간호·간병통합서비스 운영성과 및 향후 정책방향

김진현,김성재,박은태,정수용,이은희,Kim, Jinhyun,Kim, Sungjae,Park, Euntae,Jeong, Suyong,Lee, Eunhee 간호행정학회 2017 간호행정학회지 Vol.23 No.2

Purpose: This study was done to identify issues surrounding comprehensive nursing care within the national health insurance, analyze results and problems within national health insurance and to suggest new policy directions for stability. Methods: A literature search was performed using RISS, KISS, PUBMED databases. Eighteen studies were analyzed. Results: For implementation of comprehensive nursing care, there was improvement in nursing and in facilities. By improvement of structure, this new system showed positive outcomes in term of patient satisfaction and indicators related to patient safety. However, issues related to overload, job stress and evaluation of the system remain. In order to establish this system, staffing levels for nurses and nurse aids need to be adjusted to appropriate levels that reflect requirements for nursing. In addition, range of work needs to be determined clearly. Lastly, regular and systematic evaluation is needed to provide safe quality services to patients and to prevent waste of financial resources, Conclusion: Comprehensive nursing care needs to be implemented in ways that patients can be provided with safe and high quality service. There is a need to resolve several issues to allow this new system to function.

국내 간호관리학 교육의 현황 및 고찰

김은경(Eun Kyung Kim),김세영(Se Young Kim),정면숙(Myun Sook Jung),장금성(Keum Seong Jang),김진현(Jinhyun Kim),김종경(Jong Kyung Kim),김영미(Young Mee Kim),박은준(Eun Jun Park),김기경(Ki Kyong Kim),이해정(Hae Jung Lee) 한국간호행정학회 2011 간호행정학회지 Vol.17 No.2

The purpose of this study was to explore the current status of education for nursing management in Korea. Methods: A descriptive study was done using a questionnaire developed by the investigators. The data were collected by survey from 96 out of 129 nursing schools, between December 2010 and February 2011. Results: For 22.9% of nursing schools, there was no faculty for nursing management. The credits and subjects included in nursing management varied among the nursing schools. Lectures in subjects related to nursing management were given not only by nursing management faculty but also by faculty with other majors. There were more faculty and credits for nursing management courses in 4-year nursing schools than in 3-year schools. Conclusion: To improve the quality of education in nursing management, there is a need to standardized courses and provide nursing faculty who have majored in nursing management.

로봇 매니퓰레이터의 실시간 특이점 회피를 위한 작업 재구성법

김진현(Jinhyun Kim),정완균(Wan Kyun Chung),최영진(Youngjin Choi) 제어로봇시스템학회 2004 제어·로봇·시스템학회 논문지 Vol.10 No.10

외란 관측기를 이용한 바퀴구동모터의 강인제어기 설계

김진현(Jinhyun Kim),허영진(Young-Jin Heo) 대한기계학회 2011 대한기계학회 춘추학술대회 Vol.2011 No.10

Motion controller as a sub-controller to driving robot system requires the pertinent designs of the controller model and the parameters. In particular, Motion controller for the motor which is composed of a wheel of service robot is needed to precise compensation to the weight of the mechanism considering load, and it also needs speed controller that is robust to disturbance and modeling error. This paper describes a control algorithm using Disturbance OBserver(DOB) to developing nominal robust controller model for velocity tracking of wheel drive motor and compares with existing robust controller. In addition, experimental verification is performed through the actual motion control with PD controller.

노년기 사회자본의 차이가 우울궤적에 미치는 영향

김진현(Kim, Jinhyun) 한국사회복지학회 2015 한국사회복지학 Vol.67 No.3

본 연구는 사회자본 이론에 근거하여 노년기 사회자본의 차이가 우울감의 변화에 미치는 영향을 종단적으로 분석하였다. 자료의 분석은 한국복지패널데이터 2006년(1차)에서 2012년(7차)까지의 자료를 사용하여 실시되었고, 만 65세 이상의 노인 4001명을 대상으로 하였다. 연구의 결과를 살펴보면 사회적 신뢰의 증가는 초기의 낮은 우울감과는 관련이 있으나 우울감의 변화를 예측하지는 못하였다. 상호호혜성의 경우 높을수록 우울감의 변화가 시간의 흐름에 따라 빠르게 감소하는 것으로 나타났다. 자원봉사와 기부를 통한 사회참여의 경우 연구대상자의 참여율이 매우 저조하였고, 우울궤적과는 유의미한 관계를 보여주지는 못하였다. 마지막으로 사회관계 만족도의 경우 시간의 흐름에 따라 긍정적으로 변할수록 우울의 변화속도는 빠르게 감소하는 것으로 나타났다. 노년기 우울을 예방하고 완화시키기 위해서는 노인들의 사회적 관계의 만족도를 높이고 사회적 신뢰와 상호호혜성과 같은 긍정적 사회 자본의 축적을 도와야 한다. This study conducted a longitudinal analysis to identify the impact of social capital on depression trajectories in later life. For data analysis, the Korean welfare panel data(2006-2012) was utilized and 4001 older adults aged 65 and older were included in the final sample. The results showed that social trust was significantly associated with depression scores at baseline but did not predicted the rate of change in depression over time. A higher level of reciprocity significantly predicted the faster decline in depression over time. For social participation through donation or volunteer, the percentage of participation was very low and it was not significantly related to depression trajectories. Finally as the satisfaction from social relationship becomes more positive, the rate of change in depression tended to decline faster over time. The results of this study indicates that in order to prevent or delay depression in later life, we should help older adults accumulate positive social capital such as social trust and reciprocity through active social interaction.

초기 인지저하 단계에서 변화가 확인되는 신경심리영역

김진현(Jinhyun Kim),박수진(Soo Jin Park),이도엽(Do Yup Lee),하정희(Junghee Ha) 대한노인정신의학회 2021 노인정신의학 Vol.25 No.2

Objective: A neuropsychological battery is a gold standard for thorough cognitive evaluation. However, it could not be used as a screening test due to its long inspection time and high cost. This study is conducted to identify specific cognitive subdomains that alter even at the early stage of cognitive decline. Methods: Neuropsychological battery results of 575 persons who visited memory clinic were analysed. We classified stages of cognitive decline according to Clinical Dementia Rating (CDR) and CDR-Sum of boxes (CDR-SB). To explore which subdomains can sensitively distinguish normal cognition from the early cognitive impairment, we used Variable Importance in Projection (VIP) in addition to analysis of covariance. Results: We found that scores in subdomain tests such as Rey Complex Figure Test immediate and delayed recall successfully differentiate persons with CDR 0 from those with CDR 0.5 and also persons with CDR-SB 0 from those with CDR-SB 0.5 as indicated by VIP values greater than 1. Conclusion: These results suggest that alterations in visuospatial memory function might be a sensitive sign reflecting the early cognitive decline. The combination of only a few subtests could be also used as a reliable and sensitive screening tool to detect early cognitive impairment.

GM냉동기를 사용한 수소 액화 시스템의 수치해석적 연구

김진현(Jinhyun Kim),장세구(Segu Jang),신승찬(Seungchan Shin),이재성(Jaesung Lee),한승규(Seunggyu Han),나영승(Yeongseung Na),오명도(Myungdo Oh),리광훈(Gwanghoon Rhee) 대한기계학회 2018 대한기계학회 춘추학술대회 Vol.2018 No.12

In this paper, a numerical study on the maximum liquefaction amount according to the design of a small hydrogen liquefaction system using GM refrigerators was carried out. Prior to the study, It was assumed that hydrogen has no heat loss and pressure drop during transport and heat exchange efficiency is 100%. Three GM refrigerators were placed in series or parallel. After assuming the final liquefaction amount, We calculated the hydrogen liquefaction rate according to arrangement of GM refrigerators. As a result, the bottleneck occurred at the last stage due to the decrease of refrigeration performance of the GM refrigerator itself, and it was confirmed that the liquefaction amount was maximum when the refrigerator was arranged in the bottleneck section in parallel. Finally, a maximum liquefaction amount of about 9.3L/h was obtained in a serial-parallel liquefaction system in which the bottleneck section was divided into two parts.

청년이 인식하는 소득불평등이 우울에 미치는 영향: 사회자본의 매개효과

김진현 ( Kim Jinhyun ) 한국보건사회연구원 2021 保健社會硏究 Vol.41 No.2

사회적 공정성에 대한 요구에도 불구하고 사회적 불평등은 더욱 확산되어 가고 있고 이는 청년의 상대적 박탈감과 우울을 유발한다. 기존의 연구들은 청년이 인식하는 소득불평등이 정신건강, 특히 우울에 미치는 영향을 살펴보지는 못하였다. 그리고 신뢰와 사회적 관계와 같은 사회자본이 소득불평등에 대한 인식과 우울의 관계에 미치는 매개 효과를 살펴본 연구는 매우 드물었다. 따라서 본 연구는 청년이 인식하는 소득불평등이 사회자본을 매개로 우울에 미치는 영향을 실증적으로 분석하고자 한다. 분석을 위한 연구대상은 한국보건사회연구원에서 실시한 ‘청년층 생활실태 및 복지욕구 조사’에 응답한 19-34세 청년 3,018명이다. 소득불평등에 대한 인식, 사회자본, 그리고 우울 사이의 직접적, 간접적 관계를 분석하기 위하여 구조방정식의 부트스트래핑 방법이 활용되었다. 분석결과 소득불평등에 대한 인식이 우울에 미치는 직접적인 효과는 유의하지 않았다. 하지만 소득불평등에 대한 인식이 신뢰수준을 매개로 우울에 유의미한 영향을 미치는 것으로 나타났다. 사회적 관계는 소득불평등 인식과 우울사이에서 매개효과는 없었지만 우울에는 유의미한 직접효과가 있는 것으로 나타났다. 본 연구의 결과는 청년을 위한 소득 및 취업 지원정책과 더불어 청년이 인식하는 소득불평등의 개선을 통해서 신뢰수준을 높이고 우울을 예방할 수 있는 방법에 대한 논의의 필요성을 제시하였다. Despite the growing social demand for fairness, social inequality has been widening and resulting in youth’s relative deprivation and depression. Previous studies have not addressed the impact of perceived income inequality on mental health, especially depression among youth. In addition, few studies have identified the mediating effects of social capital such as trust and social relationship between perceived income inequality and depression. Thus, this study aims to empirically examine the impact of perceived income inequality on depression mediated by social capital. The research sample consisted of 3,018 youth aged 19 - 34 years old who participated in the Survey on the Living Conditions and Welfare Needs of Youths sponsored by the Korea Institute for Health and Social Affairs (KIHASA). Bootstrapping methods and structural equation modeling were utilized to test direct and indirect relationships among perceived income inequality, social capital, and depression. Results showed that the direct relationship between perceived income inequality and depression was not significant. However, the impact of perceived income inequality on depression was significantly mediated by levels of trust. Social relationship did not have a indirect effect between perceived income inequality and depression, but it had a significant direct effect on depression. Results from this study suggest that it is necessary to discuss how to increase levels of trust and to decrease depression through addressing perceived income inequality in addition to income and employment support policy for youth.

테러리즘에 대한 국제법적 규제와 USA PATRIOT Act

김진현 ( Jinhyun Kim ) 한국외국어대학교 법학연구소 2015 외법논집 Vol.39 No.1

The international community should continue its efforts to conclude a treaty of universal character in order to regulate the terrorism in international law perspective. At the same time the fundamental way to solve the causes of terrorism must be sought continually. It’s important to recognize differences of history, race, religion, culture and international community should note that rational coordination of political and economic interests that are formed by these elements. The universal treaty is truly required and also there is an urgent need for coordination and cooperation between countries, but there can be exist some questions of effectiveness of these measures. In fact, the terrorists have given up their lives and commit terrorism. This situation requires an urgent need for close cooperation with the international and national efforts which can remove the fundamental causes of terrorism. After the 9.11 attacks in the United States, the policy aspects can be seen that strengthened the national side rather than international side against international terrorism. In spite of the situations that the administration has been replaced, the key note of strong response against terrorism has not been changed significantly. However, establishing cooperation and extensive reformation between organizations against the terrorism has contributed to form the basis for strengthening homeland security. With a focus on the legislation of PATRIOT Act is concerned with considerable opposition to society in general. Because of the concerns to shrink personal freedom and to violate human rights, the PATRIOT Act is expected to be change in May 2015. However excessive political judgment in the decision and enforcement of policies for terrorism is to be noted that there can be more difficult to establish a rule of law. If politics is the stand out eventually causes an unpleasant outcome being prior to the law as identified in the policy against terrorism in the United States. All politics and policy is to be established and enforced by the principle of law. Therefore, legislation and policy enforcement against disastrous acts of terrorism shall be made on the basis of rule of law. After the 9.11, the occurrence of international terrorism casts a lot of accountabilities for the international community and the international rule of law area. It’s not clear that those consecutive terrorism has led to fundamental changes of international law in general. But it seems true to be considered carefully about legal elements in the relevant areas of international law corresponding to the terrorism.

전자기파를 활용한 수중 위치인식 시스템 개발

김진현(Jinhyun Kim),이세진(Se-Jin Lee),곽경민(Kyung-Min Kwak) 대한기계학회 2010 대한기계학회 춘추학술대회 Vol.2010 No.11

In this paper, to estimate the location of underwater robots using RF (Radio Frequency) sensor was examined whether the possibility of application in the underwater environment. Typically, RF sensors which used in network communication can estimate distance between each nodes by using RSSI(Received Signal Strength Indicator) method. As a result, it is one of the methods as a localization system for robots. RF signal generate large noise in the air due to random obstacles and thermal conditions, hence it can occur large errors. But in the underwater environment, RF generate small noise relative to the air environment, although its signal power reduce seriously by extending both sensors distance. Despite of the defect, a precise short distance localization and limited area localization can be adaptable. In underwater environment, available detecting length will be limited, but the attenuation of specific distance has very uniformity characteristics. In this paper, we examine the characteristics and verify the possibility as a short distance underwater localization system with various experiments.