2. Regular health education classes was offered as a part of physical education class hour by 89.4% of the respondents whereas only 10.6% of them had formal health education classes. The survey showed that irregular health education classes were mainly held in physical education class hours (70.3%) and 14.8% had opportunities for additional classes on health education. 3. The average class for regular health education was 5 hours per week but for irregular health education classes were only one hour per semester (32.9%). 4. Among the 11 categories of health education, education on drug abuse and body structure and function and physical development occupied 95.6%, 69.6% respectably while physical training, family health, social health occupied 10.8%, 12.7%. 5. Health education was given much more at public schools (88.2%) than at private schools. 6. 232 (95.0%) school nurses agreed with the necessity of formalizing health education classes and 227 (93.1%) wanted to change their status from school nurses to formal health teachers. 7. There is a tendency to change the status from school nurse to formal health teacher, and the necessity of having a formal curriculum on health education while less recognized by the older and longer-careered nurses was more recognized by those nurses with higher education. 8. The lack of administrative support (79.5%), work burden (77.9%), and lack of teaching competency (22.1%) were the greatest problems. 9. Education on drug abuse was stressed the most whereas physical training was most neglected. 10. There is a tendency that older and longer-careered school nurses thought less positively of their status, and then 98 (81.1%) school nurses acknowledged themselves as professional teachers. 11. 176 (72.5%) school nurses agreed with the necessity of continuing education : health knowledge and teaching skills for formal health teachers. 12. 179 (73.8%) school nurses had a positive attitude and undergraduate preparation and the practice of professional health teachers. 13. The school nurses had self-confidence in their teaching competence, teaching strategies and knowledge in all 11 health education areas.

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