• Title/Summary/Keyword: 근거중심 실무

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Evaluation of Applications of Adaptation of the Evidence-Based Nursing Practice Guidelines Patients with Acute Stroke (급성 뇌졸중 환자 대상 근거중심 간호 가이드라인 수용개작의 적용 평가)

  • Song, So-Lee;Cho, Myoung-Sook;Kim, Ji-Hyun;Han, Yun-Kyang;Yan, Hye-Min
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.87-97
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    • 2012
  • Purpose: This study was done to evaluate nursing guidelines for patients with acute stroke, developed by adapting the guidelines of Registered Nurses Association of Ontario, Canada to clinical settings on a large scale and evaluating the effectiveness as a research study. Method: The general characteristics of the 319 patients and the effectiveness of guideline application were evaluated in terms of structure, process, and outcome using questionnaires on the guidelines application with reference to the medical records of patients with acute stroke hospitalized on a ward of the stroke center of S General Hospital in Seoul. Results: Structures as a guidance system for assessment were consistent with the recommendations. With respect to the process of the guidelines, for items on nursing assessment, improved performance was found to be statistically significant. For outcomes of the guidelines, complications occurred in 8 patients (5.3%) prior to application of the guidelines and 11 patients (6.5%) after application of the guidelines, but this result was not statistically significant (p=.841). Conclusion: The results of the study indicate that for the effectiveness of the guidelines, accessibility to the guidelines and effectiveness of quality improvement need to be evaluated, in addition to complications of a stroke.

Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room (응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발)

  • Jeong, Min-Jin;Shin, Hyun-A;Kim, Yun-Hee;Lee, Jee-Hyang;Lee, Seung-Ja;Song, Mi-Ra
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.214-221
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    • 2012
  • Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.

경기침체기 대안적 자금공급수단으로서 Venture Debt 활성화방안 연구: SVB, EIB, BDC, 해외 벤처유동성지원 사례를 중심으로

  • 최현희
    • 한국벤처창업학회:학술대회논문집
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    • 2023.04a
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    • pp.29-38
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    • 2023
  • 그간 Venture Debt은 벤처기업의 스케일업을 촉진하는 수단으로 인식되어 왔으나, 경기하강 국면에서는 투자유치가 여의치 않은 벤처기업에 유동성을 제공하는 자금공급수단으로서의 중요성이 부각된다. 한편, 2023년 3월 SVB의 파산으로 Venture Debt 취급기관의 지속가능성에 대한 우려가 부각되었다. 이에 본 연구에서는 대출재원의 지속가능성을 염두에 두고, 경기침체기 대안적 자금 공급수단으로서 Venture Debt 활성화방안을 연구하였다. 선행연구들은 주로 전통적 Venture Debt을 분석대상으로 하였으나, 본 연구에서는 벤처생태계의 성장과 경기사이클 변화에 따라 다양해지고 있는 Venture Debt을 유형별로 분석하였다. Venture Debt 유형을 전통적, Growth형, 유동성 지원형으로 구분하고, 각각 SVB, EIB(유럽투자은행), 해외 벤처유동성 지원사례를 중심으로 구조적 특징과 차이점을 분석하였고, 직접대출방식과 BDC 등 간접대출방식을 비교 분석하였다. 이와 함께, 경제성, 시장성, 대출재원 확보가능성 차원에서 국내 도입환경에 대한 실무적·법률적 검토를 병행하였다. 본 연구에서는 국내 활성화방안으로 채권형 BDC 활성화를 통한 민간재원 활용, 벤처전용 유동성지원 프로그램 마련, 제2데스밸리 극복을 위한 Growth형 벤처대출 도입, 독립형 워런트 발행을 위한 법적 근거 마련 등을 제안한다.

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A Comparative Study on Legal Regulations and Practices of Legal Theses Deposits in Major Other Countries (주요 국가의 학위논문 납본 관련 법규와 실무에 관한 분석 연구)

  • Yong-Wan Cho;Joung Hwa Koo
    • Journal of Korean Library and Information Science Society
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    • v.55 no.1
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    • pp.145-172
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    • 2024
  • The research aims to propose improvement to legal theses deposit system in S. Korea by conducting comparative analysis of legal theses deposit systems in eight other countries including the US, the UK, Canada, Australia, France, Taiwan, Japan and S. Korea. The research used documentary research method including literature review by collecting and analyzing the legal regulations, ordinances, practical processes, and guidelines related to thesis submissions at national libraries and academic institutional depositories, as well as practical cases of thesis submissions at major universities in each country. Based on the analysis results, the key issues are identified and discussed, and corresponding suggestions for solving the issues are presented. For the improvement of the legal theses deposits systems, the research recommends legal amendments to the Library Law and Higher Education Law. On the practical side, the research proposes strengthening the legal foundation for KERIS, in collecting and providing theses, improving the operation of the dCollection system, and proposing a submission method focused on electronic theses.

Analysis of Research Papers Published in the Journal of the Korean Academy of Nursing-Focused on Research Trends, Intervention Studies, and Level of Evidence in the Research (최근 2년간 Journal of Korean Academy of Nursing 게재논문 분석-연구 동향, 실험중재, 연구의 근거등급을 중심으로)

  • Shin, Hyun-Sook;Hyun, Myung-Sun;Ku, Mi-Ok;Cho, Myung-Ok;Kim, Sook-Young;Jeong, Jea-Sim;Jeong, Geum-Hee;SeoMoon, Gyeong-Ae;Son, Youn-Jung
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.139-149
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    • 2010
  • This study aimed was done to analyze recent trends in nursing research published in the Journal of Korean Academy of Nursing by focusing on the content of nursing interventions and their level of evidence. Methods: A total of 209 studies published between 2007 and 2008 were reviewed using analysis criteria developed by the researchers. Results: The number of quantitative studies was greater than that of qualitative studies. There was a slight increase in the number of qualitative studies and studies including elderly populations, which reflects the recent population trend in Korea. More randomized controlled trials with a low risk of bias were needed to support more evidence-based nursing practice. Concerning the low rate of ethical consideration, stricter application of research ethics needs to be encouraged. Conclusion: The findings of this study suggest the recent trends in nursing research and the direction of nursing research and review in the Journal.

A Study on Design Approach of Projection between Theoretical Abstraction and Material Construction in Contemporary Architecture - Focused on the Works of Zaha Hadid, Bernard Tschumi, Foreign Office Architects and Diller Scofidio(+Renfro) - (현대건축의 이론적 관점과 물질적 가시화와의 관계성과 투사에 대한 연구를 통하여본 디자인의 논리와 프로세스의 경향 - 자하 하디드, 버나드 츄미, FOA, 딜러 스코피디오의 작품들을 중심으로 -)

  • Choi, Helen He-Jung;Kim, Seung-Wook
    • Korean Institute of Interior Design Journal
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    • v.19 no.2
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    • pp.42-53
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    • 2010
  • 건축에 있어서 이론과 실제의 관계 문제는 오랫동안 건축 담론에 대한 주요 대상이 되어왔다. 이는 건축에서의 발전이 역사적으로 동시대의 사회적, 문화적, 경제적 환경의 진화와 더불어 진행되어 왔기 때문이며, 건축작업 선상에서 대두되는 이론과 실제의 관계와 맥락성이 건축의 주체성에 매우 중요한 요소로 여겨지기 때문이기도 하다. 1960년대부터 불거진 포스터모던주의의 사고적 영향은 건축분야의 의미와 가치에 있어서 학문과 실무분 야에서 새롭게 재조명되기 시작하였고, 기존 건축고유의 영역을 벗어나, 역사, 이론, 비평, 기술 및 디자인 분야로 확장되어 새롭고 다양한 접근 방법과 그 방식에 대한 고민을 추구하기 시작하였다. 건축작업에 중요한 근거를 제시해주는 비평적 사고를 유지하기 위하여, 이론적인 아이디어에서 실질적인 실무로서의 투사방법, 그리고 그 사이의 절충을 지속하기 위함은 특히 현대사회에서 더욱 복합적이며 다면적인 질문이 되고 있다. 이 논문은 건축의 투사 방법에 있어서 현대 건축가들이 자신들의 이론적인 관점과 그 관점을 건축적으로 가시화 시키는 관계성을 관찰하고, 어떻게 본인만의 논리와 프로세스를 추구하고 지속하는가에 대한 점을 연구하는데에 그 목적이 있다.

Development of Integrated Analysis Model for Eyegaze Analysis - With Emphasis on the Generation of Heuristic Guidelines for User Interface Design - (시선추적 분석을 위한 통합 해석 모델의 개발 - 사용자 인터페이스 디자인을 위한 휴리스틱 가이드라인의 도출을 중심으로 -)

  • 성기원;이건표
    • Archives of design research
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    • v.17 no.2
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    • pp.23-32
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    • 2004
  • This paper's objective is the analysis of eye-movement recording with visual perception process, the inference of heuristic guidelines with human information processing, and the generation of design principles for practical works. For this objective, it was experimented on that the user's eye-movement recording of interactive media with the Eyegaze Interface System, and analyzed the visual perception process of top-down & bottom-up processing, and inferred the design principles from human information process. Our results provide the implications of design through the analysis of the user's eye-movement recording that were changed according to each menu depth of the interactive media. And, it is proposed that the new concept of heuristic guidelines based on each stage of action that is related to human factors.

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A Survey on the Demand of Education topic for the Development of Dental Hygienist Coordination System (Dental Hygienist Coordination System 개발 교육주제 요구조사)

  • Lee, Yun-Jung;Woo, Hee-Sun
    • Journal of dental hygiene science
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    • v.10 no.5
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    • pp.349-356
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    • 2010
  • The purpose of this study was to examine the awareness of dental hygienists, who played a significant role in dental sector, about health care management and their needs for education in an attempt to pave the way for the development of a Dental Hygienist Coordination System(DHCS). The subjects were 156 dental hygienists at 85 dental clinics, who were selected in Gwangju based on the data released as of August 2008 by the Dental Association and public health centers in sampling region. A Questionnaire was conducted in person to gather survey data and SPSS 12.0 program was utilized to make a statistical analysis. This results findings suggested that a systematic curriculum should be developed by focusing on coordination theory and practice, counseling and educational practice, health insurance affairs and health insurance fee claim management.

Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors (근거기반실무(Evidence-based Practice) 자기효능감, 교과목 요구도, 장애요인 및 촉진요인 탐색을 위한 혼합연구: 교수 및 임상실습 프리셉터를 중심으로)

  • Oh, Eui Geum;Yang, You Lee;Yoo, Jae Yong;Lim, Ji Yun;Sung, Ji Hyun
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.501-513
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    • 2016
  • Purpose: The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula. Methods: For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis. Results: Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP. Conclusion: The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.

Development of Nursing Practice Guidelines for Non-humidified Low Flow Oxygen Therapy by Nasal Cannula (비강 캐뉼라를 이용한 저유량 산소 요법에서 비가습 적용의 간호실무 가이드라인 개발)

  • Nam, Ae-Ri-Na;Bae, Woo-Hyun;Park, Mi-Mi;Ko, Eun-Jeong;Park, Byung-Nam;Park, Jeong-Ok;Yim, Ji-Yeoung
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.1
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    • pp.87-94
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    • 2013
  • Purpose: The purpose of this study was to provide a basis for non-humidified low flow oxygen by nasal cannula and to provide a guide for consistent care in nursing practice. Methods: A methodological study on the development of guidelines with experts' opinions on collected items, framing PICO questions, evaluating and synthesizing texts which were searched with the key words (low flow oxygen, nasal cannula, humidification of oxygen, guideline) from web search engines. Results: Of the 45 researched texts on the web, 9 texts relevant to the theme were synthesized and evaluated. All patients with humidified or non-humidified oxygen therapy reported that they had no discomfort. Conclusion: The results indicate that there are no tangible grounds for patients' perceived differences between the humidified and non-humidified oxygen under 4L/min supplied by nasal cannula. with oxygen. Therefore, non-humidification oxygen therapy is strongly advised when suppling under 4L/min oxygen by nasal cannula (recommended grade A).