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1

Nurses’ perceptions of gerontological nurse practitioner programme curricula: A qualitative descriptive study

박종순, 김혜진

[NRF 연계] 한국노인간호학회 노인간호학회지 Vol.25 No.3 2023.08 pp.237-247

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Purpose: This study aimed to describe nurses’ perceptions of gerontological nurse practitioner (GNP) programme curricula, especially positive and negative aspects of the curricula and suggestions to improve the curricula. Methods: Twenty-one certified GNPs attended one or two interviews and the data obtained were analysed using a conventional content analytic method. Results: The analysis revealed seven categories and 18 subcategories. The main positive aspects of the GNP programme curricula were “Acquiring knowledge and skills to elder care through the GNP programme” and “Application of gerontological nursing-related knowledge and skills attained from the GNP programme.” The negative aspects included “Didactic education insufficient for the development of expertise in gerontological nursing” and “Ineffective and suboptimal operation of clinical practice curriculum.” Suggestions to improve the GNP programme curricula were “Enhancement of education in core courses,” “Strengthening the contents of gerontological nursing didactic courses,” and “Quality improvement of clinical practice.” Conclusion: The findings indicate that educators, policymakers, and other stakeholders should re-examine the current GNP programme curricula to provide GNP students with quality education and training pertinent to professional healthcare for older adults in various healthcare settings.

2

Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-experimental Study

Dong-Lan Ling, Ka Yan Ho, Jing-Da Pan, Chang Zhang, Wen-Ting Xu, Ke-Lan Lin, Ting Mao, Jin Li, Hao Chen, Shu-Fang Zhang, Hong-Li Liu, Liu-Yuan Zeng, Hong-Jing Yu

[NRF 연계] 한국간호과학회 Asian Nursing Research Vol.20 No.1 2026.02 pp.48-55

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Purpose: To examine the effectiveness of a practice-based reflection training programme in enhancingreflective practice competency and humanistic caring ability among undergraduate nursing interns. Methods: A convenience sample of 95 undergraduate nursing interns from a tertiary hospital wasrecruited to join a quasi-experimental study. Participants in the control group (n = 48) underwent atraditional training programme between September 2021 and April 2022. Those in the interventiongroup (n = 47) participated in a practice-based reflection training programme that contained 8 sessionsbetween September 2022 and April 2023. The two groups were compared in terms of their levels ofreflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) andhumanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caringwhich was analyzed by content analysis. Results: After the intervention, the intervention group showed statistically significantly higher meanscores compared to the control group for reflective practice competency (160.94 ± 11.02 vs147.60 ± 13.95, p < .001) and humanistic caring ability (124.02 ± 7.35 vs 115.52 ± 8.31, p < .001). Bycontent analysis of 45 reflective essays, the most commonly reported theme related to humanistic carewas “responsibility” (present in 38 essays, mentioned 153 times), followed by “empathy” (present in 36essays, mentioned 149 times) and “communication skills/competence” (present in 32 essays, mentioned125 times).

3

Overview of Finnish Spent Nuclear Fuel Disposal Programme

Topias Siren

[NRF 연계] 한국자원공학회 한국자원공학회지 Vol.54 No.4 2017.08 pp.367-376

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Finland is the first country in the world constructing the geological spent nuclear fuel disposal facility. The Finnish programme for spent nuclear fuel is organized through a private company Posiva Oy that has been established by the two power companies currently operating nuclear power plants in Finland to dispose owners spent nuclear fuel. First plans for the disposal of the spent nuclear fuel started already at 1978 when first studies for the geological disposal started. The planning was followed by the site selection programme, culminating to the selection of the Olkiluoto site as the disposal site in 2001 by decision in principle by Parlament of Finland. In 2004 the construction of the rock characterization facility ONKALO™started on the disposal site. ONKALO has served in confirming underground site studies, while it has been designed to be an inseparable part of the final disposal facility. After 10 years of confirming studies in 2015, Posiva Oy, was granted the construction license for the final repository. In early 2020s the disposal of the spent nuclear fuel is expected to start in ONKALO.

4

Satisfaction of Undergraduates with Library and Information Science Course and Some Factors that Influence their Choice of the Programme

Umeozor, Susan Nnadozie

[Kisti 연계] 건국대학교 지식콘텐츠연구소 International journal of knowledge content development & technology Vol.12 No.4 2022 pp.95-103

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This study was conducted to assess the level of satisfaction of undergraduates with the Library and Information Science (LIS) course and some of the factors that influence their choice of the programme. The population of the study was all the 400 level undergraduates in the Department of Library and Information Science, Faculty of Education, University of Port Harcourt. A structured questionnaire, made up of three parts, was utilized for data collection. The first part involved the level of satisfaction of the respondents with the LIS programme while the second and third parts involved the influence of parents and peers on the respondents' choice of LIS programme, respectively. Out of the 21 copies of the questionnaire distributed, 20 were retrieved indicating a 95.2% response rate with 75% (15) male and 25% (5) female. Data were analyzed using percentages and simple regression analysis. Results indicated that the respondents were highly satisfied with the choice of LIS programme and would recommend the programme to others. Parental influence on the respondents' choice of LIS programme was minimal accounting for 7.8% of the changes in the choice of the programme while peer influence on the respondents' choice of the programme was substantial accounting for 78.0% of the changes in the choice of the programme. The fact that the respondents were satisfied with their choice of career in LIS is a strong indication that they would be committed to providing excellent service in librarianship needed to cater for the mutated information requirements of the society.

5

6,600원

e-Science는 지리적으로 분산되어 있는 과학자 및 연구 장비를 ICT기반의 가상공간에 집적하여 언제 어 디에서나 연구개발이 가능하도록 환경을 조성해준다. 과학 및 산업 영역에서 연구개발 과정의 효율 및 효 과, 그리고 고도화된 ICT인프라의 구축ㆍ활용으로 국가경쟁력의 향상을 기대한다. 그 기대에 따라 세계 각 국은 e-Science개발정책을 추진해왔으며, e-Science개념을 창조하였던 영국은 적극적이다. 2001년부터 실 시된 영국의 e-Science Programme은 첫째, 연구회별 파일럿 프로젝트와 둘째, Core Programme의 하부주 제로 구분된 듀얼트랙 형으로 2008년 현재 3단계에 접어들었다. 이 중에서 본 연구는 영국 e-Science공통기반의 조성을 의미하는 Core Programme의 전략적 위치변화를 분석하였다. 특징적 변화는 1단계와 2단계의 공통기반 구축을 완성하였던 한편, 3단계에서 과학 및 산업 도메인의 응용 단계로 위치를 변화시키고 있다. 더구나 진정한 글로벌 이니셔티브를 확보하기 위해 글로벌 협업 네트워크의 확장이 두드러진다. 우리나라는 e-Science 공통기반의 구축에 관심을 기울이고, 그 응용을 위한 글로벌 소통이 기대된다고 하겠다.

This e-Science enables research and development at any time and at any where by concentrating scientists and research equipments decentralized geographically in ICT based virtual space. Because of this, together with efficiency and effectiveness of the processes of research and development in the field of science and industry, it affects national competitiveness through the utilization of establishment of highly upgraded ICT infrastructure. According to its expectation, countries of the world have carried out the development policy of e-Science and UK and which had created the concept of e-Science is more aggressive. UK e-Science Programme started from 2001 has the first pilot projects per research association and the second, dual track approach type as classified as a sub subject of the Core Programme and now it has entered into the third phase as of 2008. Among these, this study has analyzed changes of strategic position of the Core Programme which means the establishment of joint foundation of UK e-Science. Characteristic changes are relative completion of the establishment of the joint foundation in the first and the second phase while in the third phase, it changes the position into the stage of application of science and industrial domain. Moreover, expansion of global cooperative networks for securing a global initiative seems prominent. Reviewing this kind of a trend, development policy of Korea requires expansion of the establishment of joint foundation of e-Science and global communication for application.

6

4,800원

The aim of this paper is to construct a transdisciplinary research model of the contagion. First of all, we tried to underline a polysemy and metaphoric complexity of the term of contagion. Then we attempted to present this problematics of contagion as a transdisciplinary paradigm of human and social sciences in mentioning its potential fields such as the contagion as a structuration of the social, the biopolitical dimensions of the contagion. In this regard, the immunology model by the italian philosopher Esposito to explain the nature of the modern state seems insightful. As a conclusion, we suggested a problematics of semio-anthropology of contagion in presenting some research areas such as semiotics of institutions responsible for the contagion, semiotics of the virality, and the contagiosity of the language.

8

5,700원

본 연구는 서아프리카 모리타니의 저자원 지역에서 운영된 통합 영양중재 프로그램 PBN 내 모자음악놀이의 구성과 내용을 분석하고, 저자원 환경에 적합한 음악활동이 영양중재의 실행과정에서 어떤 전략적 기제로 작용하는지를 규명하고자 하였다. 이를 위해 프로그램 설계 및 평가 도구인 로직모델(Logic model)을 활용하여 모자음악놀이의 구성 요소와 활동 내용을 체계적으로 분석하였다. 분석 결과, 첫째, 본 프로그램은 현지 인프라와 보건요원을 핵심 자원으로 활용하여 다회기 모듈 방식을 구축함으로써 전문 인력이 부재한 환경에서도 지속 가능한 실행 기반을 마련하였다. 특히 단순성, 반복성, 점진성을 기반으로 한 프로그램 설계는 지역보건요원이 표준화된 프로토콜에 따라 주도적으로 세션을 운영할 수 있도록 지원하는 실천적 모델이 되었다. 둘째, 프로그램의 내용 측면에서 음악놀이는 상호작용 중심의 정서적 경험을 제공하고, 보호자의 심리적 부담을 완화하였으며, 이를 통해 영양 실천이 가정의 일상으로 자연스럽게 전이되도록 돕는 ‘심리적 안전기지(Secure base)’ 환경을 조성하였다. 이러한 결과는 해당 중재가 특정 기법의 효과 검증에 한정되지 않고, 저자원 환경의 보건·영양 프로그램 내에서 참여 구조와 실행 과정을 지지하는 간접적 중재 요소로 활용될 수 있음을 보여준다. 본 연구에서 제시한 설계 원리와 실행 체계는 향후 지역사회 기반 영양·보건 중재의 기획 및 실행 과정에서 음악의 통합적 활용 가능성을 보여주는 실천적 자료로 기여할 수 있을 것이다.

This study aims to analyze the composition and content of mother-child musical play within the ‘Program Better Nutrition’ (PBN), an integrated nutritional intervention operated in low-resource areas of Mauritania, West Africa. The study investigates how musical activities suitable for resource-constrained environments function as strategic mechanisms in the implementation of nutritional interventions. Utilizing the Logic Model as a framework for program design and evaluation, the components and activity contents of the musical play were systematically structured. The results are as follows: First, the program established a sustainable foundation for implementation even in the absence of specialized professionals by utilizing local infrastructure and community health workers as primary resources through a multi-session modular system. In particular, the design based on simplicity, repetition, and progression provided a practical model that empowered local health workers to lead sessions independently according to standardized protocols. Second, in terms of content, the musical play offered interaction-centered emotional experiences and alleviated the psychological burden on caregivers, thereby establishing a ‘secure base’ that facilitated the seamless integration of nutritional practices into daily routines. These results demonstrate that the intervention functions as a critical supportive element that sustains the participatory structure and implementation processes of health programs in low-resource environments. The design principles and operational framework presented in this study are expected to serve as a significant practical reference for the integrated application of music in future community-based health interventions.

9

Effects of a 6-week aerobic exercise programme on the cardiovascular parameters, body composition, and quality of life of people living with human immune virus SCOPUS KCI 등재

Davidson Okwudili John, Bosede A. Tella, Olajide A. Olawale, Jeneviv N. John, Titilope A. Adeyemo, Obinna C. Okezue

한국운동재활학회 JER Vol.14 No.5 2018.10 pp.891-898

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4,000원

This study evaluated the effects of aerobic exercise program on the cardiovascular parameters, body composition, and quality of life (QoL) of people living with human immune virus (HIV). Patients were recruited from the HIV clinic in a tertiary hospital in Nigeria. Fish bowl method was used to randomize the patients to either experimental or control group. Experimental group received nutritional counseling and aerobic exercise program on a treadmill, 3 times a week for a period of 6 weeks, while the control group received only nutritional counseling. Cardiovas-cular parameters, aerobic fitness, body composition parameters, and QoL were evaluated at baseline and 6 weeks. Descriptive statistics was used to explore demographic data while the hypothesis was tested us-ing inferential statistics of t-test. Alpha level was set at P<0.05. The re-sult showed that there was an improvement in cardiovascular parame-ters in both groups, attaining significance in the experimental group (P=0.000). Aerobic fitness increased significantly in experimental group (P=0.000). Body composition decreased significantly while there was a significant difference in the muscle mass (%) between groups (P<0.05). All domains of QoL had a significant improvement in both groups (P<0.005). A 6-week aerobic exercise program in addition to nutritional counseling was able to significantly improve cardiovascular fitness, body composition, and QoL in people living with HIV/acquired immune deficiency syndrome. Nutritional counseling alone can bring about an improvement only in QoL parameters.

10

5,200원

본 연구는 울산광역시남구청소년상담복지센터 고위기청소년 맞춤형프로그램 만족도를 통해 고위기청소년의 변화에 영향을 미치는 요인을 파악하고, 실질적인 도움을 줄 수 있는 상담과 프로그램이 무엇인지를 알아보기 위해 수행되었다. 이 연구를 위해 2020년 1월부터 2023년 5월까지 청소년 1,339명과 상담자 100명, 총 1,439명을 대상으로 실시하였으며, 측 정도구는 한국청소년상담복지개발원의 실적관리시스템인 종합상담시스템(CYS-Net)의 만족 도 및 사전-사후검사지와 자기 기입방식의 울산광역시남구청소년상담복지센터의 만족도조 사지를 이용하였다. 본 연구를 통해 고위기청소년은 개인상담을 받으면서 자신의 변화와 문제를 해결하는데 가장 만족감을 느꼈으며, 우울, 불안, 충동성에 대한 변화가 크게 나타 났다. 그리고 프로그램에 참여하면서 강사의 전문성과 환경에 대한 만족도가 높다는 것을 알 수 있었다. 본 연구에서 얻어진 결론에 근거하여 후속연구를 위한 제언은 다음과 같다. 첫째, 고위기청소년에게 개인상담은 전문성을 갖춘 상담자와의 관계에서 공감과 지지를 얻 고, 자신의 문제를 해결하는 데 초점을 두어야 한다. 둘째, 고위기청소년을 대상으로 프로 그램을 운영할 때 대상의 특성을 이해하는 강사를 통해 고위기청소년이 자신의 문제를 편 안하게 이야기 할 수 있는 환경이 조성되어야 한다. 마지막으로 본 연구가 코로나 19 시기 의 잠재적 고위기청소년에게 실시한 결과를 나타냈기에 고위기청소년에 대한 예방적 차원 의 접근이 필요함을 시사한다.

This study was conducted to identify factors that affect the change of high-risk youth through satisfaction with the customized programme for high-risk youth at the Youth Counselling and Welfare Centre in Nam-gu, Ulsan, and to find out what counselling and programmes can provide practical help. The study was conducted from January 2020 to May 2023 with a total of 1,339 youths and 100 counsellors. The measurement tools were the satisfaction of the Comprehensive Counselling System (CYS-Net), and the pre- and post-test questionnaires of the Nam-gu Center, which are self-administered. The study found that at-risk youth were most satisfied with solving their own changes and problems through individual counselling. Based on the conclusions of this study, the following recommendations are made for further research. First, individual counselling for at-risk youth should focus on empathy and on solving their own problems. Second, when running programmes for at-risk youth, it is important to create an environment where they feel comfortable talking about their problems through instructors who understand the characteristics of the target audience. Finally, as this study was conducted with potentially at-risk youth during the COVID-19 pandemic, the results suggest that a preventative approach to at-risk youth is needed.

11

Using stochastic resonance and strength training as part of a rehabilitation programme for recurrent low back pain treatment : a case study SCOPUS KCI 등재

Jad Adrian Washif, Jorg Teichmann, Lian-Yee Kok, Dietmar Schmidtbleicher

한국운동재활학회 JER Vol.15 No.1 2019.02 pp.139-147

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4,000원

Low back pain (LBP) is a common disabling health problem that can cause decreased spine proprioception. Stochastic resonance (SR) can influence detection performance, besides improving patients with sig-nificant sensory deficits, but have not been thoroughly tested for LBP. This study aimed to examine the application of SR therapy (SRT) and strength training for LBP treatment. The subject was a resistance- trained male in his early thirties. His back pain was unbearable after a strength training session. Standard pain relief alleviated the pain but the LBP developed at a similar intensity after 4 weeks. SRT (4–5 sets ×90 sec, 30-sec rest interval, supine position) was prescribed along with other exercises for 3 weeks (phase 1), and followed by tailor-made strength training for 16 weeks (phase 2). The Oswestry Disability Index was 66.7% (interpreted as “crippled”) prior to first SRT, and reduced to minimal levels of 15.6% and 6.7% after four and seven SRT sessions, re-spectively. Similarly, pain intensity was ranging from 5 to 9 (distracting- severe) of the Numeric Rating Scale (NRS-11) prior to the first session but this was reduced considerably after four sessions (NRS-11: 0–1). During phase 2, the patient performed without complaining of LBP, two repetitions of bench press exercise at a load intensity of 1.2 his body weight and attained 4 min of plank stabilisation. This LBP management strategy has a clinically meaningful effect on pain intensity, disability, and functional mobility, by receding the recurrent distracting to severe LBP.

12

Implementation of Work Based Learning (WBL) in polytechnics has led to graduate employability. As part of its efforts towards the effectiveness of graduates' marketability, particularly in the field of Medical Electronic Engineering. Collaboration between two industries (representing the hospital) namely Faber Group (FGB) Berhad and Advance Pact Sdn Bhd (APSB) with Sultan Salahuddin Abdul Aziz Shah (PSA) (representing institutions of higher learning) Diploma in Advanced Electronic Engineering (Medical) Program - AEU. The study involves WBL data comprising graduates of the last semester PSA graduates placed at FGB and APSB in June and December from 2008 to 2015. A total of 235 data has been obtained over the period showing 100% of graduates' (GE) marketability. This means that all graduates get jobs after they finish. The statistics show that the effectiveness of polytechnics provides students with the skills that are appropriate to the needs of skilled manpower especially in the field of biomedical engineering in hospitals. The findings show the successfulness of this collaboration through the increased percentage of high-level evaluations and the percentage of student intake as employees by the industry.

13

Quality of life after coronary artery bypass graft surgery - results of cardiac rehabilitation programme SCOPUS KCI 등재

José Manuel Afonso Moreira, Eugénia Nunes Grilo

한국운동재활학회 JER Vol.15 No.5 2019.10 pp.715-722

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4,000원

Accountability, involvement, empowerment of the patients and families/caregiver, as well as the incentive for health behaviors based on physi-cal exercise and healthy living habits with the support of health profes-sionals, are fundamental in meeting the demands of the current society. The main objective of this report is to describe the process of develop-ing skills in rehabilitation nursing that was possible in the context of the final stage in which an intervention program in the area of cardiac re-habilitation was designed, implemented and evaluated. In this quantita-tive study with exploratory characteristics, it was used the collection of observable and quantifiable data, from patients submitted to coronary artery bypass grafting. During the study, the Kolmogorov–Smirnov test was applied—being verified the normal distribution—and Student t-test, which aimed at comparing outcomes at the beginning and end of the program. When 6-min walk test was applied, there was an optimi-zation of functional capacity (P=0.05), can be proved by the fact that all the patients had statistically significant improvements in the time-walk relationship. Furthermore, the quality of life in those who participated in the program was moderate in the preoperative period with 53.09%, and at the end a significant improvement was observed with 75.02%. Cardi-ac rehabilitation is fundamental in the patient submitted to coronary ar-tery bypass grafting, taking into account the educational, physical exer-cise, and quality of life dimensions. Given the prevalence of risk factors associated with cardiovascular disease, differentiated intervention in rehabilitation nursing becomes essential in the training of patients for self-care.

14

The contributions of nuclear science and technology in enhancing prosperity and quality of life all over the world and its potential to achieve many important Sustainable Developments Goals (SDGs) of the United Nations are well recognized. It also is now recognized that with fewer students getting attracted to Science, Technology, Engineering and Mathematics (STEM) in general and nuclear science and technology (NST) in particular; hence, there is a vital need to reach out to young students to provide the crucial human resources needed for these endeavours to continue in this highly specialized area. The success of a recently completed IAEA project related to introducing NST during 2012–2016 in secondary schools in the Asia-Pacific region countries encouraged the formulation of a new IAEA TC project RAS0079 entitled “Educating Secondary Students and Science Teachers on Nuclear Science and Technology” for 2018– 2021, focusing on enhancing existing educational approaches through training and development opportunities both for teachers and students. The project aims at reaching a million students during the project duration while keeping the depth of learning between teacher and student. The strategy of executing the project, implementation status and its impact so far is presented in this paper.

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6,700원

The article takes as premise the educational question par excellence: what content is worthwhile to be transmitted and what is the best way to do so? (Spoelders & Cotton, 2014), and aims to understand the relationship between the educational discourse and trust from two assumptions : to be dialogic, the educational discourse must be shared between teacher and learner -which implies a relation based on trust, a priori condition of the educational discourse -, and the learner has an implicit and/or explicit recognition related to the universality of contents transmitted and to their optimal transmission -which reinforce the relation of trust, a posteriori condition of the educational discourse -. The authors analysed the levels of interpersonal, institutional and interinstitutional trust related to an Erasmus intensive programme by its participants, their cooperative behaviours and their collective learning. (Simon, 2007: 90) By implying (a priori) and reinforcing (a posteriori) its participants’ trust via its educational discourse, the concept of the Erasmus intensive programme developed and organised by 8 European partners, reaches the requirements of the dialogic educational discourse, last stage of the pedagogical relation.

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5,100원

17

영국 방송저널리즘의 초석, BBC Radio 4의 <투데이>

박인규

[NRF 연계] 한국방송공사 방송문화연구 Vol.21 No.2 2009.12 pp.117-141

※ 협약을 통해 무료로 제공되는 자료로, 원문이용 방식은 연계기관의 정책을 따르고 있습니다.

원문보기

정치는 사람들의 이해를 조정하고 삶의 조건을 규정한다. 그렇기에 정치는 정치인 들에게만 맡겨놓을 수 없는 중요한 일이다. 방송은, 특히 공영방송은 사람들의 삶에 지대한 영향을 미치는 정치를 감시해야 하는 사회적 책무를 진다. BBC 제4라디오의 <투데이>는 정치문제를 집중적으로 다루는 시사 프로그램으로서 정치인들에게 설명의 책임을 다하도록 공개토론장의 역할을 해왔고 때로는 엄한 심문자로서 검증하고 부조리를 규명해왔다. <투데이>는 뉴스∙시사 프로그램으로서 BBC 저널리즘의 초석이 되었고 문화적 제도로 불릴 만큼 영국인들의 삶에 깊은 영향을 주어왔다. 그러나 보수당이든, 노동당이든 집권당은 <투데이>의 비판을 탐탁하게 여기지 않았고 갖은 형태로 영향력을 행사했다. 때로 위기를 맞기도 했지만 <투데이>는 저널리즘의 원칙에서 타협하지 않았고 이에 국민들은 신뢰로 답했다. 이 연구는 <투데이>의 역사적 변천과 그 사회문화적 함의를 조명했다.

The <Today> programme, BBC Radio 4’s news and current affairs programme, is one of the most popular programmes, reaching over six million listeners every week. It is said to embody the best aspects of BBC journalism. But the Hutton report concluded the BBC’s editorial system was defective. After criticism in that report the BBC moves to strengthen its journalism. This article traces how Today has evolved into the most influential political programme, explores why it has influence on the national agenda, and examines what it has contributed to the BBC journalism.

18

해양생명공학기술개발 사업

박병직

[Kisti 연계] 한국식품영양과학회 식품산업과 영양 Vol.18 No.1 2013 pp.13-16

※ 협약을 통해 무료로 제공되는 자료로, 원문이용 방식은 연계기관의 정책을 따르고 있습니다.

19

요양시설 입소 경증치매노인의 통합 치매관리 프로그램의 적용 효과

안명숙, 조현숙

[NRF 연계] 한국지역사회간호학회 지역사회간호학회지 Vol.30 No.4 2019.12 pp.550-559

※ 협약을 통해 무료로 제공되는 자료로, 원문이용 방식은 연계기관의 정책을 따르고 있습니다.

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Purpose: The purpose of this study was to verify the effects of the integrated dementia managing programme for the elderly with mild dementia in which the physiological, cognitive, emotional, sociological and spiritual aspects have considered. Methods: This study employed non-equivalent control group pre-post tests with the repeated measure design. The subjects of the study were 39 elderly with mild dementia (20 in the experimental group and 19 in the control group) who have admitted to two nursing homes in B city. The data were analyzed by repeated measures ANOVA. Results: There were significant interactions between two groups and times in self-efficacy (p=.011), cognitive function (p<.001), depression (p=.005), spiritual well-being (p=.002), and quality of life (p=.037). The integrated dementia managing programme of this study showed significant positive effects on the quality of life for the elderly with mild dementia. Conclusion: On considering the current trends of aging and increasing number of the elderly with dementia, this integrated programme would be highly recommended to be used in nursing homes for the elderly with mild dementia, and contribute to improving their quality of life, and saving the social and medical expenses as well.

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영국 워크프로그램의 민간위탁 모형에 관한 평가연구

김동헌

[NRF 연계] 한국사회복지정책학회 사회복지정책 Vol.46 No.3 2019.09 pp.293-314

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원문보기

영국에서 2011년에 도입된 워크프로그램은 근로연계복지사업 중에서 가장 규모가 큰 사업이며 전면적인 민간위탁 방식을 적용하고 있다. 워크프로그램의 도입은 전 세계의 주목을 받았고, 우리나라에서도 민간위탁의 이론적 성공조건을 충족하는 정도가 가장 높은 프로그램 중의 하나로 소개되었다. 본 연구는 워크프로그램의 민간위탁 모형을 주 계약자 모형, 블랙박스 접근방식, 취업성과에 따른 보상이라는 세 가지 주요 특징별로 구분하고, 특징별 제도설계와 이론적 성공조건을 분석하고, 프로그램 실행 상의 문제점과 한계를 비판적으로 논의한다. 위크프로그램은 이론적 측면에서 상당히 정교하게 제도가 설계되어 있기는 하지만, 프로그램의 효과에 대한 평가는 그리 만족스럽지 않은 것으로 나타났고 여러 가지 제도상의 한계를 드러내고 있다. 특히 민간위탁방식의 최대 약점인 크리밍과 파킹 현상을 가능한 억제하기 위한 제도적 장치가 마련되었다고 하지만, 일선 현장에서는 크리밍과 파킹 현상과 같은 부정적인 효과가 여전히 발생하고 있는 것으로 나타났다.

The UK Work Programme introduced in 2011 is the UK’s flagship program for the long-term unemployed and an international pioneer of welfare-to-work programs. In this paper we identify three major characteristics on the commissioning model of the Work Programme: prime contractors model, black box approach, and payment by results. Based on these three characteristics we first analyze its theoretical success factors on program designs and then critically review its effects and limitations from the perspective of policy implementation. According to several DWP’s official evaluation reports and academic research papers, the design of the Work Programme seems to have some flaws and unintended or unanticipated effects are observed in the process of policy implementation at street level organizations. Especially, the design of the Work Programme is intended to mitigate risks of creaming and parking for claimants. However, the evaluation literature to date suggests that the Work Programme design is not achieving these aims and that creaming and parking do seem to be taking place at the frontline.

 
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