Purpose : To describe and understand the experience of QI (quality improvement) nurses related to the hospital QI activities in public general hospitals. Methods : Purposive sampling was conducted 10 QI nurses and who have QI work experience for more than 1 year. Data were collected through focus group interviews. Interviews were recorded, transcribed and analyzed with qualitative content analysis using Strauss and Corbin's methodology. Results : The core categories of experience with QI activities were 'the success and failure of the medical care and overall health service sector', 'the degree of activation of current QI activities', 'characteristics of public hospital QI activities', 'what is needed to activate future QI activities'. The key themes were derived as follows. 'Success of quality enhancement activities according to the characteristic of public hospitals', 'activation of public hospital QI activities through leadership and QI education', 'reorganizing the role of regional hospitals in public hospitals'. Conclusion : Physician participation is important in the success of QI activities in public hospital practice. To lead these physician participation, Sharing doctor's QI experience and providing the necessary knowledge in QI activities and helping their leadership in QI activities are needed. QI nurses at public hospitals should lead QI activities to improve national hospitals' care quality through cooperating with local hospitals.
Korea has 30 years of experiences in environmental impact assessment (EIA). Although EIA includes sanitation-public health factor, considering health impacts, among 74 unit projects of 17 sections, health impacts haven't been properly considered or have been ignored in many cases. The increasing awareness on the importance of health impacts has triggered this study to seek an optimal introduction scheme of health impact assessment (HIA). The processes of EIA already include screening, scoping, analysis, impact assessment, consultation, document review, decision making and monitoring, in which they would be the essential parts of HIA. In this context, integrating HIA into the existing EIA process could be the most effective way to use the benefits in both legal and procedural processes existed and to avoid the confusion and overlapping since the close relationships between environment and health impacts might be. Furthermore, it is desirable that the existing sanitation-public health factor should be substituted by and extended to environment-health factor with sufficient determinants to properly consider health impacts. When considering the first step of HIA, the prospective and qualitative approach is suitable more than the retrospective and quantitative one due to the lack of database accumulated. Similarly, an approach based on epidemiology and toxicology could analyze the limited evidences and impacts related to human disease, whereas one based on socio-science and psychology could provide the effective means available for predicting how the people and community will act by the change of surroundings. Checklist approach with various and comprehensive health determinants focused on prospective and qualitative methods will be very useful for more convenient and progressive dissemination of HIA. Various checklist approaches of toolkits could be found from HIA documents elsewhere, for example Westminster Toolkit, and they would be helpful to figure out how to develop common procedures and health determinants for checklist, in which the unique characteristics on korean cultural and political context compared to abroad should be carefully considered since checklist would be the most basic and essential part of HIA. After the establishment of checklist and procedural processes, the pilot projects should be conducted. Main purpose of pilot projects is to apparently prove the effectiveness and profitability of HIA. Pilot projects should be implemented to decide the effectiveness and suitability of HIA for future projects, programs and policies, and should be provided as the positive cases that can be achieved through the proper implementation and progress.
As an essential means to the exploitation of new demands, the export of agri-food has the price-supporting effect on the domestic agri-food and its expansion can be a good way to increase farms' income. Of course, to enhance farms' income under the liberalization of the market, it is necessary to have countermeasures considering various factors. To this end, the study understood the experiences of farms doing exports and looked into ways to improve them by reviewing their motivations to export, difficulties, requirements, etc. In this context, the study conducted the purposive sampling among tomato export farmhouses in Jeongseon-gun in the export enforcement phase and executed the theme analysis. The research findings and suggestions are as follows. First, in order to enhance the level of commercialization of Jeongseon-gun tomatoes and reinforce the trade bargaining power, it is necessary to form the consensus on policy and make the scaling of the site based on the strong organization power. To this end, it requires the active role of agricultural cooperatives that take a big portion of distribution in the site and distribute its profits directly to farmhouses. Second, it is necessary to set clear target markets for Jeongseon-gun tomato export farms and set sales strategies for each target market. That is, in order to expand the export of Jeongseon-gun tomatoes, after clarifying local sales and export sales, export farmhouses should focus on quality management and secure the quantity for export. Third, to expand the export to Japan which already has the foundation for the export of Korean tomatoes, and to new export countries of China, Russia, etc., it is necessary to set the 'Two-Track Strategies for Export Market (particular item for focus and particular area for focus)' through the building of network of tomato export areas in Gangwon-do. In conclusion, to expand the export of Jeongseon-gun tomatoes, agricultural cooperatives and leaders together should build the strong organizational power with farmhouses and secure the quantities for export. And, according to the 'Two-Track Strategies for Export Market (particular item for focus and particular area for focus)', export infrastructure and export operational system should be built and to do so, the solidarity of tomato export farmhouses in Gangwon area should precede.
Journal of The Korean Association For Science Education
/
v.37
no.2
/
pp.383-393
/
2017
The purpose of this study is to examine the interpersonal competence of science-gifted students in groups of people with different characteristics. We examined the interpersonal competence and characteristics of students in school and in science-gifted education institute. The subjects of this study were 72 students in a university-based science-gifted education institute. We used a mixed method of both qualitative and quantitative research. The questionnaires were used for quantitative research and the narrative contents and interviews were analyzed for qualitative research. We compared their competence in school with those of gifted education institute students through questionnaire, narrative contents, and interviews. The interpersonal competence questionnaire consisted of 46 questions and their own descriptions about interpersonal experiences in school and in science-gifted education institute. In an interview, they explained their answers on the questionnaires with more details. As a result, generally, the science-gifted students evaluated their interpersonal competence higher in school than those in gifted education institute. They showed different interpersonal characteristics in schools and in science-gifted education institutes. This implies implications for the social meaning of the science-gifted education institutes.
This study is to explore experience on the inter-organizational linkages for vocational rehabilitation of people with psychiatric disabilities and to find out predictors affecting the linkages. This study used triangulation a way as to combine the advantages of both the qualitative and the quantitative approach. The qualitative approach is based on grounded theory by Strauss & Cobin. The quantitative research used the samples of 122 organizations, and was analyzed by multiple regression & logistic regression. The results are as follows. First, as results of in-depth interview, interviewees perceived linkage experience as 'turning the eyes on the other organization in community', namely 'the pursue of collaboration'. This concept is classified four types: initiative, cooperative, authoritative and passive type. Second, according to Tobin(1986)'s five phase of the closeness of inter-organizational linkages, our linkages were found to be in third phase, "coordination". Finally, predictors of the attempt of having linkages & linkage strengthening were analyzed by logistic regression & multiple regression. 'The experience of professional training on people with psychiatric disabilities' and 'the resource dependency' have statistically significant relation with the attempt to have linkages. 'The length of current service', 'the experience of professional training on people with psychiatric disabilities', and 'recognition about other organizational activities' are significantly related to strengthening linkage. Based on the results of this study, alternatives for promoting inter-organization linkages for vocational rehabilitation of people with psychiatric disabilities were proposed.
This study aims to illustrate the essence of meaning through sexual minorities' participant experiences in a sexual minority community. This research intends to explore essential meaning structure revealed in sexual minorities' reasons for joining a sexual minority community and in their experience in community activities. The study participants were 8 sexual minorities, and data was collected by in-depth interview. Data analysis was described using Giorgi's analysis methodology in phenomenological research method. As a result, the sexual minorities' participation was consisted of 13 meaning units, 6 derived topics, and 3 essential topics, which were 'An unquenchable thirst', 'Another world called oasis', and 'Real estrangement' Moreover, based on the essential topics, the study participants' common meaning of essence was analyzed as 'spiritual diaspora'. Sexual minority communities shall contribute to developments of own organizations through mutual compensations by vitalizing exchanges with other communities based on this study. Also, the communities should the variety in sexual minorities to allow various people's participation. People's awareness on sexual minorities must be transformed so that closed communities can change. Comprehensive knowledge on sexual minorities should be distributed in the social welfare fields so that sexual minorities may search solutions on issues through various access not limited to certain communities.
The purpose of this study is to explore all the deaf marriage experiences. To achieve this purpose, the qualitative case research approach was used to analyze the couple. This researcher following same issues from 5 couples case study analysis. This researcher set 5 titles and analyze from the 5 main issues about the deaf couple's experience as time goes by. The titles are 'finally the marriage spouses both deaf', 'to overcome communications difficulties', 'worried about raising children and get some help from other people and try something', 'try to get over the difficulties and hardships', 'recovering family relationship and challenge.' Through this study, understanding the deaf couples desire in having a family and live a normal life after becoming parents is "in a family deaf culture" wherein they aspire to become more mature and experienced deaf persons. But the meaning of maintaining constancy was not just keeping their situation by taking familiar things hence there were no challenges. Keeping the constancy, maintaining a family since marriage, delivering and raising their children, make them realize some laws of life. They correspond well and break the narrow limited cultural way of thinking and recognized a broader sense of understanding while keeping constancy. Their life that is keeping their culture and experiencing matured life will be a good theoretical basis for understanding the deaf culture.
Objectives : There have been few studies examining the differences in health care utilization across social classes during the last year of life. Therefore, in this study we analyzed the quantitative and qualitative differences in health care utilization among cancer patients across educational classes in their last year of life, and derived from it implications for policy. Methods : To evaluate health care utilization by cancer patients in the last year of life, Death certificate data from 2004 were merged with National Health Insurance data (n=60,088). In order to use educational level as a social class index, we selected the individuals aged 40 and over as study subjects (n=57,484). We analyzed the differences in the medical expenditures, admission days, and rates of admission experience across educational classes descriptively. Multiple regression analysis was conducted to evaluate the association between medical expenditures and independent variables such as sex, age, education class, site of death and type of cancer. Results : The upper educational class spent much more on medical expenditures in the last one year of life, particularly during the last month of life, than the lower educational class did. The ratio of monthly medical expenditures per capita between the college class and no education class was 2.5 in the last 6-12 months of life, but the ratio was 1.6 in the last 1 month. Also, the lower the educational class, the higher the proportion of medical expenditures during the last one month of life, compared to total medical expenditures in the last one year of life. The college educational class had a much higher rate of admission experiences in tertiary hospitals within Seoul than the other education classes did. Conclusions : This study shows that the lower educational classes had qualitative and quantitative disadvantages in utilizing health care services for cancer in the last year of life.
This study aimed to implement the enhancement program for the social work practice competency for children of community child center workers and to evaluate the program's effects. For this purpose, the program was implemented for ten community child center workers five times for five weeks(once a week, 120 minutes per session). For the quantitative evaluation, a non-equivalent control group design among quasi-experimental designs was used, and for the qualitative evaluation, the written materials related with the program were collected and analyzed. The results of the quantitative evaluation revealed that the social work practice skills and worker-client relationship empowerment of the community child center workers who participated in the competency enhancement program were significantly improved. In the qualitative evaluation, the subjective experiences were presented, including the improvement of the worker's practice competency and the worker's awareness of the changes in the child, the recognition of the strong points and the points to be improved in the program. This study is expected to raise the expertise and effectiveness of community child center workers, and ultimately, to contribute to the healthy development and the improvement of the mental health of children by improving the social work practice competency of the workers in community child centers, which comprise the representative service delivery system for children in South Korea.
This paper aims to uncover success factors in technology transfer of Korean government sponsored research institutes. It presents an analytical framework of technology transfer integrating factors concerning actors, object and process. Qualitative analysis mainly based on In-depth interviews is designed and conducted to examine characteristics, similarities and differences of three types technology transfer including a supply-push model, a demand-pull model, and an interactive model. Empirical results show that capabilities and experiences of researchers, capabilities and willingness of the company and active communications in the technology transfer appear to be important factors. In particular, it was found that technology transfer was led by TLO in the demand-pull model. In addition, the demand-pull and interactive approaches tends to be more effective in the technology development and transfer process compared to the supply-push model. In other words, market-oriented R&D is needed instead of technology-driven R&D. This paper also pointed out that one of the major factors in successful technology transfer is the enhancement of TLO capacity, and the improvement of recognition about TLO.
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