• Journal of Korean Academy of Nursing Administration
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• v.7 no.2
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• pp.301-314
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• 2001

The main purpose of this research is to describe comprehensively the processes of clinical decision making in novice critical care nurses through clinical experience. This research was an exploratory, longitudinal study using a fieldwork approach incorporating "think-aloud" method and in-depth interviews with the study participants. The study participants consisted of 5 novice nurses assigned to critical care units at a tertiary medical center located in Seoul, among a group of 27 novice nurses who started at the same period at this hospital. The data were collected from March 1999 to April 2000. The major findings of the study is that the novice nurses followed the analytic linear model of clinical decision making in the beginning, but were changed increasingly to follow the comprehensive, integrated model of clinical decision making. Through repeated experience that resulted in increasing repertoire of clinical schema and familiarity of task environments of clinical practice the novice nurses expanded their ability to arrive at comprehensive integration of information and to arrive at accurate and time-efficient decisions. Both the analytic, linear model mostly used at the beginning period and the comprehensive, integrated model that seems to be the mode significantly dependent upon experience seem to have strengths and weaknesses as decision making processes in clinical situations. Hence, it is imperative to develop an effective orientation and training program for novice nurses through the use of clinical preceptors. In addition, students should be exposed to the process of clinical decision making early in their nursing education through an appropriate clinical experiences and clinical assignments.

• Journal of Convergence for Information Technology
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• v.12 no.2
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• pp.221-230
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• 2022

The purpose of this study is to identify career decision-making types of college students majoring in beauty, and to improve career preparation behaviors by analyzing their effects on career preparation behaviors and major satisfaction. It was conducted from November 1 to 30, 2021, and a total of 485 questionnaires were used as analysis data. Frequency analysis, factor analysis, reliability analysis, correlation analysis, and multiple regression analysis were performed as research methods. As a result of the study, first, the type of career decision-making showed a positive (+) correlation between career preparation behavior and major satisfaction, indicating that it was statistically significant. Second, rational career decision-making style was correlated with dependence and intuitive style. As the career preparation behavior, the career preparation behavior of time effort, ability activity, and information collection, and the satisfaction of the major showed a statistically significant positive (+) correlation in class satisfaction and subject satisfaction. Third, among career decision-making types, rational and dependent types were found to have a statistically significant effect on ability activity, which is a sub-factor of career preparation behavior.

• Journal of Korean Academy of Nursing
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• v.29 no.4
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• pp.880-891
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• 1999

The purpose of this study was to describe nursing decision tasks, their characteristics, and problems associated with decision making. The subjects were 32 nurses who had at least one-year nursing experience and worked on medical-surgical units or intensive care units(ICU). They were asked to describe their decision making experiences in patient care situations and to identify the characteristics of each decisions. They were also asked to describe perceived problems associated with decision making in nursing. The responses on nursing decision tasks and problems were analyzed with content analysis and the decision characteristics were identified by statistical analysis of variance. It was found that there were 16 nursing decisions which are as follows : decisions related to interpreting and selecting appropriate strategies for pain management(6.6%) ; decisions related to providing emotional support (0.7%) ; decisions related to explaining the patient's condition and rationale for procedures(1.1%) ; decisions related to assisting patients to integrate the implications of illness and recovering into their lifestyles(2.9%) ; decisions related to detecting significant changes In patients and selecting appropriate intervention strategies (17.2%) ; decisions related to anticipating problems and selecting preventive measures(4.2%) ; decisions related to identifying emergency situations(0.4%) ; decisions related to effective management of patient crisis until physician assistance becomes available(2.8%) ; decisions related to starting and maintaining intravenous therapy(2.6%) ; decisions related to administering medications(8.1%) ; decisions related to combating the hazards of immobility(7.3%) : decisions related to treating wound management strategies(5.5%) ; decisions related to relieving patient discomfort(13.9) ; decisions related to selecting appropriate strategy according to the changing situation of the patient(18.2%) ; decisions related to selecting the best strategy for patient management(5.3%) ; and decisions related to coordinating, ordering, and meeting the various needs of the patient (3.1%). The nurses reported the fellowing problems in decision making : difficulties due to lack of knowledge and experience (18.6%) ; uncertainty and complexity of decision tasks(15.2%) ; lack of time to make decisions(2.9%) ; personal values which conflict with other staff(15.7%) ; lack of selection autonomy(30.0%) ; and organizational barriers(7.6%). Continuing education programs and decision support systems for frequent nursing decision tasks can be established on the basis of these results. Then decision ability in nurses will increase through the education programs and decision support systems, and then quality of nursing service will be better.

• Journal of Hospice and Palliative Care
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• v.24 no.4
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• pp.204-213
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• 2021

Purpose: At the end of life, communication is a key factor for good care. However, in clinical practice, it is difficult to adequately discuss end-of-life care. In order to understand and analyze how decision-making related to life-sustaining treatment (LST) is performed, the shared decision-making (SDM) behaviors of physicians were investigated. Methods: A questionnaire was designed after reviewing the literature on attitudes toward SDM or decision-making related to LST. A final item was added after consulting experts. The survey was completed by internal medicine residents and hematologists/medical oncologists who treat terminal cancer patients. Results: In total, 202 respondents completed the questionnaire, and 88.6% said that the decision to continue or end LST is usually a result of SDM since they believed that sufficient explanation is provided to patients and caregivers, patients and caregivers make their own decisions according to their values, and there is sufficient time for patients and caregivers to make a decision. Expected satisfaction with the decision-making process was the highest for caregivers (57.4%), followed by physicians (49.5%) and patients (41.1%). In total, 38.1% of respondents said that SDM was adequately practiced when making decisions related to LST. The most common reason for inadequate SDM was time pressure (89.6%). Conclusion: Although most physicians answered that they practiced SDM when making decisions regarding LST, satisfactory SDM is rarely practiced in the clinical field. A model for the proper implementation of SDM is needed, and additional studies must be conducted to develop an SDM model in collaboration with other academic organizations.

• Journal of Convergence for Information Technology
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• v.11 no.11
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• pp.10-16
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• 2021

As the implementation of smart factories spreads widely, the need for research to improve data efficiency is raised by prioritizing massive amounts of big data using IoT devices in terms of relevance and quality. The purpose of this study is to investigate whether prioritizing big data in management accounting decisions such as cost volatility estimation and recipe optimization can improve smart solution performance and decision-making effectiveness. Based on the survey answers of 84 decision makers at domestic small and medium-sized manufacturers who operate smart solutions such as ERP and MES that link manufacturing data in real time, empirical research was conducted. As a result, it was analyzed that setting prioritization of big data has a positive effect on decision-making in management accounting. became In addition, it was found that big data prioritization has a mediating effect that indirectly affects smart solution performance by using big data in management accounting decision making. Through the research results, it will be possible to contribute as a prior research to develop a scale to evaluate the correlation between big data in the process of business decision making.

• Journal of Computational Design and Engineering
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• v.2 no.3
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• pp.148-156
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• 2015

Increased competitive challenges are forcing companies to find better ways to bring their applications to market faster. Distributed development environments can help companies improve their time-to-market by enabling parallel activities. Although, such environments still have their limitations in real-time communication and real-time collaboration during the product development process. This paper describes a web-based collaborative framework which has been developed to support the decision making on a 3D design developing process. The paper describes 3D design file for the discussion that contains all relevant annotations on its surface and their visualization on the user interface for design changing. The framework includes a native CAD data converting module, 3D data based real-time communication module, revision control module for 3D data and some sub-modules such as data storage and data management. We also discuss some raised issues in the project and the steps underway to address them.

• Journal of the Korea Society for Simulation
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• v.17 no.4
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• pp.159-165
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• 2008

The ROK army has equipped ATCIS (Army Tactical Control Information System) for the Corps echelon to visualize the battlefield and reduce the reaction time. Due to the information&surveillance equipment, uncertainty and variance of the battlefield have been decreased. However decision making for the ground operations has not changed as it depends on knowledge of the commander and staffs. The War game process to select and assess the best CoA (Course of Action) also depends on the pros and cons due to the limitation of time and capability. For the balanced development between intangible and tangible military strength, a new decision making process which is quantitative and useful for the military is needed. In this study, we suggest a Fuzzy-AHP based decision making model to improve troop leading procedure which is useful to evaluate and reflect intangible characteristics of the battlefield.

• Journal of the Korean Operations Research and Management Science Society
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• v.30 no.1
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• pp.75-94
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• 2005

Research in the decision sciences has continued to develop a variety of mathematical models as well as software tools supporting corporate decision-making. Yet. in spite of their potential usefulness, the models are little used in real-world decision making since the model solution processes are too complex for ordinary users to get accustomed. This paper proposes an intelligent and flexible model-solver integration framework that enables the user to solve decision problems using multiple models and solvers without having precise knowledge of the model-solution processes. Specifically, for intuitive model-solution, the framework enables a decision support system to suggest the compatible solvers of a model autonomously without direct user intervention and to solve the model by matching the model and solver parameters intelligently without any serious conflicts. Thus, the framework would improve the productivity of institutional model solving tasks by relieving the user from the burden of leaning model and solver semantics requiring considerable time and efforts.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.17 no.32
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• pp.297-308
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• 1994

In the information system, there are many fields that used by decision making support system. Nowadays, the reasons that the need of the decision making system in audit is increased, are as follows. \circled1 The increased of competitiveness in audit environment \circled2 The rapid replenishment of computer hardware and computer system in corporations. The purposes of this study are as follows. \circled1 The connection of Internal management assess results and practical examination. \circled2 In the making of audit opinion, the establish of non-measure and evaluate logic. \circled3 The suggestion of knowledge base structure about the audit task. \circled4 The development of prototype system for the accounting audit expert system. The expected usefulness of accounting audit expert system development are as follows. \circled1 Audit time may be saved \circled2 The consistence of opinion will be increased \circled3 The elevation of audit technique \circled4 The decreased of audit risk \circled5 In the decision making rationlization of accounting information users, it will be proved as usefulness.

• Journal of the Korean Operations Research and Management Science Society
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• v.27 no.1
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• pp.53-73
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• 2002

The launch of a new business is crucial to the future growth and profitability of a company. A new business project typically requires a large amount of resources while it has a high possibility of failure. The evaluation of new business opportunities is therefore quite a critical decision-making to companies. This evaluation includes screening of a large number of criteria at a time which often makes desision-making very complicated. Management should evaluate the business alternatives in a sound and consistent manner that is hard to achieve because the new business evaluation is a typical semi/unstructured decision-making problem. The difficulty in such an evaluation will increase if it is required for management to consider both quantitative and qualitative criteria simultaneously. Under these circumstances, this study has proposed a decision-making framework that utilizes analytical hierarchy process(AHP). This study has identified a set of criteria essential to the new business evaluation and suggested a systematic framework for it. Both qualitative and quantitative evaluations are incorporated into the single framework in this study.