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Effects of the Breast Cancer Risk Appraisal on Breast Self-Examination Practice in Adult Women (유방암위험사정이 일 여성의 유방자가검진(BSE)실행에 미치는 영향)

  • Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.281-293
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    • 1996
  • Breast cancer ranks as one of the major health problems of adult women. Studies have shown that Breast Self-Examination (BSE) is effective in detecting breast cancer in its early stages. To motivate women BSE practicing, a nonequivalent control group pretest-posttest design was conducted. Women 40 years or older who participated in the public education program for BSE from March 11 to April 6, 1996, were randomized in an experimental group(N=50) which received a letter about the Breast Cancer Risk Appraisal and in a control group(N=50) which didn't received a letter about the Breast Cancer Risk Appraisal. After 6 months, a follow-up phone survey was taken on all participants to measure the effectiveness of the intervention. Collected data was analyzed by one, two, and three-way ANOVA with an SAS program. The results are summarized as follows : 1. The level of the Breast Cancer Risk Appraisal of the subjects is high risk(17%), moderate risk(12%), boderline risk(14%), no increased risk (57%). 2. The intervention was effective in increasing the practice scores of BSE for women(F=5.12, P<.05). 3. BSE practice scores according to breast cancer risk appraisal level of the experimental group was not significantly increased after the intervention as contrasted with the control group (F=2.33, P>.05). 4. BSE practice scores according to educational level of the experimental group was significantly increased after the intervention, as contrasted with that of the control group (F=10.09, P<.001) .On the basis of this study it can be concluded that the Breast Cancer Risk Appraisal increases practice of BSE.

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The Relationship between the Nurse's Followership, Job Satisfaction and Organizational Commitment. (임상간호사의 팔로워십(followership)과 직무만족, 조직몰입과의 관계)

  • Gu, Ok-Hui;Choe, Ok-Sun
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1254-1264
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    • 2000
  • This study investigated the relationship between the nurse's followership, job satisfaction and organizational commitment. The sample consisted of 173 nurses of 2 private university hospitals. The instruments used in this study were the followership scale (Kelly, 1994), the job satisfaction scale (Slavitts et al., 1978), the organizational commitment questionnaire (Mowday et al., 1979) and the demographic questionnaire. SPSS/WIN program was used for descriptive statistics, ANOVA, and Pearson correlation analysis of data. The results were as follows: 1) The styles of followership were classified as pragmatist followers (73.4%), exemplary followers (19.7%), passive followers (4.6%), and alienated followers (2.3%). 2) The mean of independent/critical thinking was 3.32 (M=3.0), and active involvement was 3.04 (M=3.0). As a whole, the mean of followership was 3.18 (M=3.0), job satisfaction was 2.82 (M=2.5), and organizational commitment was 3.97 (M=3.5). 3) Significant differences were found in the degree of clinical nurses' perception of followership according to the demographic characteristics such as age, education, position, and career. 4) Significant differences were found in the degree of clinical nurses' perception of followership according to followership styles. 5) The followership was significantly related to job satisfaction and organizational commitment. In conclusion, the nurse's followership is considered as an important concept and this suggested that the concept could be used as a major variable in measuring effectiveness of nursing organization.

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Genetic counseling in Korean health care system (유전상담의 제도적인 고찰)

  • Kim, Hyon-J.
    • Journal of Genetic Medicine
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    • v.4 no.1
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    • pp.1-5
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    • 2007
  • Unprecedented amount of genetic information being generated from the result of Human Genome Project (HGP) and advances in genetic research is already forcing changes in the paradigm of health and disease. The ultimate goal of genetic medicine is to use genetic information and technology to develop new ways of treatment or even prevention of the disease on an individual level for 'personalized medicine'. Genetics is play ing an increasingly important role in the diagnosis, monitoring and management of common multifactorial diseases in addition to rare single-gene disorders. While wide range of genetic testing have provided benefits to patients and family, uncertainties surrounding test interpretation, the current lack of available medical options for the diseases, and risks for discrimination and social stigmatization may remain to be resolved. However an increasing number of genetic tests are becoming commercially available, including direct to consumer genetic testing, yet public is often unaw are of their clinical and social implications. The personal nature of information generated by a genetic test, its power to affect major life decisions and family members, and its potential misuse raise important ethical considerations. Therefore appropriate genetic counseling is needed for patient to be informed with the benefits, limitations and risks of genetic tests, prior to informed consent for the tests. Physician also should be familiar with the legal and ethical issues involved in genetic testing to tell patients how w ell a particular genetic risk factor relates with likelihood of disease, and be able to provide appropriate genetic counseling. Genetic counseling become a mandatory requirement as global standard for many genetic testing such as prenatal diagnosis, presymtomatic DNA diagnostic tests and cancer susceptibility gene test for familial cancer syndrome. In oder to meet the challenge of genetic medicine of 21 century in korean health care system, professional education program and certification board for medical genetics specialist including non-MD genetic counselors should be addressed by medical society and regulatory policy of national health insurance reimbursement for genetic counseling to be in place to promote the implementation of clinical genetic service including genetic counseling for proper genetic testing.

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Reasons and Motivations for Cigarette Smoking and Barriers against Quitting Among a Sample of Young People in Jeddah, Saudi Arabia

  • Baig, Mukhtiar;Bakarman, Marwan A;Gazzaz, Zohair J;Khabaz, Mohamad N;Ahmed, Tahir J;Qureshi, Imtiaz A;Hussain, Muhammad B;Alzahrani, Ali H;Al-Shehri, Ali A;Basendwah, Mohammad A;Altherwi, Fahd B;Al-Shehri, Fahd M
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3483-3487
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    • 2016
  • Background: Cigarette smoking is one of the leading causes of death in the world. Tobacco consumption has grave negative consequences for health so that it is important to understand the reasons and motivations towards cigarette smoking and barriers against quitting smoking among the young generation for developing effective policies to control this widespread problem. Materials and Methods: This cross-sectional survey was carried out at the Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia. A total of 438 young smokers participated from the University and the general population. Data were collected through anonymous, self-administered questionnaires in the Arabic language that contained questions about the reasons and motivations towards cigarette smoking and barriers against quitting smoking. The questionnaire also contained several questions regarding knowledge and attitude of the participants towards cigarette smoking. The data was analyzed on SPSS-16. Results: The mean age of the respondents was $22.9{\pm}3.48$, out of 438 subjects 87 (19.9%) were married, and 351 (80.1%) were unmarried, and 331 (75.6%) belonged to urban areas while 107 (24.5%) were from the rural areas. Responding to a question about a number of cigarettes smoked per day, 31% answered 11-20, 29% answered 21-30, and 25% answered 1-10. Questioned about smokers in the family, 34.5% responded more than one, with 19% for brother and 13% for father. About the reasons for not quitting smoking, 26% described lack of willpower, 25% had no reason, 22% said that people around me smoke, and 15.3% responded stress at home/work. The major motivation for smokers was smoker friends (42%), for 33.8% others, for 12% father/brother and 7.8% media. Conclusions: There are several avoidable and preventable reasons and barriers against quitting smoking. However, knowledge and attitude about smoking were good, and the majority of the smokers were well aware of the associated hazards. Therefore, there is a need to search out ways and means to help them to quit this addiction.

A Study on the controversial Issues of the Private Investigator System (공인탐정제도 도입에 따른 주요 쟁점 논의)

  • Jaemin Lee
    • Journal of the Society of Disaster Information
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    • v.19 no.2
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    • pp.254-261
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    • 2023
  • Purpose: With the diversification of modern society, it is difficult to predict crime types, and the limitations of the state's functions, such as human limitations and lack of budget, are increasing. Method: However, as the number of private investigation companies that do not use illegal means to solve the request increased, attempts were made to introduce a public detective system that would manage and supervise it and compensate for the gap in public power. Result: However, due to the nature of the Private Investigator system, legislation has not progressed as the National Police Agency and the Ministry of Justice are at odds with existing laws that guarantee existing jobs such as lawyers and credit research. Conclusion: Therefore, this study analyzes the bills related to the authorized detective to the National Assembly, examines major issues such as the scope of work of the authorized detective business, the selection of management and supervisory authorities, and suggests ways to improve the successful settlement of the Private Investigator system.

Spatial Patterns of Migration in the Busan Metropolitan Area (부산권 인구이동의 공간적 패턴에 관한 연구)

  • Koo, Dong-Hoe
    • Journal of the Korean Geographical Society
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    • v.42 no.6
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    • pp.930-939
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    • 2007
  • This study intends to demonstrate that the population decrease in the City of Busan has been resulted from the move of the city's population towards suburbs as well as the out-migration towards the Seoul metropolitan area. To grasp the pattern in the spatial shift of the Busan's population, I analyze the change of population and households within the city and the migration at the inter-regional and intra-metropolitan scales. The major findings of the study are as follows: First, Busan has experienced population decline since 1995, as other large cities, such as Seoul and Daegu have done. Second, despite the population decrease, the number of households has been increased in Busan. Third, the residents of Busan have mostly moved not only to the Seoul metropolitan area but also to the suburban region of Busan. This finding may well contradict the long-standing belief that the continued decrease in the Busan population could be the result of the out-migration toward the Seoul metropolitan area. Fourth, the residential suburbanization in Busan can be interpreted as the extensive intra-metropolitan dispersion, which means the growth of the Busan metropolitan area.

A Study on Dental Hygiene Students' Curriculum Regarding Clinical Practice (일부 치위생과 학생들의 임상실습 시 교과목 효용에 관한 연구)

  • Jang, Sung-Yeon
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.1
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    • pp.11-18
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    • 2021
  • Background: The present study aimed to analyze which curriculum is the most relevant to dental hygiene students when they participate in clinical practice in order to provide a useful reference for preparing educational guidance in this field. Method: The survey utilized in the present study consisted of six questions about general characteristics, such as grade, satisfaction with major, amount of clinical practice, period of clinical practice, place of clinical practice, and the most interesting are during clinical practice. When evaluating curriculum relevancy, the following were ranked on a 5-point Likert scale, where 5 = very useful, 4 = comparatively useful, 3 = normal, 2 = comparatively unuseful, 1 = very unuseful: difference in requirements in the field of clinical practice, reason for this difference, and question about the utility of each curriculum. On this scale, higher points implied higher relevance. Result: The highest groups of curricula regarding curriculum utility were as follows: operative dentistry (59.6%), pre-clinical practice (55.2%), dental materials and clinical practice (54.4%), and prosthetic dentistry (49.6%). The lowest groups of curricula regarding curriculum utility were as follows: oral physiology (2.0%), oral histology and embryology (1.6%), and oral microbiology (1.2%). These results imply a lack of connection between the curriculum and tasks in clinical practice. Conclusion: Based on the results of the present study, it appears that both theory and practice courses of the clinical curriculum must be conducted systematically, and that there is a need to conduct education for the fundamental curricula, such as oral physiology, oral histology and embryology, and oral microbiology, regarding the relevance of tasks practiced in clinics.

Analysis of the Current Hypertension Control Program in Public Health Centers (지역사회 고혈압 관리 사업의 방향 재설정)

  • Chin, Young-Ran;Lee, In-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.385-396
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    • 2004
  • Purpose: Hypertension has been a major cause of death in Korea since the 1970s, and has resulted in being a significant economic burden to the finances of national health care. The Ministry of Health and Welfare made several efforts. but hypertension control programs in Korea are still non standardized and ineffective. We wanted to investigate the current hypertension control program in public health centers systematically and suggest the direction for future programs. Method: The design of this study is a cross sectional investigation. From September to October in 2002, we sent a set of questionnaires to all PHCs, and 179 centers responded (response rate = 74.0%). The instrument was developed based on components of National health systems. Results: 1) Resources: The department responsible for hypertension control programs is the Department of Health Promotion. Health Education Center, Community Health Center, Citizen's Health Center, etc. The chief personnel of those departments are nurses. but 27.4% of PHCs have no full time nurse for hypertension management programs. PHCs had a lot of teaching materials (nine types per a PHC) and most of the recommended contents were included. But, periodical evaluation and revision were not being made, 2) Management: Nurses' (13.03 9.46 in 23 score) actions for hypertension control were not qualitative, but regular training and evaluation were seldom carried out. Need assessment (25.9%) and evaluation (about 10-20%) for the hypertension control program were indicated as low. 3) Programs: Programs focused on individuals rather than community or public, and 2nd prevention rather than 1st, 3rd prevention. Conclusion: The Ministry of Health and Welfare has to construct the infrastructure for hypertension control programs. Related scholars and committees should develop and declare standardized manuals for hypertension control and the management system, as well.

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A Study on the ProBono Activation Plan for Sustainable Beauty (지속가능한 미용전공 프로보노 활성화 방안에 관한 연구)

  • Yoon, Jin-Suk
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.403-415
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    • 2018
  • The purpose of this study is to analyze the factors affecting the beauty Probono activities and to find ways to revitalize the related activities. In this study, the research models and hypotheses were set up, and the results of the main analysis were obtained by conducting the questionnaire analysis of 701 beauty majors in the metropolitan area. First, it was found that the participation of Beauty Probono is to utilize beauty technology and knowledge, mainly through volunteer club activities. Second, Satisfaction with beauty Probono activities was highly correlated with recruitment of service organization. The reliability of the service organization tended to be higher as the level of institutional operation and satisfaction through participation were higher. Third, satisfaction with beauty Probono activities was high, and the more trust in organization, the higher the sustainability of activities. The beauty Probono activation plan suggested the development of various public relations channels, strengthened education for volunteers, and transparent management of the volunteer organization. However, this research has limitations in the limitation of research subject, and it is expected that the study of various aspects of beauty student major students will be continued in the future.

A Study on Effect of Perceptual Orientation to the Army Nurses′Effectiveness Introduction (군 간호원의 지각 향상이 근무효율성에 미치는 영향)

  • Chung, Sook
    • Journal of Korean Academy of Nursing
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    • v.3 no.1
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    • pp.67-83
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    • 1972
  • This study is designed to reveal the relationship of Army Nurses′ effectiveness to their perceptual orientation. Studies on nurses are very few despite of highly professional duties which deal with human lives. Effectiveness of nurses could be seen from both within and without. At present study, however, the researcher tried to work on the point of view of perceptual psychology. The study was designed !o fined the relationship of "Perceptual Orientation Scale"to their ratings training courses and experiences. The subjects are limited to nurses serving in the Army of the Republic of Korea. Many researches on nurses, such as Young Bok Lee(1970), Sook Ja Yoo(1971) Young Sook Hong (1970), Ik Do Choi (1966), are dealt with their attitude, morale, how to see their profession, adjustability and college lives, tut no one ever studied their subjective perceptual orientation. Method "Perceptual Orientation Scale"(Chunghoon Choy, 1971) was administered to 315 Army Nurses during the period of June to November 1971, and the relationship with their ratings by their supervising officers, training courses and their experiences were tested. All the relationship were calculated by the method of Chi-Squares. Result 1) There is no significant relationship between "Perceptual Orientation Scale" and their ratings. 2) There is no significant relationship between "Perceptual Orientation Scale" and their training courses. 3) There is no significant relationship between "Perceptual Orientation Scale" and their experiences. Conclusion As far as calculated result are concerned the research could not fined any Significant relationship. Therefore we can conclude that "Perceptual Orientation Scale"of the nurses has nothing to do with nurses effectiveness. It means the Army Nurses rating method has to be modified at once. Also we have to continue to fined mole significant effectiveness criteria and other researches be encouraged.

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