• 제목/요약/키워드: Critical Needs

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Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies

  • Choi, JiYeon;Donahoe, Michael P.;Hoffman, Leslie A.
    • 대한간호학회지
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    • 제46권2호
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    • pp.159-167
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    • 2016
  • Purpose: This article provides an overview of current knowledge on the impact of caregiving on the psychological and physical health of family caregivers of intensive care unit (ICU) survivors and suggestions for future research. Methods: Review of selected papers published in English between January 2000 and October 2015 reporting psychological and physical health outcomes in family caregivers of ICU survivors. Results: In family caregivers of ICU survivors followed up to five years after patients' discharge from an ICU, psychological symptoms, manifested as depression, anxiety and post-traumatic stress disorder, were highly prevalent. Poor self-care, sleep disturbances and fatigue were identified as common physical health problems in family caregivers. Studies to date are mainly descriptive; few interventions have targeted family caregivers. Further, studies that elicit unique needs of families from diverse cultures are lacking. Conclusion: Studies to date have described the impact of caregiving on the psychological and physical health in family caregivers of ICU survivors. Few studies have tested interventions to support unique needs in this population. Therefore, evidence for best strategies is lacking. Future research is needed to identify ICU caregivers at greatest risk for distress, time points to target interventions with maximal efficacy, needs of those from diverse cultures and test interventions to mitigate family caregivers' burden.

인트라넷기반의 경찰지식관리시스템에 관한 연구 (A Study on the Police Knowledge Management System based on the IntraNet)

  • 최응렬;임재강
    • 시큐리티연구
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    • 제3호
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    • pp.273-305
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    • 2000
  • The knowledge substitutes the traditional factors of production - land, labor, and capital - and has become one of the most important new resources. The Internet Knowledge Society is where the knowledge is the major source of development and competition. Now more than 350mi11ion computers are connected to internet servers and the internet users are more than 250mi11ion. The purpose of this paper is to propose some key factors for implementing the Police Knowledge Management System(PKMS) based on Intranet. With Information Technology(IT), the police administrative system will be much more efficient. Introducing the If into the system is critical for restructuring the police administrative system. This paper concludes as follows : ■ Knowledge is divided into tacit and explicit one. Knowledge process is divided into acquisition, accumulation, distribution and creation of knowledge. ■ The IntraNet is composed of Web server, FTP server, electric-mail server, and is constructed security system to safety. ■ All policemen are bound to serve as a new knowledge worker. ■ Police organization needs to operate data management system. The organization also needs to the Police Knowledge Management Center(PKMC). And the Police Chief Knowledge Officers(PCKO) needs to be appointed to manage the PKMC. ■ An information and knowledge infrastructure(various databases are the most important factor) should be established within the organization to promote the self-directed management, the interactive communication, and the learning ability of the members.

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고객관점의 음식물처리기 개발을 위한 QFD를 활용한 제품품질요인 분석 (Analysis of Product Quality Characteristics Using QFD for Food Waste Disposer Development from Customer Perspective)

  • 이재광;이태양
    • 대한안전경영과학회지
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    • 제14권1호
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    • pp.201-208
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    • 2012
  • Recently the market of the food waste disposer has increased. Therefore, many companies in the development of food garbage disposer has been increasing interest. In this study, we used QFD (Quality Function Development) to find out the quality factors for the development of the food waste disposer reflecting the consumer needs. HOQ (House Of Quality) showing the correlation between consumer characteristic and engineering characteristic was written by investigating the consumer needs based on the consumer complaints and survey. In addition, we generated the CTQ (Critical To Quality) reflecting the weighting of the importance of the parts. As the research result, the important quality factors for the food garbage disposer were the grinding capability, drying, and odor emission features. The crushing motor associated with grinding and dehydration appeared as the most important quality factors among the parts. Second thing was the fan motor associated with odor. The findings will be able to contribute to the development of the food waste disposer reflecting the consumer needs.

간호요구도에 따른 중환자간호 분류도구 개발 (Development of Classification System for Critical Care Nursing Based on Nursing Needs)

  • 유정숙;김금순
    • 임상간호연구
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    • 제19권1호
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    • pp.33-44
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    • 2013
  • Purpose: This study was done to develop a valid and reliable Classification System for Critical Care Nursing (CSCCN) to be used in Intensive Care Units (ICUs). Methods: Head nurses and staff nurses of 17 ICUs in 6 hospitals classified 307 patients to verify interrater reliability. To verify construct validity, the staff nurses classified 404 patients according to CSCCN comparing difference in medical department and type of stay in ICU. For conversion index, 78 patients from 4 ICUs of 'S' hospital were classified and nursing time was measured by 107 nurses and 18 nurse aids using stopwatches. Results: The developed CSCCN has 11 categories, 76 nursing activities and 101 criteria. The reliability was verified as having high agreement (r=.946). The construct validity was verified comparing differences in medical department and type of stay in ICU. According to scores, four groups in the CSCCN classification were identified. According to the conversion index, one score on the CSCCN means 7.2 minutes of nursing time. Conclusion: CSCCN can be used to measure diverse and complex nursing demands including psycho-social aspects of ICU patients and convert nursing demands to numbers.

간호학생을 위한 시뮬레이션 기반교육과정 개발 및 평가 (Development and Evaluation of a Simulation-based Education Course for Nursing Students)

  • 양진주
    • 성인간호학회지
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    • 제20권4호
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    • pp.548-560
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    • 2008
  • Purpose: This study was conducted to develop a simulation-based education course and to evaluate the results after the application for second year nursing students. Methods: This study was a non-equivalent control pre-post design. Based on the clinical situation scenarios about patients with COPD and MI, a total of two simulation-based learning modules was developed. Pretest and posttest was conducted to evaluate the difference in critical thinking disposition, problem solving, and clinical competence between two groups of 102 students for the experimental group, 2007 and 90 students for the control group, 2006. The experimental group conducted a clinical performance evaluation in the final test, on December 10, 2007. Results: In the experimental group, knowledge related to learning objectives was significantly increased and core intervention was performed almost exactly, but the same result was not observed in domains of analysis of laboratory test, and nursing education for patients. Self-evaluated clinical competence and problem solving level were significantly more improved in the experimental group than control group, but critical thinking disposition level wasn't. Conclusion: In conclusion, a simulation-based education course needs to utilize self-directed learning module like computer-based learning through web contents and MicroSim and video productions for improving nursing students' critical thinking.

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문제중심학습(Problem Based Learning)과 주제중심학습(Subjective Based Learning) 간의 학습만족도, 비판적 사고성향, 학습태도 및 동기에 대한 비교 연구 (Comparison of Learning Satisfaction, Critical Thinking Disposition, Learning Attitude and Motivation between PBL and SBL Groups)

  • 송영아
    • 한국간호교육학회지
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    • 제14권1호
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    • pp.55-62
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    • 2008
  • Purpose: The purpose of this study was to compare and analyze learning satisfaction, critical thinking disposition, learning attitude and motivation between Problem Based Learning and Subjective Based Learning. Method: The research was performed between September and December, 2005 and 2006, including the development of PBL packages and their application. Statistical analysis was performed using SPSS 13.0. An independent t-test, $X^2$-test, and Pearson Correlation Coefficient were performed to compare the two groups on each of the measures. Result: There were no statistically significant differences among participants in the two groups according to general characteristics. However, The PBL group scored significantly higher on learning satisfaction, critical thinking disposition, learning attitude and motivation. Conclusion: This study contributes to our understanding of student outcomes of the PBL approach compared to the SBL approach. PBL needs to be extended over individual nursing courses for the unification of related courses and a curriculum.

RELATION BETWEEN VIRIAL ENERGY AND MAGNETIC ENERGY PROVIDED BY AN EMERGING FLUX TUBE ON THE SUN

  • 강지혜;;안준모;이환희
    • 천문학회보
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    • 제37권1호
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    • pp.86.1-86.1
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    • 2012
  • The MHD virial theorem applied for observed photospheric field may be the one of way to estimate magnetic energy of generally invisible coronal magnetic structure. However, the photospheric field is not in a force-free state, so the application of virial theory needs some care. Here we use a series of MHD simulations of emerging field to investigate how we can apply the virial theorem to the emerging field. In early emerging phase, virial energy has a minus value although positive area at the photosphere is continuously generated toward a late emerging phase. We discuss why this tendency occurs. Then we derive the critical height where the actual emerging magnetic energy is almost comparable to the virial energy. If the difference between virial energy and magnetic energy becomes 10 percentage of the magnetic energy, we define this is the critical height, and assume the emerging field is close to force-free. We also discuss how the critical height changes with the initial twist of an emerging flux tube.

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집중치료 후 증후군에 관한 개념분석 (Concept Analysis of Post Intensive Care Syndrome)

  • 강지연;원윤희
    • 중환자간호학회지
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    • 제8권2호
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    • pp.55-65
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    • 2015
  • Purpose: The purpose of this study was to identify the attributes, antecedents, and consequences of post-intensive care syndrome. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched the Medline, ProQuest, Google scholar, NANET (Korean National Assembly Library), and RISS (Korean Education and Research Information Service) databases resulting in 29 studies for in-depth review. Results: The attributes of post-intensive care syndrome include (1) new or worsening impairment persisting after discharge, (2) physical impairment, (3) psychological impairment, (4) cognitive impairment, and (5) symptom experience. The antecedents of the concept include a critical condition that requires intensive care, stressful events, immobility, sedation, delirium, insomnia, frailty, and invasive procedures. The consequences of post-intensive care syndrome are increased dependency in activities of daily life, decreased social interaction, delayed return to previous occupation, decreased quality of life, familial post-intensive care syndrome, and readmission/death. Conclusion: The concept of post-intensive care syndrome has multifaceted and integrative features. Further research needs to be conducted to develop a measurement tool that reflects the attributes of the concept and to develop multidisciplinary interventions to prevent post-intensive care syndrome.

트레드 패턴을 고려한 타이어의 스탠딩 웨이브 현상에 대한 유한 요소 해석 (Finite Element Analysis on Standing Wave Phenomenon of a Tire Considering Tread Pattern)

  • 김기운;정현성
    • 한국자동차공학회논문집
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    • 제14권2호
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    • pp.76-83
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    • 2006
  • Each tire has a critical speed at which a standing wave phenomenon occurs along the circumferential direction. If the standing waves are formed, the tire temperature is rapidly increased and it leads to tire failure eventually. As the formation of the standing waves is closely related to the tire stiffness, the effect of the tread pattern needs to be studied numerically. The standing wave phenomenon of a tire model with tread pattern is predicted by an explicit finite element method. The critical speed of the tire with tread pattern is in a good agreement with the experiment and is $15{\sim}20\;km/h$ lower than that of the tire without tread pattern. The effects of the inflation pressure and the vertical load on the critical speed are also investigated by using the tire model with tread pattern.

희토류 관련 국제표준 동향 및 시사점 (Trends and Implications of International Standardization for Rare Earths)

  • 사다르 파라트 아바스;이상현;이빈;김범성;김택수
    • 한국분말재료학회지
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    • 제25권2호
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    • pp.165-169
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    • 2018
  • Rare earth elements (REEs) are considered to be vital to modern industry due to their important roles in applications such as permanent magnets, automobile production, displays, and many more. The imbalance between demand and supply of REEs can be solved by recycling processes. Regarding the needs of industry and society, the International Organization for Standardization, Technical Committee 298 (ISO/TC298) Rare Earths has been recently launched for developing international standards on rare earth elements. In accordance with the suggestion of its constituents, it is tentatively working to develop the appropriate standards under five working groups (WG) on terms and definitions (WG1), element recycling (WG2), environmental stewardship (WG3), packaging, labelling, marking, transport, and storage (WG4), and testing analysis (WG5). The scope and structure of ISO/TC298 on the topic of rare earths is discussed in this document.