• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.165-203
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• 1987

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

• 한국유통학회지:유통연구
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• 제15권1호
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• pp.49-71
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• 2010

본 연구는 가맹사업자의 자기효능감에 주목하여 정부가 예비가맹사업자들을 보호하기 위해 가맹본부에 다양한 규제와 정책을 사용하는 것이 최선의 방법이 아니라는 것에 관심을 두고 있다. 본 연구에서는 경로-목표이론(path-goal theory)에서 제시한 가맹본부의 리더십 행동 유형과 가맹사업자의 관계결속의 영향관계에 있어서 가맹사업자의 특성으로 자기효능감의 조절효과를 규명하고, 실증 분석한 결과 다음과 같은 연구의 시사점을 발견할 수 있었다. 첫째, 가맹본부의 리더십 행동유형이 관계결속에 긍정적 효과를 가져 온다는 사실이 확인됨으로써 가맹본부는 가맹사업자에게 맞는 리더십 행동유형을 적용할 수 있도록 하여야 한다. 둘째, 가맹사업자의 자기효능감이 관계결속에 긍정적 효과가 있을 뿐만 아니라, 리더십 행동유형과 관계결속 사이에 상당한 조절효과가 있기 때문에 가맹본부는 가맹사업자들의 개인차(individual difference) 관리가 필요하다. 셋째, 정부는 가맹본부를 규제할 것만이 아니라 가맹본부가 가맹사업자들의 특성을 확실하게 파악하고 기업의 목표달성을 위한 정당한 통제가 가능하도록 제도적 지원을 해야 할 것이다.

• 농촌의학ㆍ지역보건
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• 제1권1호
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• pp.29-36
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• 1976

Introduction Recently, changes in the patterns and concepts of maternity care, in both developing and developed countries have been accelerating. An outstanding development in this field is the number of deliveries taking place in hospitals or maternity centers. In Korea, however, more than 90% of deliveries are carried out at home with the help of untrained relatives or even without helpers. It is estimated that less than 10% of deliveries are assisted by professional persons such as a physician or a midwife. Taking into account the shortage of professional person i11 rural Korea, it is difficult to expect widespread prenatal, postnatal, and delivery care by professional persons in the near future, It is unrealistic, therefore, to expect rapid development of MCH care by professional persons in rural Korea due to economic and sociological reasons. Given these conditions. it is reasonable that an educated village women could used as a "maternity aid", serving simple and technically easy roles in the MCH field, if we could give such a women incentive to do so. The midwife and physician are assigned difficult problems in the MCH field which could not be solved by the village worker. However, with the application of the village worker system, we could expect to improve maternal and child hoalth through the replacement of untrained relatives as birth attendants with educated and trained maternity aides. We hope that this system will be a way of improving MCH care, which is only one part of the general health services offered at the local health centre level. Problems of MCH in rural Korea The field of MCH is not only the weakest point in the medical field in our country hut it has also dropped behind other developing countries. Regarding the knowledge about pregnancy and delivery, a large proportion of our respondents reported having only a little knowledge, while 29% reported that they had "sufficient" knowledge. The average number of pregnancies among women residing in rural areas was 4.3 while the rate of women with 5 or more pregnancies among general women and women who terminated childbearing were 43 and 80% respectively. The rate of unwanted pregnancy among general women was 19.7%. The total rate for complications during pregnancy was 15.4%, toxemia being the major complication. The rate of pregnant women with chronic disease was 7%. Regarding the interval of pregnancy, the rates of pregnancy within 12 months and within 36 months after last delivery were 9 and 49% respectively. Induced abortion has been increasing in rural areas, being as high as 30-50% in some locations. The maternal death rate was shown 10 times higher than in developed countries (35/10,000 live births). Prenatal care Most women had no consultation with a physician during the prenatal period. Of those women who did have prenatal care, the majority (63%) received such care only 1 or 2 times throughout the entire period of pregnancy. Also, in 80% of these women the first visit Game after 4 months of gestation. Delivery conditions This field is lagging behind other public health problems in our country. Namely, more than 95% of the women deliveried their baby at home, and delivery attendance by a professional person occurred only 11% of the time. Attendance rate by laymen was 78% while those receiving no care at all was 16%. For instruments used to cut the umbilical corn, sterilized scissors were used by 19%, non-sterilized scissors by 63% and 16% used sickles. Regarding delivery sheets, the rate of use of clean sheets was only 10%, unclean sheets, vinyl and papers 72%, and without sheets, 18%. The main reason for not using a hospital as a place of delivery was that the women felt they did not need it as they had previously experience easy deliveries outside hospitals. Difficult delivery composed about 5% of the total. Child health The main food for infants (95%) was breast milk. Regarding weaning time, the rates within one year, up to one and half, two, three and more than three years were 28,43,60,81 and 91% respectively, and even after the next pregnancy still continued lactation. The vaccination of children is the only service for child health in rural Korea. As shown in the Table, the rates of all kinds of vaccination were very low and insufficient. Infant death rate was 42 per 1,000 live births. Most of the deaths were caused by preventable diseases. Death of infants within the neonatal period was 83% meaning that deaths from communicable diseases decreased remarkably after that time. Infant deaths which occurred without medical care was 52%. Methods of improvement in the MCH field 1. Through the activities of village health workers (VHW) to detect pregnant women by home visiting and. after registration. visiting once a month to observe any abnormalities in pregnant women. If they find warning signs of abnormalities. they refer them to the public health nurse or midwife. Sterilized delivery kits were distributed to the expected mother 2 weeks prior to expected date of delivery by the VHW. If a delivery was expected to be difficult, then the VHW took the mother to a physician or call a physician to help after birth, the VHW visits the mother and baby to confirm health and to recommend the baby be given proper vaccination. 2. Through the midwife or public health nurse (aid nurse) Examination of pregnant women who are referred by the VHW to confirm abnormalities and to treat them. If the midwife or aid nurse could not solve the problems, they refer the pregnant women to the OB-GY specialist. The midwife and PHN will attend in the cases of normal deliveries and they help in the birth. The PHN will conduct vaccination for all infants and children under 5, years old. 3. The Physician will help only in those cases referred to him by the PHN or VHW. However, the physician should examine all pregnant women at least three times during their pregnancy. First, the physician will identify the pregnancy and conduct general physical examination to confirm any chronic disease that might disturb the continuity of the pregnancy. Second, if the pregnant woman shows any abnormalities the physician must examine and treat. Third, at 9 or 10 months of gestation (after sitting of the baby) the physician should examine the position of the fetus and measure the pelvis to recommend institutional delivery of those who are expected to have a difficult delivery. And of course. the medical care of both the mother and the infants are responsible of the physician. Overall, large areas of the field of MCH would be served by the VHW, PHN, or midwife so the physician is needed only as a parttime worker.

• KDI Journal of Economic Policy
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• 제12권3호
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• pp.71-94
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• 1990

본고(本稿)서는, 최근 자유금융학파(自由金融學派)와 신화폐경제학과(新貨幣經濟學科)들의 등장으로 화폐(貨幣) 금융문제(金融問題)에서의 자유경쟁(自由競爭) 및 자유방임주의적(自由放任主義的) 사고가 새롭게 확산되고 있는 시점(時點)에서, 정부(政府) 및 중앙은행(中央銀行)의 화폐(貨幣) 금융개입(金融介入)의 이론적(理論的) 근거(根據)와 그에 관련된 논쟁(論爭)을 다음의 6가지 논거(論據)들을 중심으로 개관해 보았다 : (1) 자유금융하(自由金融下)의 銀行券(은행권) 초과발행(超過發行) 가능성(可能性), (2) 화폐사용에 있어서의 외부경제효과(外部經濟效果)와 화폐제도의 공공재적(公共財的) 성격(性格) (3) 화폐발행업무의 규모(規模)의 경제(經濟)와 자연독점적(自然獨占的) 성격(性格), (4) 실물부문(實物部門)의 불안정성(不安定性)과 거시안정화정책(巨視安定化政策)의 필요성, (5) 은행금융시장(銀行金融市場)의 불안정성(不安定性)과 은행파산(銀行破産)의 외부효과(外部效果), (6) 소액거래자(少額去來者) 및 예금자(預金者)의 보호(保護) 이러한 논거들에 의하면 외부화폐(外部貨幣)(outside money)의 공급은 전형적인 공공재이론(公共財理論)이나 기술적(技術的) 독점주장(獨占主張)이 적용되는 경우이기 때문에 외부화폐제도(外部貨幣制度)의 유지에 있어서 정부(政附)나 중앙은행(中央銀行) 독점(獨占) 및 개입(介入)이 불가피하고 또한 바람직하지만, 내부화폐(內部貨幣)(inside money)제도(制度)의 경우는 적절한 최소한의 안전장치만 강구된다면 최근의 자유금융학파(自由金融學派) 및 신화폐경제학과(新貨幣經濟學科)들의 주장과 같이 사적(私的) 자유경쟁(自由競爭)이 보다 활성화되도록 하는 것이 바람직할 것으로 판단된다 . 한편 외부화폐제도(外部貨幣制度)에의 개입(介入)에 따른 (정부(政府) 및) 중앙은행(中央銀行)의 거시통화정책기능(巨視通貨政策機能)은 물론, 보다 자유화(自由化)된 내부화폐제도하(內部貨幣制度下)에서도 중앙은행(中央銀行)의 최종대여자기능(最終貸與者機能)과 미시적(微視的) 감독기능(監督機能)은 동(同) 제도(制度)의 안전성(安全性)을 유지하기 위해 중요한 역할을 할 것으로 보인다.

• 농촌의학ㆍ지역보건
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• 제35권3호
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• pp.260-273
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• 2010

이 연구는 경상북도 경주지역의 20세 이상 기혼 여성들을 대상으로 결혼관, 자녀 출산 관, 저 출산에 대한 인식과 성선호도 및 성비 불균형에 대한 인식도를 분석하고, 성선별 강요 경험률과 남아 출산에 대한 강요와 인위적 성선별 출산 의도와의 관련성 및 저 출산과 성 선호와 관련된 요인을 분석하고자 시행하였다. 경주시의 25개 읍 면 동 중 도시지역과 농촌지역 각각 4개 동과 5개 읍.면지역을 임의로 추출한 453명의 연구대상자를 대상으로 2005년 12월부터 2006년 2월까지 조사를 시행하였으며, 392명에 대하여 조사를 완료하였으며 이 중 불완전한 설문조사를 제외한 348명을 대상으로 분석하였다. 결혼에 대한 인식의 경우 연령과 유의한 관련성이 있었는데(p<0.01), 연령이 높을수록 결혼은 '반드시 해야 한다'라고 응답한 비율이 높아졌다. 자녀 출산에 관한 인식은 연령(p<0.01), 거주 지역(p<0.01), 그리고 교육수준(p<0.05)과 유의한 관련성이 있었다. 자녀의 수의 제한 없다는 가정 하에 아들 또는 딸에 대한 성 선호에 대한 응답은 연령(p<0.05) 및 직업 유무(p<0.01)와 유의한 관련성이 있었다. 이상적인 자녀의 수로는 49세 이하는 '2명'이 34.8%로 가장 많았고, 50-69세 군과 70세 이상군에서는 '4명'이 각각 35.4%, 33.7%였다. 출생성비 불균형에 대한 인식은 경제상태(p<0.01) 및 직업 유무(p<0.01)와 유의한 관련성이 있었다. 저 출산 원인의 경우 모든 연령군에서 '경제적 부담'이 가장 중요한 요인으로 생각하였다. 자녀가 한명일 경우의 남아 선호 여부를 종속변수로 하여 49세 이하의 군과 50-69세, 70세 이상의 군으로 구분하여 다중 로지스틱 회귀분석을 시행한 결과, 49세 이하에서는 주관적 경제상태(p<0.01)와 거주 지역(p<0.05)이 유의한 영향을 미치는 변수였으며, 50-69세에서는 교육수준(p<0.05), 거주 지역(p<0.01)이 유의한 영향을 미치는 변수였으나, 70세 이상에서는 유의한 영향을 미치는 변수가 없었다. 출산순위가 낮은 출생아의 성선별에 대한 홍보와 더불어 소 자녀관을 개선시키는 것을 국가 정책과 홍보의 우선과제로 하는 것이 필요하고, 직장생활과 결혼, 출산 등을 연계하여 인식하고 있고, 사회활동을 통한 개인의 성취를 중요하게 생각하는 경향이 가속화 될 것이 때문에 결혼과 자녀의 출산 등이 직장생활에 장애요인으로 작용하지 않도록 하는 정책과 사회적 배려가 필요한 것이다.

• 대한간호학회지
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• 제2권1호
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• pp.3-33
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• 1971

Nursing of today has as one of its objectives the solving of problems related to human needs arising from the demands of a rapidly changing society. This nursing objective, I believe, can he attained by the appropriate application of scientific principles in the giving of comprehensive nursing care. Comprehensive nursing care may be defined as nursing care which meets all of the patient's needs. the needs of patients are said to fall into five broad categories: physical needs, psychological needs, environmental needs, socio-economic needs, and teaching needs. Most people who become ill have adjustment problems related to their new situation. Because patient teaching is one of the most important functions of professional nursing, the success of this teaching may be used as a gauge for evaluating comprehensive nursing care. This represents a challenge foe the future. A questionnaire consisting of 67 items was distributed to 200 professional nurses working ill direct patient care at Yonsei University Medical Center in Seoul, Korea. 160 (80,0%) nurses of the total sample returned completed questionnaires 81 (50.6%) nurses were graduates of 3 fear diploma courser 79 (49.4%) nurses were graduates of 4 year collegiate nursing schools in Korea 141 (88,1%) nurses had under 5 years of clinical experience in a medical center, while 19 (11.9%) nurses had more than 5years of clinical experience. Three hypotheses were tested: 1. “Nurses had high levels of concept and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of the T-test. Conclusions of this study are as follow: Before attempting the explanation, of the results, the questionnaire will he explained. The questionnaire contained 67 questions divided into 9 sections. These sections were: concept, content, time, prior preparation, method, purpose, condition, evaluation, and recommendations for patient teaching. 1. The nurse's concept of patient teaching: Most of the nurses had high levels of concepts and knowledge toward patient teaching. Though nursing service was task-centered at the turn of the century, the emphasis today is put on patient-centered nursing. But we find some of the nurses (39.4%) still are task-centered. After, patient teaching, only a few of the nurses (14.4%) checked this as “normal teaching.”It seems therefore that patient teaching is often done unconsciously. Accordingly it would he desirable to have correct concepts and knowledge of teaching taught in schools of nursing. 2. Contents of patient teaching: Most nurses (97.5%) had good information about content of patient teaching. They teach their patients during admission about their diseases, tests, treatments, and before discharge give nurses instruction about simple nursing care, personal hygiene, special diets, rest and sleep, elimination etc. 3. Time of patient teaching: Teaching can be accomplished even if there is no time set aside specifically for it. -a large part of the nurse's teaching can be done while she is giving nursing care. If she believes she has to wait for time free from other activities, she may miss many teaching opportunities. But generally proper time for patient teaching is in the midmorning or midafternoon since one and a half or two hours required. Nurses meet their patients in all stages of health: often tile patient is in a condition in which learning is impossible-pain, mental confusion, debilitation, loss of sensory perception, fear and anxiety-any of these conditions may preclude the possibility of successful teaching. 4. Prior preparation for patient teaching: The teaching aids, nurses use are charts (53.1%), periodicals (23.8%), and books (7.0%) Some of the respondents (28.1%) reported that they had had good preparation for the teaching which they were doing, others (27.5%) reported adequate preparation, and others (43.8%) reported that their preparation for teaching was inadequate. If nurses have advance preparation for normal teaching and are aware of their objectives in teaching patients, they can do effective teaching. 5. Method of patient teaching: The methods of individual patient teaching, the nurses in this study used, were conversation (55.6%) and individual discussion (19.2%) . And the methods of group patient teaching they used were demonstration (42.3%) and lecture (26.2%) They should also he prepared to use pamphlet and simple audio-visual aids for their teaching. 6. Purposes of patient teaching: The purposes of patient teaching is to help the patient recover completely, but the majority of the respondents (40.6%) don't know this. So it is necessary for them to understand correctly the purpose of patient teaching and nursing care. 7. Condition of patient teaching: The majority of respondents (75.0%) reported there were some troubles in teaching uncooperative patients. It would seem that the nurse's leaching would be improved if, in her preparation, she was given a better understanding of the patient and communication skills. The majority of respondents in the total group, felt teaching is their responsibility and they should teach their patient's family as well as the patient. The place for teaching is most often at the patient's bedside (95.6%) but the conference room (3.1%) is also used. It is important that privacy be provided in learning situations with involve personal matters. 8. Evaluation of patient teaching: The majority of respondents (76.3%,) felt leaching is a highly systematic and organized function requiring special preparation in a college or university, they have the idea that teaching is a continuous and ever-present activity of all people throughout their lives. The suggestion mentioned the most frequently for improving preparation was a course in patient teaching included in the basic nursing program. 9. Recommendations: 1) It is recommended, that in clinical nursing, patient teaching be emphasized. 2) It is recommended, that insertive education the concepts and purposes of patient teaching he renewed for all nurses. In addition to this new knowledge, methods and materials which can be applied to patient teaching should be given also. 3) It is recommended, in group patient teaching, we try to embark on team teaching.

• 지능정보연구
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• 제18권3호
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• pp.153-169
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• 2012

전시회는 새로운 상품이나 서비스를 현재 고객들과 미래의 잠재고객들에게 홍보하기 위해 개최하는 효과적인 마케팅 수단으로 중요하다. 기업들은 전시회에 참여를 통해 현재 고객 및 잠재고객들과 대면접촉을 함으로써 기업의 이미지 제고 및 새로운 판로를 확보할 수 있다. 이처럼 전시회의 경제적 중요성이 커짐에 따라, 전시주최자들은 참여기업 및 참관객을 유치하기 위하여 새로운 IT 기술을 전시회에 적용하고 있을 뿐만 아니라 연구자들 또한 참관객의 관람패턴을 분석하기 위하여 다양한 연구를 시도하고 있다. 최근에는 스마트 기술이 발전함으로써 전시 공간 내에서 참관객의 활동을 실시간으로 모니터링 할 수 있어 온라인 전시환경처럼 오프라인 전시회를 방문한 참관객의니즈를 실시간으로 추론하여 참관객의 선호에 적합한 서비스를 제공하기 위한 부스 추천시스템에 대한 연구가 활발히 진행되고 있다. 그러나 새로운 기술 개발 측면에서 시스템의 성능을 개선하려는 연구는 지속적으로 진행되어 왔으나 향후 시스템의 개발 방향 및 보급 활성화에 영향을 미치는 요인에 관한 연구들이 부족한 실정이다. 부스 추천시스템은 스마트 전시환경에서 새로 도입되는 기술로 부스 추천시스템에 대한 참관객의 수용 후 재사용 의도는 TAM 관점보다는 부스 추천시스템이 참관객의 선호에 적합한 추천정보를 제공하는가에 초점을 맞출 필요가 있다. 따라서, 본 연구에서는 기존 문헌 고찰을 통해 전시환경에서의 부스 추천시스템에 대한 참관객의 만족 및 재사용 의도에 영향을 주는 요인을 도출하여 연구모형을 설계하였다. 이를 통해 향후 스마트 전시환경에서 부스 추천시스템의 개발과 보급 전략에 있어 유용한 시사점을 제공하고자 하였다. 이러한 연구목적을 달성하기 위하여 2011년 11월 DMC 컬처 오픈 행사에서 부스 추천시스템을 사용한 참관객을 대상으로 설문조사를 실시하였고 회귀분석을 통해 가설을 검증하였다. 그 결과, 참관객의 만족에 영향을 미치는 요인은 부스 추천시스템의 효과성, 편의성, 추천품질, 의외성으로 나타났다. 또한, 부스 추천시스템에 대한 참관객의 만족은 재사용 의도 형성에 긍정적인 영향을 미치는 것으로 밝혀졌다. 본 연구가 가지는 의의는 다음과 같다. 먼저, 본 연구결과를 토대로 스마트 전시환경에서 부스 추천시스템에 대한 참관객의 지속적인 서비스 이용을 유도하기 위한 전략을 수립할 때 고려해야 할 주요한 요인을 실증연구를 통해 구체화시켰다는데 의의가 있다. 또한, 스마트 전시환경에서 부스 추천시스템이 성공적으로 도입 및 활용되기 위해서는 참관객의 수용 전후 차별화된 관리가 필요함을 본 연구결과를 통해 제시하였다.

• 지능정보연구
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• 제26권3호
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• pp.149-169
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• 2020

현 정부의 주요 국책사업 중 하나인 도시재생 뉴딜사업은 매년 100 곳씩, 5년간 500곳을대상으로 50조를 투자하여 낙후된 지역을 개발하는 것으로 언론과 지자체의 높은 이목이 집중되고 있다. 그러나, 현재 이 사업모델은 면적 규모에 따라 "우리동네 살리기, 주거정비지원형, 일반근린형, 중심시가지형, 경제기반형" 등 다섯 가지로 나뉘어 추진되어 그 지역 본래의 특성을 반영하지 못하고 있다. 국내 도시재생 성공 키워드는 "주민 참여", "지역특화" "부처협업", "민관협력"이다. 성공 키워드에 따르면 지자체에서 정부에게 도시재생 사업을 제안할 때 지역주민, 민간기업의 도움과 함께 도시의 특성을 정확히 이해하고 도시의 특성에 어울리는 방향으로 사업을 추진하는 것이 가장 중요하다는 것을 알 수 있다. 또한 도시재생 사업 후 발생하는 부작용 중 하나인 젠트리피케이션 문제를 고려하면 그 지역 특성에 맞는 도시재생 유형을 선정하여 추진하는 것이 중요하다. 이에 본 연구는 '도시재생 뉴딜 사업' 방법론의 한계점을 보완하기 위해, 기존 서울시가 지역 특성에 기반하여 추진하고 있는 "2025 서울시 도시재생 전략계획"의 도시재생 유형을 참고하여 도시재생 사업지에 맞는 도시재생 유형을 추천하는 시스템을 머신러닝 알고리즘을 활용하여 제안하고자 한다. 서울시 도시재생 유형은 "저이용저개발, 쇠퇴낙후, 노후주거, 역사문화자원 특화" 네 가지로 분류된다 (Shon and Park, 2017). 지역 특성을 파악하기 위해 총 4가지 도시재생 유형에 대해 사업이 진행된 22개의 지역에 대한 뉴스 미디어 10만여건의 텍스트 데이터를 수집하였다. 수집된 텍스트를 이용하여 도시재생 유형에 따른 지역별 주요 키워드를 도출하고 토픽모델링을 수행하여 유형별 차이가 있는 지 탐색해 보았다. 다음 단계로 주어진 텍스트를 기반으로 도시재생 유형을 추천하는 추천시스템 구축을 위해 텍스트 데이터를 벡터로 변환하여 머신러닝 분류모델을 개발하였고, 이를 검증한 결과 97% 정확도를 보였다. 따라서 본 연구에서 제안하는 추천 시스템은 도시재생 사업을 진행하는 과정에서 신규 사업지의 지역 특성에 기반한 도시재생 유형을 추천할 수 있을 것으로 기대된다.

• 지능정보연구
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• 제20권1호
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• pp.149-161
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• 2014

공공 서비스의 수출의 경우 수출 절차와 대상 선정에 따른 다양한 문제가 발생하며, 공공 서비스 수출 플랫폼은 이러한 문제점들을 해결하기 위하여 사용자 중심의 유연하고, 개방형 구조의 디지털 생태계를 조성할 수 있도록 구현되어야 한다. 또한 공공서비스의 수출은 다수의 이해당사자가 참여하고 여러 단계의 과정을 거쳐야 하므로 사용자의 이해 종류와 탐색 컨설팅 협상 계약 등 수출 프로세스 단계별로 맞춤형 플랫폼 서비스 제공이 필수적이다. 이를 위해서 플랫폼 구조는 도메인과 정보의 정의 및 공유는 물론 지식화를 지원할 수 있어야 한다. 본 논문에서는 공공서비스 수출을 지원하는 플랫폼을 위한 온톨로지 모형을 제안한다. 서비스 플랫폼의 핵심 엔진은 시뮬레이터 모듈이며 시뮬레이터 모듈에서는 온톨로지를 사용하여 수출 비즈니스의 여러 컨텍스트들을 파악하고 정의하여 다른 모듈들과 공유하게 된다. 온톨로지는 공유 어휘를 통하여 개념들과 그들 간의 관계를 표현할 수 있으므로 특정 영역에서 구조적인 틀을 개발하기 위한 메타 정보를 구성하는 효과적인 도구로 잘 알려져 있다. 공공서비스 수출 플랫폼을 위한 온톨로지는 서비스, 요구사항, 환경, 기업, 국가 등 5가지 카테고리로 구성되며 각각의 온톨로지는 요구분석과 사례 분석을 통하여 용어를 추출하고 온톨로지의 식별과 개념적 특성을 반영하는 구조로 설계한다. 서비스 온톨로지는 목적효과, 요구조건, 활동, 서비스 분류 등으로 구성되며, 요구사항 온톨로지는 비즈니스, 기술, 제약으로 구성 된다. 환경 온톨로지는 사용자, 요구조건, 활동으로, 기업 온톨로지는 활동, 조직, 전략, 마케팅, 시간으로 구성되며, 국가 온톨로지는 경제, 사회기반시설, 법, 제도, 관습, 인프라, 인구, 위치, 국가전략 등으로 구성된다. 수출 대상 서비스와 국가의 우선순위 리스트가 생성되면 갭(gap) 분석과 매칭 알고리즘 등의 시뮬레이터를 통하여 수출기업과 수출지원 프로그램과의 시스템적 연계가 이루어진다. 제안하는 온톨로지 모형 기반의 공공서비스 수출지원 플랫폼이 구현되면 이해당사자 모두에게 도움이 되며 특히 정보 인프라와 수출경험이 부족한 중소기업에게 상대적으로 더 큰 도움이 될 것이다. 또한 개방형 디지털 생태계를 통하여 이해당사자들이 정보교환, 협업, 신사업 기획 등의 기회를 만들 수 있을 것으로 기대한다.

• 지능정보연구
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• 제25권1호
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• pp.197-218
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• 2019

중국 화장품 전체 교역중 약 67% 정도가 전자상거래로 이루어지고 있는데 특히 한국 화장품인 K-Beauty 제품의 인기가 높다. 기존 연구에 의하면 화장품 같은 소비재의 경우 소비자의 80%는 제품 구매 전 제품정보를 인터넷으로 검색하며 구전정보에 영향을 받는다. 대부분의 중국 소비자들은 화장품과 관련된 정보를 주요 SNS에 다른 소비자들이 올린 댓글을 통해 획득하며 최근에는 뷰티 관련 동영상 채널 정보를 이용하기도 한다. 기존의 온라인 구전 관련 연구는 대부분 Facebook, Twitter, 블로그 등의 매체 자체가 중심이었다. 본 연구에서는 온라인 구전정보의 전달 형태와 정보의 형태를 고려하여 정보유형을 동영상과 사진 및 텍스트로 나누어 연구하고자 한다. 중국의 SNS대표 플랫폼인 SINA Weibo와 동영상 플랫폼 Meipai의 비정형 데이터를 분석하고 온라인 구전정보를 양과 방향성으로 나누어 K-Beauty브랜드 매출액에 미치는 영향을 분석하고자 한다. Meipai에서는 총 약 33만개의 데이터를 수집하였고 SINA Weibo에서는 총 약 11만개의 데이터를 수집하여 화장품의 기본 속성도 고려하여 분석하였다. 본 연구의 의의는 온라인 매출은 K-Beauty화장품에 대해서도 구전에 영향을 받는다는 것을 기본적으로 입증함과 동시에 특히 정보 유형에 대한 구분을 시도 했다는 것이다. 두가지 매체 모두 기존 연구와 같이 양이 매출에 영향을 미치고 있으나 매체풍부성으로 인해 텍스트보다 동영상이 정보를 더 주고 영향이 크다는 것을 입증하였다. 또한, 정보 방향성 측면에서는 색조화장품의 경우 부정 댓글의 영향이 크게 나타났다. 실무적으로는 화장품 판매 전략 및 광고 전략에 기초 및 색조 화장품을 구분하여 중국 K-Beauty화장품 매출증대를 위한 마케팅전략을 구사하는데 도움이 될 것으로 기대된다.