조직변화를 위한 대화의 특성에 대한 연구: 긍정탐구(Appreciative Inquiry)를 중심으로

남궁은정 ( Eun Jeong Namgung ),장영철 ( Young Chul Chang ) 한국커뮤니케이션학회 2014 커뮤니케이션학연구 Vol.22 No.1

본 연구에서는 조직변화를 이루는 과정에서 대화가 중요하다는 점을 제시하고자 하였다. 이를 위해서 최근 조직변화 관리 기법으로 부상하고 있는 긍정탐구를 기본틀로 설정하여 긍정탐구에서 대화적 특성이 어떻게 드러나는지 살펴보았다. 긍정탐구는 기존의 조직에 대한 시각에서 벗어나, 조직을 문제가 아니라 해결책이라는 긍정적인 시각을 제시했다. 또한 조직을 사회적 구성물의 하나로 보면서, 조직 구성원의 상호작용이나 상징화 등 담론 활동에 따라서 조직의 현실이 달라질 수 있다는 입장을 취하고 있다. 하지만 그동안 긍정탐구에서 긍정성이 크게 부각된 반면 사회 구성의 측면은 다뤄지지 못한 경향이 있다. 이 연구는 대화의 관점에서 긍정탐구를 살펴보면서, 긍정탐구가 조직변화를 가능하게 했던 조건이 무엇인지 알아보고자 하였다. 이를 통해 긍정탐구에 대한 관점을 확장하고, 이것이 실행의 측면에 어떻게 적용될 수 있는지에 대해서 논하였다. Dialogue plays an important role in creating the conditions for organizational changes. Based on the previous works on dialogue, this study focuses on the dialogue associated with change process. To deal with it, this study employed Appreciative Inquiry(AI) as a mean of managing collective dialogue. In AI, organization is a solution itself, not a problem to be solved. Also it holds that discursive behaviors including interactions and symbolizations of organization members can create and change the reality of an organization. A body of previous researches on AI, however, have more focused on positivity and less on aspects of social construction. This study explores that how AI can lead remarkable changes in a lot of organizations. In this study, the meaning of dialogue in AI is discussed and implications for research and practice are given.

Free Paper Presentation : OS-53 ; Factors Associated with Smokers` will for Smoking Cessation in Korea

( Ah Young Leem ),( Chang Hoon Han ),( Chul Min Ahn ),( Tae Hoon Jung ),( Yu Il Kim ),( Jae Yeol Kim ),( Sang Haak Lee ),( Eun Mi Chun ),( Kwang Ha Yoo ),( Ji Ye Jung ) 대한결핵 및 호흡기학회 2014 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.118 No.-

Background: Smoking is known to increase the risk of chronic disease. Understanding of factors that contribute to smoking cessation may help to develop strategies for smoking behavior change. Methods: Pooled cross-sectional data of 11,924 subjects from the Korea National Health and Nutrition Examination Survey II-V were analyzed. The stages of change in smoking cessation were categorized into pre-contemplation, contemplation, and preparation. Baseline characteristics, socioeconomic factors, quality of life, psychological characteristics, and tobacco-related factors were compared between the groups. Results: The study population consisted of 32.4% in pre-contemplation, 54.4% in contemplation, and 13.1% in preparation group. While the proportion for pre-contemplation group (37.4% to 28.4%) tended to decrease from 2001 to 2012, that of preparation group (6.4% to 18.1%) tended to increase. The mean age of pre-contemplation group (48.4±16.2) is higher than comtemplation and preparation group (42.2±13.9 and 44.4±15.3; P=0.02). As levels of education and income status increased, the proportion of pre-contemplation tended to decrease, and that of preparation tended to increase. Proportion of blue collar job in pre-contemplation group was higher than in preparation group (67.9% vs 58.1%; P<0.001). In pre-contemplation group, percentage of suicidal ideation within 1 year was higher than contemplation and preparation group (19.3% vs 16.0% and 16.1%). Upon adjusting analysis, the proportion of pre-contemplation group increased with increasing age (OR=1.01; 95%CI 1.01-1.02), and smoking amount (OR=1.04; 95%CI 1.03-1.05). People of pre-contemplation group (vs. preparation) are be less educated (OR=1.99; 95% CI 1.51-2.62), are in single marital status (OR=1.25; 95%CI 1.04-1.50), have lower prevalence of cardiovascular disease (OR=0.48; 95%CI 0.31-0.76), and do less exercise walking (OR=1.36; 95%CI 1.09-1.69) and weight training (OR=1.59; 95%CI 1.35-1.85). Conclusions: We demonstrated a significant association between the stages of change in smoking cessation and age, education, marital status, cardiovascular disease, and amount of exercise.

産學蓮繫에 依한 醫學技術敎育 改善方案에 關한 硏究

金惠順,朴銀秉,李昌珪,黃善哲 高麗大學校 倂設 保健大學 保健科學硏究所 1989 保健科學論集 Vol.16 No.1

The field of medical laboratory science, like many other allied health professions, is currently experiencing a number of noteworthy changes. One of the obvious changes is the multitude of new tests and instruments being rapidly introduced into the practice of laboratory sciences. As results of these technological innovations, the duties and responsibilities of laboratory manpower have also been changed. Requisition to the development of competency based curicula in the medical laboratory science is the translation of competency statement into terminal performance objectives so that the achievment of career-entry competence can be measured. In order to study laboratory tasks in depth, and to provide data for logically reconstructing job roles, a task inventory based on professional practices for their respective areas of the clinical laboratory had been investigated. Results of this task analyses could be in identifying objectives necessary to develop a task-oriented curriculum. The implications of the result of this study are summarized in the following. 1. For the purpose of updating and practicing curriculum for medical technology established curriculum total credit hours should be increased within the limits of the possibility. 2. The curriculum should provide opportunities for students to apply theory in to practice through correlated and supervised instiution in clinical practice areas. 3. The teaching program must be well organized on the educational curriculum comprised of humanities and related science subjects. 4. While the student/instructor ratio in the medical laboratory sciences courses should be appropriate more balanced ratio is emphasized. 5. Based on the data studied, it can be concluded that some major courses are lacking its uniformities. 6. It should ascertained that the affiliation between academic institutions and hospital facilities must be compulsory for enhancing competency oriented education.

어머니의 성격특성과 자녀문제 지각간의 관계

장은진,한미라,정철호 대한생물치료정신의학회 2001 생물치료정신의학 Vol.7 No.2

Objectives : This study is aimed at determining how the reliability of the results of the Korean Personality Inventory for Children(KPI-C) is affected according to the results of Minnesota Multiphasic Personality Inventory(MMPI) of the mothers. It is also intended to determine the mothers’ characteristics to considered at the interpretation or evaluation of the results of the test and investigate the correlation between the psychological problems of the mothers and their children. Methods : The subjects of this study were 43 mothers whose children visited the psychiatric department at Dongsan Hospital, Keimyung University from August 1998 until Jun 1999. They were administered with both MMPI and KPI-C Inventory. They were sorted into two group ; diagnosis consistent group and diagnosis inconsistent group depending on whether or not the KPI-C results mothers reported matched the clinical diagnosis of children. The motehrs’ variables and the results of MMPI were compared between the two groups. The correlation of MMPI and KPI-C was also studied. The statistical analysis was conducted using Independent samples t-test, χ^2-test, and Person correlation analysis. Statistical significance was p<0.05. Results : 1) In the whole group, the diagnosis consistent group was 29 people(67.2%) and the diagnosis inconsistent group was 14 people(32.8%). 2) The mothers’ MMPI results of the two groups belonged to the normal range. 3) There was no significant difference between the two group in their age, educational level, and job. 4) In comparing MMPI of the groups, the diagnosis inconsistent group showed significantly higher scores in L and K scales, and the diagnosis consistent group had higher scores in F, Hs, D, Hy, and Pa scales. 5) The correlation analysis of the validity scales of MMPI and the scales of KPI-C showed significantly negative correlation in the L scale f MMPI and FAM scale of KIP-C, K scale of MMPI and F, SOM, DLQ, PSY scales of KPI-C, On the other hand, the analysis showed significantly positive correlation in the K scale of MMPI and ERS scale of KPI-C, F scale of MMPI and DEP, SOM scales of KPI-C. 6) The correlation analysis of the clinical scales of MMPI and the scales of KPI-C showed significantly positive correlation in the Hs scales of MMPI and F, ANX, DEP, SOM of KPI-C, D scales of MMPI and ANX, DEP, SOM SOC, of KPI-C, Hy scales of MMPI and F, ANX, DEP, SOM, HPR, FAM scales of KPI-C, Pd scales of MMPI and DEP, SOM, FAM scales of KPI-C. It also showed significantly positive correlation in the Pa of MMPI and ANX, SOM scales of KPI-C, Pt scales of MMPI and PDL, ANX, DEP, SOM, FAM, PSY scales of KPI-C, Sc scales of MMPI and F, DEP, SOM, FAM, PSY scales of KPI-C, Ma scales of MMPI and F, SOM, FAM scales of KPI-C, Si scales of MMPI and SOM scales of KPI-C. On the other hand, the analysis showed significantly negative correlation in the Hs, D, Hy, Pt, Sc scales of MMPI and ERS scales of KPI-C. Conclusion : It is shown that the characteristics of the mothers’ personality have important effects on the perception of their children’s problems. In particular, the stronger the mothers’ defensive characteristics are, the lower the reliability of their perception of the children’s problems. On the other hand, the reliability is high when the mothers acknowledge their problems and perceive their children’s responses sensitively. Accordingly, it will hereafter be necessary to consider the characteristics of mothers’ personality at the interpretation or diagnosis of the results of children’s evaluation that mothers report. It is also shown that there is a significant correlation between the psychological problems of the mothers and their children.

한국 소아에서 보행발달 과정의 삼차원 동작분석 특성

박창일,박은숙,김유철,신지철,조상현,박진석 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.6

아동 우울에 관련된 요인 및 부모 우울과의 관계 연구

장은진,서민정,정철호 대한소아청소년정신의학회 2001 소아청소년정신의학 Vol.12 No.2

목적:초등학교 아동들에 대한 우울 정도의 평가 및 우울감과 관련된 요인등을 알아보고, 동시에 부모 우울감과의 관련성에 대하여 알아보고자 한다. 방법:대구 시내의 한 초등학교에 재학중인 5,6학년 학생 258명에게 CDI를, 부모에게는 BDI를 실시하였으며, 동시에 우울감과 관련된 변인들에 대한 설문지도 실시하였다. 통계분석은 Pearson상관분석,t검정,일원변량분석을 시행하였고, 통계적 유의 수준은 p<.05로 하였다. 결과:1)전체 아동의 CDI 평균점수는 13.5±6.77이었고, 어머니의 BDI 평균 점수는 13.3±7.25, 아버지의 BDI 평균점수는 11.6±7.03이었다. 2) 아동관련 변인 중 성별, 건강상태, 학교성적, 가정의 경제상태에 따라 CDI 점수에서 유의한 차이를 보였다. 3) 어머니의 건강여부는 아동의 우울감에 다소 영향을 주었으나 부모의 학력, 종교유무, 아버지의 건강상태에 따라서는 CDI점수에서는 유의한 차이를 보이지 않았다. 4)아동의 학교성적과 가정의 경제상태는 어머니의 BDI 점수에 유의한 영향을 미쳤고, 아동의 학교성적은 아버지의 BDI 점수에도 다소 영향을 주었다. 5)CDI 각 항목들에 대한 분석에서는 아동의 성별에 따라서는 10개 항목, 건강여부에 대해서는 8개 항목, 경제상태에 대해서는 6개 항목에서 유의한 차이를 보였으며, 특히 아동의 학교성적에 대해서는 전체 27개 항목 중 20개 항목에서 유의한 차이를 보였다. 7) 부모의 BDI점수와 아동의 CDI 점수간에 유의한 상관을 보였으며, 특히 어머니와의 상관이 남아와 여아 모두에서 더욱 높은 것으로 나타났다. 결론:아동의 우울감에는 아동의 성별, 건강여부, 학교성적, 경제상태 등이 모두 유의한 영향을 미치며, 특히 학교성적이 아동과 어머니의 우울감에 상당히 큰 영향을 주는 것으로 나타나서 학교성적에 대한 부담이 매우 크다는 것을 알 수 잇다. 또한 아동의 우울감과 부모의 우울감(특히 어머니)과의 상관이 높아서 어머니의 우울감이 아동 우울감과 큰 관련이 있음을 알 수 있다. 따라서 아동우울증 치료시 아동만의 문제 뿐 아니라 부모의 우울감, 부모―자녀 관계를 함께 고려하여야 할 필요성을 시사한다. Objectives : This study was conducted to investigate variables related to children's depression, and also the relationships between children's depression and parents' depression. Methods : 258 5th and 6th grade elementary school students in Taegu, and their parents were asked to complete self-report questionnaires including the children's depression Inventory(CDI) and the Beck's depression Inventory(BDI). Correlation analysis, T-test, One-way ANOVA were used for the statistical analysis and the statistically significant level is p<0.05. Results : 1) CDI mean for total children is 13.5±6.77, BDI mean for their mother is 13.3±7.25, and BDI mean for their father is 11.6±7.03. 2) There are significant differences in CDI for children variables related to sex, health, school achievement, economic status. 3) Mother's health slightly affect children's depression, but there are no significant differences in CDI for parents' education, religion, father's health. 4) Children's school achievement and economic status among variables related to children affect mother's BDI scores and children's school achievement affect father's BDI scores. 5) For CDI item analysis, there are significant differences in 10 items for children's sex, in 8 items for health, and in 6 items for economic status. Especially, there are significant differences in 20 items among 27 items for children's school achievement. 6) There is significant correlation between parents' BDI scores and children's CDI scores, and especially high correlation to mother for both boys and girls. Conclusion : Children's depression are significantly affected by children's sex, health, school achievement, economic status. And especially school achievement affect grossly children's depression and their mother's depression, so we know that children and their mother have much burden about school achievement. There is high correlation between children's depression and parents'(especially mother) depression. Therefore, these result imply that in the therapy for children's depression, we must include not only children's problems but also parents' depression and parent-children relationship.

정신지체와 학습장애에 대한 일차적 변별도구로서 한국 아동 인성검사의 유용성 연구

장은진,강민아,정철호 대한생물치료정신의학회 2001 생물치료정신의학 Vol.7 No.2

Objectives : This research is to examine how the Korean Personality Inventory for Children(KPI-C) reported by parents or guardians of children, sorts mental retardation(MR), learning disorder(LD) and child psychiatric disorder except MR, LD(Other clinical group). And to examine it’s discriminating power about MR and LD. Methods : The subjects of this study were 57 children who visited the psychiatric department at Dongsan Hospital, Keimyung University from August 1998 until June 1999. They were given the intelligence test (KEDI-WISC) and their guardians were given KPI-C. Among the 57, 12 were mentally retarded, 8 had learing disorder and the rest of the 37 children were included in the other clinical group. Results : In the correlation analysis, there was a significant negative correlation between Ego Resilience Scale(ERS) and Performance Development Scale(PDL). Negative correlation was shown in Full Scale IQ(FSIQ), Verbal IQ(VIQ), Performance IQ(PIQ) as to Verbal Development Scale(VDL) and PDL scales. Significant difference was shown in the VDL and PDL scales not only when MR was compared with other clinical group but also when LD and other clinical group were compared as well. But there was no significant difference in the VDL and PDL scales when MR and LD were compared. According to the result of discriminant analysis, the exact discriminant rate was shown as 77.2% among MR, LD, and other clinical group by the discriminant function of the three scales(ERS, VDL and PDL). When discrimination rate toward individual groups were looked at, the discriminated rate of other clinical group was 83.80% while 75% was for the MR and 50% for the LD. Considering the effects of ERS, VDL and PDL n the discriminant analysis, VDL scale had the most effects. Conclusion : It can be quite useful to use only KPI-C for sorting MR, LD, and other clinical group. But it has a limitation to be used as a discrimination tool for the mental retardation and learning discorder. Therefore, when MR and LD are discriminated, it is needed detailed interviews about child development, and also needed intelligence test learning ability test.

한국인의 구강위생용품 사용실태에 관한 조사연구

서은주,신승철,서현석,김은주,장연수 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.2

The purpose of this study was to evaluate the actual state of Koreans' behavior about the use of oral hygiene devices and to collect the baseline data for developing appropriate educational objectives to improve dental health. Questionnaires were used to personally interview 1,685 residents in Korea. The obtained results were as fallows; 1. Average head size of toothbrushes was 23.2㎜ in children, 28.2㎜ im adults. 2. The averagep percent of using dentifrice containing fluoride at home was 66.7% in children, 71.4% in adults. 3. The average percent of using orthodontic toothbrushes was 50.5% in orthodontic patients, and the average percent of using interdental burshes was only 16.9% in orthodontic patients. 4. The average percent of using dental floss was 22.3% in periodontic patients, and the average percent of using interdental brushes was 16.5% in periodonitc patients. 5. The patients usually use oral hygiene devices by means of dentals' suggestions and commercial advertisement. 6. Generally few people use auxiliary oral hygiene devices. To improve the oral health starus effectively, more improved and correct informations and materials should be provide to dentists, dental hygienists and patients.

기관지 방선균증의 임상 1례

이은영,장태원,정만홍,옥철호,이규원,손창배,이지숙,신은경,서정아,백종현,김영옥 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Actinomycosis is a chronic suppurative infection, whitch infiltrates mucosa-associated tissues. Thoracic, pelvic and cervicofacial infections of actinomyces are not uncommon, but endobronchial actinomycosis is rarely reported. We report a case of a 29 year old man who presented with a recurrent pneumonia and chronic cough. Fiberoptic bronchoscopy revealed occlusion of the right. lower medio-basal segment bronchus with exophytic endobronchial mass. The diagnosis was confirmed histologically by demonstration of sulfur granules in the bronchoscopic biopsy of the mass. Intravenous administration of amoxacillin and clindamycin followed by oral amoxacillin and clindamycin therapy resulted in complete recovery.

韓國人 學生의 腦機能 優勢(Cerebral Dominance)와 손잡이(Handedness)의 傾向

박창근,김은희,박매자,배용철,홍해숙,조희중,주강 慶北大學校 醫科大學 1990 慶北醫大誌 Vol.31 No.4

This study was investigated the effects of specialization of brain functions, the distribution of handedness and the correlation between cerebral dominance and handedness. This was surveyed with the samples of 1,302 Korean boys and girls attending in junior high school and senior high school, residing in Taegu city. In this study, Alfred W. Munzert's questionnaire and Tames Bliss & Joseph Morella's questionnaire were used as the instrument for assessing the thend of cerebral dominance and handedness. The results obtained were as follows: Out of the total number of 1,302 examined, 73.7% of them were regarded as right hemisphere dominant type and 12.6% of them were regarded as left hemisphere dominant type. In right hemisphere dominant type, students of junior high school were higher incidence than senior high School. In bilateral and left hemisphere dominant type, students of senior high school were higher incidence than junior high school. In right handers most of them were right hemisphere dominant type. In left handers, most of them were right hemisphere dominant type and the incidence of boys were higher than girls.