• Title/Summary/Keyword: Confusion Group

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Nursing Student's Experiences on Nunchi in Clinical Practice (간호대학생의 임상실습에서의 눈치 경험)

  • Park, Hyun Ju;An, Hyo-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.1
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    • pp.48-57
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    • 2019
  • Purpose: This study aimed to explore and understand nursing students' nunchi experiences in clinical practice. Methods: Participants were nursing students in the third and fourth years who had clinical experience. A total of 20 nursing students were divided into three focus groups based on their grade levels and gender. Data were collected from December 2017 to March 2018 through focus group interviews and were analyzed via Colaizzi's phenomenological methodology. Results: The study results consisted of 5 theme clusters, 11 themes, and 24 subthemes. These clusters were: confusion about ambiguous behavioral standards, effort in following social norms, concern about getting hurt, physical and psychological exhaustion, and forming social attitudes. Conclusion: These results show that nunchi has positive and negative effects on the clinical practice of nursing students. We need to improve the causes of nunchi, which can have a negative impact on clinical practice.

Developing Improvement Plans for National Defense Safety Directive to Align with the Serious Accident Punishment Act

  • Jeong-Woo Han;Cho-Young Jung
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.30 no.3
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    • pp.275-282
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    • 2024
  • To ensure a systematic and integrated approach to defense safety management, individual safety management regulations have been consolidated into the National Defense Safety Directive. However, despite being enacted after the enforcement of the Severe Accident Punishment Act, the National Defense Safety Directive does not incorporate the contents of the Serious Accident Punishment Act. This omission is likely to cause confusion in safety management. In this paper, a PDCA analysis of the Severe Accident Punishment Act and the National Defense Safety Directive was conducted to identify area for improvement and supplementation in the Directive. Chapter 3 proposes amendments to clearly define the scope and responsibilities of safety management, implement serious accident prevention measures and inspections, and establish the penalties for those involved. These amendments aim to ensure faithful compliance with the Severe Accident Punishment Act. Chapter 4 emphasizes the implementation and inspection of risk assessments to enhance the effectiveness of safety accident prevention and preparation, thereby ensuring the completeness of the PDCA cycle.

Theoretical Considerations on Fisheries Resource Management and Public Choice (어업자원 이용관리와 공공선택에 관한 이론적 고찰)

  • 박성쾌
    • The Journal of Fisheries Business Administration
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    • v.31 no.1
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    • pp.1-12
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    • 2000
  • The experience of many countries strongly suggests that bad governments and institutions have been a serious, if not the most serious, obstacle to economic growth and industry-structural adjustments. All public sectors pursue a mix of both predatory and productive activities-bad governments emphasizing the former, while good governments finding a way of promoting the later. In fishery public policy studies, much confusion exists about the roles of policy illustration and prescription. In general fishery public sectors involve collective actions by numerous individuals under conditions of uncertainty, complexity, bounded rationality, and imperfect information structure. All collective fisheries action organizations consist of a center(e.g., government), which leads fishery group actions, and peripheral participants(e.g., fishermen), which are controlled by the government. A paradigm is developed that gives both theoretical and empirical meaning to the constitutional determination of fisheries political preference function or fishery public sector governance structures. Three relevant spaces are specified: policy instrument, results, and constitutional. The collective-choice rules of the constitutional space structure the tradeoff between public and special fishery interest groups. Fishery public sectors seeking sustainable reductions in wasteful rent-seeking fishing activities should select constitutional principles and institutional structures that tend to promote resource sustainability. In particular, the effects of internal and external events on fisheries may result in a greater or lesser concentration of interest group power. Thus, the structure of the fishereis political power must be assessed in any prescriptive evaluation of alternative fishery governance weights.

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An Exploration of the Experiences in Childcare Experts, Parents, and Directors with Participation in 'Daycare Centers Monitoring Program' ('어린이집 부모모니터링 사업'에 참여한 보육전문가, 부모 및 원장의 경험 탐색)

  • Kyun, Ju Youn
    • Korean Journal of Childcare and Education
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    • v.13 no.3
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    • pp.19-38
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    • 2017
  • Objective: The purpose of this study is to examine the practical experiences of childcare experts, parents, and daycare center directors who participated in the 'Daycare Centers Monitoring Program' carried out in K city. Methods: Participants were three childcare experts who belong to the monitoring group in K city, three mothers with infants and children, and three daycare center directors who were selected for the 'Daycare Centers Monitoring Program'. Results: As a result of the research, the childcare experts experienced the following; 1) sharing interesting experiences with parents, 2) a perception of the monitoring program for taking advantage of mutual strengths, 3) the opportunity of maintaining a sense of presence in early childhood education institutions, et al. The mothers' experiences were shown to include, 1) resolving small questions about the operation and management of a daycare center, 2) feelings of relief through observing the life style of infants and children, 3) the joy and reward of being a member of the monitoring group, et al. The directors' experiences were indicated to include 1) a psychological discomfort recognized as a target of the daycare monitoring and as 'another evaluation', 2) the confusion caused by different reviews, 3) an ambiguity on the unfamiliar indexes and contents electronically documented, et al. Conclusion/Implications: Based on these results, there was a discussion about actual suggestions and educational implications on the daycare monitoring program in order to improve the quality of daycare services in childcare centers.

The Experience of Nursing Students' Moral Distress in Clinical Practice (임상실습 현장에서 간호대학생이 경험하는 도덕적 고뇌)

  • Kim, Chanhee;Choi, Heeseung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.3
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    • pp.355-365
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    • 2016
  • Purpose: This study explores the moral distress that nursing students experience during their clinical practice in Korea. Methods: Data were collected using focus group interviews, and analyzed using qualitative content analysis. Participants were recruited from three nursing schools in three different cities; each focus group interview lasted between one to two hours. Results: Twenty-two nursing students with more than one year of clinical practice experience participated. Three categories and ten themes were extracted. The following situational categories: "unprotected patients' right and dignity," "clinical settings in which standards of care are not upheld," "disrespectful hospital culture," and "inconsistent and unsystematic clinical education" caused moral distress. Types of responses to moral distress included: "shock and confusion over the gap between reality and moral standards," "powerlessness when cannot advocate patients," "fear and doubts about nursing career," and "moral desensitization and disappointment in oneself." "Expressions of moral distress and the need for advice" and "a search for meaning and hope" were identified as coping strategies. Conclusion: These results demonstrate the need for systematic clinical practicum and education programs to minimize moral distress. These programs may offer opportunities for students to turn moral distress into opportunities for learning and growth in the future.

ICU Nurses' Work Experience for Attempted Suicide Patient by Drug Ingestion: A Focus Group Study (일 대학병원 중환자실 간호사의 음독자살시도 환자 간호 경험: 포커스 그룹 연구)

  • Kim, Mi Ok;Cho, Heung Don;Bong, Eun Kyung;Son, Youn-Jung;Park, Young-Su
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.11-20
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    • 2013
  • Purpose: This study to describe experiences of nurses who work in intensive care units (ICUs) where they frequently encounter patients with attempted suicide by drug ingestion. Methods: Data were collected by 2 focus group interviews with 9 ICU nurses. The interview were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: The results of data analysis, five themes were drawn: 'Confusion about for the attempted suicidal patient care', 'Helplessness for dying with attempted suicidal patients', 'Guilty for insufficient care', 'Ambivalence for the attempted suicidal patients', 'Recognition of need for professional approach'. Conclusion: The results of this study help us to understand patients who attempted suicide through the ICU nurses' experience. It would be useful to develop effective education programs for ICU nurses to preventive strategies for patients who are high risk of recurrence of suicidal crisis situation.

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Korean Critical Care Advanced Practice Nurses' Work Experience: A Focus Group Study (중환자전문간호사들의 실무경험: 포커스 그룹 연구)

  • Kim, Keum-Soon;Kim, Bok-Ja;Yi, Young-Hee;Kang, Ji-Yeon
    • Journal of Korean Critical Care Nursing
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    • v.4 no.2
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    • pp.1-14
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    • 2011
  • Purpose: This study was aimed to understand and describe the Korean critical care advanced practice nurses' work experience. Methods: Data was collected through 2 focus group interviews that were held in two different university hospitals in Seoul, Korea. All interviews were recorded and transcribed, and data were analysed using modified qualitative content analysis. Results: Ten themes were drawn from data analysis. They are "Various and complex tasks", "Excellency of advanced nursing practice", "Pressure and responsibility accompanied with pride", "Role identity confusion", "Role conflict", "Leaping and evolving role", "Gap between role and outcome evaluation", "Underestimated outcomes", "Where are my outcomes?" "Searching for outcomes: publicize the role". Conclusion: The results of this study help to understand the role of Korean critical care advanced practice nurses and to guide to outcome evaluation of their role effectiveness. Developing qualitative outcome indicators, cost-effectiveness ananlysis of Korean critical care advanced practice nurses' role, and accumulation of evidences through researches on outcome evaluation will be needed to successfully settle down advanced practice nursing in Korea.

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A Taxonomic Study on Sedum Section Telephium in Korea (한국산 돌나물속 Telephium 절 식물의 분류학적 연구)

  • 정영호
    • Journal of Plant Biology
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    • v.33 no.1
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    • pp.1-24
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    • 1990
  • This study was attempted to clarify the taxonomic problems that have been raised up to now in the study o section Telephium, genus, Sedum: the delimitation of taxa belong to Telephium group, their relationship, and nomenclatural confusion and the rank of Telephium group. Specimens were collected at 19 sites in Korea. The habitat, distribution, external morphological characters of habit, leaf shape, phyllotaxy, inflorescence, color of floral organs, floral formula, carpel, capsule, and micro-characters of pollen, seed coat, stigma and anther with SEM were examined. Through this study, the following results were obtained. The delimitation of taxa that belong to section Telephium in Korea and their relationship Nomenclatural errors were corrected. In S. rotundifolium Lee, species epithet“rotundifolium”is later homonym of s. rothundifolium Lamarck, so corrected to S. duckbongii Chung and Kim by article 64 of ICBN. Phyllotaxy was elucidated to meaningless, character in sect. Telephium. S. taquetii was a separate species from S. viridescens and not of its synonym. S. alboroseum Baker in Korea was S. erythrostictum sensu Master not of S. erythrostictum Miquel. By this study , taxa of sect. Telephium in Korea were arranged to 7 species. Considering interspecific relationship of sect. Telephium, S. duckbongii and S. alboroseum are considered to be more advanced forms and S. viridescens, S. taquetii, and S. viviparum to be more primitive forms among 7 species.

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Korean Brain Tumor Society Consensus Review for the Practical Recommendations on Glioma Management in Korea

  • Chul-Kee Park;Jong Hee Chang
    • Journal of Korean Neurosurgical Society
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    • v.66 no.3
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    • pp.308-315
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    • 2023
  • Recent updates in genomic-integrated glioma classification have caused confusion in current clinical practice, as management protocols and health insurance systems are based on evidence from previous diagnostic classifications. The Korean Brain Tumor Society conducted an electronic questionnaire for society members, asking for their ideas on risk group categorization and preferred treatment for each individual diagnosis listed in the new World Health Organization (WHO) classification of gliomas. Additionally, the current off-label drug use (OLDU) protocols for glioma management approved by the Health Insurance Review and Assessment Service (HIRA) in Korea were investigated. A total of 24 responses were collected from 20 major institutes in Korea. A consensus was reached on the dichotomic definition of risk groups for glioma prognosis, using age, performance status, and extent of resection. In selecting management protocols, there was general consistency in decisions according to the WHO grade and the risk group, regardless of the individual diagnosis. As of December 2022, there were 22 OLDU protocols available for the management of gliomas in Korea. The consensus and available options described in this report will be temporarily helpful until there is an accumulation of evidence for effective management under the new classification system for gliomas.

Undecided inference using logistic regression for credit evaluation (신용평가에서 로지스틱 회귀를 이용한 미결정자 추론)

  • Hong, Chong-Sun;Jung, Min-Sub
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.2
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    • pp.149-157
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    • 2011
  • Undecided inference could be regarded as a missing data problem such as MARand MNAR. Under the assumption of MAR, undecided inference make use of logistic regression model. The probability of default for the undecided group is obtained with regression coefficient vectors for the decided group and compare with the probability of default for the decided group. And under the assumption of MNAR, undecide dinference make use of logistic regression model with additional feature random vector. Simulation results based on two kinds of real data are obtained and compared. It is found that the misclassification rates are not much different from the rate of rawdata under the assumption of MAR. However the misclassification rates under the assumption of MNAR are less than those under the assumption of MAR, and as the ratio of the undecided group is increasing, the misclassification rates is decreasing.