• Journal of Home Health Care Nursing
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• v.30 no.1
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• pp.69-83
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• 2023

Purpose: This study aimed to present Blue Ocean strategies by deriving the strategic elements of a visiting nursing center and conducting a survey on the importance and satisfaction of care clients. Methods: First, a FGI was conducted targeting the head of the visiting nursing center to derive its strategic elements. Subsequently, importance and satisfaction surveys on the derived strategy elements were analyzed, an IPA matrix was derived, and an as-is ERRC Blue Ocean strategy was established. Kano's Three-Factor Theory was used to derive a competitive position matrix and establish a to-be ERRC Blue Ocean strategy. The Blue Ocean Strategy for Visiting Nursing Center Management is presented in this study. Results: Four as raise factors were derived from combining the results of the as-is, to-be ERRC strategy element analysis: retention of competent nurses, education in medication management, maintenance of high customer satisfaction, and prompt handling of customer complaints. Additionally, the customer's health condition evaluation was derived. Conclusion: Blue Ocean Strategies can be used to analyze, derive, and establish management strategies in various nursing-related entrepreneurship fields.

• Journal of Korean Clinical Nursing Research
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• v.16 no.2
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• pp.43-55
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• 2010

Purpose: This study was done to evaluate the effects of program promoting self-efficacy patients with epicondylitis. Methods: Forty-three patients with unilateral epicondylitis were enrolled in this study between January, 2 and April, 28, 2009. The patients were assigned to one of two groups: Nineteen patients in the intervention group were given the self-efficacy promotion program with specific home instruction and the 24 in the control group were treated with conventional treatment. Pain by numeric rating scale, anxiety, and the self-efficacy of exercise were evaluated before the program, and 4 weeks after completing the intervention. The number of exercises was checked after the intervention. The data were analyzed using descriptive statistics, t-test, Chi-square test, paired t-test, Pearson's correlation coefficients with SPSS 14.0 program. Results: Anxiety in the intervention group was significantly lower than the control group(p=.018). Maximal and resting pain in the control group were lower than the intervention group( p=.000, p=.003). The self-efficacy of exercise and the number of exercises increased in the intervention group but there was no significant difference (p=.057, p=.052). Conclusion: The results of this study indicate that a program promoting self-efficacy for patients with epicondylitis could be a useful nursing intervention to reduce anxiety.

• Journal of Korean Clinical Nursing Research
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• v.16 no.1
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• pp.51-60
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• 2010

Purpose: The purpose of this study was to investigate nurses' demands on child-care facilities. Methods: The research period was from February 24 to March 20, 2009. The data were collected from 5,033 nurses using self-administered questionnaires. The collected data were analyzed using SPSS/PC 14.0 program. Results: 71.7% of nurses answered that they would use the child-care at workplace if it is available. 48.1% of nurses answered that operating time of workplace child-care would be for 24 hours. 46.9% of nurses answered that the most important thing they considered in choosing child-care was the quality of child care. Conclusion: Expansion of child-care supports and operation of workplace child-care facility for 24 hours seem necessary for nurses who have children under 6 years old.

• Journal of Korean Clinical Nursing Research
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• v.15 no.3
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• pp.95-105
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• 2009

Purpose: This study was conducted to investigate the knowledge and attitude about organ donation and organ transplantation among the organ donation candidates. Methods: The subjects were 91 candidates who are enrolled in organ transplantation center in general hospitals for organ donation or transplantation. The knowledge and attitude instruments about organ donation and transplantation by Matten, et al. (1991) were utilized. The collected data were analyzed by SPSS/WIN 14.0: descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test and Pearson correlation coefficient. Results: The mean score of knowledge was relatively low ($9.61{\pm}3.47$, out of 21.0). The mean score of attitude was relatively high ($4.24{\pm}0.97$, of max score 5). There was significant difference (p<.05) in knowledge according to academic career, registered period as a candidate, the intention to participate in an organ donation education. There was significant difference (p<.05) in attitude according to occupation, family's consent, and recommendation to family. The relationship between knowledge and attitude was not stylistically significant (r=.043, p=.683). Conclusion: These findings suggest that nurses should develop educational programs to increase knowledge and positive attitude toward the organ donation and transplantation.

• Journal of Korean Clinical Nursing Research
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• v.16 no.2
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• pp.17-31
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• 2010

Purpose: The purpose of this study was to identify the relationships between professionalism, job involvement, organizational commitment and turnover intention among clinical nurses. Methods: The data were collected using a questionnaire from 1,419 nurses who were working in 35 different general hospitals in Korea. For data analysis, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and $Scheff{\grave{e}}$ test with SAS program were used. Results: The means of professionalism, job involvement, organizational commitment, turnover intention were 80.90 (min25~max125), 22.22 (min7~max35), 48.63 (min15~max75), and 11.47(min4~max20) respectively. There were statistically significant correlations between professionalism, job involvement, organizational commitment and turnover intention. Conclusion: It is necessary to develop a program for nurses to improve the levels of professionalism, job involvement, and organizational commitment, which would result in reducing turnover rates of clinical nurses.

• Journal of Korean Clinical Nursing Research
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• v.16 no.2
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• pp.69-84
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• 2010

Purpose: The purpose of this study was to identify the state of infection control in neonatal intensive care units (NICUs) including disinfection methods, disinfection cycles, and exchange cycles for medical devices and to suggest a basic framework which would help develop standardized infection control guidelines. Methods: From a list of NICU equipment developed from the NICUs in 4 tertiary hospitals, a structured questionnaire on 74 types of medical equipment was developed and sent to 31 hospitals by mail. The results were reviewed by panel of experts (56 persons), and analyzed for internal validity by a focus group (4 persons) using guidelines from the Centers for Disease Control and the Korean Hospital Nurses Association. Results: The results showed various methods, cycles, disinfectant levels for the disinfectants and exchange cycles in the medical equipment infection control of the 31 hospitals. The focus group developed a 66-item basic framework based on validity testing. Conclusion: From the results of this study, a framework of infection control standards for 66 types of medical equipment in the NICU was developed. It is suggested that further study be done to more precisely establish standard infection control guidelines for NICU medical equipment.

• Journal of Korean Clinical Nursing Research
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• v.29 no.1
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• pp.12-23
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• 2023

Purpose: This study was conducted to update the previous evidence-based nursing clinical practice guidelines for pressure injury. Methods: The guideline was revised in 22 steps based on the international standards. Results: The updated nursing practice guideline for pressure injury consisted of four domains and 494 recommendations. The numbers of recommendations in each domain was: 31 hospital policy, 64 assessment, 386 prevention and management, and 13 education. The recommended grade was 10.3% for A, 13.8% for B, and 75.9% for C. Of these, the major revision was done in 40 recommendations (8.1%). A total of 55 recommendations (11.0%) were newly added. 25 recommendations had minor revisions such as changes or additions for some words, and only one recommendation was deleted. Conclusion: The revised nursing practice guidelines for pressure injury are expected to serve as an evidence-based practice guideline for pressure injury in Korea. This guideline will provide healthcare providers, patients, and caregivers with information to help prevent and manage pressure injuries, leading to improving patient outcomes.

• Journal of Korean Foot and Ankle Society
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• v.27 no.1
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• pp.30-34
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• 2023

Diabetic foot wounds have a significant effect on the health-related quality of life of patients. As diabetic foot wounds are usually chronic and recurrent, it is possible that they can lead to skin malignancies. Several factors can make it difficult to make an early and accurate diagnosis of skin malignancies of the foot in patients with diabetes mellitus. Even though the prevalence of diabetes mellitus and diabetic foot wounds is increasing, currently there are no guidelines for the biopsy of diabetic foot wounds. We have evolved a criterion for the above based on six cases of diabetic foot wounds with concomitant skin malignancies. We recommend that clinicians should broadly consider implementing this criterion when managing patients with diabetic foot wounds.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.265-265
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• 2021

해수면 상승과 연안지역의 무분별한 지하수의 이용으로 해수침투는 가속화되고 있다. 해수면 상승과 지하수의 과잉 양수로 인한 연안지역의 대수층은 사용 가능한 담수 지하수자원이 줄어들고 있다. 연안지역의 대수층을 대상으로 해수 침투 영역에 미치는 영향에 대한 연구는 활발하게 진행되고 있다. GALDIT은 index & ranking 방법을 이용한 지하수자원의 해수침투에 대한 취약성 평가 방법으로 Geographic Information System (GIS)을 통해 주제도에 대한 중첩으로 평가 지수를 산정한다. 한국의 해수침투 취약성 평가에 대한 선행 연구 중 상당수는 제주도를 대상으로 많은 연구가 수행되었으며, GALDIT을 이용하여 해수침투에 대한 취약성 평가가 수행되었다. 본 연구에서는 내륙의 연안지역을 대상으로 GALDIT을 적용하였다. 한국의 서해안 지역 중 도심지가 밀집되어 있는 북쪽으로 선택하였다. 연구지역은 인천, 아산, 안산, 김포, 화성, 시흥, 평택, 당진, 오산으로 9개의 행정구역으로 구성되어 있다. 9개의 지역은 모두 제조업이 발달되어 도시화가 가속화되고 있으며, 지속적인 인구의 유입이 진행되고 있다. GALDIT은 지속가능한 해안지하수를 위한 수자원 계획을 뒷받침하는 평가 자료로 사용될 수 있으며, 국내 기후 및 공간 특성 매개변수를 고려한 가중치 및 평가 기준의 확대 등이 필요할 것으로 생각된다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2020.07a
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• pp.609-612
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• 2020

최근 코로나 19에 대한 세계적인 팬데믹 선언에 의해 의료서비스의 변화가 오고 있다. 특히, 국내 법제도적으로 묶여 있던 원격 서비스에 대한 재검토가 되고 있는 실정이다. 본 논문에서 제안하는 커넥티드 라디올로지 케어 시스템은 모바일 의료영상진단기기를 기반으로 의료사각지대에 있는 환자들의 영상촬영과 이에 대한 판독 서비스를 제공하기 위한 시스템이다. 제안한 시스템은 의료환경에 적용하기 위해 환자의 개인정보 보호를 위한 방법과 절차가 반드시 포함되어야 한다. 이를 위해 전체 시스템 구조와 익명화 처리과정을 보인다. 그리고 끝으로 구축된 시스템의 수행과정을 보인다.