• Title/Summary/Keyword: Clinical statistics

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The Effect of Intellectual Capital on the Clinical and Financial Performance of Hospitals (병원의 지적자본이 진료 및 재무 성과에 미치는 영향)

  • Kim, Jang-Mook;Kim, Sung-Ho;Seo, Young-Joon
    • The Korean Journal of Health Service Management
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    • v.10 no.1
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    • pp.27-37
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    • 2016
  • Objectives : This study applied the research model of Bontis (1998), which has been used to investigate everything from business corporations to hospitals in Korea, examined its generalizability and attempted to verify which factors of the intellectual capital affects organizational performance, represented by indicators for the clinical and financial performance of hospitals. Methods : Primary data for the study were collected from 91 general hospitals through self-administered questionnaires, and secondary data on clinical and financial performance of hospitals were collected form existing statistics. Collected data were analyzed with SPSS 11.5 (ver.) and AMOS 18.0 (ver.). Results : It was found that only human capital and customer capital had indirect effects on hospital performance. It was also revealed that structural capital had a direct effect on clinical performance, and an indirect effect on financial performance. Conclusions : This result means that there is a need to individually consider both the clinical performance and financial performance when measuring the organizational performance of a hospital, and it also shows that positive improvement in the clinical performance can contribute to the improvement of the financial performance through this process.

Development of a Clinical Nursing Practice Training Simulation Program using Standardized Patient for Nursing Students Focused on Infectious Respiratory

  • Hur, Jung
    • International Journal of Advanced Culture Technology
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    • v.9 no.4
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    • pp.169-179
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    • 2021
  • This study was conducted to develop and apply clinical nursing practice training simulation program using Standardized Patient for Nursing Students focused on infectious respiratory disease. This study is descriptive methodological study. Through prior consideration of documents and educational task of infectious respiratory disease was conducted with interview of clinical specialists of infection control managers. Development of educational task for infectious respiratory disease for Nursing Students went through the content validity. Finally, 10 educational tasks are developed 'knowledge of respiratory infections disease', 'hand washing', 'put on mask', 'lead to put on mask to patients and caregiver', 'intravenous injection via 3way', 'surgical aseptic technique', 'sterilization medical instrument', 'management of contaminated linen', 'infected personnel management manual'. The infectious respiratory disease simulation program was developed based on the ADDIE model and proceeded to 4 steps of analysis, design, development, implementation. The infection control education program included lectures (20 min), skill training (20 min), simulation using standardized patient (20 min), and debriefing (40 min), The collected data were analyzed by descriptive statistics with SPSS program for version 23.0. The results of this study confirmed that the clinical nursing practice training simulation program using standardized patients was effective in infectious respiratory disease of the nursing college students in knowledge of infectious respiratory disease and clinical nursing performance. we found this practical training program for nursing college students to improve knowledge and clinical competency of infection control. we expected that this developed program could be applied to practical training for various infectious control.

Analysis of Articles Published in The Journal of Korean Oriental Pediatrics (대한한방소아과학회지에 수록된 논문의 분석 및 고찰)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Seo, Young-Min
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.1
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    • pp.247-272
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    • 2004
  • Objective: Organization of articles have study design, make hypothesis, sample gathering, statical analysis and feasibility of conclusion and medical articles must be continuously published and be continuously monitored in order to raise the quality of research. Main characteristics of oriental pediatrics research in korea can be summarized as the increase of the number and the advances methodology in research. The purpose of this study was to analyze the trends and evaluate the level of oriental pediatrics. Methods: The subjects were 244 articles published during the from 1986 to 2002 in 'The Journal of Korean Oriental Pediatrics' In this study, all the articles pressed in this journal were divided into three classes, Iiteratural, experimental and clinical articles and these were surveyed their chronological and thematic distribution Results: Classifying the articles in the journal of the korean oriental pediatrics, there were 103(42.2%) literatural articles, 90(36.9%) clinical articles, 51(20.9%) experimental articles. Clinical articles is gradually increasing although Iiteratural articles is decreasing. About disease in oriental pediatrics, immunoactivity was 13, rhinitis and growth was 12, allergy was 11 and diarrhea was high frequent in literatural articles, statistics of chief complaints and rhinitis was high frequent in clinical articles, immunoactivity was high frequent in experimental articles. Conclusions: As can be seen from the above results, there has been many these published using various experimental methods and relating to oriental pediatrics on the symptoms and diseases and their treatments, but unfortunately they were not enough the transmission of meaning of theses and contribution of learning, because how to do theses was not unifonn and description was not evident. It is needed more careful attention and study in the method of theses works in order to further develop the specialty of oriental pediatrics.

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Influences of Compassion Satisfaction, Compassion Fatigue, and Burnout on Positive Psychological Capital of Clinical Nurses (임상간호사의 공감만족, 공감피로, 소진이 긍정심리자본에 미치는 영향)

  • Jeong, Eun;Jung, Mi-Ra
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.246-255
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    • 2018
  • The purpose of this study was to investigate factors affecting positive psychological capital in clinical nurses. The data were collected from 193 nurses working in the three general hospital located Y city using self-reported questionnaires and November 20 2017 to November 30 2017. The data were analyzed by descriptive statistics, T-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 20.0 program. Positive psychological capital had a significant positive effect on compassion satisfaction, while Positive psychological capital had a negative effect on burnout. The result of the multiple regression indicates the compassion satisfaction, burnout and job position predict 55.5% (F=30.88, p<.001) of positive psychological capital. Therefore, strategies to decrease burnout and to enhance compassion satisfaction for clinical nurses.

Statistical implications of extrapolating the overall result to the target region in multi-regional clinical trials

  • Kang, Seung-Ho;Kim, Saemina
    • Communications for Statistical Applications and Methods
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    • v.25 no.4
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    • pp.341-354
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    • 2018
  • The one of the principles described in ICH E9 is that only results obtained from pre-specified statistical methods in a protocol are regarded as confirmatory evidence. However, in multi-regional clinical trials, even when results obtained from pre-specified statistical methods in protocol are significant, it does not guarantee that the test treatment is approved by regional regulatory agencies. In other words, there is no so-called global approval, and each regional regulatory agency makes its own decision in the face of the same set of data from a multi-regional clinical trial. Under this situation, there are two natural methods a regional regulatory agency can use to estimate the treatment effect in a particular region. The first method is to use the overall treatment estimate, which is to extrapolate the overall result to the region of interest. The second method is to use regional treatment estimate. If the treatment effect is completely identical across all regions, it is obvious that the overall treatment estimator is more efficient than the regional treatment estimator. However, it is not possible to confirm statistically that the treatment effect is completely identical in all regions. Furthermore, some magnitude of regional differences within the range of clinical relevance may naturally exist for various reasons due to, for instance, intrinsic and extrinsic factors. Nevertheless, if the magnitude of regional differences is relatively small, a conventional method to estimate the treatment effect in the region of interest is to extrapolate the overall result to that region. The purpose of this paper is to investigate the effects produced by this type of extrapolation via estimations, followed by hypothesis testing of the treatment effect in the region of interest. This paper is written from the viewpoint of regional regulatory agencies.

Study about Satisfaction of Clinical Practice by Using Diagnosis Expert System in Korean Medicine (한의학 진단전문가시스템을 활용한 임상실습 만족도 연구)

  • Choi, Sung Woon;Park, Jun Kwan;Hwang, Kyo Sung;Noh, Yun Hwan;Cho, Young Seuk;Shin, Dong Ha;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.6
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    • pp.355-360
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    • 2018
  • The purpose of this study is to find out the direction of development of the expert diagnosis system by questioning student satisfaction after practicing Oriental Diagnosis System (ODS). A questionnaire survey was conducted for 73 students who attended Pusan National University Graduate School of Korean Medicine and conducted clinical practice from the second semester of 17 years to the first semester of 18 years. The questionnaire survey consisted of 6 questions about the satisfaction of current expert system and 5 questions about supplementation and addition. As a result of the questionnaire analysis, the question about the necessity of the expert diagnosis system and the benefit of clinical practice using the expert diagnosis system indicated high positive response rate. On the other hand, there is a difference in the results of the dialysis before and after using the expert diagnosis system. So, It seems that the reliability of the results of the expert diagnosis system is still low. The results of the questionnaire indicate that the need for expert diagnosis system is beneficial, but it is necessary to supplement the current system in order to improve clinical utility in the future.

Research on Reimbursement of Therapeutic Medical Device through Delphi Method and Analytic Hierarchy Process (치료재료 별도산정 기준 개선을 위한 델파이 및 계층분석과정 조사)

  • Noh, Jin-Won;Lee, Yejin;Jang, Suk Yong;Kim, Mi Kyung;Cho, Kyoung Hee;Kim, Jae-Hyun;Yoo, Ki-Bong
    • Korea Journal of Hospital Management
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    • v.23 no.4
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    • pp.15-25
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    • 2018
  • Purposes: The objectives of this study present the direction of the criteria for the separately reimbursement of therapeutic medical device. Methodology: We summarized experts' opinion using Delphi survey and Analytic Hierarchy Process(AHP). 48 experts were gathered from Medical Insurance Review Nurses Association, medical device industry, academy and association, Medical Device Expert Evaluation Committee. Descriptive statistics, consistency index, content validity ratio were analyzed. Findings: Clinical utility, patient safety, infection control, cost-homogeneity, cost-effectiveness showed high feasibility and importance, but market contribution and functional utility showed low feasibility and importance in a relative sense. The results of functional utility differed between clinical and non-clinical experts. Measurability was low across the whole area. Among the criteria for the separately reimbursement of therapeutic medical device. Patient safety/infection control and clinical utility showed the highest relative importance values, analyzed using AHP. Practical Implications: Patient safety and infection control are needed to be considered as one of Value Assessment Criteria. It is important to find out how to improve the measurability of therapeutic medical device.

Factors Influencing Turnover Intention in Clinical Nurses: Affective Events, Affect, and Job Satisfaction (임상간호사의 이직의도에 영향을 미치는 요인: 정서사건, 정서, 직무만족)

  • Lee, Yoonjeong;Kim, Hyunli
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.291-300
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    • 2019
  • This research was conducted to investigate the influence of affective events, affect, and job satisfaction on clinical nurse's turnover intention and to provide guidelines for interventions and strategies to decrease turnover intention. The participants consisted of 296 nurses recruited from three general hospitals in South Korea. Data was collected by a structured self-report questionnaire, and were analyzed using SPSS Statistics 24.0 and AMOS 24.0. The final path model was a good fit for the data based on the model fit indices. In the path analysis, positive events, negative events, positive affect, negative affect, and job satisfaction had statistically significant effects on turnover intention, explaining 37.0% of the variance. This research provided evidence identifying factors influencing turnover intention in clinical nurses. Therefore, findings from this research can be used to design appropriate strategies to decrease the clinical nurse's turnover intention.

A comparison of multiple hypothesis testing methods and combination methods in seamless Phase II/III clinical trials (심리스 제2상/제3상 임상시험에서 다중가설검정방법과 결합검정방법의 비교연구)

  • Han, Song;Yoo, Hanna;Lee, Jae Won
    • The Korean Journal of Applied Statistics
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    • v.32 no.1
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    • pp.1-13
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    • 2019
  • An adaptive seamless Phase II/III clinical trial design enables a reduction in the sample size (in comparison to a conventional design) that also shortens the clinical development time. It is also very effective in clinical trials since it can have higher statistical power than Phase III alone. In this study, we use extensive simulation studies to compare several multiple hypothesis testing methods that can help select the best doses in a Phase II study along with several methods to combine p-values of the Phase II and Phase III study.

Effects of Empowerment and Regarding Standard Precautions for Healthcare associated Infection Control in Nursing Students Experiencing Clinical Practice on Performances (임상실습을 경험한 간호대학생의 임파워먼트와 의료관련감염 관리 표준주의지침 인지도가 수행도에 미치는 요인)

  • Jung, Mi-Ra;Jeong, Eun
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.259-267
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    • 2019
  • The purpose of this study was to examine relationships among empowerment, awareness and performance on standard precautions and identify the factors that affect performance of standard precaution in nursing students experiencing clinical practice. The data were collected from 168 nursing students who experienced clinical practice in the two colleges located Jeonnam. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 20.0 program. The result of the stepwise multiple regression indicates the awareness predict 77.7% (F=579.84, p<.001) in the performance of standard precaution. Therefore, it is necessary to develop awareness of the standard precaution strategy program for improving the performance of standard precautions in nursing students experiencing clinical practice.