Earticle

본 연구는 치매노인대상 개입프로그램에 대한 다학제적 연구결과들을 체계적으로 분석, 고찰함으로 써 지역사회거주 경증치매노인의 일상생활유지를 돕는 통합프로그램의 방향성을 모색하고자 프로 그램 재분류화를 통해 경증치매노인의 인지/정서/사회/신체적 특성면에서의 실천개입 프로그램들의 효과성을 재분석하였다. 2000년~2020년까지 치매노인을 대상으로 한 실천개입 프로그램에 대한 경 험적 연구결과 79편에 대해 PICO모델을 사용하여 분석한 결과, 치매노인을 위한 개입 프로그램은 주로 인지영역에서의 기억력 재활훈련과 정서영역에서의 우울감 감소를 위한 접근에 집중됨을 볼 수 있었다. 전체 경험적 연구결과에서 인지전반에 대한 효과와 기억력 향상, 우울감소, 일상생활수행 능력 향상에 효과를 보고한 연구가 가장 많은 반면, 경증치매노인의 특성에 맞는 인지기능면에서의 문제해결력과 계산력, 정서적 측면에서의 불안⋅분노, 행복감, 자존감, 사회적 측면에서의 가족관계, 친구⋅이웃관계, 신체적 측면에서의 수단적일상생활수행, 수면에 대한 접근 프로그램 등이 부족한 것으로 나타났다.

This study attempted to find the direction of an integrated program that helps the elderly with mild dementia living in the community maintain their daily life. Through reclassification of the existing programs, the effectiveness of practical intervention programs was analyzed in terms of cognitive, emotional, social and physical characteristics of the elderly with mild dementia. A total of 79 empirical research results published from 2000 to March 2020 on practical intervention programs for the elderly with dementia was analyzed using the PICO (Patient, Intervention, Comparison, Outcome) model. Most of the empirical studies reported the program effect on overall cognition, improvement of memory, reduction of depression, and improvement of daily life performance ability. However, there was a lack of intervention programs related to problem-solving and computational ability in cognitive function, anxiety, anger, happiness and self-esteem in emotional aspect, family relations and friend-neighbor relations in social aspect, and instrumental daily life performance and sleep in physical aspect.

Purpose: The purpose of this study was to evaluate a Self-efficacy-based Basic Life Support (SEBLS) program for high-risk patients' family caregivers on cardiac arrest. The SEBLS program was constructed on the basis of Bandura's self-efficacy resources as well as the International Liaison Committee on Resuscitation's '2000 Guidelines for CPR and ECC'. Method: The effect of the SEBLS program on emergency response self-efficacy and emergency response behavior such as BLS(Basic Life Support) knowledge and BLS skill performance was measured by a simulated control group pretest-posttest design. Study subjects were38 high-risk patients' family caregivers(20 experimental subjects and 18 control subjects) whose family patients were admitted to a general hospital in Incheon, Korea. Result: 1. Emergency response self-efficacy was significantly higher in the experimental subjects who participated in the SEBLS program than in the control subjects. (t=8.3102, p=0.0001). 2. For emergency response behavior, BLS knowledge (t=5.6941, p=0.0001) and BLS skill performance (t=27.8281, p=0.0001) was significantly higher in experimental subjects than in control subjects. Conclusion: A SEBLS program can increase emergency response self-efficacy and emergency response behavior, and could be an effective intervention for high-risk patient's family caregivers. Long-term additional studies are needed to determine the lasting effects of the program.

Purpose: This study was done to identify the retention effects of a basic life support training program for nursing students on their attitude, knowledge, and skillfulness. Methods: A one-group repeated posttest design was employed for this study. The subjects included 44 junior nursing students from Gachon University in Incheon. Data were collected by a structured questionnaire test immediately after, 3 months after, 6 months after, and 9 months after the training respectively from May 2014 through March 2015. Results: The respective attitude, knowledge and skillfulness score on BLS of the nursing students had reduced significantly at 3 months after (p<.001), 6 months after (p<.001), and 9 months after (p<.001, p=.011 for Attitudes) the training compared to immediately after the training. Conclusion: Re-training on basic life support for nursing students should be implemented within 3 months for retention of educational effects. Thus, it is recommended that basic life support training programs, including a curriculum for nursing students, is developed to support re-training. And it is expected that the improved skills of nursing students on basic life support would contribute to the successive first aid nursing for patients at risk of cardiac arrest.

Purpose: This study aimed to evaluate the effects of a simulation-based cardiopulmonary resuscitation (CPR) education program on CPR knowledge, CPR attitude, and CPR performance confidence among new nurses. Methods: A one-group pre-test-post-test design was used. The participants were 33 new nurses from a tertiary hospital. The simulation-based CPR education program consisted of lectures, skills practice, and high-fidelity simulations. Data were analyzed using a Wilcoxon signed-rank test. Results: The participants showed significant improvements in CPR knowledge (Z=5.03, p<.001), CPR attitude (Z=2.20, p=.028), and CPR performance confidence (Z=5.01, p<.001) after the simulation-based CPR education program. Conclusion: The simulation-based CPR education program improved CPR knowledge, CPR attitude, and CPR performance confidence of new nurses. These findings support the implementation of a simulation-based CPR education program to enhance clinical competence in emergencies.

Purpose: The purpose of this study was to test the effect of simulation-based learning on knowledge, confidence, and critical thinking of paramedical students enrolled in the Korean Advanced Life Support (KALS) program. This study used a one group, pre-post test design. Methods: The subjects of this study were 79 paramedical students in D city. Data were collected before and after the simulation-based training using a structured questionnaire. The data were analyzed using SPSS version 22.0. Results: After the simulation-based KALS education, knowledge (t=-6.88, p<.001) and confidence (t=-10.12, p<.001) increased among paramedical students. There was a positive correlation between confidence and critical thinking disposition (r=0.37, p=.001). Conclusion: A practical module for simulation-based education that can improve knowledge, confidence, and critical thinking disposition related to professional resuscitation is needed for use with paramedical students. Additionally, follow-up studies should be conducted to verify the educational effects of such a program.

The purpose of this study is to draw employee support program at the company level through field survey of foreign laborers' satisfaction level of working life. To analyze the factors that determine working life satisfaction, regression analysis was conducted. Satisfaction level of working hours(t=2.469), living environment(t=2.140), post offices/banks (t=3.024) showed a statistically significant. Also these variables, working hours, living environment, post office/banks are verified to be very important for improving the level of their working life. Through these findings we can understand that employee support activities, providing user-guide of bank and post office, compliance with standards for working hours, improvement of the living conditions (accommodation, meals, etc.), the leisure time program support, the children care support and active utilization of foreign workers and strengthen the educational program, are necessary to improve the satisfaction level of foreign laborers' working life in Korea. It is recommended that managers need to recognize that careful consideration of living and working condition could contribute to stable settlement and increase working life satisfaction for the foreign workers at company level.

본 연구는 자활사업 참여자들의 사회적 자본과 삶의 질의 관계를 살펴보고, 사회적 자본과 삶의 질의 관계에서 직무만족이 미치는 매개효과를 규명하고자 하는데 목적이 있다. 조사연구를 실시하기 위해 전국에 위치하고 있는 지역자활센터를 대상으로 센터의 유형과 지역유형을 구분한 후 비례할당 표집을 실시하였고, 1,185부를 최종 분석에서 사용하였다. 연구결과는 다음과 같다. 첫째, 자활사업 참여자의 사회적 자본과 삶의 질의 관계를 살펴보면, 네트워크와 규범이 삶의 질에 중요한 영향을 미치고 있는 것으로 나타났다. 이는 인간관계로부터 형성되는 비물질적인 사회적 자본이 삶의 질에 직접적 영향을 미친다는 선행연구 결과를 지지하는 것이다. 둘째, 자활사업 참여자의 사회적 자본과 직무만족의 관계를 살펴보면, 사회적 자본이 직무만족에 부적영향을 미치는 것으로 나타났는데, 이는 참여자의 사회적 자본 수준이 높아질수록 자활사업에 대한 만족이 낮아진다는 것을 의미한다. 이는 자활사업 참여에 대한 부정적 인식으로 인하여 여타의 임금노동시장에서 긍정적으로 작용했던 사회적 자본이 그 효과를 발휘하지 못한다는 결과를 제시한다. 셋째, 자활사업 참여자의 사회적 자본과 삶의 질의 관계에서 직무만족의 매개효과는 정적 영향을 나타내고 있는데, 이는 직무만족과 삶의 질의 관계와 관련한 가설 중 전이모델(spillover model)을 지지하고 있음을 알 수 있다. 즉, 자신의 직무에 만족하는 사람은 일반적인 삶에서도 만족감을 느끼게 된다는 것이다. 이러한 결과를 바탕으로 자활사업 참여자들의 삶의 질을 향상시키기고, 사회적 자본의 순기능적인 측면을 보완하기 위한 실천적ㆍ정책적 함의를 제시하고 있다.

The objectives of this study were to survey the level of social capital owned by self-support program participants, and to analyze the direct and indirect effects of social capital on their quality of life. Particularly because an individual's life is highly likely to be influenced by multiple aspects including human relation, this study purposed to determine the mediating effect of job satisfaction in the relation between social capital and the quality of life. The survey used a structured questionnaire, and in the contents of the questionnaire, the quality of life was selected as a dependent variable, social capital as an independent variable, and the job satisfaction as a mediating variable affecting the relation between social capital and the quality of life. The results of this study were as follows. First, as to the relation between self-support program participants' social capital and the quality of life, the network level and the normative level hand an important effect on the quality of life. Second, as to the relation between self-support program participants' social capital and job satisfaction, social capital had a negative effect on job satisfaction. Third, in the relation between self-support program participants' social capital and their quality of life, the mediating effect of job satisfaction was positive and this supports the spillover model among hypotheses on the relation between job satisfaction and the quality of life.

본 연구에서는 아동기에 빈곤을 경험하고 성인기에도 노동능력을 소유함에도 불구하고 여전히 빈곤한 사람들을 대상으로 심층면접을 통해서 빈곤의 대물림 과정을 이해하고자 하였다. 연구문제는 ‘부모세대의 빈곤이 어떤 과정을 통해 자녀의 성인기 빈곤에 영향을 주는가?’ 이다. 연구방법은 생애사 연구방법을 설정한 후, 연구참여자 선정, 반구조화 면접법을 통한 자료수집, 연대기적 분석방법과 지속적 비교방법을 통한 자료분석 그리고 자료제시 순으로 진행하였다. 본 연구에서는 30대~40대 연령의 자활에 참여하는 총 10명을 연구참여자로 선정하였다. 연구참여자의 생애사를 검토한 결과, 다양한 맥락에서 빈곤 대물림이 이루어지는 것으로 분석되었다. 아동기 가정환경과 교육환경, 성인기의 결혼경험과 노동경험 그리고 그 외 개인적 요인과 사회복지 수혜경험을 중심으로 살펴보았고, 참여자 개인의 생애사 자료분석을 토대로 빈곤대물림의 이전유형과 이전경로를 정리하였다. 끝으로, 연구결과의 일반화가 궁극적인 목적은 아니었음에도 불구하고 몇 가지 실천적･정책적 과제를 제시하였다.

The object of this study is to understand process of Intergenerational Transmission of Poverty(ITP) through in-depth interview with the poor, experienced poverty in childhood, still needy people in adulthood despite having the ability to work. Research question is how does poverty of the parents generation impact on poverty of child's adulthood. The flow of the research methods was to set the way, after selecting of life history research methods, selection of study participant, data collection by the semi-structured interview method, data analysis through a chronological analysis method and constant comparison method, and finally presenting the material. In this study, 10 people were selected from 30 to 40 age group and have been participating in the self-support program. After studying the life history of the participants, it has been analyzed that there are many reasons of ITP in a variety of contexts. We have explored home environment, educational environment in childhood, and work experience, marriage experience in adulthood and other individual factors and the benefit experience to social welfare. We have investigated transfer path and transfer type of ITP. Finally, although generalization of the findings was not the ultimately purpose, We suggested some practical and policy challenges.

본 연구는 집단미술치료가 학교부적응 청소년의 사회적 지지와 학교생활 적응력 향상에 미치는 효과를 검증하는 데 목적이 있다. 연구의 대상은 잦은 결석과 대인관계 어려움, 낮은 수업 참여 태도 등을 보이는 학교부적응 청소년 21명으로, 실험집단 10명, 통제집단 11명으로 구성하였다. 수집된 자료는 동질성 검사를 위해 t-test 분석을 실시하고 사전, 사후, 추후 검사 시기에 따른 Repeated Measures ANOVA를 실시하였다. 본 연구의 결론은 다음과 같다. 첫째, 집단미술치료 프로그램이 학교부적응 청소년의 사회적 지지 향상에 효과적이었고, 그 효과가 프로그램 실시 후에도 지속되는 것으로 나타났다. 둘째, 집단미술치료 프로그램은 학교부적응 청소년의 학교생활 적응력 향상에 효과적이었고, 그 효과가 프로그램 실시 후에도 지속되는 것으로 나타났다. 따라서 본 연구에서 집단미술치료 프로그램이 학교부적응 청소년의 사회적 지지와 학교생활 적응력을 향상시키는데 영향력이 있음이 검증되었다. 이 결과는 학교생활과 일상생활에서 있는 부적응과 어려움에 처한 청소년들의 학교생활 적응력을 향상시키기 위해서 부모, 교사, 또래의 상호 간 사회적 지지를 증진시키는 것이 무엇보다 중요함을 시사한다.

This study is to investigate an effect of a group art therapy on improving social support and school life adjustment of adolescents in school life maladjustment. To carry out this study, the data of 10 students of experiment group and 11 students of controlled group are analyzed, and the collected data are tested for their homogeneity by using the SPSS 21.0 program. And the Repeated Measures ANOVA were applied depending on the scores of pretests, post tests, and the need for a further inspection. The conclusion is in the following. First, the group art therapy program is effective for adolescents in school life maladjustment to improve social support, and it is still effective even after the program. Second, the group art therapy program is effective for adolescents in improving their school life, and the effeciveness is continued even after the proram. Therefore, this study result indicates that the group art therapy program has an influence on improving social support and school life adjustment of adolescents with school life maladjustment. This conclusion suggests that adolescents in maladjustment and troubles in school life and daily life are needed to improve school life adjustment by enhancing social support between parents, teachers, and peer group relationship.

본 연구는 노인일자리사업 참여자의 사회적 지지(사회활동, 가족/사회관계), 정서문제와 삶의 질 간의 구조적 관계를 검증하고자 하였다. 이를 위하여 '2012년 노인일자리사업 참여노인 실태조사' 데이터를 활용하여 총 2,005명의 노인일자리사업 참여자를 대상으로 분석하였다. 본 연구의 주요한 결과는 다음과 같다. 첫째, 노인일자리사업 참여자의 삶의 질에 대해 가족/사회관계는 정(+)적인 영향을, 정서문제는 부(-)적인 영향을 미치는 것으로 나타났다. 둘째, 사회활동은 정서문제에 부(-)적인 영향을 미치는 것으로 나타났다. 셋째, 사회활동은 정서문제를 매개로 하여 삶의 질에 영향을 미치는 것으로 나타났다. 이러한 연구결과를 토대로 본 연구에서는 정책적 실천적 함의를 제시하였다.

The Purpose of the study was to examine the structural relationship among social support(social activity, family/social relationship), emotional problem and quality of life of Elderly Employment Program participants. An analysis was conducted on 2,005 participants from the data of the '2012 Elderly Employment Program Participants Survey'. The major findings were as follows: First, family/social relationship had positive effects and emotional problem had negative effects to quality of life. Second, social activity had negative effects to emotional problem. Finally, social activity had mediator effects to quality of life through emotional problem. Based on the results, the implications for social work practice and policy were suggested.

Purpose: This study was conducted to identify the effects of an integrated health improvement program for the elderly based on primary health care posts during the COVID-19 pandemic. Methods: A single group pretest-posttest design (n=16) was employed to evaluate an integrated health improvement program that took place twice a week for 11 weeks. The program was conducted in a small group of no more than 10 people in compliance with the guidelines to prevent COVID-19 infection. The program consisted of various contents such as making letters using blocks, health education, and talking about one's memories. The data were analyzed using the Wilcoxon signed rank test. Results: Following the program, social support (Z=-3.50, p<.001) and quality of life of the elderly (Z=-3.74, p<.001) were significantly improved among depression, social support and quality of life. Conclusion: The integrated health improvement program based on primary health care posts, considered in this study, was useful to improve the social support and quality of life of the elderly in the community, and needs to be applied to a larger number of elderly people throughout the community.

본 논문의 목적은 농촌지역 빈곤계층인 기초생활보장수급자의 일반적 특성을 파악하고, 사회적 지원망 형태(가족, 이웃, 사회복지공무원, 방문서비스제공자) 별로 구조적 속성인 접촉빈도와 기능적 속성인 정서적･도구적 지원이 횡성군 농촌지역 기초생활수급자의 생활만족도에 어떤 영향을 미치는지 알아보는데 있다. 기존의 관련 연구들이 사적인 비공식적 지원망에 중점을 두었던 것에 반해, 본 연구는 비공식적 지원망과 함께 공공에서 지원하는 공식적 지원망을 포함시키고 이를 또한 세분화하여 현황을 보다 세밀히 파악해 보고자 하였다. 분석은 횡성지역의 전 연령대 수급자를 대상으로 하였으며, 이를 다시 65세 전후를 기준으로 하여 고령인구와 그 외의 연령집단을 구분함으로써 집단별 분석도 실시하였다. 분석결과 특히 비공식적 지원망의 정서적･도구적 지원이 빈곤지역의 생활만족도에 정(+)으로 유의미하게 영향을 미치는 것으로 나타났다. 이러한 결과는 고령인구와 그 외의 연령집단으로 나눈 집단별 분석에서도 유사하게 발견되었다. 끝으로 본 연구는 이러한 연구결과에 기초하여 공공을 포함한 공식적 지원망을 보다 강화할 수 있는 정책적 제안에 대해 논하였다.

The purpose of this study is to identify the general characteristics of the basic livelihood security recipients and also to find out how frequency of contact with the structural properties, instrumental and emotional support with functional properties by each type of support network(family, neighborhood, Social welfare officers, visit the service provider) affect life satisfaction of people suffering from poverty in Hoengseng district. On the contrary, previous studies have focused on the informal support networks, this study closely identified formal support system of municipal government including informal support system. All age groups were targeted beneficiaries for this research and group analysis was performed by Population 65 years and over and other. Results of this analysis, instrumental and emotional support positively influence on life satisfaction of recipients in poor areas. These results are similarly been found to each group separated by age group in the specific analysis. Finally, this study discussed proposed policy that the public network including a formal support that can be enhanced on the basis of these findings.

The purpose of this study was to provide the basic data required for the development and operation of high-quality education programs for newly married couples. The subjects were 60 education programs for newly married couples that were performed by 30 Healthy Family Support Centers in Seoul and the Gyeonggi area. The collected data were analyzed by applying appropriateness, efficiency, and effectiveness on the basis of program plan, execution, and evaluation. The results were as follows. First, the appropriateness of the program plans was no center that performed need survey. As for program advertisement, on-line, off-line, and person -to-person advertisements were used. Second, the education goals and contents were classified according to healthy family life, the essence of the marriage, gender equality, conflict management, problem prevention, relationship improvement, understanding of mutual similarities or differences, financial plan and management, and parenting. Each session lasted 2 hours, and the total number of program hours was 5 to 6 hours. The education methods were activities, lectures, and discussions.

본 연구는 경력단절여성의 취업지원 프로그램에 대한 다각적 성과를 살펴보기 위한 연구이다. 이를 위해 양적조사와 질적조사를 혼합한 연구로 진행되었다. 양적조사는 취업지원 프로그램에 참여한 5개 기관의 참여자 중 사전, 사후설문에 응답한 145명으로 진행되었다. 질적조사는 각 5개 기관의 프로그램 참여자 25명을 대상으로 하였다. 연구분석 결과는 다음과 같다. 첫째, 고용가능성의 하위 요인 중 자기 이해, 구직 역량, 직무 역량, 사회적 지지는 통계적으로 유의미하게 변화한 것으로 나타났으나 구직장벽과 구직지지체계에 대한 인식 변화는 통계적으로 유의미하지 않았다. 질적분석에서는 양적분석 결과와 같은 맥락에서 자기이해, 구직기술, 행동의 변화, 직무역량, 정보적 지지 등이 변화한 것으로 나타났다. 둘째, 질적 조사 결과를 통해 참여자들은 적극적 구직태도, 구직장벽의 낮아짐, 사회적 지지 중 평가적 지지 및 물리적 지지의 변화를 인식하고 있음을 확인할 수 있었다. 이러한 결과를 바탕으로 경력단절여성의 재취업 지원을 위한 사회복지현장의 실천적 대안을 제시하였다.

This study examines the outcomes of employment support programs for women with career interruptions. The research was conducted using a mixed-methods approach, combining quantitative and qualitative investigations to comprehensively assess the outcomes. The quantitative study involved 145 participants who responded to pre- and post-surveys from five institutions participating in the The analysis revealed statistically significant changes in personal employability factors such as self-understanding, job-seeking skills, and job competencies, as well as in social support. In qualitative analysis, it was found that, similarly to quantitative analysis, there were changes in self-understanding, job-seeking skills, job competencies, and social support. The differences in qualitative research included a positive change in active job-seeking attitude, a decrease in job-seeking barriers, and improvements in evaluation and physical support. Based on these findings, practical alternatives for social work practices to support the reemployment of women with career interruptions were suggested.

Purpose: Although the Advanced Trauma Life Support (ATLS) course is now taught internationally, it has not been implemented in Korea. In recent years, interest has increased in simulation as a teaching tool in the ATLS course. We therefore hypothesized that simulation training would be a useful adjunct to the ATLS course. Methods: We designed a 1-day curriculum that included skill development workstations, expert lectures, trauma patient simulations, and group discussion for general surgery residents. We conducted a survey to evaluate participants' level of understanding of the initial evaluation and treatment of trauma patients, their degree of knowledge and technical improvement, their satisfaction with the learning goals, and their overall satisfaction with the curriculum. We then analyzed the effects before and after the training. Results: Nine residents attended this course. None of the residents initially reported that they could perform a primary survey of trauma patients. The analysis revealed significant improvements after training in the questionnaire areas of "assembly of the team and preparation for resuscitation of a trauma patient" (p=0.008), "performance of a primary survey for trauma patients" (p=0.007), "resuscitative procedures for trauma patients" (p=0.008), "importance of re-evaluation" (p=0.007), "identifying the pitfalls associated with the initial assessment and management" (p=0.007), and "importance of teamwork" (p=0.007). Conclusions: After the ATLS simulation training, all participants showed significant improvements in their understanding of how to manage multiple trauma patients. Therefore, ATLS simulation training for residents will help in the management of trauma patients.

본 연구는 간호학생을 위한 시뮬레이션 기반 ACLS 교육프로그램을 평가하기 위해서 실시되었다. 완전학습이론과 경험학습이론 근거로 개발된 프로그램을 과제난이도, 시간압박, 팀효능감, 자기효능감 및 학습유형으로 평가하였다. 2013년 10월부터 11월 동안 자료가 수집되었다. 프로그램 평가결과 간호 학생들은 환자의 증상을 인지하고 판단해야하는 빈맥이나 서맥 및 기본심폐소생술이 포함된 학습내용을 어려워하였고 시간압박도 느꼈다. 반면 기본간호중재와 자발순환 회복 후 간호는 쉬운 과제로 인지하였고 시간압박도 낮게 나타났다. 추상적 개념화 학습자가 구체적 경험 학습자보다 시간압박을 적게 느끼고 팀 효능감이 높았으며 반성적 관찰 학습자가 능동적 실험 학습자보다 자기효능감이 유의하게 높았다. 프로그램 평가결과를 반영하여 기본심폐소생술 및 빈맥과 서맥이 포함된 학습단원 부분에서 각각 반복학습 사이클과 경험학습 사이클이 반복되도록 수정하였다. 향후 연구에서 구체적 경험과 능동적 실험으로부터 배우는 학습능력을 향상시켜 학습자들이 균형자가 될 수 있도록 만드는 더 나은 프로그램을 개발할 것을 제언한다.

This study was aimed to evaluate a simulation based advanced cardiovascular life support training program on nursing students. The ACLS program based on mastery learning theory and experiential learning theory was evaluated by task difficulties, time pressure, team efficacy, self efficacy and Kolb's learning style. Results of the program showed that nursing students had high degree of task difficulty and time pressure on the learning units of stable tachycardia, unstable tachycardia, bradycardia as well as BLS. However, they had low degree of task difficulty and low time pressure on fundamental intervention and care after recovery of spontaneous circulation. The abstract conceptualization learners had low degree of time pressure and high degree of self efficacy than the concrete experience learners. The reflective observation learners had high degree of team efficacy than the active experimentation learners. The ACLS program based on mastery learning theory and experiential learning theory modified by results of program evaluation to repeat drill and practice cycle and experiential learning cycle in learning units of stable tachycardia, unstable tachycardia, bradycardia and BLS. Further studies are required to develop advanced learning design that makes students to be a balancer by improving the learning ability to learn from concrete experience and active experimentation.

본 연구는 간호학과 4학년 학생을 대상으로 시뮬레이션에 기반한 한국형 전문소생술 교육을 실시하고 교육 후 한국형 전문소생술에 대한 지식, 자기효능감에 대한 효과를 확인하며 3개월 후 재측정을 통해 교육 효과의 지속성을 확인하고자 시도되었다. 연구 대상은 경기도에 소재한 일개 간호학과 4학년 41명이었다. 한국형 전문소생술 교육은 2018년 1월에 진행되었으며 자료수집을 위한 설문조사는 교육 한달 전, 교육 직후 시행되었으며 교육의 지속성을 확인하기 위해 3개월 후에 재시행하였다. 연구결과 시뮬레이션 기반 한국형 전문소생술에 대한 간호학생의 지식은 교육 전 8.56점, 교육 직후 16.34점으로 유의미하게 상승하였으며(p<.001), 3개월 후 13.36점으로 교육 직후에 비해 유의미하게 감소하였다(p<.001). 시뮬레이션 기반 한국형 전문소생술에 대한 간호학생의 자기효능감은 교육 전 2.37점, 교육 직후 4.07점으로 유의미하게 상승하였으며(p<.001), 3개월 후 3.40점으로 교육 직후에 비해 유의미하게 감소하였다(p<.001). 본 연구 결과를 통해 시뮬레이션 기반 한국형 전문소생술 교육이 간호학생의 지식과 자기효능감을 높일 수 있는 적절한 교수법이지만 교육 후 상승한 지식과 자기효능감을 유지하기 위해서는 교육 3개월 이후 재교육 방안이 모색되어야 한다는 것을 확인할 수 있다.

This study examined the effects and continuity of simulation-based KALS education training on the knowledge and self-efficacy of nursing students. The study participants were 41 nursing students in 4th grade in Gyeonggi-do. KALS education was conducted in January 2018. Data collection was conducted one month before and after KALS education and three months later to check the continuity of education. As a result, the knowledge of KALS before education, after education, and three months later were 8.65, 16.34 (p<.001), and 13.36 (p<.001), respectively. The self-efficacy of KALS before education, after education, and three months later were 2.37, 4.07, and 3.40 (p<.001), respectively. Therefore, simulation-based KALS education training is a suitable teaching method for enhancing the knowledge and self-efficacy of nursing students. On the other hand, re-education measures must be performed after three months to maintain the effectiveness of education.

본 연구는 새로운 사회적 취약계층으로 떠오르고 있는 저소득 중장년 1인 가구 남성의 삶의 질 향상을 위한 프로그램 개발에 그 목적이 있다. 자활사업 참여자를 대상으로 저소득 중장년 1인 가구 남성의 삶의 질 향상을 위한 프로그램을 개발하고 실제 프로그램 진행 후 양적, 질적 방법을 혼합하여 평가하였다. 프로그램은 총 14회기로 1회당 90~120분이며, 삶의 질 척도 중 하위요인에 해당하는 신체적 건강관리, 사회적 관계, 심리적 건강, 생활환경 관리능력 향상에 초점을 두어 교육과 체험 활동으로 구성하였다. 양적평가 결과 프로그램 참여자들의 삶의 질 점수가 유의미하게 상승한 것을 확인할 수 있었으며, 심층인터뷰, 진행기록지를 통한 질적평가에서도 프로그램 참여 전후 삶의 질 향상 효과를 확인할 수 있었다. 이에 본 프로그램의 활용이 급증하는 저소득 중장년 1인 가구 남성의 삶의 질 향상에 기여할 수 있기를 기대한다.

The purpose of this study is to develope of program to enhance the quality of life for middle-aged single men of poor which is highlighted as the new vulnerable social group. In the study, program to improve the quality of life for middle-aged single men focusing on the participants of the self-sufficiency support program had been developed, implemented, and evaluated by combining both quantitative and qualitative methods. The program consists of 14 sessions with each session lasting for 90~120 minutes. The program was divided into education and experience parts focusing on subfactors of the criterion on the quality of life including physical health care, social relationship, mental health, and the ability to manage life environment. The result of quantitative evaluation showed a significant improvement in the life quality score acquired from program participants which were also clear in qualitative evaluation established through indepth interview and progress record displaying improvement compared to the pre-program scores. Thus the implementation of this program can be expected to contribute to the improvement of the quality of life for increasing population of middle-aged single men households of poor.