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업무매뉴얼과 지자체 공무원 경험으로 살펴본 아동학대 대응강화를 위한 공공전달체계 개선방향탐색
민소영,한은희 한국지역사회복지학회 2023 한국지역사회복지학 Vol.- No.86
This study is to explore the experiences of child protection system in South Korea which has undergone a transition in the system by shifting the responsibility for child protection services from private sector agencies to public agencies in order to find the better strategies of enhancing the public delivery system for child abuse. User manual guiding the scope and procedure of the child protection services was examined in detail. A focus group interview (FGI) was conducted with public officials in charge of the child abuse intervention. The key finding reveals that while the transition to public child protection agencies has the potential to significantly improve the effectiveness and accountability of the child child protection system, there are still numerous limitations in safeguarding vulnerable children due to its fragmented nature between child abuse investigation and protection services. The study highlights the need for a more integrated and cohesive approach to the child protection. In order to better serve the welfare and safety of the at-risk children, suggestions were made in the reforming strategies at the organizational level, and service provision methods and procedures at the work level.
민소영 한국사회복지정책학회 2019 사회복지정책 Vol.46 No.2
This study examines the public delivery system for the service integration in order to ensure the continuity of community services for the vulnerable people with the multiple needs. Focus Group Interview was conducted to the service providers who are working on needs assessment and service linkage in the public areas. The eight public services were examined; the integrated case management, the integrated services for the vulnerable child, the employment case management, visiting health care, managed health care, integrated support for the abuse, mental health case management, basic care services for the aged, The main themes in the linkage difficulties among the eight public services were the fragmented intervention ranges and procedures, the limit of securing and arranging the appropriate size of service providers, information disconnection on the service users and resources. The main themes in strategies and efforts of the service integration were the coordinating organization in the local government level, the structure and procedure of the services linkage, the gateway functioning of the street-level public administration organizations and the service providers arrangement in the organizations, the change in the physical environment and structures of the service organizations. Based on these results, this study proposed the service functioning linkage model of the passive integration strategy and the organizational integration model of the active integration strategy. The necessary components were also suggested for achieving those service integration models. 이 연구는 복합적 욕구를 지닌 취약집단에게 지역사회보호의 지속성을 보장하기 위하여 서비스 통합을 추구할 때, 공공전달체계를 어떻게 재조직화 할 것인가를 탐색하는데 목적이 있다. 이를 위하여 사례관리의 주요 기능인 ‘욕구 사정과 서비스 연계’를 수행하는 공공부문 사업의 실무자를 대상으로 포커스그룹인터뷰(Focus Group interview, 이하 'FGI'로 표기)를 실시하였다. 통합사례관리, 취약계층아동통합서비스, 자활사례관리, 의료급관리, 방문건강관리, 정신건강증진센터의 정신건강사례관리, 중독관리지원센터의 중독사례관리, 노인돌봄기본서비스 등 총 8개 서비스가 포함되었다. 분석 결과, 공공부문 사례관리 사업간 연계의 어려움에는 사업 간 분절적 개입 범위와 절차, 적정 인력 확보와 배치의 제한, 서비스 대상자와 자원에 대한 정보 단절 등의 주제를 도출하였다. 서비스 통합 노력과 해법에는 시군구 차원의 권한있는 서비스 조정 기구 설치, 사업 간 연계를 위한 구조와 교류 절차 마련, 읍면동의 게이트웨이 기능 강화와 전문인력 전진 배치, 서비스 조직의 물리적 환경과 구조 변화 등의 주제를 도출하였다. 문헌 분석과 연구결과에 근거하여 소극적 서비스 통합 전략의 기능적 연계 모형과 적극적 서비스 통합 전략의 조직 통합 모형을 제안하였다. 마지막으로 대안적 서비스 통합 모형 구축을 위한 필요 요소를 제언하였다.
건강교육프로그램이 대학생의 건강증진행위와 자기효능감에 미치는 효과
민소영,백경신 지역사회간호학회 2007 지역사회간호학회지 Vol.18 No.4
Purpose: The purpose of this study was to develop a health education program on the health promoting behavior and self-efficacy in university students and evaluate its effects. Method: A nonequivalent control group pretestposttest design was used. The subjects were 148 students [experimental(N=80) and control(N= 68) groups] from a university in J City. The experimental group members participated in thirteen sessions of a health education program for fifteen weeks and the degree of their health promoting behavior and self efficacy was evaluated. The instruments for this study were the health promoting lifestyle profile developed by Walker et al.(1987) and self-efficacy scale developed by Sherer & Maddux(1982). Data were analyzed by descriptive statistics, Chisquare tests, t-tests, and paired t-test using SPSS 10.0. Result: The experimental group had a significantly higher health promoting behavior score(F=10.389, p=.002) than the control group, while no significant difference was found in the self-efficacy score(F=.481, p=.489). Conclusion: The results suggest that the health education program can be utilized as an effective program to promote health promoting behavior in university students.
민소영,박숙경,박정모,이숙정 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.4
Experiences on Home Visiting Nursing Service among the Elderly in Community Purpose : The purpose of this study was to understand the meaning of experiences in home visiting nursing service among the elderly in community provided by nursing students. Method : This is a phenomenological study to investigate the experience of community-based patients. Data were collected through in-depth interviews from the 4th of march to the 15th of December 2003. Individual interviews were conducted with 8 patients on subjective experience. Data were analyzed through Colazzi's method in which meaningful statements were extracted, Result : Four categories were identified from nine theme clusters. The four categories were 'thankfulness', 'dependence', 'sorrowfulness', and 'the sense of being'.