• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.626-634
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• 2018

This retrospective study investigates the accuracy of triage procedures for pediatric patients in emergency departments (EDs) using the Korean Triage and Acuity Scale (KTAS). The study includes 250 randomly selected initial nursing records and clinical outcomes of pediatric patients who visited one regional ED or a local ED from October 2016 to September 2017. The collected data were analyzed by a qualified expert to determine the true triage score. The accuracy of triage was defined as the agreement between the triage score of the emergency nurses (ENs) and the true triage score as determined by the expert. Based on expert comments, the cause of the triage error was analyzed and the KTAS score was compared with the discharge, length of stay (LOS), and medical cost. The results showed that the degree of agreement in the triage score between the experts and the ENs was excellent (weighted kappa=0.77). Among the causes of triage discordance, the most frequent was the incorrect application of vital signs to the KTAS algorithm criteria (n=13). Patients with high severity KTAS levels 1 and 2 were discharged less often (${\chi}=43.25$, p<0.001). There were significant differences in the length of stay (F=12.39, p<0.001) and cost (F=11.78, p<0.001) between KTAS scores when adjusting for age. The results of this study indicate that KTAS is highly accurate in EDs. Hence, the newly developed triage tool is becoming well established in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.1
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• pp.520-530
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• 2021

Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges' g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration's tool for assessing risk of bias. Results: The effect size (Hedges' g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.4
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• pp.475-487
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• 2010

연구목적: 노인을 위한 건강정보 웹사이트들이 사용성과 접근성을 높이기 위해 지켜야 할 디자인 요소를 어떻게 반영하고 있는지 평가·비교함으로써 개선 방향을 제언하고자 하였다. 연구방법: 국내 및 미국에서 개발된 노인 대상의 건강정보 웹사이트를 각각 9개씩 선정하였다. 근거 기반의 웹디자인 지침서인 Make Your Website Senior Friendly: Checklist와 Research-based Web Design & Usability Guideline을 통합 수정하여 얻은 4개 영역의 평가 항목 48개를 적용해 두 명의 평가자가 선정된 총 18개 웹사이트를 평가하였다. 연구결과: '가독성' 영역 중 서체 선택, 줄 간격, 배경색과 글자색 선택 등은 양호하였으나 국내 웹사이트들 중에는 글자 크기가 조절되지 않는 경우가 빈번하였다. '정보의 표현과 구성' 영역에서 다수의 웹사이트들은 정보 배치 등이 우수하고 소비자 용어를 사용하는 노력을 보였다. 그러나 일부 국내 웹사이트들은 프린트 기능을 제공하지 않거나, 노인들의 저하된 인지 능력을 배려하려는 노력이 부족하였다. '미디어 사용' 영역에서 국내 웹사이트들은 글자 외에 다른 매체를 사용하는 빈도가 미국 웹사이트들에 비해 낮았고, 시청각 매체를 사용할 때는 동일한 내용을 문자로도 볼 수 있도록 하라는 권고안을 준수하지 않았다. '내비게이션과 검색의 용이성'에서는 메뉴나 링크의 명칭이 명확하며, 이용 중에도 쉽게 홈페이지로 돌아갈 수 있도록 구성되었다. 그러나 다수의 국내 사이트들이 사이트맵을 제공하지 않거나, 검색어의 철자오류 등에 대한 배려가 부족하였다. 결론: 국내 웹사이트들은 미국 웹사이트들에 비해 노인들의 사용성과 접근성을 높이는 것으로 밝혀진 연구 근거들을 제대로 반영하지 못하고 있었다. 노인 대상의 인터넷과 웹을 활용한 교육이 지속적으로 증가할 것이므로, 그 효과성을 높이기 위해 간호사들은 정보의 질 뿐만 아니라 디자인 측면의 중요성을 인식하고 실천할 수 있어야겠다.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.3
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• pp.454-463
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• 2006

Purpose: This study was designed to identify the factors affecting the nurses' experience of non-reporting adverse incidents in hospital. Methods: This study is a cross-sectional, descriptive survey design and nonrandom, convenience sampling. Study subjects were 392 clinical nurses, who have agreed to be the subject of this research. The measuring instrument of attitudes toward incident reporting was developed by the authors. The questionnaire which consisted of 17 items about worry about appraisal, the belief in improvement, the intention of reporting, and knowledge was measured by 5-point Likert-type scale. The estimate of internal consistency was alpha =.84. Analysis of data was done with use of mean, t-test, ANOVA, logistic regression with SPSS program. Results: Clinical nurses had experience of reporting incident (51.3%), non-reporting incident (76.5%). Statistically, significant differences were found between experiences group and non experience group in intention on reporting, belief on improvement, and worry about appraisal. Logistic regression analysis showed that the significant predictors were caused by report no-fault cases, belief on improvement, worry about appraisal. Conclusion: The result also indicated that, to improve the incident reporting and risk management, it might be necessary to give a belief that it results on improvement and remove concern about punishment through construction of no-blame system.

• Journal of the Korea Convergence Society
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• v.12 no.3
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• pp.381-388
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• 2021

The purpose of this study is to analyze the effects of simulation program using virtual reality (VR). Examination of databases resulted in identification of 1,415 studies of which 3 satisfied the inclusion data. Data analysis was performed using R version 4.0.2 to calculate the effect sizes, explore possible causes of heterogeneity, and check for publication bias, using a funnel plot. The mean effect size of the simulation program was medium (g=0.35), along with the skill performance (g=0.59), satisfaction (g=0.38), knowledge (g=0.21). Finally a funnel plot was produced to check for publication bias, but no significant bias was detected. Based on these findings, the simulation program using VR affects nursing education.

• Journal of the Korea Convergence Society
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• v.9 no.1
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• pp.103-109
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• 2018

This study was to measure the awareness of the patient safety culture of medical workers in various occupations working in hospitals and tried to be used as useful data. As a result of evaluating department (ward), hospital, immediate supervisor/manager, communication & procedures and frequency of accident reports, the patient safety accidents considered to be the most dangerous, technicians showed high results in the department(ward), nurses showed high results in the immediate supervisor/manager area. Radiological technologists and physical therapists recognized falls and clinical pathologists and nurses recognized before during after the test as the most dangerous patient safety accidents. To raise awareness of patient safety culture, executives and practitioners should create an atmosphere in which practitioners can prioritize patient safety, gain and manage appropriate personnel, manage cooperative systems between workers or departments.

• Journal of Korean Biological Nursing Science
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• v.16 no.2
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• pp.113-122
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• 2014

Purpose: This study was to identify predictors of drug dosage calculation error risk in newly graduated nurses. Methods: A total of 115 newly graduated nurses who passed their employment examination, but didn't work for hospital yet, were recruited from a university hospital. The data were analyzed by descriptive statistics, $X^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression using the SPSS 18.0 program. Results: The mean score of 'drug dosage calculation ability' was $0.81{\pm}0.16$ and the mean score of 'certainty of calculation' was $2.95{\pm}0.60$ out of a 5 point scale. The error risk of drug dosage calculation was positively related to anxiety for drug dosage calculations (r=.388, p<.001), but negatively related to interest and confidence in mathematics (r=-.468, p<.001), confidence related to dosage calculations (r=-.426, p<.001). The main predictors of error risk related drug calculations in newly graduated nurses were identified as interest and confidence in mathematics (${\beta}$=-.468, p<.001). This factor explained about 21.9% of the variance in error risk of drug dosage calculation. Conclusion: The strategies used to decrease the error risk related drug dosage calculation such as improving interest and confidence in mathematics should be developed and implemented.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.8
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• pp.501-511
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• 2020

This qualitative research examined the experiences and patterns of military life of service maladaptive soldiers. The research site was the place where the soldiers of the A-adaptive soldiers' healing program were conducted, and the study period was conducted from September 2016 to December 2017. Maladaptive soldiers' military life experience pattern was analyzed, and their experience consisted of three domains (early domain after joining the army, middle domain after joining the army, and last domain where they failed to adapt themselves), five cultural themes, 12 categories, and 29 attributes. The cultural themes of maladaptive soldiers in their military life experiences were as follows: facing unfamiliar military culture, hardship, being left alone in a group, pain becoming unbearable, and the last choice of leaving a painful military life. Maladaptive soldiers attempted suicide after they failed to overcome the psychological pain, but they needed help during their early period of adaptation. Moreover, during their middle period of adaptation, they needed guidance for their immature coping strategies, and ultimately they had misperceptions about their death together with a pessimistic view about their life. These results are expected to be used as basic data for the development of mental nursing arbitration programs and suicide prevention projects to help service maladaptive soldiers.

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.1854-1858
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• 2007

수자원 분야에서 가장 기본적이면서 중요한 과업 중의 하나는 고품질의 유량측정 자료를 확보하여 신뢰성 있는 수위-유량관계곡선식을 개발하는 것이다. 이는 수공구조물 설계, 친수 하천공간 조성, 친환경적인 하천의 설계, 하천 관리수량 산정, 홍수 예 경보 운영 등에 기본적인 자료를 제공하게 된다. 신뢰성 있는 곡선식은 계측장비의 개량과 유량관측 기준의 강화 등을 통하여 축적된 양질의 유량측정 자료로부터 개발될 수 있으며, 또한 수위관측소 지점의 하도특성과 통제구조물의 특성 등을 고려하는 것도 곡선식의 신뢰도를 높일 수 있다. 본 연구는 통제단면의 가장 낮은 부분의 수위로 정의되는 흐름이 0인 수위인 GZF(Gauge Height of Zero Flow) 평가에 관한 연구이다. 이와 같은 연구를 수행하기 위해서 GZF의 변화에 따라 곡선식의 신뢰도를 분석할 수 있는 시스템을 개발하였으며, 이 시스템은 사용자들이 쉽게 이용할 수 있는 엑셀 VBA(Visual Basic for Applications)를 이용하여 개발하였다. GZF 평가 시스템은 입력자료 구축 모듈, 수위관측소 지점의 하도 단면 입력 모듈, GZF 설정 모듈, GZF 평가 모듈의 4개 모듈로 구성되었다. 입력자료 구축 모듈은 기 개발된 곡선식의 GZF 적정성을 파악할 수 있도록 자료를 구축하는 모듈이며, 하도 단면 입력 모듈은 수위관측소 지점의 하상의 변화 유무와 구간분리, 기간분리 등의 필요성을 파악할 수 있도록 구성하였다. GZF 설정 모듈은 GZF의 변화가 곡선식의 신뢰도를 파악할 수 있도록 구성되었다. 마지막으로 GZF 평가 모듈은 기 개발된 곡선식의 GZF와 금회 개발될 곡선식의 GZF를 비교 분석할 수 있도록 구성되었다. 본 연구의 성과는 향후 수위-유량관계곡선식을 개발할 때 GZF 산정의 오류를 감소시켜 앞으로 개발될 곡선식의 신뢰도 향상에 기여를 할 것으로 판단된다.소를 파악해야한다. 7. 부아 유대에 대한 위협요소 확인을 위한 도구개발과 그들에 대한 효과적인 간호전략이 필요 된다. 8. 가족에 있어서 모든 부모행위가 하나의 독립변수로서 연구되어야 하고 부아유대 증진에 관한 연구가 시도되어야겠다. 오늘날 부모들은 임신기간동안 많은 정보에 접하기를 원한다. 산전, 산후의 교육과 지식은 긍정적인 부아 관계를 증진시키고, 이것은 아동의 발달에 크게 기여할 수 있다. 긍정적으로 이러한 관계는 가족단위를 강하게 통합시키게 되므로 건강관리자(Health care workers)들은 애착에 대해 높은 관심을 갖어야 하겠다.2유수지는 BTL사업을 통해 주변공단으로부터의 오폐수를 원천적으로 차단하도록 하였으며 2유수지를 매립하여 지하는 강우시 유출수 저류가 가능한 화물차주차장으로 활용하고 지상은 녹지공간으로 조성하여 공단근로자 및 지역주민을 위한 휴식공간으로 활용될 수 있도록 제안하였다. 본 연구는 남동유수지 환경 개선 사업 실행을 위한 정책 연구로 연구결과를 인천시가 적극 수용하기로 결정함에 따라 인천시의 환경 현안 문제인 남동유수지의 수질개선을 통해 시민의 휴식 및 여가선용 공간으로 활용하기 위한 사업의 기초자료로 활용되며 이미 설계검토가 시작되었다. 본 연구결과는 유수지 및 저수지의 환경개선 사업의 선두적인 성공사례로 국내 타 지역의 유사한 사업에 있어 벤치마킹을 할 수 있는 훌륭한 사례가 될 것이다.요 생산이 증가하자 군신의 변별(辨別)과 사치를 이유로 강력하게 규제하여 백자의 확대와 발전에 걸림돌이 되었다. 둘째, 동기(銅器)의 대체품으로 자기를 만들어 충당해야할 강제성 당위성 상실로 인한 자기수요 감소를 초래하였을 것으로 사료된다. 셋째, 경기도 광주에서 백자관요가 운영되었으므로 지방인 상주지역에도 더 이상 백자를 조달받을 필요가 없이, 일반 지방관아와 서민들의 일상용기 생산으로 전락하여 소규모화 되었을 것이라고 사료

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.5
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• pp.109-117
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• 2019

This study was conducted to provide for the development of psychological interventions through meta-analysis of the effects of psychological intervention for pain reduction in patients with osteoarthritis. R version 3.5.1 program was used to identify the effectiveness of psychological mediating by December 30, 2018, while the Korean and foreign literature published by PubMed, EMBASE, Ovid-MEDLINE, CINAHL, and Korean databases were searched. As a result, 12 studies with a total of 1,847 participants were analyzed in a total of 1,822 literature. The results showed that the overall effect size of psychological intervention for pain reduction in osteoarthritis patients was small effect -0.31(95% CI: -0.50, -0.11, p<.001). In the moderator analysis, the effect size showed a significant difference depending on the intervention type, intervention duration and the intervention provider. The funnel plot analysis was used to analyze the publication bias, and it was visually asymmetric but not asymmetric after the egger's regression test (bias = -3.24, p = .077). The results of this study suggest a standard of efficacy for psychological interventions to improve pain symptoms, which is a major symptom of osteoarthritis, although the number of studies included in the meta-analysis is low and has provided a clinical basis during intervention and intervention providers.