Earticle

본 논문은 공주대학교 공과대학 학생들에게 다학제간 캡스톤 디자인을 운영하기 위한 모델을 제시한다. 여름방학 계절학기 기간 중에 공주대학교 공과대학에서 다학제간 캡스톤 디자인을 운영하였다. 다학제간 캡스톤 디자인에 참여한 학생들은 이전에 캡스톤 디자인 교과목을 수강하지 않은 서로 연관이 없는 5개 전공 학생들이다. 다양한 전공의 학생들에게 캡스톤 디자인작품을 완성하기 위해 센서 및 액츄에이터 등을 이용하는 아두이노 우노 마이크로 컨트롤러 제어보드를 사용하는 캡스톤 디자인 모델을 도입하였다. 만족도 평가를 통해 더 창의적이면서 현장감 있는 의미 있는 교육이 진행되었음을 알게 되었다. 이를 통해 다학제간 캡스톤 디자인 부분에서 앞으로의 가능성 있는 방향을 제시하였다.

In this paper, we introduce a model of the teaching and learning method for multidisciplinary convergence capstone design at Kongju National University‘s Engineering Department. At Kongju national University, various capstone design works are designed and proceeded by multidisciplinary students at the summer session. The multidisciplinary approach described in this paper includes the involvement of five department’s student who have not collaborated in capstone design experience. This study focuses on multidisciplinary capstone design education by using the micro controller board called Arduino Uno that consists of an assortment of sensors and actuators. The result of self-satisfaction survey was shown the meaningful teaching process for the engineering department students who could have more creative and industrial experiences. As a result, we are able to get the result of the possible directions for future technology education in the area of convergence multidisciplinary capstone design.

논문은 ‘미디어 아트×세운상가’ 전시를 통해 대한민국 미디어 아트 진원지 의미를 지형 및 시대적 배경으 로 살펴본다. 미디어 아트 역사에 중요한 획을 그은 백남준 작품은 예술과 기술의 경계를 허무는데 역할을 했다. 청계천 내 세운상가는 현재 기술의 원천지로서 그 역할은 사라졌지만, 다수 작가가 남아 그 장소에서 기술 기반의 예술을 생산하고 있다. 본 연구는 청계천 박물관에서 진행한 ‘미디어 아트×세운상가’ 전시를 통해 예술가의 창작력 이 상상력과 기술력의 조화에서 비롯하며 나아가 기술이 중요한 역할을 하고 있음을 강조한다. 기술 그 자체가 예 술에 있어 역할을 했던 세운상가의 역사를 살펴보고, 박물관의 속성에 기반한 전시를 통해 미디어 아트 장르의 지 형을 살펴본다.

Through the exhibition 'Media Art × Sewoon Arcade', we explore the meaning of Korea's media art epicenter in terms of topography and time period. Nam June Paik's works, which made an important mark in the history of media art, played a role in blurring the boundaries between art and technology. Although Sewoon Arcade in Cheonggyecheon has ceased to be a source of technology, many artists have remained in the area and continue to produce technology-based art. Through the exhibition 'Media Art × Sewoon Arcade' at Cheonggyecheon Museum, this study makes it clear that art is not only created by the technical skills and imagination of the artist, but that technology has a role to play. It examines the history of Sewoon Arcade, where technology itself has played a role in art, and explores the terrain of the media art genre through an exhibition based on the museum's attributes.

공학교육인증을 실시하고 있는 대학들은 설계 교육의 중요성을 강조하고 있다. 특히 공학 분야의 종합설계 교과 목은 설계의 기능적 요소과 제한요소를 반영하여 결과물을 제작하도록 하고 있다. 체계적인 설계 교육도 중요 하지만 종합설계 교과목이 창의적 교육프로그램이라는 측면에서 다학제적 융합 교육 적용의 필요성이 매우 높다. 본 연구는 연구자가 강의한 2019년 공학 계열 종합설계 교과목을 중심으로 교육과정과 공학과 디자인의 융합 적용사례 를 기술하였다. 공학과 디자인의 협업을 위해 학생들의 아이디어를 발전시키고 실제 결과물에 적용하기까지의 과정을 기획 및 주제 선정, 콘텐츠 설계, 소프트웨어 설계, 발표 및 평가의 절차로 제시하였다. 결과적으로 학생들에게 작품을 제작하는 데 있어 사용자를 고려한 디자인을 적용하게 함으로써 공학계열의 종합설계 교과목에서 기술에만 치중하지 않고 공학과 디자인의 융합 프로세스의 방법을 제시하였다는데 그 의의가 있다.

Universities that hold engineering education accreditation emphasize the importance of design education. In particular, comprehensive design courses in the engineering field are designed to produce the result reflecting the functional and limiting factors of the design. Systematic design education is also important, but the application of multidisciplinary convergence education is very high in view of the comprehensive design curriculum as a creative education program. This study describes a case study of convergence of curriculum and engineering and design, focusing on the 2019 comprehensive engineering design subject of the researcher. For the collaboration between engineering and design, the process of developing students' ideas and applying them to actual results was presented as the procedures of planning and theme selection, content design, software design, presentation and evaluation. As a result, it is meaningful that the method of convergence between engineering and design was presented without focusing only on technology in the comprehensive design subject of engineering by applying a design that considers the user in producing the work.

Purpose This study aimed to describe the range of participation of nursing faculty members and their collaborators in multidisciplinary primary health care in Korea and to analyze facilitators, benefits, barriers, and learned lessons. Methods An exploratory descriptive research design was utilized. A total of 13 nursing faculty members and 13 multidisciplinary collaborators were interviewed face to face using a brief questionnaire and semi-structured interview guide. Descriptive statistics, comparative analysis, and content analysis were used for data analysis. Results About 43% of the nursing faculty had multidisciplinary primary health care experience. Facilitators included a government-funded research/demonstration project, personal belief and expertise in primary health care, and well-delineated role boundaries. Benefits included improved quality of life, more convenient community life, meeting multifaceted needs of community residents, and enhanced research activities. Barriers were lack of teamwork; territoriality and self-protective behaviors; lack of insight into primary health care among stakeholders; nurses undervaluing their work; and the rigid bureaucratic system of public health centers. Learned lessons were the importance of teamwork and its synergistic benefits, the importance of conducting clinically relevant research, having the government’s support in the improvement of public health, developing health policies through multidisciplinary primary health care (M-D PHC) work, and respecting each other’s territory and expertise. Conclusion Teamwork should be included in all health professions’ curricula, and nursing clinical practicums should include primary health care in all specialty areas. More faculties should engage in multidisciplinary primary health care. The benefits of a multidisciplinary approach to primary health care outweigh the difficulties experienced by multidisciplinary team members. The findings of this study may be useful for future multidisciplinary primary health care work worldwide. [Asian Nursing Research 2008; 2(1):25?34]

Purpose: The purpose of this study is to investigate the impact of transitional care by a nurse-led multidisciplinary team (MDT) on clinical outcomes and quality of life of patients with ankylosing spondylitis. Methods: A randomized control study design was used. Subjects were allocated randomly to an experimental group and a control group. The experimental group received intensive transitional care by a nurse-led MDT, whereas the control group received routine nursing care. Disease activity, spinal mobility, comprehensive function, health service utilization, and quality of life were assessed at the baseline and at six months with the Bath Ankylosing Spondylitis Metrology Index, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), a health service utilization questionnaire and version 2 of the Short Form-36 health survey. Results: Compared with the baseline, the BASDAI, BASFI, emergency visits, hospitalizations, hospitalization days, and bodily pain, vitality, mental health, total score, and average score of version 2 of the Short Form-36 health survey were improved in the experimental group (p < .05), whereas only bodily pain, vitality, and role-emotional were improved in the control group (p < .05). At six months, the experimental group exhibited significantly more improvement on the BASDAI, BASFI, hospitalizations, all domains except Role-physical as well as total score and average score (p < .05) compared with the control group. Conclusion: A MDT-based nurse-led transitional care improves clinical outcomes and quality of life of patients with ankylosing spondylitis. Future research should be carried out on modes of follow-up and family support.

Purpose: This study examined the modifiable factors, including nurse-led multidisciplinary education and in/out-of-hospital rehabilitation, to predict cardiac events in patients with heart failure (HF) in South Korea. Methods: A retrospective review of the medical records was conducted using data of patients admitted for HF between June 2021 and April 2022. A total of 342 patients were included in this study. Information related to HF education, cardiac rehabilitation, and demographic and clinical characteristics were collected. Cardiac events, including emergency department visits, readmissions, and deaths, were defined as a composite of events. After adjusting for covariates, a multivariate Cox proportional hazard regression model was used to explore the association between modifiable factors and cardiac events in patients with HF. Results: During the follow-up period (median, 823 days), 123 patients (36.0%) experienced at least one cardiac event. In the Cox regression model, patients who received nurse-led multidisciplinary HF education during hospitalization were less likely to experience cardiac events (hazard ratio: 0.487; 95% confidence interval [CI]:0.239-0.993). Additionally, high NT-pro BNP levels were associated with an increased risk of cardiac events. Conclusions: The education led by nurses on HF was a factor that reduced adverse prognoses in patients with HF. Our results highlight the importance of a nurse-led multidisciplinary approach during hospitalization.

As the significance of knowledge convergence continues to grow, universities are making efforts to develop methods that promote multidisciplinary learning. To address this educational challenge, our paper applies network theory and text mining techniques to analyze university curricula and introduces a graphical syllabus rendering method. Visualizing the course curriculum provides a macro and structured perspective for individuals seeking alternative educational pathways within the existing system. By visualizing the relationships among courses, students can explore different combinations of courses with comprehensive search support. To illustrate our approach, we conduct a detailed demonstration using the syllabus database of Yonsei University. Through the application of our methods, we create visual course networks that reveal the underlying structure of the university curriculum. Our results yield insights into the interconnectedness of courses across various academic majors at Yonsei University. We present both macro visualizations, covering 18 academic majors, and visualizations for a few selected majors. Our analysis using Yonsei University's database not only showcases the value of our methodology but also serves as a practical example of how our approach can facilitate multidisciplinary learning.

Objective To evaluate the overall profile of children with feeding disorders and their relationships to medical conditions in an outpatient feeding clinic of a tertiary hospital.Methods The medical records of 143 children who had visited the feeding clinic between January 2010 and June 2014 were reviewed retrospectively. The presence of a feeding disorder (feeding behavior disorder, dysphagia, and/or failure to thrive [FTT]) and the children’s medical conditions were examined by a physiatrist. Results Half of the patients (n=74, 51.7%) were under 15 months of age, and 68 (47.6%) were born preterm. Ninety-three patients (65.0%) met the criteria for any combination of feeding behavior disorder, dysphagia, or FTT. Cardiorespiratory disease was the most common medical condition; children with this condition were more likely to show sensory food aversion and FTT. Feeding behavior disorders were significantly associated with gastrointestinal problems, and dysphagia was significantly related to almost all medical conditions. Conclusion A multidisciplinary approach to children with feeding difficulties is proposed for comprehensive evaluation and treatment because combinations of feeding problems are very common among children. This overall profile could provide clinicians with a clear understanding of the complexity of feeding disorders and their relationships with various medical conditions in children.

The linear no-threshold (LNT) model has long served as a foundational principle in radiation protection. In recent years, advances in radiation health science, along with legal and social debate over the model’s application in administrative and judicial decision-making across nuclear and radiation-related fields—including industry, regulation, and public health—have renewed scrutiny of its scientific basis, regulatory relevance, and societal implications, especially at low doses. This article summarizes the 2025 Winter Workshop hosted by the Korean Association for Radiation Protection, which examined the LNT model through the lenses of science, policy, and societal debate. Key themes included the international rationale and historical basis for the model’s adoption; biological and epidemiological evidence relevant to its evaluation; the regulatory and socioeconomic impacts of radiation protection standards grounded in the LNT model; public perceptions of radiation risk shaped by this framework; and the legal and policy issues arising from its continued use in governance. Rather than reaching a singular conclusion, the workshop highlighted the importance of sustained interdisciplinary dialogue to refine how the LNT model is interpreted and applied across science, regulation, and society—ensuring that resulting approaches remain scientifically robust, socially responsive, and adaptable to evolving evidence.

Very often, translation involves rewriting and research. The writer of this article has found that due to the drastic differences between English thinking and Chinese thinking, between these two languages and between these two cultures, not all Chinese writings “equal” their English versions completely, that is, there are “imbalances” between them more or less, and this is especially true in the literary translation area. Further, the author of this article suggests that some “imbalances” are created purposely in order to retain “fidelity” to the source work and the source culture to some extent while integrating with the target language and the target culture. In addition, the author pointed out some “loopholes” in the traditional and classic Chinese translation theories, and proposed several transcreation theories to countermeasure the “loopholes” and to illustrate “imbalances”. In this article, the author coined a new word, “transwriting”, and dissected the translation process into two processes, that is, understanding and rewriting. In addition, the author proposed a novel translation theory that incorporates the writing field in both the source language and the target language, for the purpose of cultural transmission and integration, and further illustrated the relationship between translation and writing and especially literary writing. In this way, the author expands the transcreation field to include the writing field and especially the literary writing field. Moreover, the author suggests that the transcreation field develop some criteria, such as, stringency, accuracy, flexibility, and that all the science, social science and humanities subareas in the transcreation field are categorized according to these criteria. Also, the author suggests that the Chinese-English translation realm expand to incorporate the research theories and methods in other fields, such as, science (e.g., statistical methods), and that the translation realm restructure its system of theories and educational system to meet the demands of the era of global integration, for example, establishing a translation minor for each science major. Although this article mainly addresses the Chinese-English translation realm, it can also provide valuable ideas to other translation pairs. At last, this article may shed new light on the limitations of and possible solutions to machine translation in the various translation sub-areas and especially the literary translation area. For example, this article may answer questions like “Is understanding unimportant for machine translation?” In order to support the transcreation theories and multidisciplinary translation theories proposed in this article, some typical examples are provided.

This study aims to explore the creative and technological significance of applying real-time motion capture data to XR (Extended Reality)-based multidisciplinary performances. By analyzing the case of the performance All About Error, which integrated real-time captured movements of dancers with audiovisual content delivered on a media wall (LED screen), the research investigates both the potential and the limitations of creating nonlinear, interactive stage environments. The methodology combines a review of prior XR production cases with an in-depth analysis of the actual production process of the performance. The findings demonstrate that the convergence of technology and art in multidisciplinary performances advances beyond traditional unidirectional and linear formats, fostering bidirectional and multidimensional performances that respond in real time to the performers’ movements. This evolution promotes expanded visual communication and discourse between performers and audiences, illustrating the creative potential to redefine the boundaries of live art. Utilizing real-time motion data on stage not only maximizes audience immersion and active participation but also suggests that real-time, interactive technologies in digital media art can expand into a variety of fields, including performing arts and games. This trend points to new directions and growth opportunities in artistic creation and provides important implications for future research in performing arts and interactive media art.

This paper focuses on the dating and provenance of two paintings, Climbing the hill and View from St. John’s Fort by the prominent Singaporean artist Liu Kang (1911–2004). Climbing the hill, from the National Gallery Singapore collection, was believed to have been created in 1937, based on the date painted by the artist. However, a non-invasive examination unveiled evidence of an underlying paint scheme and a mysterious date, 1948 or 1949. These findings prompted a comprehensive technical study of the artwork in conjunction with comparative analyses of View from St. John’s Fort (1948), from the Liu family collection. The latter artwork is considered to be depicting the same subject matter. The investigation was carried out with UVF, NIR, IRFC, XRR, digital microscopy, PLM and SEM-EDS to elucidate the materials and technique of both artworks and find characteristic patterns that could indicate a relationship between both paintings and assist in correctly dating Climbing the hill. The technical analyses were supplemented with the historical information derived from the Liu family archives. The results showed that Climbing the hill was created in 1948 or 1949 on top of an earlier composition painted in Shanghai between 1933 and 1937. As for the companion View from St. John’s Fort from 1948, the artist reused an earlier painting created in France in 1931. The analytical methods suggested that Liu Kang used almost identical pigment mixtures for creating new artworks. However, their painting technique demonstrates some differences. Overall, this study contributes to the understanding of Liu Kang’s painting materials and his working practice.

중환자실에서의 조기이동은 환자 회복을 촉진하는 중요한 전략이나, 간호사 주도형과 간호사 참여형 다학 제 중재의 비교 효과는 명확히 규명되지 않았다. 본 연구는 중환자 조기이동을 위한 두 중재의 임상적 효과를 비 교하고자 수행된 체계적 문헌고찰 및 메타분석이다. PubMed, Embase, CINAHL, Cochrane Library를 활용하여 ‘중환자’, ‘조기이동’, ‘간호사 주도’, ‘간호사 참여’, ‘중재’를 주제어로 문헌을 검색하였다. 총 13편의 연구(간호사 주 도형 7편, 간호사 참여형 다학제팀 중재 6편)를 분석하였다. 간호사 주도형 조기운동은 비무작위 연구에서 병원 재원일수 감소(MD –4.68 days)와 근력 향상(MD 10.90)에서 긍정적 경향을 보였고, 간호사 참여형 다학제 중재 는 인공호흡기 사용기간 단축(RCT: MD -2.29 days; non-RCT: MD -5.25 days)에서 일관된 효과를 보였다. 이 상의 결과에서 간호사 주도형 및 참여형 조기운동 중재는 중환자의 회복에 기여할 수 있으나, 향후 중환자 재활에 서 간호사의 역할과 중재 구성 요소를 명확히 규정하고 일관된 실행 체계를 마련할 필요가 있겠다.

Early mobilization in intensive care improves patient recovery, yet the comparative effects of nurse-led and nurse-involved approaches remain unclear. This study aimed to compare their effects on clinical outcomes in critically ill patients. A systematic review and meta-analysis was conducted. PubMed, Embase, CINAHL, and the Cochrane Library were searched using the keywords ‘critically ill patients’, ‘early mobilization’, ‘nurse-led’, ‘nurse involvement’, and ‘interventions’. Thirteen studies were included (7 nurse-led; 6 nurse-involved multidisciplinary interventions). Nurse-led interventions were favorably associated with reduced hospital stay (MD -4.68 days) and improved muscle strength (MD 10.90) in non-randomized studies. Nurse-involved multidisciplinary interventions more consistently reduced ventilator duration (RCT: MD -2.29 days; non-RCT: MD -5.25 days). Both approaches may support recovery in critically ill patients, but clearer nursing roles and standardized intervention components are needed for consistent implementation.

심리운동은 움직임을 통한 인간의 지각‧경험‧인지‧행동의 기능적 통합으로 이루어진 인간행동의 심리‧운동적 관계를 연구하며 인간의 전 생애에 걸친 모든 영역의 발달을 지원하고자한다. 이러한 심리운동 프로그램 개발 및 구성이 초기에는 장애영역에서 재활과 치료에서 출발하여 이후 교육 및 관찰과 진단으로 확대되었고, 그것은 현재 사회연관단계로써 나와 타인그리고 사회공동체의 발달과 성장의 지원으로 이어지고 있다(Seewalt, 2019-b). 인지과정에서경험정보의 저장과 인출에 질적 양적으로 영향을 미치는 요소인 심상은 심리운동 현장에서대상에 대한 이해를 도울 수 있으며, 프로그램에 활용하는 매체로도 가능한 특징을 가지고 있다. 심상은 철학과 심리학 및 인지과학에서 지향하는 목적에 따라 이해의 차이를 보인다. 심리학적으로는 인간의 인지와 행동을 조작 가능한 대상으로 본 실험적 접근과 무의식의 영역까지 확장된 심층적 접근이 있으며, 신경인지과학적으로는 물리적으로 실행된 행동과 심상이같은 뇌영역에서 신경활성을 보여주는 것과, 심상과 신경가소성과의 연관성을 밝혀내기에까지이르렀다. 이 연구에서는 심상에 대한 다양한 관점의 차이를 확인하고 심리운동에의 적용 방법 및 가능성을 살펴보고자 한다.

Psychomotorik studies the psychological and motor relationship of human behavior, which consists of functional integration of human perception, experience, cognition, and behavior through movement, and aims to support the development of all areas of human life. The development of Psychomotorik programs initially began with rehabilitation and treatment in the disabled area and later expanded to education, observation and diagnosis, which has now emerged as a social connection stage, leading to the development and growth of others and the community. Imagery not only qualitatively affects the storage and withdrawal of empirical information, but also has features that can be used as a medium of Psychomotorik arbitration. Imagery differs in understanding according to philosophy and the purpose of psychology and neuroscience. Psychologically, there is a depth approach to the experimental approach of human cognition and behavior as manipulative objects and to the realm of unconsciousness, and In neurocognitive science, the actual physical movement and mental imagey were activated in the same brain areas, and the link between the imagey and neuroplasticity has been revealed. This study aims to identify various perspectives on the understanding and application of imagery and to explore its applicability to Psychomotorik.

Background : Previous studies have reported that appropriate self-management of patients with heart failure (HF) through multidisciplinary education can reduce the risk of re-admission. This study aimed to evaluate the effect of multidisciplinary group education, including pharmacists, on re-admission of patients with HF. Methods : This propensity score-matched retrospective cohort study included patients aged ≥65 years with LVEF ≤ 49% who were discharged from the hospital after being hospitalized for HF from January 2019 to June 2021. Patients were divided into an education group that completed HF group education and a usual care group that did not complete such education. The association between multidisciplinary group education and read mission in patients with HF was evaluated using multivariate Cox proportional hazard regression analysis. Risks are presented as adjusted hazard ratios (HRs) and 95% confidence intervals (CIs). Results : After PS matching, the distribution between the two groups became similar for all baseline characteristics except for the use of sacubitril/valsartan (p=0.029). The incidence of readmission owing to HF within 90 days after discharge was significantly lower in the education group than in the usual care group (4.8% vs. 14.3%, p=0.039). There was no significant difference in the risk of all-cause re-admission between the two groups. Moreover, the Cox regression model showed that the risk of HF-associated read mission within 90 days after discharge was significantly lower in the education group than in the usual care group (adjusted HR: 0.32, 95% CI: 0.09-0.90). The risk of all-cause re-admission was not significantly different between the two groups. Conclusion : Multidisciplinary group education in patients with HF demonstrates its importance for patient’s prognosis by reducing HF-associated re-admission within 90 days after discharge. However, additional large-scale prospective studies are needed considering limitations of this study.

Purpose: This study aimed to examine the effect of multidisciplinary lifestyle modification program in overweight orobese middle-aged women. Methods: This study was conducted from January 2 to June 5, 2018 at Jeonju city inSouth Korea. A non-equivalent control group quasi-experimental design was used. A total of 46 women were assignedto the experiment group (n=22) or the control group (n=24). The multidisciplinary lifestyle modification programfor this study consisted of physical activity, nutritional management, stress management, health counseling,lifestyle monitoring, and affective support based on King’s goal attainment theory, which was implemented for eightweeks. Results: Significant group differences were found in health- promoting behavior (p<.001), depression(p<.001), anxiety (p=.018), stress (p=.001), weight loss (p=.002) and reproductive symptoms (p=.020) among overweightand obese middle-aged women. Conclusion: Multidisciplinary lifestyle modification program is effective inimproving health-promoting behavior, depression, anxiety, stress, weight loss and reproductive symptoms. Therefore, healthcare providers should develop strategies to expand and provide multidisciplinary lifestyle modificationprogram through interaction and transaction for overweight or obese middle-aged women.

Background : As a member of the multidisciplinary team, the pharmacist can play an essential role in patient care in the intensive care unit (ICU). Although the number of critical care pharmacists has gradually increased and their role has expanded, there continues to be a need for improving the quality of care for critically ill patients. The aim of this study was to evaluate the status of clinical pharmacy practices in the surgical ICU (SICU) and suggest improvements in pharmaceutical care service reflecting the needs of the multidisciplinary team members. Methods : We identified the activities of pharmacists in the SICU and compared them to those previously reported in US hospitals for fundamental, desirable, and optimal activities. Based on these results, in-depth semi-structured interviews were conducted with key stakeholders to evaluate their needs for collaborative team care services improvement. The data from transcribed interviews were analyzed using thematic analysis techniques and the themes were clustered to derive the concept of service. Results : When the pharmacists’activities were compared to those of US hospitals the need for improvements in education, research, and administration were identified. Six physicians, and seven nurses were included in in-depth interviews. Most of them were satisfied with the current service of the pharmacist in the SICU and considered it necessary. However, needs for a better multidisciplinary team care service, including enhancement of pharmacists’participation, improvement of the communication system, etc., were identified. Based on the thematic analysis results, service concepts were developed, which were“ patient-centered collaborative team care”,“ persistent and longitudinal care”, and“ professional and evidence-based care”. Conclusions : An improvement service for critical care patients was derived from this qualitative analysis process. This concept can be used to guide the improvement of the overall quality of patient care in the SICU and to inform healthcare policy decisions.

This study was conducted to examine the effect of an individualized educational program by multidisciplinary staffs on the need for caring among patients with radiotherapy. Methods: A quasi experimental study with one group was designed to examine the effect. A total of 48 adult patients were recruited from a university hospital in G-city, Korea from July, 2006 to June, 2007. The level of patients’ need for caring during radiotherapy was assessed at the pre- and post-education by a trained research assistant. The level of patients’ need for caring on radiotherapy was measured with a 20-item questionnaire. Results: Paired t-test showed that the level of patients’ need was reduced at the post-test compared to pre-test (t=3.40, p=0.002). The level of need was higher among the older than 65 yr (F=4.82, p=0.034), and patients who had education years less than 10 yr (F=4.40, p=0.042) and not a spouse (F=5.97, p=0.019) at the pre-test, while there were no difference according to participants’ characteristics at the post-test. Conclusions: This multidisciplinary and individualized education program was effective on reducing the level of need for caring during radiotherapy. Therefore, for long-term self-management, further educational strategies based on patients’ needs through multidisciplinary teamwork need to be developed and applied.

본 연구는 도전적행동 발달장애인을 위한 초영역(transdisciplinary) 접근에 기반한 다학제 지원의 실천 방향과 구현을 위한 전제 조건을 탐색하였다. 초영역 접근에 대한 이론적 고찰과 Kruger와 Shriberg(2004)의 ‘PERFORMS’ 원칙을 기초로, 다학제 지원의 실천 방향과 원칙으로 전인적 접근, 수평적 협력과 상호 학습, 개방적이고 유연한 의사소통, 가족 참여와 존중, 표준화된 절차 및 서비스 구조, 기관 차원의 지원 등을 도출하였다. 또한, 실제 구현을 위한 네 가지 전제로 전문가의 확장, 지원의 시스템화, 공통기반 정보의 조직화, 다학제 지원의 이해와 사고 전환 등의 구체적 방안을 제시하였다. 마지막으로 초영역적 다학제 지원이 제도적으로 정착되기 위해 법적 근거 마련, 최중증 발달장애인을 위한 필수 지원체계로의 제도화, 전문 인력 양성, 지역 중심의 거점기관 설립 등의 기반 조성이 필요하다는 것을 제안하였다.

This study explored the practice directions and prerequisites for implementing multidisciplinary support for individuals with developmental disabilities who exhibit challenging behavior, based on a transdisciplinary approach. Through a theoretical review of the transdisciplinary approach and the ‘PERFORMS’ principles proposed by Kruger and Shriberg(2004), the study identified key directions and principles for multidisciplinary support: a holistic approach, horizontal collaboration and mutual learning, open and flexible communication, family participation and respect, standardized procedures and service structures, and institutional support. In addition, four core preconditions for effective implementation are proposed: the expansion of professional roles, systematization of support structures, organization of shared foundational information, and the development of shared understanding and paradigm shifts in multidisciplinary collaboration. Lastly, for transdisciplinary multidisciplinary support to be institutionalized, the study emphasizes the need to establish a legal foundation, integrate this model into a national support system for individuals with severe developmental disabilities, train specialized personnel, and establish regional hub institutions to provide structural and operational support.