• 제목/요약/키워드: training method

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병원 간호행정 개선을 위한 연구 (A Study for Improvement of Nursing Service Administration)

  • 박정호
    • 대한간호학회지
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    • 제3권1호
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    • pp.13-40
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    • 1972
  • Much has teed changed in the field of hospital administration in the It wake of the rapid development of sciences, techniques ana systematic hospital management. However, we still have a long way to go in organization, in the quality of hospital employees and hospital equipment and facilities, and in financial support in order to achieve proper hospital management. The above factors greatly effect the ability of hospitals to fulfill their obligation in patient care and nursing services. The purpose of this study is to determine the optimal methods of standardization and quality nursing so as to improve present nursing services through investigations and analyses of various problems concerning nursing administration. This study has been undertaken during the six month period from October 1971 to March 1972. The 41 comprehensive hospitals have been selected iron amongst the 139 in the whole country. These have been categorized according-to the specific purposes of their establishment, such as 7 university hospitals, 18 national or public hospitals, 12 religious hospitals and 4 enterprise ones. The following conclusions have been acquired thus far from information obtained through interviews with nursing directors who are in charge of the nursing administration in each hospital, and further investigations concerning the purposes of establishment, the organization, personnel arrangements, working conditions, practices of service, and budgets of the nursing service department. 1. The nursing administration along with its activities in this country has been uncritical1y adopted from that of the developed countries. It is necessary for us to re-establish a new medical and nursing system which is adequate for our social environments through continuous study and research. 2. The survey shows that the 7 university hospitals were chiefly concerned with education, medical care and research; the 18 national or public hospitals with medical care, public health and charity work; the 2 religious hospitals with medical care, charity and missionary works; and the 4 enterprise hospitals with public health, medical care and charity works. In general, the main purposes of the hospitals were those of charity organizations in the pursuit of medical care, education and public benefits. 3. The survey shows that in general hospital facilities rate 64 per cent and medical care 60 per-cent against a 100 per cent optimum basis in accordance with the medical treatment law and approved criteria for training hospitals. In these respects, university hospitals have achieved the highest standards, followed by religious ones, enterprise ones, and national or public ones in that order. 4. The ages of nursing directors range from 30 to 50. The level of education achieved by most of the directors is that of graduation from a nursing technical high school and a three year nursing junior college; a very few have graduated from college or have taken graduate courses. 5. As for the career tenure of nurses in the hospitals: one-third of the nurses, or 38 per cent, have worked less than one year; those in the category of one year to two represent 24 pet cent. This means that a total of 62 per cent of the career nurses have been practicing their profession for less than two years. Career nurses with over 5 years experience number only 16 per cent: therefore the efficiency of nursing services has been rated very low. 6. As for the standard of education of the nurses: 62 per cent of them have taken a three year course of nursing in junior colleges, and 22 per cent in nursing technical high schools. College graduate nurses come up to only 15 per cent; and those with graduate course only 0.4 per cent. This indicates that most of the nurses are front nursing technical high schools and three year nursing junior colleges. Accordingly, it is advisable that nursing services be divided according to their functions, such as professional, technical nurses and nurse's aides. 7. The survey also shows that the purpose of nursing service administration in the hospitals has been regulated in writing in 74 per cent of the hospitals and not regulated in writing in 26 per cent of the hospitals. The general purposes of nursing are as follows: patient care, assistance in medical care and education. The main purpose of these nursing services is to establish proper operational and personnel management which focus on in-service education. 8. The nursing service departments belong to the medical departments in almost 60 per cent of the hospitals. Even though the nursing service department is formally separated, about 24 per cent of the hospitals regard it as a functional unit in the medical department. Only 5 per cent of the hospitals keep the department as a separate one. To the contrary, approximately 12 per cent of the hospitals have not established a nursing service department at all but surbodinate it to the other department. In this respect, it is required that a new hospital organization be made to acknowledge the independent function of the nursing department. In 76 per cent of the hospitals they have advisory committees under the nursing department, such as a dormitory self·regulating committee, an in-service education committee and a nursing procedure and policy committee. 9. Personnel arrangement and working conditions of nurses 1) The ratio of nurses to patients is as follows: In university hospitals, 1 to 2.9 for hospitalized patients and 1 to 4.0 for out-patients; in religious hospitals, 1 to 2.3 for hospitalized patients and 1 to 5.4 for out-patients. Grouped together this indicates that one nurse covers 2.2 hospitalized patients and 4.3 out-patients on a daily basis. The current medical treatment law stipulates that one nurse should care for 2.5 hospitalized patients or 30.0 out-patients. Therefore the statistics indicate that nursing services are being peformed with an insufficient number of nurses to cover out-patients. The current law concerns the minimum number of nurses and disregards the required number of nurses for operation rooms, recovery rooms, delivery rooms, new-born baby rooms, central supply rooms and emergency rooms. Accordingly, tile medical treatment law has been requested to be amended. 2) The ratio of doctors to nurses: In university hospitals, the ratio is 1 to 1.1; in national of public hospitals, 1 to 0.8; in religious hospitals 1 to 0.5; and in private hospitals 1 to 0.7. The average ratio is 1 to 0.8; generally the ideal ratio is 3 to 1. Since the number of doctors working in hospitals has been recently increasing, the nursing services have consequently teen overloaded, sacrificing the services to the patients. 3) The ratio of nurses to clerical staff is 1 to 0.4. However, the ideal ratio is 5 to 1, that is, 1 to 0.2. This means that clerical personnel far outnumber the nursing staff. 4) The ratio of nurses to nurse's-aides; The average 2.5 to 1 indicates that most of the nursing service are delegated to nurse's-aides owing to the shortage of registered nurses. This is the main cause of the deterioration in the quality of nursing services. It is a real problem in the guest for better nursing services that certain hospitals employ a disproportionate number of nurse's-aides in order to meet financial requirements. 5) As for the working conditions, most of hospitals employ a three-shift day with 8 hours of duty each. However, certain hospitals still use two shifts a day. 6) As for the working environment, most of the hospitals lack welfare and hygienic facilities. 7) The salary basis is the highest in the private university hospitals, with enterprise hospitals next and religious hospitals and national or public ones lowest. 8) Method of employment is made through paper screening, and further that the appointment of nurses is conditional upon the favorable opinion of the nursing directors. 9) The unemployment ratio for one year in 1971 averaged 29 per cent. The reasons for unemployment indicate that the highest is because of marriage up to 40 per cent, and next is because of overseas employment. This high unemployment ratio further causes the deterioration of efficiency in nursing services and supplementary activities. The hospital authorities concerned should take this matter into a jeep consideration in order to reduce unemployment. 10) The importance of in-service education is well recognized and established. 1% has been noted that on the-job nurses. training has been most active, with nursing directors taking charge of the orientation programs of newly employed nurses. However, it is most necessary that a comprehensive study be made of instructors, contents and methods of education with a separate section for in-service education. 10. Nursing services'activities 1) Division of services and job descriptions are urgently required. 81 per rent of the hospitals keep written regulations of services in accordance with nursing service manuals. 19 per cent of the hospitals do not keep written regulations. Most of hospitals delegate to the nursing directors or certain supervisors the power of stipulating service regulations. In 21 per cent of the total hospitals they have policy committees, standardization committees and advisory committees to proceed with the stipulation of regulations. 2) Approximately 81 per cent of the hospitals have service channels in which directors, supervisors, head nurses and staff nurses perform their appropriate services according to the service plans and make up the service reports. In approximately 19 per cent of the hospitals the staff perform their nursing services without utilizing the above channels. 3) In the performance of nursing services, a ward manual is considered the most important one to be utilized in about 32 percent of hospitals. 25 per cent of hospitals indicate they use a kardex; 17 per cent use ward-rounding, and others take advantage of work sheets or coordination with other departments through conferences. 4) In about 78 per cent of hospitals they have records which indicate the status of personnel, and in 22 per cent they have not. 5) It has been advised that morale among nurses may be increased, ensuring more efficient services, by their being able to exchange opinions and views with each other. 6) The satisfactory performance of nursing services rely on the following factors to the degree indicated: approximately 32 per cent to the systematic nursing activities and services; 27 per cent to the head nurses ability for nursing diagnosis; 22 per cent to an effective supervisory system; 16 per cent to the hospital facilities and proper supply, and 3 per cent to effective in·service education. This means that nurses, supervisors, head nurses and directors play the most important roles in the performance of nursing services. 11. About 87 per cent of the hospitals do not have separate budgets for their nursing departments, and only 13 per cent of the hospitals have separate budgets. It is recommended that the planning and execution of the nursing administration be delegated to the pertinent administrators in order to bring about improved proved performances and activities in nursing services.

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가족계획과 모자보건 통합을 위한 조산원의 투입효과 분석 -서산지역의 개입연구 평가보고- (An Intervention Study on Integration of Family Planning and Maternal/Infant Care Services in Rural Korea)

  • 방숙;한성현;이정자;안문영;이인숙;김은실;김종호
    • 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.

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일부(一部) 중학생(中學生)의 성(性)에 대한 의식행태조사(意識行態調査) (A study on the Awareness and Behavior about Sex of Middle School Students -from middle school students in Taegu area-)

  • 김상옥;남철현
    • 한국학교보건학회지
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    • 제5권2호
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    • pp.42-65
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    • 1992
  • A survey was made of 976 students who were selected among students of 5 middle schools at Taegu so that it could furnish basic knowledge about sex education of adolescents by analyzing students recognition of sex, acquaintance with the opposite-sex, sex-education, The survery took a month from Nov. 1, to Nov 30, 1991. The results of this study are summarized as follows. 1. The general characteristics of the surveyed students. The survey consisted of 332 boys middle school student & 325 girls middle school students, 157 male & 162 female students of coeducational middle schools. 32.9% of them were from the first grade, 33.2% from the second grade & 33.9% from the third grade. 35.7% of them believed in Buddhism, 19% Christianism and the mode of their living standard, 86.7%, fell on 34.7% of their parents engaged in commerce and they were followed by salary man and public officals, 93.1 % of the students, parents were alive. 44.9% of their fathers were graduates of high school and 42.2% of their mothers middle school. 2. Sexual maturity 89.1 % of the surveyed girls had experienced menstruation. The mode of first menstruation, 48.2%, was at the age of 13 and the mean of it was 12.9, 3.7% the surveyed boys had exprienced a wet drem before. The mode of the first wet dream, 40.0%, was at the age of 14 and the mean was 13.4. 21.3% of surveyed students had the experience of masturbation but the number of girls fell far short of that boys. The mode of the first masturbation, 37.0%, was at the age of 14 and the mean was 13.4. 3. The acquaintance and sexual relations with the opposite sex 1) Analyzing the students actual conditions with the opposite, I found out that 52.3% of them wanted to have any kind of relations with the opposite and that 30.25 had already had some kind of relations. 73.2% of the students having relations with the opposite thought the other sex merely as a friend and the number of students who were thinking that way was distributed evenly among schools. 28.8% of the students had got acquainted with the other sex through their frieds and there were not much difference between boys and girls in the method of getting acquainated with the opposite. About 35.2% of the students having relations with the opposite came from the third grade. 47.8% of them answered that the meeting place was not fixed and 26.4% answered that they were meeting their parthers outdoors. 60.7% replyed that they were not disturbed in their studies by the relations with the other sex. 2) Most of the students 79.4%, answered that they had never had sexual relations and 16.3% of the rest said that thery were expressing their feelings by grasping each other's hand. 3) 16.6% of the surveyed students asid that they had the exprience of smoking, 1.1 % of an illusion caused by inhaling chemical addhesives, 44.0% of drinking and 41.4% of warching pornographic films. 4. The knowledge and attitude about the sex 1) The distribution and analysis according to schools and grades : 64.8% of the surveyed students answered correctly to the questions about mensturation, 49.3 % did so about wet dreams, 94.3 % did so about conception, 60.6% did so about child birth, 73.9% did so about AIDS and 50.1 % did so about sexual diseases. Roughly speaking, they had not much knowledge of sexual diseases. 2) The recognition of sex according to schools and grades : 39.0% of the students said that they had worries about sex. 33.1 % of what they worried was concerned with their bodies and 26.8% was about the acqaintance and relationship with the opposite sex. The girls were much more concerned about the former and the boys the latter. 51.1 % of the students asid that they had no specific opinion of masturbation but 19.2% said that's alright if self-restrained. About the sexual intercourse before marriage, 75.7% said negatively. 5. The need for sex education most of the students, 99.4% said they needed sex education and there was not much difference in that thought among schools. And 49.7% answered that schools, families, and societies were equlally important in sex education. About half of the students, exactly 50.2%. considered it as the main reason of sex education to prevent accidents cauesd by ignorance of sex. 81.4% said that they had had some kind of sex education. Most of the educations, 87.0%, had taken place at schools but 5.2% said they were getting most of the knowledge about sex from therir friednds, juniors and seniors. 59.5% of the students who had ever had a sex education said "Just so, so" when asked of the level of their contentment but the number of students who said "satisfied" was only a few, 16.1 %. 20.7% of the survered answered that thery wanted sex education to be made in the course of home life, and 26.6 % of the students most wanted to know about the acquaintance and relationship with the oppostie sex, 29.0% preferred nurse teachers as proper councellors of sex education. The mode of their present councellors, 42.0%, was friends but only 7.6% answered they dicussed with teachers. 6. The correlation analysis between general characteristcs and sexual behaviors of the surveyed students revealed that sex had a signigicant(P<0.001) positive correlation with parents' love toward students(P<0.01), the experience of masturbation, smoking, an illusion caused by inhaling chemical adhesives and the experience of watching pornographic films. And the standard of living had a significant(P<0.01) positive correlation(P<0.01) with grade point average, parents' existence(P<0.01) and parents' love, but a significant(P<0.01) negative correlation with sexual worries. grade point average had a significant(P<0.01)negative correlation with the experience of an illusion caused by chemical adhesives(P<0.01) and smoking. Parents' existence had significant(P<0.01) positive correlations with parents' love and smoking but a significant(P<0.01) negative correlation with the experience of an illusion by chemical adhesives. There was a significant(P<0.01) negative correlations between parents' love and the experience of an illusion by chemical adhesives, and a significant(P<0.001) positive correlation among masturbation and sexual worries, smoking, an illusion by chemical adhesives and the experience of watching pornographic films. There was a significant(P<0.001) positive correlation among acquaintance with the opposite sex, smoking, the experience of an illusion by chemical adhesives and watching pornographic films. Sexual worries had significant(P<0.01) positive correlations with smoking, the experience of an illusion by chemical adhesives and watching pornographic films. smoking had a significant positive correlation with drinking the experirence of, an illusion by chemical adhesives and watching pornographic films. Finally, there was a significant(P<0.01) positive correlation between the drinking experience and the illusion experience by chemical adhesives. According to the results mentioned above, the fact is certain that there is a great need for sex education of adolescents. Therefore, it is desirable that the schools teach sexual physiology and normal positively and that sex education including hygien education be an independant course in the curriculums. Furthermore, it is essential that the schools should have enough nurse teachers to take up sex education, expand training opportunities for them and that they develop educational materials. Considering the unbalance of the level of sex educations between boys and girls, I want to suggest that all boys and girls have sex education evenly and lead happy lives by correction irrational thought about sex, that is to say, sex discrimination, Sex education programs, especially of middle school students, should be reexamined if it is to give the students effective and profitable knowledge about sex. In addition, the government should establish a policy of adolescents' sex education to have healthy opinions of sex settled nationwide.

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강제동원 구술자료의 관리와 활용 -일제강점하강제동원피해진상규명위원회 소장 구술자료를 중심으로- (Management and Use of Oral History Archives on Forced Mobilization -Centering on oral history archives collected by the Truth Commission on Forced Mobilization under the Japanese Imperialism Republic of Korea-)

  • 권미현
    • 기록학연구
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    • 제16호
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    • pp.303-339
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    • 2007
  • '일제강점하 강제동원 피해'라 함은 만주사변 이후 태평양전쟁에 이르는 시기에 일제에 의하여 강제동원 되어 군인 군속 노무자 위안부 등의 생활을 강요당한 자가 입은 생명 신체 재산 등의 피해를 말한다. 강제동원 피해 역사를 복원하기 위한 노력이 피해당사자, 유족, 시민단체, 학계 등에서 이루어져왔고, 그 결과 2004년 3일 5일 ${\ll}$일제강점하 강제동원피해 진상규명등에 관한 특별법${\gg}$ (2007년 5월 17일 일부 개정)이 제정 공포되었다. 이를 근거로 2004년 11월 10일 국무총리 소속으로 일제강점하 강제동원피해진상규명위원회(이하 강제동원위원회)가 발족하였고, 2005년 2월 1일부터 일제강점하 강제동원 피해의 진상을 규명하여 역사적 진실을 밝히는 것을 목적으로 업무를 수행하고 있다. 주요 업무는 강제동원 피해신고접수 및 피해신고조사(피해자 및 유족 심사 결정), 진상조사신청접수 및 진상조사, 진상조사 및 피해판정 불능에 관한 사항, 피해판정에 따른 호적정정, 강제동원 관련 국내외 자료수집 분석 및 보고서 작성, 유해발굴 및 수습 봉환, 사료관 및 추도공간 조성사업 등이다. 강제동원위원회는 피해조사 및 진상조사 업무를 위해 다양한 기록을 발굴 수집해 오고 있다. 여타 피해의 역사가 그러하듯이 이미 공개되었거나 새롭게 발굴되는 기록은 강제동원의 다양한 역사상을 확인하기 어려울 만큼 그 양이나 질에 면에서 부족하다. 피해의 역사에서 피해당사자의 이야기는 기록의 부재를 메우기도 하고, 기록 이상의 근거적 가치를 갖기도 한다. 강제동원위원회는 피해생존자와의 구술면담을 통해 다수의 구술자료를 생산하였고 조사업무에 활용하며 체계적인 관리방법을 토대로 관리하고 대중적인 활용까지 꾀하고 있다. 강제동원위원회의 구술자료는 생산 당시부터 철저한 기획에 의해 이루어졌고, 생산단계부터 관리와 활용의 편의성을 염두에 두고 디지털매체의 생산을 유도했다. 또한 조사업무 과정에서 생산되는 구술자료의 한계를 극복하기 위해 수차례 면담자 교육을 실시하고, 면담자로 하여금 구술당시의 상황을 면담일지로 남기도록 했다. 강제동원위원회는 소장 기록을 관리하는 별도의 기록관리시스템을 갖고 있지 않다. 디지털 아카이브는 피해 진상 관리시스템과 전자결재시스템을 통해 생산되어 관리되지 않는 생산 수집 기증 기록을 등록 검색하는 역할을 한다. 구술자료는 디지털 아카이브에 등록이 되어, 실물과 중복 보존되고 있다. 구술자료는 등록과 동시에 분류, 기술행위가 이루어지고 구술자료의 관리 아이디인 등록번호, 분류번호, 비치번호 등을 부여받게 된다. 강제동원위원회는 구술자료의 적극적인 활용을 위하여 구술기록집의 발간을 지속적으로 해오고 있고, 영상물 등의 제작을 계획하고 있다. 강제동원위원회의 구술자료는 정부차원의 조사 업무 과정에서 생산된 것이라는 한계, 예산부족이나 기록관리시스템 등의 부재 등을 넘어서 한시조직으로서 가능한 적극적인 방법으로 생산 관리 활용되고 있다. 축적된 구술자료는 향후 특별법에 규정되어 있는 대로 사료관 등이 건립된다면 대중 이용자들을 위해 더 체계적으로 관리 활용될 것이다.

국유림경영(國有林經營)의 합리화(合理化)에 관(關)한 연구(硏究) (A Study on Rationalization of National Forest Management in Korea)

  • 최규련
    • 한국산림과학회지
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    • 제20권1호
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    • pp.1-44
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    • 1973
  • 국유림경영(國有林經營)은 어느 나라를 막론(莫論)하고 그 사명(使命)과 경영목적(經營目的)으로 봐서 중요시(重要視)되고 있다. 한국(韓國)의 국유림(國有林)도 또한 한국경제(韓國經濟)의 비약적(飛躍的)인 발전(發展)에 따라 목림수요(木林需要)의 계속적(繼續的)인 증가(增加)로 국가적(國家的)인 사명(使命)과 산업경제적(產業經濟的)으로 더욱 중요(重要)한 위치(位置)에 놓이게 되었다. 그러나 지금(只今)까지 한국임정(韓國林政)의 주요목표(主要目標)가 산림자원(山林資源)의 보존(保存)과 국토보전기능(國土保全機能)의 회복(回復)에만 급급(汲汲)한 나머지 임업(林業)의 경제생산성(經濟生產性)을 높이는 산업정책적의의(產業政策的意義)가 적었음을 우리는 부인(否認)할 수 없다. 그리하여 한국(韓國)의 임업(林業)도 한국경제구조중(韓國經濟構造中)의 일환(一環)으로서 산업적(產業的)으로 발전(發展)시킬 필요(必要)에 직면(直面)하게 되어 국유림(國有林)도 합리적(合理的)인 산림시업(山林施業)에 기초(基礎)를 둔 산림생산력(山林生產力)의 증강(增强)이 절실(切實)하게 되었고, 그렇게 하므로써 결과적(結果的)으로 우수(優秀)한 산림(山林)이 조성(造成)되어 자연(自然), 산림(山林)의 국토보전기능(國土保全機能) 기타(其他)의 공익적기능(公益的機能)도 발휘(發揮)될 수 있을 것으로 본다. 한국(韓國)의 국유림(國有林)은 1908년(年) 임적계출시(林籍屆出時)의 역사적(歷史的) 소산(所產)으로서 그 후(後) 국토보존(國土保存)과 산림경영(山林經營) 학술연구(學術硏究) 기타(其他) 공익상(公益上) 국유(國有)로 보존(保存)할 필요(必要)가 있는 요존림(要存林)과 이에 속(屬)하지 않는 부요존림(不要存林)으로 구분(區分)하고 요존국유림중(要存國有林中) 국가(國家)가 직접(直接) 임업경영(林業經營)을 목적(目的)으로 하는 산림(山林)은 3개영림서(個營林署)에서 관리(管理)하고 있으며 기타(其他)는 각시도(各市道) 및 타부처소관(他部處所管)으로 되어있는데 국유림(國有林)은 1971년말현재(年末現在) 전국산림면적(全國山林面積)의 19.5%(1,297,708 ha)를 점(占)하고 있으나 임목축적(林木蓄積)은 전국산림총축적량(全國山林總蓄積量)의 50.1%($35,406,079m^3$)를 점(占)하고 연간(年間) 국내용재생산량(國內用材生產量)의 23.6%($205,959m^3$)를 생산(生產)하고 있는 사실(事實)은 한국임업(韓國林業)에 있어 국유림(國有林)이 점(占)하고 있는 지위(地位)가 중요시(重要視)되고 있는 이유(理由)이다. 따라서 국유림경영(國有林經營)의 성패(成敗)는 한국임업(韓國林業)의 성쇠(盛衰)를 좌우(左右)한다고 단언(斷言)할 수도 있을 것이다. 산림(山林)이 가진 모든 기능(機能)이 가 중요(重要)하지만 특(特)히 목재생산(木材生產)은 한국(韓國)과 같이 매년(每年) 막대(莫大)한 외재도입(外材導入)(1971년도(年度)는 $3,756,000m^3$ 도입(導入)에 160,995,000불(弗) 지출(支出))을 필요(必要)로 하는 임업실정(林業實情)임에 비춰 더욱 중요시(重要視)되고 이에 대처(對處)하기 위(爲)한 산림생산력(山林生產力)의 증강(增强)은 시급(時急)한 과제(課題)인 것이다. 그러나 임업생산(林業生產)은 장기생산(長期生產)이기 때문에 경제발전(經濟發展)에 따른 급격(急激)한 목재수요(木材需要)의 증가(增加)에 직시(直時) 대처(對處)하기 어려우므로 장기적(長期的)인 전망(展望)밑에 자금(資金)과 기술(技術)을 효과적(効果的)으로 투입(投入)하고 국유림경영(國有林經營)을 합리화(合理化)하고 능률화(能率化)하여 생산력증강(生產力增强)을 기(期)하여야 할 것이다. 한국(韓國)의 국유림사업(國有林事業)에는 기술적(技術的) 재정적(財政的)인 애로(隘路)와 인건비(人件費)의 증대(增大) 노임(勞賃)의 상승(上昇) 행정제경비(行政諸經費)의 증가등(增加等) 많은 난관(難關)이 가로놓여있다 하겠으나 앞으로의 국유림(國有林)의 발전여부(發展與否)는 사회(社會) 경제(經濟)의 발전(發展)에 적응(適應)한 기술(技術)과 경영방식(經營方式)을 채용(採用)할 수 있느냐 없느냐에 달려있다고 본다. 이러한 관점(觀點)에서 본조사연구(本調査硏究)에서는 한국(韓國)의 국유림경영(國有林經營)의 실태(實態)를 파악분석(把握分析)하고 불합리(不合理)한 문제점(問題點)들을 찾아서 정책적(政策的) 기술적(技術的) 재정적면(財政的面)에서 개선(改善)할 수 있도록 하는데에 본연구(本硏究)의 목적(目的)이 있다. 본논문작성(本論文作成)에 있어 국유림(國有林)의 각종통계(各種統計)는 산림청(山林廳)이 1971년말현재(年末現在) 산림기본통계(山林基本統計) 및 1973년도(年度) 산림사업실적통계(山林事業實績統計)에 의거(依據)하였고 기타(其他)는 현지영림서(現地營林署)에서 얻은 자료(資料)를 인용(引用)하였다. 논자(論者)는 본연구결과(本硏究結果) 다음과 같은 국유림개선방안(國有林改善方案)을 제시(提示)코저 한다. 1) 국유림조직기구(國有林組織機構)에 있어 영림서(營林署)의 증설(增設)로 집약적(集約的)안 국유림경영(國有林經營)을 도모(圖謀)하고 경영계획계(經營計劃係)를 과기구(課機構)로 강화(强化)한다. 2) 보호직원(保護職員)의 증원(增員)으로 1인당책임구역면적(人當責任區域面積)을 1,000~2,000ha 정도(程度)로 축소(縮小)시킨다. 3) 국유림경영(國有林經營) 일선책임자(一線責任者)인 영림서장(營林署長)의 빈번(頻繁)한 인사이동(人事異動)으로 일관성(一貫性)있는 경영계획실행(經營計劃實行)에 차질(蹉跌)을 가져오지 않도록 한다. 4) 경영계획업무(經營計劃業務)에 있어 부실(不實)한 계획(計劃)이 되지 않도록 충분(充分)한 예산(豫算)과 인원(人員)을 배정(配定)하여 기초적(基礎的)인 조사(調査)를 면밀(綿密)히 한다. 5) 1영림서(營林署) 1사업구원칙(事業區原則)을 현실(現實)시키고 1사업구면적(事業區面積)은 평균(平均) 2만(萬) ha 이하(以下)로 한다. 6) 장기차입금(長期借入金)으로 조속(早速)히 미립목지(未立木地)를 입목지화(立木地化)하고 활엽수림(濶葉樹林)의 수종갱신(樹種更新)과 활엽수림(濶葉樹林)의 이용방도(利用方途)를 개발(開發)한다. 7) 조림(造林) 및 양묘사업(養苗事業)의 기계화(機械化) 약제화(藥劑化) 방안(方案)을 강구(講究)하고 실천(實踐)하므로써 노동력(勞動力) 부족(不足)에 대비(對備)한다. 8) 보호사업(保護事業)에 있어 산화피해율(山火被害率)이 외국(外國)에 비(比)하여 막대(莫大) 하므로 제도변(制度面)이나 장비면(裝備面)에서 개선(改善)되어야 하고 방화선(防火線)의 설치(設置) 및 유지(維持)에 필요(必要)한 최소한도(最小限度)의 예산(豫算)을 확보(確保)한다. 9) 제품생산사업(製品生產事業)을 강화(强化)하고 생산(生產) 가공(加工) 유통(流通)을 계열화(系列化)하여 지원민(地元民)에게 경제적혜택(經濟的惠澤)을 준다. 10) 임도망(林道網)의 시설정비(施設整備)와 치산사업(治山事業)은 국유림자체(國有林自體)의 개발(開發)을 위(爲)해서나 지방개발(地方開發)을 위(爲)해서 필요(必要)하므로 일반회계(一般會計)의 부담(負擔)으로 추진(推進)한다. 11) 임업(林業)의 기계화(機械化)는 목재수요(木材需要)의 증대(增大)와 노력부족(勞力不足)에 따라 필연적(必然的)이므로 가계도입(機械導入) 및 국산화(國產化), 사용자(使用者)의 양성(養成) 및 기계관리(機械管理)에 만전(萬全)을 기(期)한다. 12) 노무사정(勞務事情)은 악화(惡化)할 것이 예견(豫見)되므로 임업노동자(林業勞動者)의 확보(確保) 및 복리후생대책(福利厚生對策)을 수립(樹立)한다. 13) 경제변동(經濟變動)에 따른 수지악화시(收支惡化時)에도 일정규모(一定規模)의 지출(支出)을 보장(保障)하기 위(爲)하여 잉여금(剩餘金)의 일부(一部)은 기금(基金)으로 확보(確保)하고 나머지는 확대조림(擴大造林) 임도사업등(林道事業等) 선행투자사업(先行投資事業)에 사용(使用)한다.

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