• Title/Summary/Keyword: DECISION MAKING

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Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals (상급종합병원 전문간호사의 임상적 의사결정능력과 직무스트레스 간의 관계에서 역할 명확성의 매개효과)

  • Kim, Min Young;Kim, Jeong Hye;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.27-38
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    • 2022
  • Purpose : The purpose of this study was to identify the mediating effect of role clarity in the relationship between clinical decision-making abilities and job stress among advanced practice nurses at tertiary hospitals. Methods : The participants were 137 advanced practice nurses. The assessment tools were clinical decision-making in nursing scale, role ambiguity scale, and Korean occupational stress scale (KOSS-26). Data were analyzed with the SPSS/24.0 program and mediation analysis was performed according to the Baron and Kenny methods. Results : There were significant relationships between clinical decision-making abilities and job stress (r=-.33, p<.001), and role clarity and job stress (r=-.29, p=.001). Role clarity showed partial mediating effects in the relationship between clinical decision-making abilities and job stress (Z=2.02, p=.043). Conclusion : Therefore, to reduce advanced practice nurses' job stress, it is necessary to develop a program and strategies to increase their clinical decision-making abilities.

Effects of Critical Thinking Disposition, Knowledge Sharing Activity and Professional Work Environment on Clinical Decision-making Ability at General Hospital Nurses (일 종합병원 간호사의 비판적 사고성향과 지식공유 활동 및 전문직 업무환경이 임상적 의사결정능력에 미치는 영향)

  • Kim, Mi Young;Choi, Eun Hee
    • Journal of muscle and joint health
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    • v.30 no.1
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    • pp.48-57
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    • 2023
  • Purpose: The purpose of this study was to examine nurses' critical thinking disposition and knowledge sharing activity and professional work environment on clinical decision-making ability. Methods: The data collection period for this study was from May 24 to May 31, 2021. The data were collected from 167 nurses who consented to participate in this study and have worked for more than one year at general hospital in Seoul. The data were analyzed using the SPSS/WIN 25.0 program. Results: A significant positive correlation was found between clinical decision-making ability and critical thinking disposition, knowledge sharing activity, and a professional work environment. Critical thinking disposition (β=.32, p<.001), knowledge sharing activitiy (β=.24, p=.002) and professional work environment (β=.20, p=.006) had a significant effect on clinical decision-making ability. These factors explained 35.5% of clinical decision-making ability (F=24.22, p<.001). Conclusion: Therefore, in order to develop the critical thinking disposition of nurses, development of systematic educational programs and strategies for practical application are needed. Through this, nurses can improve the professional decision-making ability and clinical performance ability.

- A Study on Improving Reliability for Multiple Criteria Decision Making Using Taguchi Method - (다구찌 기법을 적용한 다기준 의사결정 모형의 신뢰성 향상에 관한 연구)

  • Heo Jun Young;Park Myeong Kyu
    • Journal of the Korea Safety Management & Science
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    • v.6 no.3
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    • pp.249-273
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    • 2004
  • Finding an optimal solution in MADN[(Multi-Attribute Decision-Making) problems is difficult, when the number of alternatives, or that of attributes is relatively large Most of the existing mathematical approaches arrive at a final solution on the basis of many unrealistic assumptions, without reflecting the decision-maker's preference structure exactly. In this paper we suggest a model that helps us find a group consensus without assessing these parameters in specific cardinal values. Therefore, This research provides a comprehensive Decision Making of the theory and methods applicable to the analysis of decisions that involve risk and multiple criteria attributes. after, The emphasis of the procedure will be on developments from the fields of decisions analysis and utility theory of Taguchi Method. This theoretical development will be illustrated through the discussion of several real-world application and a case study. When the multiple number of decision makers are involved in the decision making procedure, the problem of uncertainties invariably occurs, because of the different views between them. In this paper, New decision making model using Taguchi Method is applied to effectively model the multi-attribute-decision making(MADM) procedure in the uncertainties dominated two area(quantitative and qualitative factors), Quantitative factors evaluation is used Loss Function of Taguchi, qualitative factors evaluation is used 50 ratio by each specialist. thus it can be used for aiding of preferable alternative. as a result, We will be proved efficiency about New decision making model of applied Taguchi Method with Analytical presentation of all the expecting outcomes when a specific strategy or an alternative plan is selected under expecting future environment.

Conceptualizing a Strategic Facilities Management Decision Framework for Heritage Building Maintenance Management

  • Adegoriola, Mayowa I.;Yung, Esther H.K.;Lai, Joseph H.K.;Chan, Edwin H.W.
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.992-1000
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    • 2022
  • Heritage buildings (HBs) as structures with historical and architectural relevance that form an integral part of contemporary society. HBs deserve to be protected for as long as possible to retain their significance. Therefore, prioritizing HB maintenance management (HBMM) is pertinent. However, the decision-making process of HBMM can be relatively daunting. The decision-making challenge may be attributed to the multiple 'stakeholders' expectation and requirement which needs to be met. To this end, professionals in the built environment have identified the need to apply the strategic concept of facilities management (FM) in decision making. However, studies exploring the application of FM in decision-making seem lacking. To bridge this gap, this study focuses on developing a framework for strategic decision-making HBMM, which helps achieve HBMM sustainability. At the study's inception, relevant works of literature in the domains of HBMM and FM were conducted. This review helped identify contemporary maintenance practices and their applicability to HBMM. Afterward, a conceptual framework to aid decision-making in HBMM was developed. This framework integrated the concept of FM scope (people, place, process, and technology) while ensuring that decisions and plans were made at strategic, tactical, and operational levels. The conceptual framework presents a holistic guide for professionals in HBMM to ensure that decision processes and outcomes are practical and efficient. It also contributes to the existing body of knowledge on the integration of FM in HBMM. Furthermore, it will help achieve HB sustainability through an effective decision-making process.

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Development and Evaluation of a Web-based Simulation Program on Patient Rights Education using Integrated Decision Making Model for Nurse Students (가치통합 의사결정모델을 이용한 간호학생 대상 웹기반 환자권리교육 시뮬레이션 프로그램 개발 및 평가)

  • Kim, Ki-Kyong
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.2
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    • pp.227-236
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    • 2014
  • Purpose: This study was designed to develop and evaluate the a web-based simulation program on patient rights education using integrated decision making model into values clarification for nurse students. Methods: The program was designed based on the Aless & Trollip model and Ford, Trygstad-Durland & Nelms's decision model. Focus groups interviews, surveys on learning needs for patient rights, and specialist interviews were used to develop for simulation scenarios and decision making modules. The simulation program was evaluated between May, 2011 and April, 2012 by 30 student nurses using an application of the web-based program evaluation tools by Chung. Results: Simulation content was composed of two scenarios on patient rights: the rights of patients with HIV and the rights of psychiatric patients. It was composed of two decision making modules which were established for value clarifications, behavioral objective formations, problems identifications, option generations, alternatives analysis, and decision evaluations. The simulation program was composed of screens for teacher and learner. The program was positively evaluated with a mean score of $3.14{\pm}0.33$. Conclusion: These study results make an important contribution to the application of educational simulation programs for nurse students' behavior and their decision making ability in protecting the patient rights.

Information Quality and the Relative performance Comparison between Individual and Group Decision-making (합의에 의한 잡음(noise)제거와 의사결정유형별 성과비교)

  • 김동헌;유성용
    • The Journal of Information Technology
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    • v.3 no.1
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    • pp.45-59
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    • 2000
  • This study evaluates empirically differences of performance in the two types of the decision-making. There exist implied noises in the information but consensus mitigates or clears noises from available information in the decision-making process. Decision-making peformance depends on information quality. Therefore the higher quality information are used, the more peformance decision-makers have. The results of this study shows that group decision-making is better than individual in decision making performance. It indicates that consensus mitigates or clears noises in the information. As variant individuals, however, have different performance, individual decision-makers also have different ability in analyzing information.

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The Effects of Decision-Making Activities about Bioethical Issues on Students' Rational Decision-Making Ability in High School Biology (생물 윤리 의사결정 활동이 고등학생들의 합리적인 의사결정능력에 미치는 영향)

  • Park, Yun-Bok;Kim, Young-Shin;Chung, Wan-Ho
    • Journal of The Korean Association For Science Education
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    • v.22 no.1
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    • pp.54-63
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    • 2002
  • The purpose of this study was to investigate the effect of decision-making activities in lesson on improving decision-making ability to meet bioethical issues in everyday situation. Worksheet for decision-making was consisted of six steps: Identification of problem, searching relevant information, generation of alternatives, identification of values for selection criteria, evaluation of alternatives, review of consequence. The results of this study showed that the scores of decision-making were increased by the activities of worksheets. The scores of identification of problem, generation of alternatives, and evaluation of alternatives were increased meaningfully. However, the scores of searching relevant information, identification of values for selection criteria, and review of consequence were not increased. It seems that all steps of decision-making ability could not improve by short-term learning. Low level performance was appeared on the step of searching relevant information and evaluation of alternatives. This result indicated that students could not apply the biological knowledge to decision-making in the face of bioethical issues. In conclusion, the learning experience of decision-making is essential to foster rational decision-making ability. The activity of decision-making should be included in science class and curriculum.

Career decision-making styles and career maturity amongst Korean undergraduate students (대학생의 진로의사결정유형에 따른 진로의식성숙)

  • Kim, Young-Hee;Kim, Kyoung-Eun;Choi, Jung-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.3
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    • pp.1223-1233
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    • 2011
  • The purpose of this study was to investigate the differences in university student's career maturity according to general characteristics(for example, gender, grade, and SES) and undergraduate student's career decision-making styles. A scale measuring the career decision-making styles(Harren, 1984) and career maturity(Crites, 1978) was administered to 223 university students around the capital city. The data were analyzed using Cronbach's ${\alpha}$ tests, means, standard deviations, One-way MANOVAs, and Multiple Discriminant Analyses. The results of this study were as follows: 1. There was not significant difference by gender in career maturity. But there were significant differences by grade and SES in career maturity. Freshmen and Senior exhibited higher career decision-making attitude than sophomores and juniors. High-SES group showed higher career decision-making attitude and lower career independence. 2. There were significant differences by career decision-making styles in career maturity. 51.1% of our samples were rational decision-making styles, 30.0% of our samples were intuitive decision-making styles, and 18.8% of our samples were dependent decision-making styles. Undergraduate students with rational decision-making styles showed more positive career choice behavior and higher career independence than undergraduate students dependent decision-making styles.

Family Surrogates' Decision Regret and Psychological Stress about End-of-Life Cancer Treatments: Path Analysis (말기 암환자 가족의 대리적 연명의료 결정에 대한 치료결정 후회 및 심리적 스트레스: 경로모형 분석)

  • Kim, Su Hyun
    • Journal of Korean Academy of Nursing
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    • v.48 no.5
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    • pp.578-587
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    • 2018
  • Purpose: This study aimed to understand the mechanisms of decision regret and stress of family surrogates' end-of-life decision making using an exploratory path model. In particular, the research identified the direct effects of perceptions of uncertainty and effective decisions on decision regret and stress, and examined the indirect effects of being informed, having clear values, and being supported for decision regret and the stress of end-of-life decision making through the mediating variables of perceptions of uncertainty and effective decisions. Methods: Data were collected from 102 family surrogates who had participated in end-of-life decision making for patients with terminal cancer in a tertiary hospital. Results: Perception of effective decisions was a significant direct predictor of decision regret, and uncertainty was a significant predictor of stress among the participants. Being informed, having clear values, and being supported had a significant indirect influence on decision regret through the perception of effective decisions among family surrogates. However, only having clear values had a significant indirect influence on stress through the perception of uncertainty. The model explained 63.0% of decision regret and 20.0% of stress among the participants and showed a good fit with the data, ${\chi}^2=12.40$ (df=8, p=.134), TLI=.97, and RMSEA=.07. Conclusion: Nurses can support family surrogates in end-of-life decision-making processes to decrease their decision regret by providing information about end-of-life care choices, clarifying personal values, and supporting the decision-making process, and to relieve their stress by facilitating the clarification of personal values.

Decision-making Problems for the Operation of Container Terminals (컨테이너터미널 운영을 위한 의사결정문제의 소개)

  • Kim, Kap Hwan
    • Journal of Korean Institute of Industrial Engineers
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    • v.33 no.3
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    • pp.290-302
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    • 2007
  • This paper introduces several decision-making problems that need to be solved in order to facilitate the efficient operation of container terminals. These decision-making problems include the berth planning problem, the quay crane scheduling problem, the unload/load sequencing problem, the yard allocation problem, and the short-term scheduling of transporters and yard cranes. These problems can be classified into strategic decision problems, tactical decision problems, and real time operational decision problems. This paper proposes definitions of the problems that can be used to develop mathematical models for the problems.