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간호사의 간호업무 전산화 활용에 대한 조사연구 (A Survey on Nurses' Utilization of Computerization in Nursing Practice)

  • 이인순
    • 간호행정학회지
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    • 제5권2호
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    • pp.209-224
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    • 1999
  • I have practiced this reserch for the purpose of proposition of basic data for amendment and addition of computer system after I surveyed the degree of abilities and satisfaction on the computerization in nursing\ practice. Subjects were collected from September 1 to September 30, 1998. Study subjects are 151 clinical nurses who are working at university hospital in Chonbuk area. Study instrument consists of 116 questionnaire which was developed by Kim H. K(1998). The data were analized number, mean ,t-test, ANOVA by using SPSS. The study results are as follows: 1. Most of the nurses who answered the questions were educated computerizing(96%). The abilities of computer program utilities were the most in inputting data(74%). The program nurses wanted computerizing education was wordprocess, dealing internet and statistics. 2. As for applying parts of computer system in nursing, the most nurses were Dr's order check (96%), treatment activity(91.4%), medication(89.4%), lab. test(87 .4%), transfering department(85.4%), transfering room(79.5%), diet(71.8%), discharge (70.2%), Barcord Sticker(70.2%) , reservation(62.2%) in order that were all conected order system mutually to other part. It showed that computer system was not applied for treating the original nursing work such as nursing record (13%), duty scheduling(6.0%) , nursing process(4.6%) , Q.I(1.3%), nursing research(1.3%), education(1.3%), 3. As for the benefit when computer system is applied for, the most respondence was promptness of work and convenience(90.6%) , exactness of work (82.8%), offering information exactily and efficiently(36.3%), offering good quality of nursing (6.0%) in order. 4. The degree of contentment on computerizing in nursing practice showed average 3.24%. The best marking item is that they are eager to participate in the computer education. Next, the automatic output of label and giving the number automatically is to prevent loss and mentioned items of patient registration from being changed(3.95) and to prevent mistakes possibly happening because of doctor's difficult order(3.85). 5. The problems which may happen to in nurses' utilization of computerization for the nursing practice showed average 3.18. The most problem is that the practice may stop because of the problem of computer itself(3.67), and the next, the indication of act can be imperfect(3.66) , manual training may overlap because of incomplete computerization (3.60), practical education for the computerizing is lack(3.41), and the computer literate nurses are lack(3.40) . 6. Study subject's contentment by age was significant difference(F=3.10,P=0.0119). Study subject's contentment by job posision was significant difference(F=6.001P=0.0034) I will propose the following according to the above results. The domain of original nursing practice is urgernt. Manual and indication of act should be made before long in computer obstacle. Nursing department should support the nurses so that they could receive the education needed for the nurses themselves.

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2013년도 어린이집 평가인증 운영체계 개선에 따른 성과평가와 개선안 (Performance Evaluation and Suggestions Based on the 2013 Child Care Center Accreditation System)

  • 제경숙
    • 한국보육지원학회지
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    • 제11권1호
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    • pp.501-521
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    • 2015
  • 본 연구는 2013년 평가인증 운영체계의 주요 변경내용 8개 항목에 대한 성과를 검토하고 보완점을 모색하고자 보육현장 종사자와 부모, 보육관계자를 대상으로 개선내용의 적절성에 대한 인식비교를 하였다. 보육교직원 200명, 보육담당공무원, 심의위원, 현장관찰자 등 전문가집단 150명, 학부모 144명이 2014년 2월말에 시행된 온라인 설문조사에 참여하였다. 자체점검의 상시화와 소요기간 단축, 기본사항 중 필수항목 확대, 현장관찰일 미고지, 관찰자 파견 수 조정, 재참여수수료 부과 및 참여대상 조정, 확인점검과 인증유효기간 연계 등 8개 항목으로 구성된 대상별 질문문항은 모두 동일하였으나 보육교직원 대상으로 3개 문항이 추가되었다. 빈도, 백분율로 일반적 인식수준을 알아보았으며, 집단별 비교를 위해 1차적으로 집단의 크기가 같은 전문가 세 집단 간 분산분석을 하였고, 통계적 유의차가 없는 경우 2차적으로 세 집단을 하나로 묶은 전문가집단, 보육교직원, 부모의 세 집단을 대상으로 분산분석을 하였다. 분석결과 2013년 평가인증 운영체계 변경내용 각 항목별 집단차이는 있었으나 전체적으로 긍정적인 평가를 하여 주요개정사항들은 적절하고 필요한 조처였다고 판단된다. 그러나 법적준수를 요구하는 기본사항 확인내용 점검과정의 일원화, 유효기간 단축과 불인증, 재참여기회 제한 등 기준점수 미달기관의 관리방안과 현장관찰일 사전고지 및 불시방문에 대한 보육현장의 부담에 대해 좀 더 심도 있는 검토가 필요한 것으로 나타나 이에 대한 개선안을 제언하였다.

유통과학분야에서 탐색적 연구를 위한 요인분석 (Factor Analysis for Exploratory Research in the Distribution Science Field)

  • 임명성
    • 유통과학연구
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    • 제13권9호
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    • pp.103-112
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    • 2015
  • Purpose - This paper aims to provide a step-by-step approach to factor analytic procedures, such as principal component analysis (PCA) and exploratory factor analysis (EFA), and to offer a guideline for factor analysis. Authors have argued that the results of PCA and EFA are substantially similar. Additionally, they assert that PCA is a more appropriate technique for factor analysis because PCA produces easily interpreted results that are likely to be the basis of better decisions. For these reasons, many researchers have used PCA as a technique instead of EFA. However, these techniques are clearly different. PCA should be used for data reduction. On the other hand, EFA has been tailored to identify any underlying factor structure, a set of measured variables that cause the manifest variables to covary. Thus, it is needed for a guideline and for procedures to use in factor analysis. To date, however, these two techniques have been indiscriminately misused. Research design, data, and methodology - This research conducted a literature review. For this, we summarized the meaningful and consistent arguments and drew up guidelines and suggested procedures for rigorous EFA. Results - PCA can be used instead of common factor analysis when all measured variables have high communality. However, common factor analysis is recommended for EFA. First, researchers should evaluate the sample size and check for sampling adequacy before conducting factor analysis. If these conditions are not satisfied, then the next steps cannot be followed. Sample size must be at least 100 with communality above 0.5 and a minimum subject to item ratio of at least 5:1, with a minimum of five items in EFA. Next, Bartlett's sphericity test and the Kaiser-Mayer-Olkin (KMO) measure should be assessed for sampling adequacy. The chi-square value for Bartlett's test should be significant. In addition, a KMO of more than 0.8 is recommended. The next step is to conduct a factor analysis. The analysis is composed of three stages. The first stage determines a rotation technique. Generally, ML or PAF will suggest to researchers the best results. Selection of one of the two techniques heavily hinges on data normality. ML requires normally distributed data; on the other hand, PAF does not. The second step is associated with determining the number of factors to retain in the EFA. The best way to determine the number of factors to retain is to apply three methods including eigenvalues greater than 1.0, the scree plot test, and the variance extracted. The last step is to select one of two rotation methods: orthogonal or oblique. If the research suggests some variables that are correlated to each other, then the oblique method should be selected for factor rotation because the method assumes all factors are correlated in the research. If not, the orthogonal method is possible for factor rotation. Conclusions - Recommendations are offered for the best factor analytic practice for empirical research.

현악기용 명주실 현의 화학가공 및 복합현의 제조 (Chemical Treatment and Manufacture by Silk Compound Yarn of Kayagum Strings)

  • 김영대;최태진;정인모;이지영
    • 한국잠사곤충학회지
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    • 제47권1호
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    • pp.41-47
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    • 2005
  • 1. 가야금 줄의 내구성을 향상시키기 위하여 가야금 줄에 acrylic adhesive와 poly(vinyl alcohol)을 병용 처리한 결과 강려과 신도는 차이가 없었으나 하중 70%에서 절단할때까지의 반복회수는 화학가공처리 현이 무 처리한 현보다 48% 향상되었으므로 현의 내구성을 크게 향상시킬 수 있었으나 흡습율이 무처리 현보다 높았다. 2. 현의 내구성을 증대시키고 음량을 풍부하게 할 목적으로 생사와 polyester사의 혼합비율을 달리하면서 생사/폴리에스텔 복합현을 제조하고 물성을 조사한 결과 polyester사의 비율이 많아질수록 강력이 감소하였고 신도는 증가하여 가야금 줄로서 적당하지 않았으나 mono filament 사로서 강력이 우수한 polyester사를 사용하여 복합현을 만든 SSP 복합현의 경우 생사로 만든 현보다 강력이 우수하였다. 3. 새로운 현의 소재를 개발하기 위하여 생사(가잠사)와 작잠사와의 복합현을 제조하고 그 물성을 조사한 결과 가잠사/작잠사 복합현의 강력은 작잠사와 비율이 많아질수록 저하되었다.

아토피피부염 환자의 개인별 증상 기록에 대한 순응도 연구 (Study on Compliance of Personal Health Record Application in Patients with Atopic Dermatitis)

  • 서진순;김영은;김안나;김익태;손윤희;장현철
    • 대한예방한의학회지
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    • 제24권2호
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    • pp.71-82
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    • 2020
  • Objectives : The purpose of this study is to evaluate clinical utilization by measuring compliance with the use of mobile health applications (AtopyPHR developed in a previous study) for patients with atopic dermatitis. Methods : Based on the AtopyPHR and the input period and frequency survey results for each symptom item, a scenario for measuring compliance was derived. The study period was 4 weeks. Participants installed AtopyPHR app and Telegram app on their smartphones, conducted user training on the app, and recorded symptoms using the app for 4 weeks. At the 2nd and 4th week visits, the AtopyPHR data recorded by the user can be viewed on the web page and used for medical decision. Compliance was analyzed by the date the symptoms were recorded. Results : There were 28 participants, all (100%) were compliant, and the compliance was 96.8. The patients were 1 to 18 years old, and the average age was 8.2±5.7 years, 10 males and 18 females. The actual date of participation in recording symptoms was 28.6±0.56 on average. Compared to Week 1, compliance decreased at Week 2, and Week 4 had the highest compliance. Daily check, daily emotion, stool/urine/sleep, and meal management showed high compliance, SCORAD and quality of life were higher than required to record. Conclusions : AtopyPHR was effective in compliance. The results of this study could be used to collect personal health data in daily life through the AtopyPHR, improving participant compliance. It is considered to be meaningful because it measured the compliance with the symptom record actually recorded using the mobile app rather than a questionnaire. This study may be useful not only for personal health care but also for medical decisions, as opinions are given by experts who treat atopic dermatitis.

토끼고기의 지방질과 단백질에 관한 연구 -I. 지방성분을 중심으로- (Studies on Lipids and Proteins of Rabbit Meat -I. Emphasis on lipid component of rabbit meat-)

  • 이양자;안홍석
    • Journal of Nutrition and Health
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    • 제10권2호
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    • pp.18-26
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    • 1977
  • Among animals, the rabbit is known to be affected most sensitively by dietary changes and to be most susceptible to atherosclerosis. The exact reason is still unknown as to whether the primary cause is intrinsic (tissue itself) or extrinsic such as a blood factor which could be influenced by various dietary means. It is of utmost importance to check the nutritional quality of rabbit meat before it is accepted and adapted as a daily food item. To evaluate nutritional quality of rabbit meat, studies on various aspects of lipid components were carried out in comparison with other animal meats such as beef, pork and chicken also included in the study was the question whether the cooking and storage conditions influence the composition of fatty acids and cholesterol level. Some results and findings are listed below: 1. The content of linoleic acid (18 : 2), one of the essential fatty acids, was much higher in rabbit meat compared to the other meats. The Percentages of this Polyunsaturated fatty acids, was much higher in rabbit meat compared to the other meats. The percentages of this polyunsaturated fatty acid in terms of total fatty acids were $37.3{\pm}3.7$, 5.9, 14.5, and 21.9% for rabbit, beef, pork, and chicken respectively. The degree of unsaturation was high not only in meat but also in liver and adipose tissue of rabbit. The values of iodine number, the indication of degree of unsaturation, were known to be $102{\sim}107$, $32{\sim}47$, $46{\sim}67$, and $55{\sim}77$ for rabbit, beef, pork, and chicken respectively. Such a high proportion of this polyunsaturated fatty acid contained in rabbit meat could be harmful due to their Peroxidation effect. 2. A small amount of lower (short chain) fatty acids was isolated from rabbit tussues, which were not observed in other animal's tissues. The significance of this small amount of short chain fatty acids contained in rabbit meat remained an open question. 3. The concentration of total cholesterol in rabbit meat was similar to that of otherr but the content of esterified cholesterol was higher in rabbit meat. This was probably due to the perference of cholesterol to esterify with unsaturated fatty acids. By roasting the percentage of Polyunsaturated fatty acids was decreased while saturated palmitic acid was proportionally increased. 4 The composition of fatty acids were affected more by dry heat than moist heat. More research should be pursued to improve methods of preservation and storage to prevent possible peroxidation and rancidity problems of rabbit meat. In the meantime, the public should be informed to eat fresh rabbit meat and not to store it for a long period of time. This study was supported by the Ministry of Science and Technology in Korea.

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재가운동 프로그램이 여성 고령자의 생활기능 체력과 건강관련 삶의 질에 미치는 영향 (Effect of HSEP on elderly Women's Life Function Fitness and Health-related QOL)

  • 김윤식;신상근;안정덕
    • 한국콘텐츠학회논문지
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    • 제13권3호
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    • pp.381-391
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    • 2013
  • 본 연구의 목적은 70세 이상의 여성고령자들에게 재가운동 프로그램(home support exercise program)을 16주간 주3회씩 실시하여 생활기능 체력과 건강관련 삶의 질(SF-36)에 대한 주관적 평가에서의 변화를 살펴보고자 하였다. 실험군(총17명, 평균나이:79.4)과 통제군(총17명, 평균나이:80.7)은 부산시 연제구에 거주하며 신체적 외상이나 거동에 불편함이 없고, 연구 참여에 동의한 여성 고령자로 구성하였다. SAS 9.2 통계 패키지를 활용하여 집단간 기술통계와 동일성 검증 및 사전측정을 공변량으로 한 공분산 분석을 실시하였다. 그 결과는 다음과 같다. 첫째, 실험군이 통제군에 비해 덤벨 들기, 일어섰다 앉기, 2.24m 왕복달리기, 2분간 제자리 걷기 항목에서 통계적으로 유의하게(p<.001) 증가한 것으로 나타났다. 둘째, 유연성을 측정하는 등 뒤 손잡기 항목에서는 실험군에서 유의할 만한 변화가 없는 것으로 제시되었다. 이러한 점은 재가운동프로그램에 유연성을 향상시킬 수 있는 운동항목을 추가하여 보완할 필요성이 있음을 시사하는 것이었다. 셋째, SF-36을 통한 건강관련 삶의 질에 대한 주관적 평가에서는 8개의 모든 하위요인에서 실험군과 통제군간에 유의할 만한 차이가 없는 것으로 제시되었다. 다만 통증과 활력 하위요인에서 운동을 처방받은 실험군이 통제군에 비해 p<.10 수준에서 향상된 것으로 나타나 긍정적인 변화를 미세하게 시사하였다.

일부 대체세정제 제조업체의 물질안전보건자료의 실태와 그 화학물질의 유해성 평가에 관한 연구 (Survey of Actual Conditions of Material Safety Data Sheet and Quantitative Risk Assessment of Toxic Substances : Substitutes for Degreasing Agents)

  • 윤종국;전태원;정진갑;이명희;이상일;차상은;유일재
    • 한국산업보건학회지
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    • 제10권2호
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    • pp.18-26
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    • 2000
  • Since the regulation of MSDS (Material Safety Data Sheets) had started from July 1996, employers were required to furnish MSDS for the chemicals in use in their workplace. However, many MSDS did not contain upright information for the chemicals, and they were not updated regularly, and were not written in the standard format required by the Industrial Safety and Health Act (ISHA). The purposes of this study were 1) to examine the reliability of MSDS for mixed solvents, 2) to provide reliable MSDS to employers or employees, 3) to find out any difficulties in implementing MSDS after the initiation, and 4) to promote regular MSDS updating and to ensure the reliability of MSDS for chemical manufacturers. To check the reliability of MSDS of mixed chemicals, 21 samples of mostly degreasing solvents were collected along with their MSDS from the work place. The samples were analyzed by gas chromatography-mass selective detector(GC-MSD). Their components were classified as saturated hydrocarbon, cyclic hydrocarbon, aromatics, and halogen containing hydrocarbon, and the amount of each class were measured. Manufacture's MSDS were compared with the actual composition of the collected samples, and further examined the reliability by checking whether the chemicals analyzed were included in the MSDS correctly. Finally, each item of MSDS was evaluated whether the MSDS correspond to the regulation required by ISHA. The results were following: 1) most of the degreasing solvents in MSDS were incorrect in their composition and contents, 2) the information in the MSDS including hazard classification, exposure level, toxicity, regulatory information were incorrectly provided, and 3) some MSDS did not disclose carcinogens in their MSDS. Continuous monitoring of MSDS was required to ensure reliability of MSDS. The Chemicals containing hydrocarbons from C10-C15 need to be tested to provide toxicity data. In addition, governmental support for providing correct MSDS was recommended to ensure reliability of MSDS. The MSDS regulation relating to the confidential business information may need to be revised to ensure reliability of MSDS.

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치위생과 학생들의 치과위생사 이미지에 영향을 미치는 요인 연구 (A study on influential factors for dental hygiene students' image of dental hygienist)

  • 이경희;윤미숙;하명옥
    • 한국치위생학회지
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    • 제10권5호
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    • pp.831-839
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    • 2010
  • Objectives : The purpose of this study was to examine dental hygiene students' image of dental hygienist and factors affecting the image of dental hygienist in an effort to provide some information useful for dental hygiene education. It's basically meant to recreate the image of dental hygienist as a professional. Methods : The subjects in this study were 310 sophomores and seniors who ere selected by convenience sampling from three different three-year-course colleges located in Gyeonggi Province, Chungcheong Province and Gwangju. After a survey was conducted, the answer sheets from 277 respondents were analyzed except for 33 incomplete ones. The collected data were analyzed with a SPSSWIN 17.0 program, and statistical data on frequency and percentage were obtained to find out the general characteristics of the subjects, and another statistical data on mean and standard deviation for each item were acquired to check their image of dental hygienist. Besides, t-test, ANOVA and Kruscal-Wallis test, one of nonparametric test, were utilized to look for connections between their general characteristics and image of dental hygienist. Results : 1. They gave a mean of 3.53 to the image of dental hygienist, which showed that the dental hygiene students took a favorable view of dental hygienists in general. 2. Their response to four items showed that they looked at the image of dental hygienist in a positive manner. The four items respectively described dental hygienists as professionals, as ones who played a crucial role in the improvement of national oral health, as ones with professional knowledge and sophisticated knowhow, and as neat and decent people. And their response to the following five items indicated that they looked at the image of dental hygienists in a negative way. One was that dental hygienists were considered to be dental nurses, and another was that the occupation of dental hygienist was a demanding and stressful job. The third was that there was no single, fixed title to call dental hygienists, and the fourth was that dental hygiene wasn't recognized as an independent area. The fifth was that the social standing of dental hygienists was sort of high. 3. In regard to the impact of the general characteristics of the dental hygiene students on their image of dental hygienist, they had a more favorable image of dental hygienist when they perceived dental hygiene in a more positive manner(p<0.001). Conclusions : In order to boost the image of dental hygienist, the working conditions of dental hygienists should be improved, and educational programs should be prepared to provided them extended continuing educational opportunities. And the kind of educational environments that could nurture dental hygienists who are convinced and have a vision should be created.

노인의 공원 이용과 만족도에 관한 연구 -서울 강동구 고덕산을 대상으로- (A Study on the Utilization and Satisfaction of Parks for the Senior Citizens)

  • 김정호;이상훈;윤용한;박은경
    • 한국환경생태학회지
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    • 제34권2호
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    • pp.179-187
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    • 2020
  • 노인의 공원이용과 만족도에 관한 연구를 위해 서울 강동구 고덕산을 대상으로 실시하였다. 분석은 전체 항목에 대해 빈도분석을 실시하였으며, 문항의 타당성을 알아보기 위해 신뢰도 분석을 실시하였다. 이용객의 만족도에 유의한 영향으로 작용하는 항목을 파악하기 위해 요인분석을 활용하였다. 도출된 요인을 이용하여 다중회귀분석을 실시하였다. 요인분석 결과, 만족도에 미치는 요인은 3개로 구성되었고, 총 분산의 69.50%를 설명하는 것으로 나타났다. 항목간의 표본적합도를 의미하는 KMO값은 .756으로 분석되었다. 요인은 항목의 특성을 반영하여 이용적측면, 생태적측면, 쾌적성측면으로 구분하였다. 도출된 요인을 통해 다중회귀분석 결과 노인의 공원 이용만족도에 대한 다중회귀식은 Y = 3.678 + 0.202X1 + 0.125X2 + 0.236X3으로 분석되었다. 본 연구에서는 전문적 지식이 부족한 노인을 대상으로 설문을 진행한 한계점이 존재한다. 향후 전문지식을 가진 노인을 대상으로 평가연구가 진행되어야 할 것이며, 연령별 생태적, 이용적, 기후적 측면 비교연구가 필요할 것으로 판단되었다.