• Title/Summary/Keyword: 안전역량

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The Experiences of Virtual Reality-based Simulation in Nursing Students (간호대학생의 가상현실 시뮬레이션 실습 경험)

  • Lee, Soon Hee;Chung, Seung Eun
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.1
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    • pp.151-161
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    • 2021
  • This study is a descriptive qualitative study to understand the virtual reality-based simulation experiences of nursing students. The study recruited 53 students who conducted virtual reality-based simulation while attending the course of Adult Nursing I and II in the third year of the department of nursing at a university. The data was analyzed using a content analysis method from a reflection journal created anonymously by students. The results emerged 5 categories and 12 subcategories. The categories were consisted of "realizing the necessity of nursing competence", "expanding nursing knowledge", "receiving safety psychologically", "thinking focused on problem" and "getting satisfaction". It suggests that virtual reality online program can have a positive effect on thoughts and expansion of knowledge in a safe educational environment. Therefore, it needs to develop various contents for the virtual reality education and training.

Coerced Debt Victimization and Interventions: Focusing on Domestic Violence Research in the United States (강요된 빚 피해 및 개입방안: 미국의 가정폭력 연구를 중심으로)

  • Park, Eonju
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.596-605
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    • 2022
  • This study aimed to introduce research on coerced debt victimization and interventions in the context of domestic violence. To achieve the aim, this study reviewed existing studies on coerced debt conducted in the US. This study discussed the followings: First, coerced debt was theorized by coerced control theory of domestic violence and control mechanisms of economic abuse and conceptualized as fraud and force. Second, the effects of coerced debt included credit damage, economic dependence, and barriers to housing, employment, and safety. Third, to intervene the victimization, service providers should endure uncertainty and its time consuming process of recovering, provide an intense and personalized advocacy, and overcome the problems of absence of policies to support the victims. Finally, service providers should have educations and training programs on the assessment and intervention skills of coerced debt acknowledging empowerment and safety of the victims as the most important.

Critical Thinking Disposition, Medication Error Risk Level of High-alert Medication and Medication Safety Competency among Intensive Care Unit Nurses (중환자실 간호사의 비판적 사고성향, 고위험약물 투약오류 위험수준 및 투약안전역량)

  • Lee, Yoon Hee;Lee, Youngjin;Ahn, Jeong-Ah;Kim, Hee Jun
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.1-13
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    • 2022
  • Purpose : The study aimed to identify relationship among intensive care unit (ICU) nurses' critical thinking disposition, medication error risk level of high-alert medication, and medication safety competency, as well as the factors affecting medication safety competency. Methods : The participants were 266 ICU nurses of one higher-tier general hospital and one general hospital in Province. The data were collected using structured self-administered questionnaire from August 10 to August 31, 2021. Measurements included the critical thinking disposition questionnaire, nurses's knowledge of high-alert medication questionnaire, the medication safety competency scale. Data were analyzed using hierarchical multiple regressions using SPSS/WIN 28.0. Results : In the multiple regression analysis, the medication safety competence has a statistically significant correlation with the working department, the critical thinking disposition, and medication error risk level of high-alert medication. Conclusion : Based on the results of this study, it is suggested to develop and apply an educational strategy that can strengthen the knowledge and skills of critical thinking disposition and medication error risk level of high-alert medication to improve the ICU nurse's medication safety competency.

National Drought Response Framework and Emergency Action Plan for Mega-Drought (미국의 국가가뭄대응체계 및 비상대처계획의 시사점)

  • Nam, Won-Ho;Knutson, Cody L.;Hayes, Michael J.;Svoboda, Mark D.
    • Proceedings of the Korea Water Resources Association Conference
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    • 2020.06a
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    • pp.405-405
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    • 2020
  • 최근 선제적인 가뭄대응을 위하여 관계부처가 상시 가뭄 관리체계를 지속하고, 범정부적 가뭄예방 대처를 위한 가뭄종합대책이 수립되었다. 가뭄종합대책에는 통합적 가뭄 위기대응체계를 마련해 단계별로 가뭄에 체계적으로 대응하고, 극한가뭄에 대비해 선제적 용수확보와 가뭄 전문가 지역 협의체 운영 등을 통해 대응 역량을 강화하는 계획이 포함되어있다. 또한 국가재난관리체계에 따라 지자체는 지역별 재난안전대책본부를 수립하고, 현장조치 행동메뉴얼에 따라 단계별 제한급수대책 수립, 재난대응 단계별 행동요령 (징후 감지, 초기 대응, 비상 대응) 등을 수행한다. 이처럼 가뭄은 발생 후 해갈까지 많은 시간과 지속적인 관리가 필요하며, 사회전반에 걸처 영향을 주는 대형복합재난으로 국가적 차원의 통합적 관리가 필요한 재난으로 국가가뭄대응체계 및 비상대처계획 (Emergency Action Plan, EAP) 수립이 필요하다. 미국은 1998년 국가가뭄정책법(National Drought Policy Act)을 제정해 가뭄관리에 대한 법제도적 기반을 마련하였으며, 2006년 국가통합가뭄정보시스템법 (National Integrated Drought Information System Act)을 제정해(Public Law 109-430) 현재의 국가통합가뭄정보시스템 (NIDIS)이 설립되었다. 이후 국가가뭄회복력파트너십 (National Drought Resilience Partnership, NDRP)을 발족하여 2016년 장기가뭄 회복력을 위한 국가재해대응정책을 수립하였다 (Federal Action Plan for Long-Term Drought Resilience). 미국의 경우 1982년 콜로라도 주, 사우스다코타 주, 뉴욕 주를 시작으로 2020년 현재 48개 주에서 연방정부단위의 가뭄대응계획을 수립하였다. 본 연구에서는 미국에서 실행되고 있는 가뭄 적응 대책 및 비상대처계획을 조사, 분석하고, 향후 메가 가뭄 발생시 국가단위의 가뭄 재난위기관리 매뉴얼, 정부 및 지자체의 가뭄 대응 체계 및 대응 방안을 보완할 수 있는 방안을 제시하고자 한다.

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Performance Evaluation of Water Supply Potential in Agricultural Reservoirs Considering Reevaluation of Design Frequency of Drought (농업용 저수지 이수안전도 변화에 따른 물 공급의 잠재능 평가)

  • Bang, Na-Kyoung;Nam, Won-Ho;Kwon, Hyung-Joong;Choi, Kyung-Sook
    • Proceedings of the Korea Water Resources Association Conference
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    • 2020.06a
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    • pp.65-65
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    • 2020
  • 기후변화에 관한 IPCC 제5차 평가보고서에 따르면 최근 나타난 기후 관련 극한 현상인 폭염, 홍수, 가뭄 등의 영향에 대해 생태계가 현재의 기후 변동성에 상당히 취약하게 반응하며, 기후변화를 위험에 초점을 맞추어 평가함으로써 대응책을 마련해야 한다고 강조하였다. 기후변화에 따라 강수량 패턴과 수문학적 시스템이 변하면서 수자원의 미치는 영향과 취약성, 적응에 대한 연구의 필요성이 요구되고 있으며, 농업용수를 비롯한 수자원 관리 기술 및 적응역량을 강화하는 것이 필요하다. 수리답 면적에 대한 농업용수 공급의 61%를 차지하는 농업용 저수지의 경우 과거 10년 한발빈도로 설계되어 최근의 연속적인 가뭄 사상으로 인한 낮은 저수율을 나타내어 가용 수자원의 부족이 발생하였다. 이에 따라 저수지 설계 당시와 상이한 환경 및 기후의 변화로 농업용수 공급체계의 상황변화에 따른 용수공급능력 및 이수안전도의 재평가가 요구된다. 일부 가뭄대책지구에 대하여 기후변화에 따른 현장여건 변화 (논면적, 영농패턴, 작부시기 등)를 반영한 이수안전도를 재평가함으로써 농업용 저수지의 용수공급에 대한 정량적 분석이 수행되었다. 저수지별로 기후변화 및 현장여건 변화에 따른 영향이 다르므로 전국 농업용 저수지를 대상으로 확대, 적용하기 위해서는 저수지 특성을 분석하여 비슷한 패턴을 갖는 저수지로 유형화하기 위한 작업이 필요하다. 본 연구에서는 농어촌공사 관할 3,394개의 농업용 저수지를 대상으로 지역에 따라 인자별 군집분석을 실시하여 국내 농업용 저수지의 이수안전도 변화에 따른 물 공급 잠재능을 재평가하고자 한다. 본 연구의 결과는 기후와 영농방식, 지역별 특성 등 상호간의 관계를 고려한 농업용수관리와 유사한 특성을 갖는 지역계획의 추진단위를 결정하거나 지역간의 비교우위를 고려한 한해 대책 등과 같은 농촌지역개발계획 등에 활용할 수 있을 것으로 기대한다.

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Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities (임상간호사의 비판적 성찰 역량, 전문직 자부심, 인간중심간호 수행이 환자안전간호활동에 미치는 영향)

  • Lee, Subin;Shin, Sujin
    • Journal of Korean Critical Care Nursing
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    • v.16 no.3
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    • pp.87-98
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    • 2023
  • Purpose : This descriptive survey investigated the effects of clinical nurses' critical reflection competency, professional pride, and person-centered care practices on patient safety management activities. Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey's HSD, Pearson's correlation coefficient, and multiple regression using SPSS 29.0. Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p =.010), education level (t=-2.56, p =.013), total work experience (F=3.87, p =.010), and the number of healthcare accreditation system experiences (F=5.22, p =.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p <.001), professional pride (r=.271, p <.001), and person-centered care practices (r=.399, p <.001). The results indicated that person-centered care practices affected patient safety management activities (𝛽=.358, p <.001) with the explanatory power of 22.5%. Conclusion : To improve clinical nurses' patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

Measures to Strengthen Patient Safety Management Competencies for Patient Safety Coordinators: A Qualitative Research (환자안전 전담인력의 환자안전관리 역량강화 방안: 질적연구)

  • Hee-Jin Kim;Mi-Young Kim
    • Quality Improvement in Health Care
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    • v.29 no.2
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    • pp.2-14
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    • 2023
  • Purpose: This study aimed to identify strategies to enhance the competencies of patient safety coordinators in Korea. Methods: Fourteen participants from nine hospitals were interviewed between May and November 2022. Qualitative content analysis was used to analyze the data. Results: As for the strategies to enhance patient safety management competency, 3 themes and 11 sub-themes were derived. The first theme was 'Having individual competence as a patient safety coordinator', and the sub-themes were 'Communication skills with members', 'Flexible thinking from multiple perspectives', and 'Preparing for administrative work competencies that they had not experienced as a nurse.' The second theme was 'Responding strategically to promote improvement activities', and the sub-themes for it were 'Multi-angle approach to the problem', 'A careful approach so as not to be taken as criticism in the field', 'Increasing the possibility of improvement activities through awareness', 'Activating the network between patient safety coordinators', and 'Expanding learning opportunities through patient safety case analysis.' The third theme was 'Obtaining support to facilitate patient safety activities', and the sub-themes for this were 'Improving staff awareness of patient safety', 'Providing a training course for nurse professional of patient safety', and 'Expanding the manpower allocation standard of patient safety coordinators.' Conclusion: This study explored personal competencies such as document writing and computer utilization capabilities, focused on ways to improve the field of patient safety management, and emphasized the need for organizational and political support.

The effect that Preventive Safety Guidance from the relevant administrative agency relevant to apartment house have on fire correspondence (공동주택의 관계기관 예방안전지도가 화재대응에 미치는 영향)

  • Kim, Jong-Nam;Kong, Ha-Sung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.369-386
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    • 2020
  • The purpose of this study is to examine causality closely about the mediating effect of management entity's self-checking between effects that not only mobilization for regular patrol of the relevant administrative agency, but also checking for Preventive Safety Guidance have on fire correspondence. The results of the analysis are as follows: First, not only mobilization for regular patrol of the relevant administrative agency, but also preventive safety guidance all together have been revealed to have an positive effect on management entity's self-checking. Results of these analysis have been revealed that the more not only the number of mobilization for regular patrol of the relevant administrative agency, but also the numbers of preventive safety guidance and fire fighting safety supervisor's self-checking are many, the more capability of not only management entity, but also fire fighting safety supervisor's self checking heighten. Second, not only mobilization for regular patrol of the relevant administrative agency, but also checking investigation for preventive safety guidance have been revealed to have an positive effect on fire correspondence. Results of these analysis have been revealed that the more not only the number for regular patrol of the relevant administrative agency, but also the number of fire fighting safety supervisor's checking times for preventive safety guidance are many, the more fire correspondence for the apartment house are being fulfilled much better. Finally, it has been found that both mobilization for regular patrol of the relevant administrative agency and management entity's self-checking have an effect on fire correspondence. Therefore, the effect that the relevant administrative agency's mobilization for regular patrols and preventive safety guidance, and management entity's self-checking have on fire correspondence was analyzed into what the relevant administrative agency's mobilization for regular patrols and preventive safety guidance is not only significant to do self-checking of management entity at the first stage, but also the relevant administrative agency's mobilization for regular patrols, and preventive safety guidance, and management entity's self-checking have an mediating effect in the relation between influences that have on fire correspondence.

A Space Making of Waterfront City focused on the Sustainable Campus on the Waterfront (워터프론트도시 공간조성방안 연구 -워터프론트 대학의 지속가능 캠퍼스를 중심으로)

  • Lee, Kumjin;Chu, Beom;Song, Changgeun
    • Journal of the Society of Disaster Information
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    • v.13 no.1
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    • pp.6-14
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    • 2017
  • The opportunity provided for design method and strategy of sustainable campus on the waterfront, is the purpose of this paper. Waterfront campus is an important issue as it seeks to revive the sustainability and to renew the facilities. This paper reviews an assessment of its success for waterfront campus in 10 principles such as waterfront, water and safety, climate & energy, green building and transportation, green labs and recycling, health and food, social economic sustainability, fund, human, smart, also concludes with the establishment of space making for the waterfront campus for future educational facilities on the waterfront; implementation of waterfront campus maserplan; building sustainable campus in adaptation to climate change; creative and resilient cooperation.

On the Study of National Security and Corresponding Strategies gainst Inside Enemies - A Case Study of German Unification Process - (국가안보와 내부의 적 대응방안 연구 -독일 통일과정 사례를 중심으로-)

  • Kim, Gyu Nam
    • Convergence Security Journal
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    • v.13 no.5
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    • pp.11-18
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    • 2013
  • What is national security? National security is reduced for state national security. At present, national security threats can be divided into main enemies and potential ones and main enemies are separated inside and external ones. Arnold Toynbee said, "The destruction of the state is starting not from outside but from inside". This means we must be aware of inside enemies. How much do we know of the internal enemies who are trying to divide the people and overthrow the state? This paper focuses on corresponding strategies to depend our democratic state against inside enemies who penetrate all sectors of society and fabricate rumors, incite violence, and even try to overthrow our legitimate state with the base on the lessons of past West Germany case.