• Title/Summary/Keyword: Decision making competency

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Development of a Triage Competency Scale for Emergency Nurses (응급실 간호사의 중증도 분류 역량 측정도구 개발)

  • Moon, Sun Hee;Park, Yeon Hwan
    • Journal of Korean Academy of Nursing
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    • v.48 no.3
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    • pp.362-374
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    • 2018
  • Purpose: This study aimed to develop a triage competency scale (TCS) for emergency nurses, and to evaluate its validity and reliability. Methods: Preliminary items were derived based on the attributes and indicators elicited from a concept analysis study on triage competency. Ten experts assessed whether the preliminary items belonged to the construct factor and determined the appropriateness of each item. A revised questionnaire was administered to 250 nurses in 18 emergency departments to evaluate the reliability and validity of the scale. Data analysis comprised item analysis, confirmatory factor analysis, contrasted group validity, and criterion-related validity, including criterion-related validity of the problem solving method using video scenarios. Results: The item analysis and confirmatory factor analysis yielded 5 factors with 30 items; the fit index of the derived model was good (${\chi}^2/df=2.46$, Root Mean squared Residual=.04, Root Mean Squared Error of Approximation=.08). Additionally, contrasted group validity was assessed. Participants were classified as novice, advanced beginner, competent, and proficient, and significant differences were observed in the mean score for each group (F=6.02, p=.001). With reference to criterion-related validity, there was a positive correlation between scores on the TCS and the Clinical Decision Making in Nursing Scale (r=.48, p<.001). Further, the total score on the problem solving method using video scenarios was positively correlated with the TCS score (r=.13, p=.04). The Cronbach's ${\alpha}$ of the final model was .91. Conclusion: Our TCS is useful for the objective assessment of triage competency among emergency nurses and the evaluation of triage education programs.

Development of an Integrated Clinical Nursing Practice Course for Improvement of Nursing Competency among Nursing Students (간호학생의 간호수행능력 향상을 위한 통합실습평가 프로그램 개발)

  • Shin, Yun-Hee;Hur, Hea-Kung;Park, So-Mi;Song, Hee-Young;Kim, Gi-Yon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.32-40
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate an integrated clinical evaluation program to increase the competency of senior nursing students. Method: A cross-sectional one group test design was utilized. Based on a framework derived from the prior studies, an integrated clinical evaluation program was developed. In order to assess the effect of the developed program, the senior students' experience with the program was measured. The participants were senior nursing students and the program was performed on November, 2005 after their semester was all finished. Result: The evaluation score for ability in application of nursing process was 83.87 and nursing skill was 85.69 by evaluators. The students reported that the program provided a chance to relearn and practice basic nursing skills and it was helpful in increasing decision making competency and their ability to apply the nursing process. Conclusion: This study suggests that the integrated clinical evaluation program contributes to cultivating a nurse with comprehensive nursing competencies and to improve the nursing students' knowledge, attitude, and skill.

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Adapting an Integrated Program Evaluation for Promoting Competency-Based Medical Education (역량바탕의학교육을 촉진하기 위한 교육평가: 통합평가모형 적용)

  • Ju, Hyunjung;Oh, Minkyung;Lee, Jong-Tae;Yoon, Bo Young
    • Korean Medical Education Review
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    • v.23 no.1
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    • pp.56-67
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    • 2021
  • Educational program evaluation can improve the quality of the curriculum, instructional methods, and resources and provide useful data for making educational decisions and policies. Developing and implementing a program evaluation system is essential in competency-based medical education. The purpose of this study was to explore and establish an educational program evaluation system adapting an integrated program evaluation model to promote competency-based medical education. First, an Educational Evaluation Committee was organized, consisting of faculty, staff members, and students. The committee established an integrated program evaluation model, combining Stufflebeam's Context, Input, Process, and Product (CIPP) model of a process-oriented approach and Kirkpatrick's four-level model of an outcome-oriented approach. Kirkpatrick's model was applied to the product evaluation of the CIPP model. The committee then developed evaluation criteria, indicators, and data collection methods according to the components of the CIPP model and the four levels (reaction, learning, behavior, and results) of Kirkpatrick's model, and collected and analyzed data. Finally, the committee reported the results of evaluation to a Medical Education Quality Improvement Committee, and the results were used to improve the curriculum and student selection. To enhance the quality of education, identifying educational deficiencies and developing various elements of education in a balanced way through educational evaluation will be needed. Furthermore, it will be necessary to listen to opinions of various stakeholders, work with all members involved in education, and communicate with decision-makers in the process of educational evaluation.

A Study on the Moderating Effect of the Career Support by the Father and Mother in the Relationship between the Types of Activity Confidency and Career Decision Self-efficacy of the Adolescent (청소년의 활동역량 유형과 진로결정 자기효능감의 관계에서 부와 모의 진로지지에 대한 매개효과 연구)

  • Jung, Chul Sang
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.618-627
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    • 2020
  • As the issues of activity confidency of the adolescent gaining more attention these days, the researcher intends to examine the structural relationships between the activity confidency of the adolescent, their career Decision Self-efficacy, and the parental career support. For this study, 437 high school students from high schools located in the cities of Cheonan and Sejong were interviewed using questionnaires. The data from the survey were analyzed using SPSS 23.0 and AMOS 23.0. The outcomes of this study were as follows; First, the activity competency of high school students had a positive impact on career support from both parents. Second, the career support from both parents turned out to have a significant effect on the career decision self-efficacy of high school students. Third, the activity confidency of high school students had a significant impact on the career decision self-efficacy of them. Fourth, it was shown that parental career support had a mediating effect on the relationship between the activity confidency of high school students and their career decision self-efficacy. This study implies that a new issue has been raised in the perspective that the activity confidency of the adolescent is related to the career decision self-efficacy, which is one of the biggest concerns of them.

The Effect of the Parental Support for the Practice Competence of the Adolescent on Career Decision Self-Efficacy (그릿의 조절효과에 따른 청소년활동역량에 대한 부모의 진로지지가 진로결정 자기효능감에 미치는 영향)

  • Oh, Eun-Heui;Jung, Chul-Sang
    • The Journal of the Korea Contents Association
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    • v.21 no.11
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    • pp.733-747
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    • 2021
  • In this study, the researcher analyzed the mediating effect of the parental career support the moderating effect of grit in the structural path of the youth activity competence, career decision self-efficacy, and parental career support in the influence of the active capability of the adolescents in career decision self-efficacy. Data analysis was conducted through a questionnaire survey on a total of 515 people. First, youth activity competency was found to have a positive effect on parental career support. Second, parental career support was found to have a positive effect on career decision self-efficacy. Third, youth activity competency was found to have a positive effect on career decision self-efficacy. Fourth, parental career support was found to have a significant mediating effect in the influence of the youth activity competence in career decision self-efficacy. Fifth, as a result of multi-group analysis on the youth grit low/high group, it was verified that a significant influence relationship was established for the grit low/high group in all pathways.

Influence of External Environment, Organizational Characteristics on Informatization Level in Hospital Settings (병원의 외부환경 및 조직특성이 정보화 수준에 미치는 영향)

  • Ji, Jae-Hoon
    • The Korean Journal of Health Service Management
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    • v.5 no.1
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    • pp.133-145
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    • 2011
  • The purpose of this study is to analyze the influence of external environment, organizational characteristics on informatization level in hospital settings, and to provide suggestions to improve the informatizaiton level of strategic information system of hospitals. In order to achieve study purpose, causal model was developed and empirically tested. Data were collected from 716 managers of 89 hospitals keeping information system in Busan and KyungNam Province using self-administered structured questionnaire. Major results of this study were as follows; First, among hospitals which had information training programs, informatization capacity was significantly higher. Moreover, informatization capacity was significantly varied by ownership type, institutional level, and number of beds of hospitals. Second, environmental uncertainty, intra-industry competition intensity, decision-making concentration, work standardization variables and perceived benefits were found to be significant affecting factors on informatization capacity as a result of path analysis. Third, support of top-management and perceived benefits were found to be significant affecting factors on informatization capability as a result of path analysis. Especially, informatization capability was positively affected by informatization capacity. Finally, perceived benefits was found to be significant affecting factors on informatization competency as a result of path analysis. Especially, informatization competency was positively affected by informatization capability.

An Analysis of Subject Competencies Applied in the Activity Tasks of the 'Home Life and Safety' area in Middle School Technology-Home Economics Textbooks based on the 2015 Revised National Curriculum (2015 개정 교육과정 중학교 기술·가정 교과서 '가정생활과 안전' 영역 활동과제에 반영된 교과역량 분석)

  • Park, Yu Bin;Yu, Nan Sook
    • Human Ecology Research
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    • v.59 no.4
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    • pp.433-448
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    • 2021
  • The purpose of this study was to analyze two subject competencies (practical problem-solving capability and independent life capability) reflected in the activity tasks included in the 'home life and safety' area of 12 middle school technology-home economics textbooks in accordance with the 2015 revised curriculum. The analysis criteria were sub-elements of two subject competencies. Seven sub-elements were derived from each competency. Frequency analysis was performed to determine how often the sub-elements were reflected in the activity tasks. The results were as follows. First, with regard to the sub-elements of 'practical problem-solving capability', 'value judgment' was reflected most frequently in the activity tasks followed by 'exemplification of solution', 'logical thinking', 'critical thinking', 'decision-making', 'practical reasoning', and 'evaluation of solutions'. Secondly, the sub-elements of 'independent life capability' were unevenly distributed in the activity tasks. The 'capability to perform conscious living' was reflected most frequently followed by 'development and self-identity', 'time, money, and leisure management', and 'reasonable consumption and resource utilization'. For teachers wanting to teach activity-oriented classes and student participatory classes, the results pinpoint the materials necessary to develop learners' subject competencies by using textbooks from different publishing companies.

Development of Occupational Therapist Competency Indicators for Occupation-Based Intervention: Delphi Study (작업기반 중재를 위한 작업치료사 역량지표 개발: 델파이연구)

  • Shin, Jae-Yong;Kim, Jung-Ran;Lee, Ji-Sun
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.37-50
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    • 2018
  • Objective : The purpose of this study was to develop a competency indicators of occupational therapists for occupation-based intervention by conducting a Delphi survey to occupation-based intervention experts. Methods : After analyzing the data related to occupational therapists indicators in korea, the results of Delphi survey were collected three times from October to December 2016. Based on the results, we developed occupational therapists competency indicators for occupation-based intervention through expert panel's opinions. Results : Based on the eight competency elements, the competency indicators were examined by 133 primary and 133 secondary competency indicators. Finally, 131 competency indicators were developed based on 8 components as occupational therapist competence indicators for occupation-based intervention. The results of the third delphi showed a high level of content validity of .95, stability of .10, convergence of 0, and consensus of 1. Conclusion : The developed occupational therapist competence indicators for occupation-based intervention could be used in various clinical decision making such as occupation-based intervention, education training, education development and evaluation.

A study on the effect of entrepreneurship and CEO competency on management performance of SME managers in the service economy era (서비스경제시대 중소기업 경영자의 기업가지향성과 CEO역량이 경영성과에 미치는 영향 연구)

  • An, Sehong;Kim, Hyunsoo
    • Journal of Service Research and Studies
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    • v.10 no.3
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    • pp.81-101
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    • 2020
  • Humanity has reached the age of service economy. A new economy requires new management. The chief executive of new management is the CEO. The results of management decision-making are reflected in the company's performance, and are the basis for future growth engines. This study empirically analyzed the effect of CEO competence, corporate orientation, and management performance of small and medium-sized mid-sized business managers on each other. In the study, a hypothesis was established between eight variables. In addition, the relationship between corporate orientation and CEO competency, which has not been studied, was also identified. Set personal effectiveness, willingness to innovate, opportunity recognition, information perception, relationship formation, business management, leadership, organizational culture, and human resource management as measures of CEO competency. After defining the operation in accordance with this study, the analysis was conducted. As a result of the analysis, corporate orientation did not produce a meaningful result in management performance. And CEO competency showed a positive (+) effect on management performance. It can be judged that the CEO variable, a management variable, had a positive effect on management performance. Also, there was a significant result in the relationship between corporate orientation and CEO competency. Innovativeness, initiative, and risk-taking have positive implications for CEO competency. Lastly, corporate orientation showed statistically significant results on management performance through the mediation of CEO competency. It is worth noting the results of this study in that the time of the study was the timing of the global pandemic (fendermic) of the COVID19 virus. In the future, in-depth research is needed on the relationship between CEO-related factors and management performance in a more changed economic environment.

Development of Management Systems based on IDEF3 Modeling to Improve Owner's Competency of Implementing Green building Certification (친환경건축물인증 발주자업무 수행역량 제고를 위한 IDEF3 모델기반 관리체계 구축)

  • Park, Kyung-Rog;Yi, June-Seong
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.1
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    • pp.52-62
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    • 2013
  • Owners' efforts to acquire Green building certification, which started in 2002, have been rapidly increasing since 2006. The causes of the increased owners' interests are due to various incentives, legal obligation, and purpose of advertising. As project owners generally are deficient in capabilities and knowledge on how to deal with administrative works on certification, they tend to fulfill the minimum requirements for certification. However, effective administration process need capabilities of identifying individual making decision point and review information. The implementation of green building certification system is expected to provide comfort to both occupants and potential users. Furthermore it contributes to reducing energy costs throughout the phase of O&M. In addition, technology innovation in green industry can be obtained. Therefore, this study is intended to support owners in order that they can clarify certification tasks and make a rational decision-making in time. For this purpose, first of all, the major decision points were selected as the gateways of green building certification process. And then management system based on IDEF3 modeling was developed for supporting owners' decision-making performance. This management system will improve owners' overall capacity in handling all the tasks regarding the certification of Green building.