일 지역 요양병원 구성원의 질 향상 활동 교육요구도에 영향을 미치는 요인

강은미,정경희 사단법인 인문사회과학기술융합학회 2016 예술인문사회융합멀티미디어논문지 Vol.6 No.8

This is a descriptive research to provide the basic data for developing an educational program for the activities to improve the quality of manpower in long term care hospitals. The subjects’ educational requirements for the activities by stage was 3.80 points. and differences in educational requirements for the quality improvement activities between the types of occupation of nursing manpower. According to the analysis on the differences in working characteristics, there was a difference in the educational requirement depending on whether there was a continuous quality improvement education. The factors that influenced the educational requirements for the quality improvement activities included the awareness of the quality improvement activities, the importance of the quality improvement activities by stage, the incentive system on the quality improvement project, the continuous quality improvement education and accreditation experience by long term care hospitals. According to the research findings, the long term care hospitals are required to first provide the education on the necessity and importance of the quality improvement activities in designing the education program for the activities to improve the quality of nursing manpower. In addition, the case-focused educational content should be developed that includes the specific operation process and tools on the activities by stage where the members can practically carry out each stage of the quality improvement activities after reflecting the educational requirements for each stage of the quality improvement activities. Also, it is thought to be necessary to develop and operate a differentiated education program by occupation group given the differences in the importance by stage and educational requirements for the quality improvement activities between the occupational groups of the nursing manpower. 본 연구는 일 지역 요양병원 구성원의 질 향상 활동 교육프로그램 개발의 기초자료를 제공하기 위해 시도된 조사연구이다. 대상자의 질 향상 활동 교육요구도는 평균 3.80점이었으며, 대상자의 교육요구도는 일반적 특성 중 간호인력 직군간, 근무특성 중 지속적인 질 향상 교육 유, 무에서 통계적으로 유의한 차이가 있었다. 질 향상 활동 교육요구도에 영향을 미치는 요인은 질 향상활동 인식도, 질 향상 활동 단계별 중요도, 질 향상 프로젝트에 대한 인센티브제도, 지속적인 질 향상 교육, 요양병원 인증경험 등 이었다. 따라서 질 향상 활동 교육프로그램 설계 시 질 향상활동의 필요성과 중요성에 대한 교육이 선행되어야 하며, 구성원들이 질 향상활동의 각 단계를 실제적으로 수행할 수 있도록 단계별 교육요구와 단계별 활동에 대한 구체적인 실행방법과 도구를 포함한 사례중심적인 교육내용의 개발이 필요하다. 또한 간호인력 직군간 질 향상 활동 단계별 중요도 및 교육 요구도에서 차이가 있음을 감안하여 직군별로 차별화된 교육프로그램의 개발 및 운영이 필요하다.

Education as a catalyst for healthcare transformation -Experiences from a quality improvement education initiative

( Bo Bergman ),( Andreas Hellstrom ),( Svante Lifvergren ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.2

Purpose - Quality improvement programs are still quite rare in healthcare, and often healthcare professionals that are given roles like ―quality managers”, ―organization development” or ―improvement leaders” do not have a common understanding of a basic underlying theory of quality improvement. As Deming, inspired by the pragmatic philosopher C I Lewis, said: ―Without a theory experiences teaches nothing”. In 2003 the Division of Quality Sciences at Chalmers was asked to provide a common theory to quality managers and improvement leaders - an academic course (30 ECTS) was created. Based on the very positive responses from the participants of this course and their employers we decided to create a Centre for Healthcare Improvement (CHI) at Chalmers with a focus on research and education with a pronounced objective to make a difference to healthcare organizations especially in the region of Vastra Gotaland. From these experiences we want to suggest that education could be used as a catalyst for healthcare transformation. Methodology - Since the starting point of the educational initiative in 2004 we have followed the development of improvement activities and educational initiatives in the surrounding healthcare system, i.e. the Vastra Gotaland region with special emphasis on the Skaraborg hospital group and the Regional Cancer Centre Vast as cases. Findings - Education has been at the core of the initiative at CHI and a lot of improvement activities have been catalysed through the course participants and their organizations. A research program with an action research profile supporting healthcare transformation has been created. The education together with this research has created a snowball effect leading to many improvement projects and a shift towards an improvement, process oriented and customer/patient focused culture in the participating healthcare organizations. Originality - In today´s search for remedies of the emerging health care crisis new ways of improving healthcare are needed. Education has been suggested as an important possibility. However, few long term results have been published - especially not long term effects from continual education in improvement science. The contribution herein gives a contribution to the literature on improvement science and corresponding education initiatives.

자기계발 교육서비스가 교육문화 확산에 미치는 영향에 관한 탐색적 연구

서은훤(Seo, Eunwhon),배일현(Bae, Il-Hyun) 한국문화산업학회 2016 문화산업연구 Vol.16 No.1

기업간 경쟁이 심화되고 자신의 직장 및 직업의 미래에 대해서 비관적으로 생각하는 직장인이 많아지고 있다. 이런 상황에서 직장인들은 삶의 질을 높이고 미래의 불확실성을 낮추기 위해 자기계발에 많은 투자를 하고 있다. 생애 발달이론에 따르면 성인은 각 발달단계에서 직면하게 되는 사회심리적 위기나 발달과업에 적응하고 대처하기 위해 교육에 참여하는 데, 이러한 현실에서 직장인들은 자기계발에 더욱 노력할 수밖에 없다. 직장인들의 자기계발 활동이 늘어남에 따라 국가나 기업 차원에서 자기계발을 위한 다양한 교육 프로그램을 내놓고 있지만, 사회전체 차원에서의 지원은 요원하다. 본 연구는 자기계발 교육 서비스가 교육문화의 확산에 미치는 영향에 관한 탐색적 연구로 진행하였으며 2차자료를 바탕으로 제안가설을 제시하였는데 다음과 같다. 첫째, 자기계발 교육서비스는 조직적응에 정(+)의 영향을 미칠 것이다. 둘째 자기계발 교육서비스는 개인의 자아실현에 정(+)의 영향을 미칠 것이다. 셋째, 자기계발 교육서비스는 개인의 평생학습에 정(+)의 영향을 미칠 것이다. 넷째, 자기계발 교육서비스는 개인의 문화예술 교육에 정(+)의 영향을 미칠 것이다. 다섯째, 자기계발 교육서비스는 삶의 질을 높이는데 정(+)영향을 줄 것이다. 결론적으로, 직장인들의 자기계발은 조직적응, 평생학습, 자아실현, 문화예술 등의 4가지 요소도 중요하지만 결국은 삶의 질을 높이는데 큰 영향을 미치는 것으로 판단된다. 따라서, 자기계발을 통한 교육문화확산을 이용하여 사회전체의 삶의 질을 제고하기 위한 관계당국의 세심한 배려가 필요하다. This study explore the impact of self improvement education service on diffusion of education culture. The lifelong education is one of the most important topic in these days. After look into past research, this study proposed 5 hypothesis through secondary data such as reports, journals, newspapers, articles and statistical data. The results and implications of this study as follows. First, self improvement education service has a positive impact on organization adaptation. Second, there is an positive relation between self improvement education service and self-realization. Third, self improvement education service influence has a positive influence on lifelong education. Fourth, self improvement education service also has a positive impact on self culture education. Finally, there has a strong relationship between self improvement education service and quality of life. In conclusion, this study found that self improvement education service is the important factor to diffuse education culture. And, this study provides significant implications to central and local government aswell as companies. 기업간 경쟁이 심화되고 자신의 직장 및 직업의 미래에 대해서 비관적으로 생각하는 직장인이 많아지고 있다. 이런 상황에서 직장인들은 삶의 질을 높이고 미래의 불확실성을 낮추기 위해 자기계발에 많은 투자를 하고 있다. 생애 발달이론에 따르면 성인은 각 발달단계에서 직면하게 되는 사회심리적 위기나 발달과업에 적응하고 대처하기 위해 교육에 참여하는 데, 이러한 현실에서 직장인들은 자기계발에 더욱 노력할 수밖에 없다. 직장인들의 자기계발 활동이 늘어남에 따라 국가나 기업 차원에서 자기계발을 위한 다양한 교육 프로그램을 내놓고 있지만, 사회전체 차원에서의 지원은 요원하다. 본 연구는 자기계발 교육 서비스가 교육문화의 확산에 미치는 영향에 관한 탐색적 연구로 진행하였으며 2차자료를 바탕으로 제안가설을 제시하였는데 다음과 같다. 첫째, 자기계발 교육서비스는 조직적응에 정(+)의 영향을 미칠 것이다. 둘째 자기계발 교육서비스는 개인의 자아실현에 정(+)의 영향을 미칠 것이다. 셋째, 자기계발 교육서비스는 개인의 평생학습에 정(+)의 영향을 미칠 것이다. 넷째, 자기계발 교육서비스는 개인의 문화예술 교육에 정(+)의 영향을 미칠 것이다. 다섯째, 자기계발 교육서비스는 삶의 질을 높이는데 정(+)영향을 줄 것이다. 결론적으로, 직장인들의 자기계발은 조직적응, 평생학습, 자아실현, 문화예술 등의 4가지 요소도 중요하지만 결국은 삶의 질을 높이는데 큰 영향을 미치는 것으로 판단된다. 따라서, 자기계발을 통한 교육문화확산을 이용하여 사회전체의 삶의 질을 제고하기 위한 관계당국의 세심한 배려가 필요하다. This study explore the impact of self improvement education service on diffusion of education culture. The lifelong education is one of the most important topic in these days. After look into past research, this study proposed 5 hypothesis through secondary data such as reports, journals, newspapers, articles and statistical data. The results and implications of this study as follows. First, self improvement education service has a positive impact on organization adaptation. Second, there is an positive relation between self improvement education service and self-realization. Third, self improvement education service influence has a positive influence on lifelong education. Fourth, self improvement education service also has a positive impact on self culture education. Finally, there has a strong relationship between self improvement education service and quality of life. In conclusion, this study found that self improvement education service is the important factor to diffuse education culture. And, this study provides significant implications to central and local government aswell as companies.

영국에서의 교육컨설팅 연구, 실제 및 동향 분석

주철안 한국교육정치학회 2010 敎育政治學硏究 Vol.17 No.4

In the United Kingdom they have utilized educational consultancy extensively for educational improvement. The study is to analyze the research, practices and trend of educational consultancy in the United Kingdom for our benchmarking. The findings of the research are as follows. First, in the United Kingdom educational consultancy research is rather limited compared with the consultancy practices. It is partly due to the little incentive of publishing paper as practitioners. Second, centralized government in the United Kingdom played an important role in increasing education consultancy through Educational Reform Act including strengthening of financial resources of schools. Third,educational consultants have backgrounds such as teacher, educational administrator,university professor. Especially educational consultancy companies employ retired educational professionals as consultants. Fourth, educational consultants needs expertises in subject area as well as human relations skills such as communication. Fifth, there are diverse clients such as international organization, central government,local government, school in the United Kingdom. They choose consultants based upon diverse criteria such as expertise, reputation etc. Sixth, educational fees depend on market in the United Kingdom, which is different from those in Korea. Seventh, local education authorities provides various service to school, but they are reduced because of privatization policy of public services. Instead there are diverse consulting models such as school improvement partners in the United Kingdom. 영국에서는 교육개선을 위해 교육컨설팅을 폭 넓게 활용하고 있다. 본 연구는 영국에서의 교육컨설팅 연구, 실제 및 동향을 분석하였으며, 이를 통해서 발견된 사항은 다음과 같다. 첫째, 영국에서 교육컨설팅연구는 컨설팅실제에 비해서 상대적으로 미약하다. 둘째, 영국에서 중앙정부의 교육개혁정책 즉, 단위학교의 재정권 확대를 포함한 교육개혁법의 도입이 교육컨설팅의 확산에 커다란 영향을 미쳤다. 셋째, 교육컨설턴트는 주로 교사, 교육행정가, 대학교수 등과 같은 교육전문가로서의 배경을 지니고 있다. 특히, 교육컨설팅기관에서는 퇴직한 교육전문가들을 컨설턴트로서 적극적으로 활용하고 있다. 넷째, 교육컨설턴트들은 특정 영역에 대한 전문성과 경험 뿐만 아니라의사소통능력과 같은 대인관계 능력을 필요로 하였다. 다섯째, 영국에는 국제기구, 중앙정부, 지역교육청, 단위학교 등과 같은 다양한 컨설팅 의뢰기관이 있으며, 이들은 컨설턴트의 전문성, 평판,수임료 등의 여러 가지 기준을 사용하여 컨설턴트를 선임한다. 여섯째, 컨설팅수임료는 시장가격에 의해 결정되고 있다. 일곱째, 지방교육청은 단위학교에 여러 교육서비스를 제공하고 있지만 점차 정부의 공공서비스 민영화 정책에 따라 서비스의 내용과 규모가 감축되고 있다. 대신에 민간컨설팅사, 학교개선파트너 등과 같은 다양한 기관이 컨설팅 기능을 수행하고 있다.

한국 한의학교육의 발전방안

이선동,한용주,신규원,Lee Sun-Dong,Han Yong-Joo,Shin Kyu-Won 대한예방한의학회 2004 대한예방한의학회지 Vol.8 No.2

Problems and current situation of public health globally and domestically were analyzed in this study and based on these findings, ways to improve from western medicine and Oriental medicine can be deduced as follows: 1. Current problems of public health in Korea and the world 1) Increase of diseases resulted from daily habits and infectious diseases, many are at the brink of being ill. Quality of life from extended life span and unbalanced health care must be solved. 2) Natural and societal factors including host factors, public health service, and other external and internal factors play an important role in deciding healthy and being ill. 3) Some of the limits and problems of modem medicine include insufficient academic knowledge and incomplete theory, as well as misled approach to the treatment. Human itself isn't perfect organism and other realistic problems hinder one's well-being. 4) Regardless of western medicine or Oriental medicine, patients were approached as someone with diseases and disorders, and wholistic approach was disregarded. Lack of clinical training, absence of clear educational philosophy and goal are some of the reasons why the education isn't under concrete system 2. Important factors for the medical education and proper direction for the education of Oriental medicine 1) Important factors for medical education - Education should not be limited on the human health and illness, but also cover qualities such as well-being, social welfare, service, and happiness. Every aspects of human life must be considered and attended for more productive outcome. - Basic understanding of humanity must be included in the educational curriculum - Foundation of human diseases and pain are associated with inner life and surrounding causes including family, society, nature, race, culture, religion, politics, and etc., thus the education must be approached to recognize aforementioned criteria. 2) Proper direction for the education of Oriental medicine - Values of Oriental medicine for medical principles and importance of lifehood must be educated. - Educational goal, limits, and levels must be established for the school of Oriental medicine - Respect for life must be the top priorities of educational direction which should lead to solution based education for the human health. Latest medical theory and technology should be accommodated as well as prevention, treatment, and balancing of basic courses and clinical training for optimal education.

기독사학 교원 행정소송 사례에서 본 소청심사제도 개선책

송삼용 한국교회법학회 2022 교회와 법 Vol.9 No.1

While living through the pandemic era, we faced a new and rapidly changing environment for community and legal culture. In the post-pandemic era, the paradigm of politics, economics, society, and culture is expected to change. In recognition of this present atmosphere, we must find a way to apply the law in practice. We must also have a desire to amend unreasonable systems and laws to build a better society. This paper aims to suggest an improvement plan for the problems of the Appeal System for Educators. This paper describes a case in which the initial administrative action of the Appeal Commission for Educators was defeated and cancelled in administrative litigation. Through this case, I found the cause of the Appeal Commission for Education’s defeat, errors revealed in the process of the initial administrative action, and procedural flaws in the appeal review. Furthermore, another challenge that needs to be resolved is the issue of additional measures for a situation when an educational foundation does not comply with the changes in the court’s disciplinary action by the Appeal Commission. Therefore, this paper explores ways to effectively improve the problems of the Appeal System for Educators, focusing on the problematic topics. In this paper, I investigated how to build a new paradigm suitable for the current era by boldly breaking the paradigm of current administrative law. Moreover, I pointed out the old bureaucratic customs that were discovered in the Appeal System for Educators and found a clue regarding the change and improvement of education administration, in the field of administrative law. In conclusion, I proposed the following plans for an improvement of the administrative law related to the Appeal System for Educators, to modernize and reform the administrative law. First, we should examine the administrative law, including the Appeal Commissions for Educators, from the perspective of a “better awareness of the future” and should attempt to transform the system to keep up with the rapidly changing educational environment. Second, to improve national education policy, we should update the Appeal System for Educators and related regulations in ways that can respond to the needs of the current era and consider the field of education effectively and realistically. Third, teachers, educational institutes, and affiliated administration officials in education should collaborate and devise effective improvement plans for the institutional flaws in the Appeal System for Education. Fourth, after accurately identifying and analysing the problems of the Appeal System for Education, the officials should provide a guideline for education administration, or a guideline for the Appeal Reviews, to resolve the problem. 팬데믹 시대를 지나는 동안 우리는 급속하게 변하는 새로운 공동체 환경과 법문화를 접했다. 포스트코로나 시대에는 정치 경제 사회 문화 등의 패러다임이 바뀔 것으로 전망한다. 그런 시대적인 분위기를 인식하면서 우리는 법을 사회 현장에 구체적으로 적용하는 방법을 모색해야 하며, 행복한 사회를 세워가기 위해 불합리한 제도나 법규를 개선하는 자세를 가져야 한다. 본고는 행정법이 실현되고 있는 현장 사례에서 드러난 교원소청심사제도의 문제점에 대한 개선책을 제안하려는 목적으로 쓰여졌다. 同 사안은 소청심사위원회의 원처분 결정이 행정소송에서 취소판결을 받아 패소한 사건이다. 이 사건을 통해서 소청심사위원회의 패소 원인과 원처분 과정에서 드러난 오류 및 소청심사의 절차적 하자 등의 문제를 발견했다. 더 나아가 만약 학교법인이 소청심사위원회가 법원의 징계처분 변경 사항을 이행하지 않을 경우에는 어떤 대책이 필요한지에 대한 문제도 해결해야 할 또다른 과제로 떠 올랐다. 따라서 본고는 문제의 소재가 되는 주제들을 중심으로 교원소청심사제도의 문제점 등을 효율적으로 개선하는 방안을 모색해 봤다. 본고를 통해 행정법의 패러다임을 과감하게 결별하여 현 시대에 부합한 새로운 패러다임을 구축하는 방안을 어느 정도 파악하였다. 동시에 교원소청심사제도에 드러난 관료주의적인 구습을 지적하면서 행정법 분야 중 교육행정의 변화와 개선을 위한 실마리를 찾게 되었다. 결론적으로 행정법의 현대화와 개혁을 위해 교원소청심사제도를 둘러싼 행정법 개선책으로 다음과 같은 방안을 제안했다. 첫째, 교원소청심사제도를 비롯한 각종 행정법은 “미래의 향상된 인식”하에 통찰함으로써 급변하는 교육 현장 상황에 맞춰서 과감한 변화와 개혁을 시도해야 한다. 둘째, 국가 교육을 향상시키는 길은 교원소청심사제도와 관련된 각종 법규들을 시대에 부응하고 교육 현장을 고려한 실효성 있는 법으로 업그레이드 시켜야 한다. 셋째, 교원. 학교법인, 교육행정 관계자들이 모두 힘을 모아 교원징계위원회나 교원소청심사위원회 등의 제도적 문제점에 대한 효율적인 개선책을 마련해야 한다. 넷째, 교원소청심사제도의 문제점을 정확히 파악하고 분석한 다음, 그 자료를 바탕으로 교육행정백서 혹은 소청심사백서 등을 마련하여 그 문제점들을 전면 개선해야 한다

Building education groups as school collaboration for education improvement: a case study of stakeholder interactions in District A of Chengdu

Liu, Jing 서울대학교 교육연구소 2021 Asia Pacific Education Review Vol.22 No.3

School collaboration has become a popular approach for education improvement in global education reform. This study examined the dynamics of stakeholder school collaboration in China to improve public education using a case study focused on an Education Group government initiative in Chengdu, China. Frist an introduction to a global reform for education improvement through school collaboration is given, followed by a review of global reform for school collaboration and Hargreaves and Shirley’s discussion on design and innovation for school networks and collaboration to visualize the framework for the interpretation of the stakeholders’ school collaborative interactions. Then, the school collaboration for education improvement in China is examined in detail based on 20 interviews with stakeholders from educational authorities, the lead and member schools involved in the establishment of the Education Groups in Chengdu, China. The interviews were designed based on a review of policy documents about construction of the Education Groups in Chengdu. The fndings revealed that the establishment of the Education Groups in Chengdu was driven by both top-down initiatives and bottom-up innovations, and while there had been some success in improving education quality in the lower performing schools, the stakeholder interactions had been hindered by the lack of policy coordination within and beyond the education reforms. It was concluded that a collective institutional context was needed to foster the shared values and trust needed between all stakeholders and promote the sustainable reform of the Education Groups to ensure education equity and quality.

아동의 교육권 보장과 개선방향에 관한 연구

이은주 한국아동권리학회 2020 아동과 권리 Vol.24 No.2

Objectives: This study examined that the educational conditions for children in Korean societyand problems related to the promise on the rights for the children’s education. Thisstudy demanded that the government set up the improvement plans for rights of educationon children. Methods: This study referred and examined the National Statistics and literature reviewsin relation to the current issues regarding the rights of education for children. These consistof that the rights of education in the laws, the problems of educational limitation for disadvantagedchildren, and the amendment on laws related to child education. Results: This study examined of educational conditions and problems and then suggestedimprovement plans to enhance the levels of rights for children. It consisted of a expansionof educational budget, improvement of educational conditions to promise of equal opportunity,and amendment of laws related for education of disadvantaged children. Conclusion: Laws of children’s education is required to be improvement for educationalrights for children. It should be changed that expanding the budget of public education, accessof equal opportunities and equality on education for all children, and increasing thelevels of the rights for education. 연구목적: 교육권과 관련된 법과 교육현황을 살펴보고, 교육격차와 교육기회의 불평등상황을 파악하여 아동의 교육권 보장을 위한 개선방향을 제시하였다. 방법: 국내외 교육법과 국제규약을 문헌고찰 하였으며, 교육의 현황과 문제, 교육격차와교육소외아동 이슈 등에 관한 정부 통계와 국내외 선행연구를 살펴보았다. 결과: 아동의 교육권 보장을 위해 교육관련 법을 개정해야 하며, 공교육 강화를 위한 교육정책 수립, 교육격차 해소를 위한 교육체계 개선, 교육적으로 소외받는 아동에 대한 의무교육을 보장해야 하며, 국외 개선사례를 제시하였다. 결론: 아동의 교육권은 아동의 존엄성을 실현시키는 것이며 사회에 필요한 구성원을 배출하는 기능을 수행한다. 아동은 교육권 보장의 주체로 인정받아야 하며, 국가의 모든 아동을 대상으로 법률적으로 명시된 의무교육을 무상으로 제공할 수 있도록 법과 제도를개선해야 한다.

교육복지우선지원사업의 문제점 및재구조화를 위한 개선 과제

조금주 한국청소년학회 2014 청소년학연구 Vol.21 No.2

The supportive business in educational welfare investment priority area, which was first introduced by the central government in 2003, has changed to the educational welfare priority project in 2011. This steered the policy implementation away from being driven by the central government, allowing school-centered educational welfare projects led by the local offices of education. However, a number of problems have surfaced in the course of implementing the educational welfare priority project. For seeing through the problems in real target schools, I had an interview with the charge teachers, the school social workers, the students in 6 elementary schools, 4 middle schools of C Province by visiting and had an interview the project coordinator of the C Provincial Office of Education in writing. As a result, there are appeared the next problems. Firstly, there have been overlaps with similar central government-led projects, leading to the budget waste, and issues with quantification-oriented assessments of the project. Secondly, there are lack of full-time trained staff specialized in educational welfare, network, and job security and support for the staff on the level of the local offices of education. Thirdly, on the individual school level, problems include inconsistency between the mid and long term development plans for the school and the project, lack of educational welfare programs, difficulty in the selective approach to target students, lack of bridge programs for individual students and support for priority students, and poor awareness of educational welfare priority project. The current study aims to address these issues and suggest possible improvements necessary for restructuring of the project. 2003년 중앙정부 차원에서 처음 실시된 ‘교육복지투자우선지역지원사업'은 2011년 ‘교육복지우선지원사업'으로 바뀌었다. 이로써 국가주도의 하향식 정책집행 방식에서 벗어나 지역교육청 차원에서 학교단위의 교육복지사업을 펼칠 수 있게 되었다. 그러나 교육복지우선지원사업의 수행 과정에서도 적지 않은 문제점들을 드러내고 있다. 이에 본 논문은 교육복지우선지원사업의 문제점 및 재구조화를 위한 개선 과제들에 대해 살펴보았다. 실제 단위학교들에서 나타나는 문제점들을 살펴보기 위하여 C도의 6개 초등학교, 4개 중학교의 담당 교사, 교육복지사, 학생들을 대상으로 방문 인터뷰를 실시하였으며, 도교육청 프로젝트 조정자에게 서면 인터뷰를 실시하였다. 그 결과, 다음과 같은 문제점들이 나타났다. 첫째, 국가정책 차원에서 유관사업과의 중복, 이로 인한 예산 낭비, 계량적 위주의 사업 평가 방식, 둘째, 지역교육청 차원에서는 교육복지 전담인력의 처우 문제, 네트워크의 미비, 전문 인력의 미비, 셋째, 단위학교 차원에서는 학교교육 중장기 발전계획과의 사업 연계성 미비, 교육복지 프로그램의 미비, 대상 학생들에 대한 선별적 접근 방식의 어려움, 개별 학생을 위한 프로그램 연계 미흡, 우선지원학생들에 대한 지원 미비, 교육복지우선지원사업에 대한 낮은 인식 등이 나타났다. 이에 따라 교육복지우선지원사업의 재구조화를 위해 필요한 개선책들을 국가 정책적 차원, 지역교육청 차원, 단위학교 차원으로 나누어 살펴보았다. 이러한 교육복지우선지원사업의 재구조화를 위한 개선 과제들의 실행 여부를 통해 교육복지우선지원사업이 본래 추구했던 교육 불평등 해소와 학생들의 교육복지실현이 어느 정도의 효과성을 거둘지에 대한 연구는 지속적으로 이루어져야 할 것이다.

여주지역 영유아 대상 영양플러스 사업 효과

박옥진(Ok Jin Park),이민준(Min June Lee),김지향(Ji Hyang Kim),민성희(Sung Hee Min),이현숙(Hyun Sook Lee) 대한지역사회영양학회 2009 대한지역사회영양학회지 Vol.14 No.6

This study evaluated the effect of nutritional improvement of 0~5 year children of financially poor families after nutrition supplement of children and nutrition education in parents/guardians. The subject selected among applicants for lowincome family financing of the government included 198 children (0~12 months:92, 1~5 years:106), and the average ages were 5.3 months and 2.4 years respectively. Food that includes each nutrient factor was provided to the subject for six months. Nutrition education was performed in two ways, through class and private education, once a month for both. Nutritional improvement was evaluated by body measurement and anemia prevalence rate. As to the survey on breastfeeding, complete breast-feeding accounted for 58.7%, weaning food 27.3%, and combined feeding 14.1% respectively, which shows that breast-feeding accounted for the largest percentage. The education program improved knowledge and attitude of the parents/guardians, which brings in positive effects on growth of children as well. The nutrition knowledge score was improved after nutrition education in 0~12 month children (8.5 ± 1.75 to 8.9 ± 1.69) and 1~5 year children (7.3 ± 1.39 to 7.8 ± 1.30). The nutrition attitude score was significantly improved in 0~12month children (52.0 ± 6.99 to 53.5 ± 5.21, p < 0.001) and 1~5year children (45.1 ± 7.30 to 49.0 ± 5.96, p < 0.001). In evaluation on nutritional improvement based on body measurements, it turned out that the wasting was reduced as for children in consideration of the height and weight according to the subject`s age. The concentration of hemoglobin after the nutrient treatment for six months was significantly improved, and the anemia prevalence rate as well was reduced from 40.6% to 13.5%, which indicates the significant improvement. Based on the findings above, it turned out that providing quality food to children and nutrition education to the parents/guardians poorly fed in low-income families improved knowledge and attitude of the guardians and prevents anemia and improves growth, which brings in positive effects on growth of children. In the results regarding attitude and knowledge on nutrient/dietary life; however, the improvement level was relatively low when the extent before the education was too small, which indicates the need to revise and complement the contents and methods. In addition, as shown in the result of body measurement, long-term and consistent investigation is necessary since it is difficult to judge the effect on growth only based on short-term nutrient supplement. (Korean J Community Nutrition 14(6): 767~776, 2009)