• Journal of Korean Academy of Nursing Administration
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• v.11 no.1
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• pp.89-104
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• 2005

Purpose: The authors reviewed researches related to performance appraisal(32 researches), in order to identify the direction for future research and to establish a credible performance appraisal system. Method: Almost all of the theses and research published in 9 major journals of nursing in korea were reviewed. Results: Most of research(84.4%) were theses and all researches were used to non-experimental design; survey 81.3%, methodological research 15.6%, review 3.1%. The major subjects of study were appraisees and appraisers. Psychosocial data collection which only used questionnaire were 81.3% and carried out interview(12.5%) and delphi-method(3.1%). Data analysis methods were used frequency 78.1%, t-test 62.5%, mean/SD 59.4%, Pearson's correlation 50%, and Cronbach α 50%. Appraisal tool used or developed in studies was graphic rating scales in nine studies and ran parallel with forced distribution in 2. Also, MBO and BSC were developed. Total number of korean terms in performance measurement were 11, and english terms 15. The tendency of the terms was toward performance appraisal or evaluation. Conclusion: In the light of results, we expect development of corporate appraisal tool that can evaluate nurse competence and performance. Total performance management system also should be established.

• Journal of Korean Academy of Nursing Administration
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• v.20 no.1
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• pp.128-143
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• 2014

Purpose: Effective literature searching is essential to support evidence-based nursing. The aim of this study was to present our recent systematic search experience to identify guidelines in PubMed for prevention of catheter-associated urinary tract infections. Methods: Five approaches to the literature search via PubMed were employed. The searches were restricted to items published from 1980 to 2010, for patients admitted to hospital, and in the English language. The search results were compared using the number of records and relevant items, and the sensitivity and precision of each search strategy. Results: The individual approaches retrieved 19-141 of records and 3-6 of relevant items. Sensitivity ranged from 37.5% to 75.0% with the highest values for simple searches and a search combining MeSH terms and free textwords with a methodological search filter. Precision varied from 4.3% to 21.7% and the highest precision was found for MeSH terms with limits feature. Conclusion: The simple search in PubMed is an appropriate way for nurses in a busy clinical practice to search the literature for evidence. However, several approaches using MeSH terms, free textwords, limits feature or methodological search filters are also required to have more efficient and better informed search results.

• Journal of Korean Academy of Nursing Administration
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• v.8 no.4
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• pp.645-654
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• 2002

Purposes : This study was conducted to examine nursing effects after using a new method of nasogastric tube feeding with recycled PETE bottle making use of gravity, and to compare with those of bolus method using syringe and pressure. Methods : The data collected from patients with nasogastric tube feeding more than a week at an internal medicine unit of C university hospital located in G-city from January 1st, 1998 through June 30th, 2000. For this nonequivalent control group posttest non-synchronized design, 28 patients were assigned to an experimental group and 35 patients to a control group. The homogeneity of two groups and the dependent variables were tested with use of $x^2-test$ and t-test. Results : The duration of hemostatic use was significantly shorter in the experimental group than control group(t=2.63, p=0.02). Also, the patients with PETE bottle feeding had a lower cost of material(t=3.51, p=0.01) and a lower rate of the time of direct nursing care(t=2.44, p=0.04) than those of control group. But, there was no significant difference between two groups in the length of hospital stay. Conclusion : This results indicates that nasogastric tube feeding with PETE bottle is superior to nasogastric tube feeding with syringe. This findings gave us an evidence to enhance nursing effectiveness in clinical setting.

• Journal of Korean Academy of Nursing Administration
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• v.8 no.1
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• pp.85-95
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• 2002

The purpose of this study was to develope a critical pathway for the chemotherapy of non-small cell lung cancer patients and to identify its effects after implementation. Critical pathway was developed through 5 steps including content and clinical validity tests with collaborative efforts of nurses, clinicians, and other allied healthcare professionals with the aim of improving the quality of patient care, while minimizing cost to the patients. This paper was described an evaluation of the impact of a developed critical pathway on complication rate, length of stay, costs, the interval of treatment and patient satisfaction by nonequivalent control group posttest-only non-synchronized research design.Results were compared between the two groups of patients. There were no significant differences in demographic variables and the occurrence of bone marrow suppression between experimental group and control group(t=-0.01, p=0.992). There were statistically significant decreases in the average length of stay(t=-10.45, p=0.000), in the average cost(t=-2.988, p=0.004), and in the interval of treatment(t=-6.75, p=0.000) after implementation of the critical pathway compared to control group. Also, there was a statistically significant improvement of the patient satisfaction after implementation of the critical pathway compared to control group(t=4.57, p=0.000). This paper concludes that critical pathway in chemotherapy for lung cancer, implemented in the context of an general hospital, is the useful tool to shorten the hospital stay, reduce treatment costs, and improve the quality of life in cancer patients. Further study needs to be conducted to identify other clinical outcomes including job satisfaction, collaboration among health professionals and potential for use in education. Also, it is recommended that nurses should revise continuously the developed critical pathway through clinical implementation and maintain their role of patient advocacy through monitoring pathway compliance.

• Health Policy and Management
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• v.16 no.3
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• pp.19-36
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• 2006

The purpose of this study was to assess adequately equipped with convenience facilities for the disabled in 160 healthcare institutions in Jongno district, Seoul. Healthcare institutions were equipped an average of 3.7 facilities out of 10. General hospitals had an average of 5.0 facilities, which was higher than an average of 3.6 facilities for private clinics (p<0.05). Of 160 healthcare institutions, only 13 (8.1%) offered easy access to the outpatient setting from the entrance for wheelchair users, highlighting difficult wheelchair access within hospitals. To provide easy access to medical service for the disabled, more accessible designs need to be adopted as part of the effort to improve public facilities for the disabled. Also, universal designs could be applied for newly constructed roads, structures and transportation vehicles to maximize accessibility for the disabled. Increased accessibility for the disabled in the community will eventually increase the use of healthcare institutions.

• Proceedings of the Korea Water Resources Association Conference
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• 2006.05a
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• pp.1112-1115
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• 2006

모바일 GIS를 홍수재해관리 시스템에 도입하기 위한 목적은 홍수에 대비한 신속한 상황대처 통해 인명 및 재산피해를 최소화하는데 있다. 모바일 GIS 시스템 구축의 기본 방향은 하천유역에 대한 행정업무 및 정보화 업무의 효율성을 높여 현장업무에서 실시간으로 제공되는 수문정보 및 지형정보에 대한 다양한 컨텐츠를 주민들이 쉽게 접근하여 서비스를 제공받을 수 있도록 하고 현장 실무자가 하천 수위 및 유량을 관리하는 데 있어 즉각적인 조치를 가능하도록 하기 위한 것이다. 본 연구에서 이동 클라이언트와 홍수재해관리시스템 서버간의 무선통신채널은 AP(Access Point)를 통한 WLAN이나 CDMA망의 모바일 네트워크 또는 차세대 휴대인터넷 망을 대상으로 하였다. 홍수재해관리시스템은 ArcIMS, HTML, Java Script를 이용하여 구축하고 웹 서비스를 위해 마이크로소프트사의 IIS(Internet Information System) 사용하며, ArcIMS의 정상적인 구동을 위해 JRE(Java Runtime Environment)를 설치하도록 하였다. 주요 GIS 기능은 줌인, 줌아웃, 팬, 속성정보 검색, 거리측정, 버퍼링 기능 등이고 Layer는 침수위험건물, 대피건물, 침수지역 건물용도, 건물, 도로, 수계, 침수예상지역(100, 200년 빈도), 위성영상, DEM, 행정경계 등이 포함되도록 하였다. 시스템 구축에 사용될 데이터는 수리수문학적 데이터(유출량, 강우강도, 대상지역의 면적, Manning 계수 등)와 대상지역의 수치지도, DEM, 고해상 위성영상, 문헌조사와 현장조사를 통해 얻은 자료를 바탕으로 구성하도록 하였으며, 수리수문학적 데이터와 DEM 데이터를 바탕으로 침수지역 데이터를 생성하고 문헌조사와 현장조사를 통해 얻은 속성정보와 디지털 지도인 공간정보를 연결하기 위해 디지털 지도에서 건물 Layer, 도로 Layer, 등고선 Layer, 수계 Layer를 추출하여 ArcGIS에서 Coverage로 변환하여 위상관계를 설정한 후 다시 Shape 파일로 변환하여 속성정보와 연결시키도록 데이터베이스 구축방안을 제시하였다. 이와 같이 본 연구에서는 홍수재해 관리시스템에서 모바일 GIS를 적용하기 위하여 Pocket PC를 탑재한 이동 클라이언트인 PDA에 GPS 모듈을 확장하여 GPS 위성으로부터 위치정보를 획득하고 지리정보를 제공하는 모바일 GIS 서버간에 XML 기술을 이용하여 수문정보 및 지형정보 서비스를 제공하는 방안을 제시하였다.

• Health Policy and Management
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• v.23 no.1
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• pp.59-65
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• 2013

Background: The purpose of this study was to analyze the related factors which decide the percentage of health care expenditure of the total fiscal expenditure of local governments and to provide the basic data to contribute for the efficient allotment of healthcare budget. Methods: This study was conducted by the percentage of health care expenditure for 3 years by classifying a total of 230 local governments into the metropolitan cities (gu, 69), the counties (si, 75), and the boroughs (gun, 86) all over the country. With the collected data, the general characteristics of independent variables and the dependent variable were analysed using SPSS ver. 18.0, The correlation analysis and multivariate regression analysis were conducted for the characteristics of variables according to regions by year. Results: In correlation between health care expenditure by year and other variables, there was a significant positive correlation with unemployment rate, metropolitan cities (gu) and other regions, the percentage of health center personnel, health care expenditure in last year as a independent factors. On the other hand there was no correlation with social assistance recipients and the percentage of aging population, financial self-reliance, industrialization rate, suicide rate, cardiac disease mortality, cerebrovascular mortality on health care expenditure. Conclusion: The study clearly shows that health care expenditure of local governance was not correlated with health care need factors comparing social welfare expenditure.

• Journal of Korean Library and Information Science Society
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• v.47 no.1
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• pp.339-360
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• 2016

This study is intended to analyze the actual condition of operating the full-text information disclosure system of government and Officials' Perceptions. According to the results of analysis, the public servant group's level of full-text information disclosure system was high. With regard to the positive and negative function of full-text information disclosure, an expectation for positive function was high in the aspect of assuring the transparency of administration. And public servants were worried about an increase in the burden of administrative duties. With regard to factors in hindering the development of full-text information disclosure, it was shown that the percentage of clients' abuse and misuse of full-text information was the highest. For the activation of full-text information disclosure system, it is necessary to prepare measures for preventing the abuse and misuse of full-text information.

• Food Industry
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• s.179
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• pp.10-73
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• 2004

우리나라의 식품산업은 2002년도에 약 36조3천8백억원의 매출을 기록하여, 국내총생산(GDP)의 $5.9\%$를 차지하고 있으며, 제조업 총생산액의 $20.3\%$를 차지하여 국내제조업의 견인차로 평가받고 있다. 또한 제조업별 부가가치 순위는 전자, 화학, 자동차산업에 이어 4위를 점하고 있으며, 고용유발계수도 평균이상을 유지하고 있다. 이와 함께 식품산업은 모든 소비재 중 생존을 위해 없어서는 안된다는 점에서 특별한 위치를 점하고 있다. 하지만 우리의 식품산업은 약 18,000업소가 생산활동에 참여하고 있으나 종업원 10인 이하 사업장이 $78.1\%$를 차지하며, 상위 47개 사업장이 식품산업 총 매출액의 $52\%$를 점유하고 있는 영세구조로 이루어져 있다. 행정측면에서 보면 그간 안전성 확보를 위한 규제중심의 행정에 치우쳐 산업진흥을 위한 특별한 지원이 매우 부족한 실정이다. 그러나 이와 같은 식품산업의 구조적 영세성은 식품산업이 갖는 경제적 측면 이외에 특별한 위치 즉, 국민보건분야에 있어서의 중대성과 함께 산업으로서의 발전을 위한 국가차원의 전략적 지원이 필요한 분야이다. 이와 함께 식품산업은 BT분야에 있어 적용가능성이 높고, 성공확률이 높아 국가의 지원이 우선적으로 배려되어야 한다. 이를 위하여 본 장에서는 식품산업의 생산$\cdot$수출입현황, 식품산업의 경제적 위치를 분석하여 중요성을 부각하였다. 국내외 식품산업지원정책의 파악을 위하여 식품안전관련 법령의 소개와 산업지원을 위한 산자부 등 관련부처의 지원정책을 제시하였으며 미국, 유럽, 일본 등 주요국가의 바이오 기능식품을 중심으로 한 정부의 BT 지원정책을 소개하였다. 이와함께 우리나라의 식품산업의 연구개발 동향을 분석하고, 미국, 유럽, 일본의 식품산업의 중점 연구개발동향을 소개하였다. 상기의 식품산업분석, 지원정책, 외국의 BT지원 사례 등을 참조하여 우리 식품산업의 환경분석과 문제점을 제시하였으며 전망을 분석하였다. 식품산업 정책의 개선방향으로서 제도의 개선, 위해평가 수행체계의 도입, 식품유통의 효율화 기반조성 및 지원, 산업지원을 위한 추진정책, BT산업으로서 식품산업의 진흥책 강구 등의 전략을 제시하였다.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.4
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• pp.563-570
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• 2009

Purpose: The purpose of this study was to develop specialized mentor program to improve adaptation for new nurses of intensive care unit and to identify the effect of the program on early resignation rate. Methods: The study adopted nonequivalent control group, non synchronized design. Based on the identification of problems and the needs of new nurses, a 6 month specialized mentor program was developed. The program was consisted of three parts; developing knowledge, improving interpersonal relationship and increasing coping competency for emergency situation. Data were collected between July 2006 and 2008 from 37 nurses and the early resignation rate was compared before and after the implementation of the mentoring program. Results: Early resignation rate of the nurses who received the mentor program was significantly lower than that of the nurses who didn't. The resignation rate within 1 year dropped from 44.5% to 8.3%(p=.034). Conclusions: The specialized six month mentoring program was effective in reducing early resignation rate.