• Title/Summary/Keyword: 근거기반

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Research for S-100 based Undersea Feature Name (S-100 기반 해저지명 데이터 표준 연구)

  • Kim, Hye-Jin;Oh, Se-Woong;Lee, Jeong-Min
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2018.05a
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    • pp.89-91
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    • 2018
  • 연안에서 12해리 밖의 배타적 경제수역을 포함하는 공해에서의 해저지명은 기구나 국가에서 지명 심의 제안을 IHO 산하 해저지명소위원회(SCUFN)에 요청하여 채택이 되면 정식 국제해저지명으로 인정받게 되고 해도 및 각종 지명자료에도 활용된다. 해저지명은 종종 영유권 주장의 근거로 활용되기 때문에 공해를 탐사하고 해저지명을 제안하여 채택하는 것은 국가적 차원에서도 중요한 일이다. 국가간 갈등 및 지역간 갈등을 유발할 수 있는 지명에 대한 제안 양식이 존재하지만, 제안자의 자유 기입 측면이 강해서 지명의 제안과 승인 및 적용을 위한 데이터베이스 관리의 어려움이 존재한다. 또한 지명 제안의 근거가 되는 각종 과학적 자료의 보존과 활용에도 제약이 크다. 본 연구에서는 해저지명에 대한 표준 마련의 일환으로 현재의 해저지명 관리 현황을 분석하고 S-100 기반의 해저지명 데이터 모델을 구축하였으며 그 결과 지명 분류를 고려한 데이터 모델의 초안을 완성하였다.

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Autonomous Object to Support Dynamic Composition of Functionality based on Code Mobility (코드 이동성에 기반한 동적 기능 합성을 지원하는 자율적 객체)

  • 김인규;홍장의;배두환
    • Proceedings of the Korean Information Science Society Conference
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    • 1999.10a
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    • pp.457-459
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    • 1999
  • 자율적 객체(autonomous object)는 분산 시스템에서의 기능(functionality)에 대한 융통성과 동적 확장성을 제공하기 위해 적합한 패러다임이다. 코드 이동성에 근거한 기능의 동적 합성이 자율적 객체에 의하여 지원되면 사용자의 다양한 서비스 요구 충족과 네트워크 부하 및 서비스 응답 시간 최적화 등과 같은 잇점을 얻을 수 있다. 본 논문에서는 이러한 잇점을 제공하는 코드 이동성에 기반한 동적 기능 합성에 대한 연구로서 기존의 연구들에서 제안하는 동적 기능 합성을 확장하고, 확장된 합성 메커니즘을 실현하기 위한 언어적 구조체(language constructs)를 설계하였다. 또한, 자율적 객체가 수행되는 환경으로서의 플랫폼을 제안하고 적용 사례를 통하여 코드 이동성에 근거한 기능 합성의 예를 제시하였다.

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The Effects of Characteristics of Nurses on Knowledge and Nursing Performance Evaluation of Evidence Based Hemodialysis Nursing Practice in Hemodialysis Unit Nurses (혈액투석실에서 근무하는 간호사의 특성이 근거기반 혈액투석간호지식과 수행정도에 미치는 영향)

  • Lee, Hee Soo;Jung, Eun Sook;Choi, Kyong Ah;Yu, Seung Oh
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.2
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    • pp.225-237
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    • 2016
  • Purpose: The purpose of this study was to identify the effects of characteristics of nurses on knowledge and nursing performance of evidence based hemodialysis nursing practice among hemodialysis unit nurses. Methods: The participants were 180 nurses working in hemodialysis unit for more than 6 months in 23 private and general hospitals in Seoul and Gyeonggido. Data were collected from March 30th to April 15t in 2016 and were analyzed using stepwise regression analysis, descriptive statistics, t-test and ANOVA. Results: Nurses' knowledge on evidence based hemodialysis nursing practice was $15.87{\pm}4.52$ out of 23 points. Type of hospitals working in and adherence to evidence based hemodialysis guidelines were significant factors to knowledge and these two factors explained 30.0%. Nurses' nursing performance on evidence-based hemodialysis nursing practice was 4.52 out of 5 points. The performace level was significantly related to total nurisng career and necessity of hemodialysis nursing education and these two factors explained 8.0%. Conclusion: A development of guideline and continuing education is necessary for improving knowledge and performance of evidence based hemodialysis nursing practice.

Development and Evaluation of an Evidence-based Nursing Protocol for Postoperative Nausea and Vomiting (근거기반의 수술 후 오심·구토 관리 프로토콜의 개발 및 임상적 평가)

  • Oh, In Ohg;Yoo, Jae Yong;Oh, Eui Geum
    • Journal of Korean Biological Nursing Science
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    • v.19 no.2
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    • pp.86-97
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    • 2017
  • Purpose: Postoperative nausea and vomiting (PONV) is very common among postoperative orthopedic surgical patients with patient-controlled analgesia (PCA), especially for narcotics. Therefore, the purpose of this study was to investigate the effects of an evidence-based PONV management protocol on nursing and patient outcomes. Methods: A methodological study was conducted to develop PONV protocol and a quasi-experimental study to evaluate the effectiveness of protocol. The preliminary PONV protocol was drawn by conducting a systematic review and by reviewing clinical guidelines and best practice recommendations. Validation of the content was done by expert clinicians, and the clinical applicability was evaluated by staff nurses and patients. The effect was evaluated in clinical outcomes associated with PONV and nursing outcomes. Results: In the experimental group, the occurrence of vomiting (z= 2.147) was significantly decreased, the maintenance PCA (${\chi}^2=4.212$) and the satisfaction of patients (z= 5.007) were significantly higher. In the outcomes of nurses, the PONV knowledge of nursing care (z = 3.791), awareness (z = 2.982) and self-efficacy (z= 2.745) were higher in the experimental group. The attitude towards evidence-based nursing practice (z= 2.446) was significantly positive. Conclusion: The results show that an evidence-based approach to the implementation of PONV care is effective in improving patient clinical outcomes and quality of care.

A Literature Review for Fall-Prevention Nursing Program Development based on the Fall Information of a Rehabilitation Hospital (일 지역 재활병원의 낙상 정보에 근거한 낙상예방 간호중재 프로그램 개발을 위한 문헌분석 연구)

  • Park, Hee-Ok;Kang, Hee-Kyung
    • Journal of Convergence for Information Technology
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    • v.10 no.8
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    • pp.99-107
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    • 2020
  • This study is to design an effective fall-prevention nursing program. Researchers investigated the current condition and risk factors for falls in the small-medium sized rehabilitation hospital with descriptive research. We conducted integrative literature review to reflect the current approach of fall-prevention nursing program. We found that the risk factors for falls are related to the characteristics of clinical setting of the hospital. We suggested the nursing intervention with applying fall risk assessment scale that is sensitive to the elderly population and the intervention that shows maximum effect. In conclusion, this study proposed the way of selecting an effective fall-prevention nursing program based on a clinical setting and prospective of its application. This will contribute to the improvement in nursing practice with the critical view in hospital fall.

The Effect of Parent Education on Feeding Problems in Children With Autism Spectrum Disorder: A Systematic Review (자폐 스펙트럼 장애 아동의 섭식 문제를 위한 부모교육의 효과: 체계적 고찰)

  • Choi, Yeon-Woo;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.3
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    • pp.39-52
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    • 2020
  • Objective : The purpose of this study was to investigate the effect of parent education on feeding problems in children with autism spectrum disorder. Method : Articles published between 2000 and May 2019 were identified through a database search of Cochrane Library, Embase, Ovid-Medline, and PubMed as well as through additional manual searches. A total of six articles were selected and qualitatively analyzed according to the level of evidence of the study and arranged according to PICO (Patient, Intervention, Comparison, Outcome). Results : Six articles were used for the data analysis; four articles were at evidence level 1 and two articles were at evidence level 3. Behavioral therapy was the most common interventional approach to parent education, and all of the articles based on behavioral therapy had evidence level 1. Conclusion : This study examines the various ways of parenting to help families with autism spectrum children with feeding problems in order to find directions for parent education that can be applied in clinical practice.

Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients (체외막산소화장치 적용 중환자를 위한 근거기반 간호 프로토콜 개발 및 효과 평가)

  • Kim, Soomi;Kim, Chul-Gyu
    • Journal of Korean Academy of Nursing
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    • v.53 no.3
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    • pp.275-294
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    • 2023
  • Purpose: This study aimed to develop an evidence-based extracorporeal membrane oxygenation (ECMO) nursing protocol for critically ill patients receiving ECMO treatment by using an adaptation process, and to verify the effects of the protocol. Methods: The protocol was developed according to the adaptation guidelines. A non-randomized controlled trial was conducted to test the protocol's effects. Data were collected between April 2019 and March 2021. The differences in physiological indicators and complication rates between the two groups were investigated using a chart review to evaluate patient outcomes. The nurses' outcome variables were evaluated using a questionnaire. Results: First, after reviewing 11 guidelines by appraisal of the guidelines for research and evaluation collaboration II, 5 guidelines with a standardization grade of over 50 points were selected. An ECMO nursing protocol was developed based on these guidelines. Second, there were no statistically significant differences in physiological indicators between the two groups of patients. However, the experimental group showed a statistically significant decrease in the infection rate (p = .026) and pressure injury rates (p = .041). The levels of satisfaction with ECMO nursing care, and empowerment and performance of the nurses who used the ECMO nursing protocol were higher than those of nurses who did not (p < .001). Conclusion: This protocol may help prevent infections and pressure injuries in patients, and improve nurses' satisfaction and empowerment. The nursing protocol developed for critically ill patients receiving ECMO treatment can be utilized in evidence-based nursing practice.

Effects of Clinical Nurses' Grit, Social Support, Job Crafting, and Evidence-Based Practice Competency on Job Satisfaction (임상간호사의 그릿, 사회적 지지, 잡 크래프팅, 근거기반 실무역량이 직무만족도에 미치는 영향)

  • Seo, Bo Ram;Kang, Kyoungrim;Park, Kyo Yeon
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.1
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    • pp.54-64
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    • 2024
  • Purpose: This descriptive survey study aimed to examine the effects of grit, social support, job crafting, and evidence-based practice competency on job satisfaction among nurses. Methods: The participants of this study were 211 clinical nurses with experience of more than six months. Data were collected using through an online survey from February 1 to February 17, 2023. The questionnaires was consisted of general characteristics, grit, social support, job crafting, evidence-based practice competency, and job satisfaction. Data were analyzed using descriptive statistics(frequency, percentage, mean, and standard deviation), t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis with the SPSS/WIN 28.0 program. Results: The average scores of the main variables were 3.08±0.44 out of four for grits, 3.67±0.52 out of five for social support, 4.20±0.64 out of five for job crafting, 4.84±0.71 out of seven for evidence-based practice competency, and 3.72±0.55 out of five for job satisfaction. In the regression model, the factors affecting the nurses' job satisfaction were grit (β=0.66, p<.001) and social support (β=0.11, p=.046), which explained 78.7% of the variance in job satisfaction. Job crafting and evidence-based practice competency were correlated with job satisfaction; however, there was no statistically significant effects of these variables on job satisfaction. Conclusion: Based on the findings of this study, grit and social support showed the most significant effects on the job satisfaction of nurses. Therefore, active support is needed to develop a strategy to improve nurses' grit and to create a supportive work environment, which would be helpful to increase their job satisfaction.

고분양가의 원인, 기반 시설 부담금 과도한 기부 채납으로 사업자 부담 가중

  • Gang, Un-San
    • 주택과사람들
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    • no.6 s.217
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    • pp.38-41
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    • 2008
  • 지난 3월 28일, '8.31 부동산대책'의 하나로 도입된 기반 시설 부담금 제도의 근거법령인 '기반시설부담금에관한법령'이 폐지됐다. 새 정부가 국정 '100일 과제'로 선정.추진한 결과다. 주택 사업 추진의 큰 장애 요인 하나가 사라진 셈이다. 그러나 주택 개발 사업 승인의 조건으로 승인권자가 사업자에게 기부 채납을 요구하는 경우 과도한 요구로 인해 사업 승인이 지연되거나 사업자의 초기 부담이 크게 증가하는 문제점은 크게 해소되지 않고 있다. 학교 시설 설치 요구 또한 계속되고 있다. 기부 채납 요구의 문제점과 개선 방안에 대해 알아보자.

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