• 중환자간호학회지
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• 제10권1호
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• pp.1-12
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• 2017

Purpose: This study aimed to estimate the appropriate nurse staffing ratio in intensive care units (ICUs) by measuring nursing workload based on patient's severity and needs, using the Korean Patient Classification System for critical care nurses. Methods: The data were collected from January 18 to February 29, 2016 using a standardized checklist by observation or self-report. During the study period, 723 patients were included to be categorized from I to IV using the patient classification system. Measurement of total nursing workload on a shift was calculated in terms of hours based on the time and motion method by using tools for surveying nursing activities. The nursing activities were categorized as direct nursing care, indirect nursing care, and personal time. Total of 127 cases were included in measuring direct nursing time and 18 nurses participated in measuring indirect and personal time. Data were analyzed using descriptive statistics. Results: Two patients were classified into Class I (11.1%), 5 into Class II (27.8%), 9 into Class III (50%), and two into Class IV (11.1%). The amount of direct nursing care required for Class IV (513.7 min) was significantly more than that required for Class I (135.4 min). Direct and indirect nursing care was provided more often during the day shift as compared to the evening or night shifts. These findings provided the rationale for determining the appropriate ratio for nursing staff per shift based on the nursing workload in each shift. Conclusions: An appropriate ratio of nurse staffing should be ensured in ICUs to re-arrange the workload of nurses to help them provide essential direct care for patients.

• 대한토목학회논문집
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• 제31권4B호
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• pp.323-332
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• 2011

하천에서 수목의 관리를 위해서는 수목이 홍수에 미치는 영향이나 생태적 특성을 고려하여 대책을 수립하여야 한다. 수목에 의한 수리학적 영향은 통수능 감소와 유수력에 의한 전도로 인한 하류 하천시설물의 기능 저해이다. 현장 인발시험은 수목이 전도될 때의 최대 저항력을 측정하여, 하천 내의 수목이 외력에 저항하는 정도를 파악하기 위해 시행하였다. 수목의 전도모멘트를 파악하기 위한 인자는 수목의 외형적 특성인 수종, 흉고직경, 수고 등이며, 본 연구에서는 전도모멘트와 흉고 직경의 상관관계를 이용하였다. 수목의 한계 전도모멘트는 흉고직경 4.9-32.8 cm의 관목과 교목 100주를 바탕으로 검토되었다. 교목과 관목을 함께 고려할 경우에는 흉고직경과 한계 전도모멘트의 상관관계를 도출하기 어려웠다. 그러나 교목만을 고려할 경우에는 흉고직경과 한계 전도모멘트 사이에 일정한 상관관계가 있음을 확인하였다.

• Journal of Korean Academy of Oral Health
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• 제41권4호
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• pp.267-273
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• 2017

Objectives: Unmet needs for dental treatment are one of the potential contributing factors to poor oral health because oral health problems worsen if left untreated. This study aimed to demonstrate the prevalence of and the causes for unmet dental needs, and to evaluate the association between unmet needs for dental treatment and oral health status. Methods: Data on 3,883 subjects aged ${\geq}18years$ from the Korean National Oral Health Survey 2006 were analyzed. Information regarding unmet needs for dental treatment was obtained using standardized questionnaires. Eight trained dentists examined decayed, missing, or filled teeth (DMFT). Multiple regression models were built to assess the association between unmet needs for dental treatment and the DMFT scores. Results: The prevalence of perceived unmet needs for dental treatment was 34.7% among the adult Korean population. Economic constraints were the main cause (38.6%) for unmet dental needs. The average DMFT scores were higher in the subjects with unmet needs for dental treatment than in those without. In individuals with unmet needs for dental treatment within the past 1 year, the number of decayed teeth after adjusting for confounders was likely to be greater by 0.58 and that of missing teeth by 0.27 compared to that in their counterparts with no unmet dental needs in the past 1 year. Conclusions: Perceived unmet needs for dental treatment were significantly associated with poor oral health status among the adult Korean population. Further studies are needed to clarify the direct and indirect effects of unmet needs for dental treatment on an individual's oral health status by investigating critical variables of the causal pathways among perceived dental needs, dental care utilization, and oral health status.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2008년도 정기학술발표대회 논문집
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• pp.222-226
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• 2008

건설산업은 불확실성이 높은 산업으로 이에 따른 비용효용성 향상 및 경쟁력 강화를 위한 연구가 다각적으로 진행되어 왔다. 린 건설의 대표적인 요소기술인 라스트플래너 시스템은 기존의 상의하달식 의사결정체계를 개선한 하의상달식 접근방식으로서, 모든 참여주체가 함께 중 단기 공정계획을 검토 시행하는 체계이다. 이와 같은 린 건설은 최근 들어 건설프로젝트에서 주도적인 역할을 하고 있는 발주자의 적극적인 참여와 전체 생애주기를 총괄할 수 있는 리더역량을 요구하는 방향으로 논의가 전개되고 있다. 그러나 발주자가 참여하는 린 건설이 성공하기 위해서는 건설주체 상호간에 요구하는 니즈(needs)수준과 이를 개선하기 위한 전략들이 우선적으로 고려되어야 한다. 본 연구에서는 건설 시공과정에서의 참여주체 니즈 요소를 규명 분석하고, 중점관리항목과 이들 항목들의 개선가능성을 도출하는 방법, 그리고 이를 기반으로 한 발주자 참여형 린 건설 협업 모델을 제시하였다.

• 성인간호학회지
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• 제12권4호
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• pp.517-532
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• 2000

The purpose of this study was to develop a critical pathway for case management of patients who have received Lumbar Laminectomy because of low back pain, arm and leg numbness, and radiating pain in the leg. For this study, a preliminary critical pathway was developed through a review of the literature including five critical pathways which are currently being used in the USA. In order to identify the overall service contents required by these patients, 30 cases were analyzed. These cases were taken from medical records of those with Lumbar Laminectomy between January, 1998 and December, 1998 in the department of neurosurgery at the Pusan National University Hospital in Pusan. An expert validity test was done for the preliminary critical pathway, a clinical validity test was also done using 12 patients with Lumbar Laminectomy between October 1, 1999 and January 31, 2000. After these processes, the final critical pathway was developed. The results are summarized as follows. 1. The vertical axis of the critical pathway includes the following eight items: assessment, consultation, diet, test, medication, treatment, activity, education/ discharge planning. The horizontal axis includes the time from the start of hospitalization to discharge. Analysis of the 30 medical records was done. analysis of the service contents showed the horizontal axis of the preliminary critical pathway was set from hospitalization to the 12th post operation day and the vertical axis was set to include eight items, the contents which should have occurred, according to the time frames of the horizontal axis. 2. As a result of the expert validity test, it was found that among the 233 items, 203 showed over 88% agreement and 30 of them showed less than 88% agreement, which were then revised or deleted from the critical pathway. At the preliminary meeting for the clinical validity test, the time of hospitalization on the horizontal axis was shortened to the 10th post operation day. A clinical validity test was done with 12 patients with Lumbar Laminectomy. All the cases progressed according to the critical pathway although some variances were noted in assessment, consultation, test, medication, and treatment. 3. Based on these results, a final critical pathway was determined. In conclusion, this critical pathway is partially applicable to the care of patients with Lumbar Laminectomy and needs further investigation.

• 한국컴퓨터정보학회논문지
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• 제26권3호
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• pp.89-97
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• 2021

본 연구에서는 교통수송분야 국가핵심기반 지정 및 관리시 연계성을 고려한 운영관리 전략을 제안한다. 산업구조가 고도화됨에 따라 국가핵심기반은 교통수송분야 연구개발 생애주기를 고려하여 교통수송분야의 연계 협업형 연구개발 계획과 심층분석을 적용하였다. 국가경제나 국민생활의 활동이 사회의 요건에 밀착되는 등의 포괄적인 국가안전과 국민의 안전 요구 증대로 정부의 책임이 점차 확대되고 있는 추세에 있다. 이러한 시점에서 본 연구의 특징은 유지관리의 필요성과 국가의 책무인 대국민 서비스를 위한 종합적이고 과학적인 관리를 수행하였다. 이에, 교통수송분야 국가 핵심기반은 지속가능한 유지·관리를 위한 보호계획 수립과 가이드라인을 고려하여 작성·시행한다. 본 연구는 교통수송분야의 국가핵심기반 지정·관리시 연계성을 고려한 운영 전략을 제안함으로서 효율적인 국가핵심기반 재난관리에 기여한다.

• 공학교육연구
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• 제24권1호
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• pp.34-45
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• 2021

This research is a case study about "Critical Thinking and Debate Education" class which was done for freshmen at the engineering college of "S" Women's University. Real time remote classes through LMS and ZOOM were the most effective tools under on-line circumstances, considering the fact that video lectures only cannot cultivate students' capabilities of critical thinking and communication. Throughout the analysis on students' self-reflection journals and lecture evaluations, this paper examined considerable future points and the pros and cons of "Critical Thinking and Debate Education" under online presentation and discussion situation. As research outputs, students told they could feel less nervousness and anxiety when they exercise and have a presentation because they could choose familiar space for them. In addition, students also told that they feel comfortable about both self-feedback and peer evaluation, repeatedly seeing the recorded video clip. However, on the contrary, sometimes students felt uncomfortable due to unstable internet connection through the online classes, and they also were regretful about the missing chances of interaction between a teacher and students and of intimate exchanges among students. They also told they had felt a kind of limit of enhancing their presentation skills just in front of the monitor. Considering these outcomes, this research paper points out that online education needs to be proceeded by strengthening multi layered feedback to students with the build-up of a non-face-to-face stable educational infrastructure, application of online instructional strategy, and utilization of YouTube platform and video contents. Through this research paper, I hope the new system of encompassing on/off line "Critical Thinking and Debate Education" and effective teaching and learning method can be developed soon by strengthening the strength of online education.

• 한국실내디자인학회논문집
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• 제13호
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• pp.96-101
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• 1997

The purpose of this study was to examine the current office work environment and suggest the needs for improvement the quality and efficiency of work. To fulfill this task, information describing various environmental conditions was gathered from generally large offices in Pusan and Major cities in Kyoungnam. Data were collected on questionnaire's general information, lighting, air quality, temperature, health problems, noise and equipment arrangements, and the size fo workspace. The extent to which the attitudes and behaviors of workers were related to these environmental conditions was then examined and scrutinized. According to the development of office automation, the interest in improvement of office environment become increased. Workstation size, individual environmental control, health care, adequate storage space and noise control should be recognized as critical to the worker's environmental satisfactiov. Finally, based on the results of this study, a number ofrecommendations can be made for alleviating some of the problems that have been identified. Designers should be interested in knowing if their environments actually function in the manner in which they were intended.

• 지식경영연구
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• 제16권2호
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• pp.193-212
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• 2015

A corporate university (CU) is an educational institution established by an organization whose primary purpose is not education. Traditionally, a CU is considered a training facility to improve organizational performance. However, the proliferation of the CU has engendered its diverse purposes, roles, and forms. This study attempts to identify three types of the existing CUs: (a) a CU to improve organizational performance; (b) a CU to satisfy employees' learning needs; and (c) a CU to develop a competent national workforce. Also, this study suggests a holistic CU model including the three CU types. In order to transform a CU to a multifunctional CU embracing all three types of CU, organizations should (a) provide communication and collaboration channels, (b) present clear organizational goals, (c) establish organizational policies/systems to encourage learning in CUs, and (d) devise an effective approach to evaluate the impact of CUs. Organization' s critical roles in the development of CUs can assist CUs in becoming the core of knowledge management.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2002년도 춘계학술대회
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• pp.15-21
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• 2002

In the future, all kinds condition of industrial safety is a primary need in all advanced countries in which workplace safety is an issue. Furthermore, the increasing complexity of production systems and the rapidity of technological innovation have consolidated the recognition of the strategic value of safety, alongside the traditional competitive factors such as quality, costs, delivery time and flexibility, In this paper, the some critical issues of changes and counter-plan in an adequate safety management were identified by above considerations as follows： needs of systematic identification and analysis of safety factors； requirements to define priorities and budgeting to support the decision-making process; and needs of audit activities and indicators which measure company performance in terms of safety improvements, and so on.