• 한국사회복지학
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• 제67권2호
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• pp.285-310
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• 2015

본 논문은 우리나라 방과후 돌봄 체계의 중추적 역할을 하고 있는 지역아동센터의 고유한 기능과 역할에 대해 실무자들의 다양한 인식유형을 검증하기 위한 목적을 가진다. 이를 위하여 지역아동센터 실무자를 대상으로 시설 환경, 서비스 내용, 인력, 대상, 전달체계 측면으로 나누어 관련된 인식을 조사하였다. 분석결과 지역아동센터의 기능과 역할에 대한 인식유형은 '전문인력 중심의 통합서비스 지향형', '시설환경 기반의 보호서비스 지향형', '학교연계 방과후서비스 지향형', '개별맞춤형 기초사례서비스 지향형'으로 나눌 수 있었다. 이러한 결과는 또한 지역아동센터 실무자들이 지역아동센터의 발전을 위해 인력의 중요성과 서비스 환경에 대한 지원, 서비스 내용의 차별성과 연속성, 전체 돌봄체계와의 공통성과 독자성을 찾아갈 수 있는 기능 모색으로 다시 나눠지고 있었다. 본 연구는 지역아동센터의 기능과 역할에 대해 그동안 실증적으로 검증되지 못했던 다양한 인식내용의 실체를 파악해 보았다는데 의의가 있다. 이러한 결과를 통해 향후 지역아동센터의 기능과 역할에 대한 당사자들의 관점을 반영하고, 운영의 방향성에 대한 실천적 논의를 이끌어 낼 수 있을 것이며, 지역아동센터 모델과 운영에 대한 정책결정과 집행과정에 있어서 지원에 대한 구체적 방향성과 기초자료를 제공할 수 있을 것이다.

• Child Health Nursing Research
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• 제8권4호
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• pp.449-457
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• 2002

The main purpose of this study is to examine the concepts appeared on researches and provide the future research directions in field of child health nursing. A descriptive study was conducted. 205 studies were included in an analysis the concepts in terms of the domain of client for a total 321 researches. All were originally published between 1990 and 2000 in Korea. An analysis of concepts for this study was used the metaparadigm framework for nursing proposed by H.S. Kim(2000). The concepts for this study were categorized by essentialistic concepts, problematic concepts, health-care experiential concepts with the following results. 1. Based on the four domains suggested Kim (2000), 205 studies(63.9％) belong to the domain of client ; 109 studies(34％) belong to the practice domain of nursing; 3 studies(0.9％) belong to the client-nurse domain; and 4 studies belong to the domain of environment, respectively. 2. In the domain of client, 117(57.1％) studies used concept of parent. Among them, mother was the prevailing research population(103 studies). 64 studies(31.2％) used child population and the developmental stage of children varied from preterm to puberty but school aged children was the most target population(28 studies). Family as a concept of client was used in 20 studies(9.8％) but most primary care provider was the mother. 3. In terms of research design, non-experimental design(83.5％) is the most and among them survey was 159 studies(77.6％). Qualitative research(23 studies) and experimental research(10 studies) methods were used relatively few. 4. In terms of the categories of concepts, 196 (61.4％) studies included the essentialistic concepts like stress and coping(20.4％), mothering role and child care(7.8％), health (5.6％), breast feeding(4.7％). 31 studies included problematic concepts like power-lessness, safety, obesity, pain, anxiety. And 65 studies included health-care experiential concepts like compliance, growth, hope, environment but relatively few. The findings of this study provide the evidence that research related problematic concept and health-care experiential concept should be conducted actively to improve the practice of child health nursing. Also to deeply understand the phenomena of client in field of child health nursing, interpretive research methods should be conducted actively, too.

• 부모자녀건강학회지
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• 제3권2호
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• pp.67-80
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• 2000

This study was described as midwife's role and obstacle of midwife's role expansion. Midwife as primary medical personal who practices for a mother and infant health care and promotion of mother infant interaction. As the trend of increasing natural childbirth, midwifery has to provide childbearing care those who want delivery in a midwifery center. This study conducted to survey for 44 midwives who work at the midwifery center. The results of the study as fellows. 1. Most of the midwives role was care of pregnancy, delivery, postpartum women and babies. Another role was conducted educational classes childbirth, breast feeding, contraception and sexual education. 2. Some midwives role perform breech, vaccum delivery, episiotomy and suture, pitocin induction and augmentation, ultrasonogram, giving medication, anesthesia, collecting specimen from Pap smear and vaginal discharge. Midwife perform these roles without medical law support. 3. Most of the obstacles of the midwife role was the medical law limitation. Midwives want revise medical law to perform simple treatment for childbearing women and babies. 4. Half of the midwives refer cases to medical doctor in case of complication of women and newborns. 5. Current frequency of home birth rate is slightly higher than before and me cases like to have delivery under water. Finally, midwife and midwifery have to prepare to meet childbearing woman, baby and family's need. For activation and expansion of midwife's role, every midwife has to be aware of medical law accurately and they must know what practice they can do and what practice they can not do.

• 대한영양사협회학술지
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• 제9권3호
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• pp.219-232
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• 2003

The purposes of this study were to assess the child care centers' foodservice facility, and to develop the kitchen facility model based on the general sanitation standards and guidelines in order to provide basic information for a plan review to build or renovate child care centers' foodservice facility. The scopes of the study include : 1) field assessment of the foodservice management practices and facilities in 8 public child care centers, and 2 private child care centers which they are subsidized from the government as public child care centers, 2) development of child care centers' kitchen facility model based on the General Sanitation Standards and Guidelines. The results of this study can be summarized as follows : 1. Field Assessment of the Child Care Centers' Foodservice Facility Average number of children in child care centers was 78.0$\pm$24.20, the average space of kitchen was 15.13$\pm$4.25($m^2$). Especially, the average space of kitchen was 18.49$\pm$4.35($m^2$) with enrollment capacity of 90～120 children in child care centers. The inventory level of most foods was relatively low except rice and kimchi. Kitchen facilities and equipments were similar to those of home kitchen and did not meet the standards of institutional practice. Therefore, the director in child care centers should recognize the importance of the sanitation management and pay more attention to the renovation of foodservice facilities as well as sanitation management practices. 2. Development of the Kitchen Facility Model based on the General Sanitation Standards and Guidelines The kitchen facility plan model with enrollment capacity of 100 children was developed based on the results of field assessment and literature review. Suggested kitchen space was 34.16$m^2$(6,100mm×5,600mm). This space was bigger than the results of field survey or precedent study, considered appropriate to implement the general sanitation standards. The main feature of the developed kitchen facility plan and model was product flow in one direction from the arrival of the raw material to the finished product in order to prevent cross contamination and to improve working efficiency.

• 대한지역사회영양학회지
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• 제13권5호
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• pp.682-692
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• 2008

The purpose of this study was to investigate the status of children's breakfast skipping and their mothers' needs for breakfast service at child care centers. A survey was conducted with mothers of children aged 3 to 5 years and attending child care centers in Gwanak-gu, Seoul. Out of 960 questionnaires distributed to the caregivers at 32 child care centers, 633 were returned (66% response rate), and 449 were analyzed (47% analysis rate) after excluding data from the respondents not meeting the selection criteria for this study: mothers of children aged 3 to 5 years. Over 2/3 (69%) of children ate breakfast every weekday (Breakfast Eaters) and almost 1/3 (31%) of children skipped breakfast one time or more often on weekdays (Breakfast Skippers). The collected data were compared between Breakfast Eaters and Breakfast Skippers. The average Good Dietary Practice Score of Breakfast Skippers was significantly lower than that of Breakfast Eaters, implying poorer dietary habits. A higher percentage of mothers of Breakfast Skippers (62%) responded that breakfast service was 'necessary' or 'very necessary' at child care centers than those of Breakfast Eaters (27%). A multiple logistic regression analysis was conducted to determine factors affecting mothers' needs for breakfast service at child care centers. The result showed that the children's ages, mothers' occupational status, household monthly income, frequencies of eating breakfast on weekdays and satisfaction level with morning snack provided at child care centers affected mothers' needs for breakfast service at child care centers. In particular, mothers who had a full-time job (OR = 2.06) than housewives, mothers whose children did not eat breakfast at al (OR = 3.54), ate $1{\sim}2$ times (OR = 5.50) or ate $3{\sim}4$ times (OR = 3.80) on weekdays than those whose children ate breakfast every weekday were more likely to have needs for breakfast service at child care centers than housewives. In conclusion, Breakfast Skippers tended to have poorer dietary habits than Breakfast Eaters and Full-time working mothers had higher needs for breakfast service at child care centers. This study results suggest that child care centers consider serving breakfast to children as the number of working mothers increases.

• Child Health Nursing Research
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• 제23권1호
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• pp.28-36
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• 2017

Purpose: This paper is a report on the concept analysis of family-centered care for hospitalized children. Methods: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword 'family centered care' or 'family centered nursing' combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). Results: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the 'willingness of family to participate', 'competency and willingness of staff,' and 'institution policy and system.' Additionally, family-centered care does significantly impact 'the health of the children', 'family empowerment' and 'work satisfaction and self-confidence of staff'. Conclusion: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

• 한국응급구조학회지
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• 제14권1호
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• pp.19-29
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• 2010

Purpose : This study was conducted to examine the degree of recognition of safety education and its execution for child-care teachers at daycare center for the disabled children in Jeollanam-do. Ninety six child care teachers filled out the questionnaire and the results were as follows. Results : 1. The possibility of accident prevention by the day care teachers was a little higher in case of nearby education institution. The most appropriate period of safety education was within one month. 2. Majority of child care teachers had received safety and first-aid educations before and the education was done for less than 2 hours. 3. The best educational method was practice-centered education of off-duty time. The contents of first-aid education were bleeding, fall, shock, and burn. 4. The education material and book should be available to the teachers when they need the knowledge. 5. By the annual schedule, safety education should be conducted and provided to the parents. Conclusion : This study suggested that reinforcement of contents related to emergency situation and actual first-aid as well as theory education in the process of parent and teacher education should be conducted on the basis of information of general conditions related to safety and first-aid education at the daycare center for the disabled children.

• 아동학회지
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• 제3권
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• pp.49-62
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• 1982

This is a study to analyze rural area women's perception and practice of prenatal care, which is the fundamental of the education of children. Further, it was aimed to provide basic data for ideal childbirth, upbringing and household management process. For that object, questionnaires were distributed to women living in Yongdong region to judge the level of general understanding on prenatal care. Research was done from three different aspects; dietary life, emotion control and health management. Percentages were drawn out to see the general tendency. The following results were discovered from data analysis: 1. Most subjects of the survey knew well about prenatal care. They had acquired that knowledge from their parents. Most thought that prenatal care is necessary. They answered that they think prenatal care has more or less effect on the fetus. The first dime they thought about prenatal care was after they found that they were pregnant. 2. The subjects knew well about dietary needs for pregnant women carried out much of what they knew. Intake of sufficiently nutritious food is somewhat difficult, but foods that are regarded as bad were avoided thoroughly. It appears that most women have much concern about what they eat during pregnancy. 3. Most of the subjects understood that the emotional stability is necessary but it wasn't put into practice so well as in dietary life. Especially, attitudes connected with emotional development like, "Look or hear only what is good (for the fetus)" were practised little. Efforts for self-restraint as "Not to hate or pick out others' defects or talk bad about others" were appeared to be great, and it is practised well, too. 4. The subjects were well-informed on health area, but practised little. Behaviors for health improvement as to "Lead a regular daily life for health" or "Not to take a long trop" were practised very faithfully. The results of the survey showed that passive attitudes related to tabooed food, self-abstinence and cautions for bodily safety were prevalent; more positive and progressive disposition missing. That is, full perception and active practices for caloric intake, emotional improvement and physical strength development are needed.

• 한국산학기술학회논문지
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• 제13권2호
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• pp.822-826
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• 2012

본 연구는 CCTV 존재 유무에 따른 보육교사의 안전의식과 안전실천 간의 관계를 실증적으로 분석하였으며, 특히 CCTV 존재 유무와 안전실천 간의 관계에서 안전의식이 매개효과를 가지는지에 대하여도 실증적 분석을 하였다. T-검증 결과 CCTV 존재 유무에 따라 보육교사의 안전의식과 안전실천이 차이가 있음을 검증하였다. 회귀분석 결과 보육교사의 안전의식이 안전실천에 양(+)의 관계로 유의한 것으로 검증되었다. 또한, CCTV 존재 유무가 안전의식을 통해서 안전실천에 영향을 미치는 매개효과에 대해서도 검증되었다. 그 결과 안전의식이 CCTV 존재 유무와 안전실천 사이의 매개변수의 역할을 수행하지 않는다는 결론을 얻었다.

• 한국식생활문화학회지
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• 제11권2호
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• pp.243-253
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• 1996

The purpose of this study was to evaluate the foodservice management practices in child-care centers in order to provide basic information for the development of a model of a centralized food service information center. This approach was achieved using a variety of qualitative and quantitative information including general foodservice management practices and plate waste. A self-completed questionnaire survey of 651 child-care centers in Korea was undertaken and detailed information was carefully collected at 6 representative child-care centers. The results of the empirical survey were as follows: 1. Child-care centers categorized by location were in large cities (59.9%), medium cities (27.6%) and in provincial areas (12.5). 2. Private sector of child-care centers was 46.4% of the total followed by National/public (44.2%) and licensed home day-care programs (9.4%). 3. Total average number of children in child-care centers was $63.3{\pm}43.1$ with a very significant difference (p<0.001) in types of child-care centers. 4. The average space of kitchen and dining room was $5.0{\pm}3.8\;and\;10.8{\pm}11.0$ pyung ($1pyung=3.3058\;cm^2$). 5. The average cost of interim snack in morning and afternoon in child-care centers were $345.9{\pm}459.3$ won and $359.3{\pm}226.6$ won respectively. The average cost of lunch was $644.0{\pm}481.1$ won. There was a significant difference (p<0.001) by types of child-care centers with a highest cost of 863.9 won in licensed home day-care programs. 6. Only a limited number of dietitian were employed, therefore most of food service management practice was not conducted by professional personnel. 7. The result of nutritional analysis of the food revealed that the level of energy and nutrients contained in the food was below the recommeded level (RDA/3).