• 제목/요약/키워드: Decision-making time

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악화환자 인지 및 대응을 위한 시뮬레이션교육에서 간호대학생의 임상판단력과 간호수행: 후향적 혼합연구 (Nursing Students' Clinical Judgment and Performance in Simulation of Recognizing and Responding of the Deterioriating Patient ; a retrospective mixed-methods)

  • 하이경
    • 중환자간호학회지
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    • 제16권2호
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    • pp.42-53
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    • 2023
  • Purpose : This retrospective mixed-methods study aimed to explore key considerations for designing effective simulated education in nursing, focusing specifically on the recognition and response to deteriorating patients. Methods : Quantitative and qualitative data were analyzed to assess the clinical judgment and performance of the nursing students. Descriptive statistics were used to analyze quantitative data related to prior knowledge, simulation satisfaction, clinical judgment, and nursing performance during deteriorating patient simulations. Qualitative content analysis was conducted for the reflective journal entries of the participants. Results : Quantitative analysis showed that most participants demonstrated a "being skillful" level of clinical judgment (33.1%) in effective response. At the beginner level, clinical judgment varied across effective noticing(39.7-82.8%), effective interpretating(77.6-82.8%), effective responding(3.4-86.2%), and effective reflecting(90.0-95.4%). Nursing performance in assessing patient respiration or SpO2 after request from a physician ranged from 46.6-48.3%. Qualitative analysis indicated that 48.5% of the participants anticipated a deteriorating condition and initiated appropriate actions, while 70% noticed patient unresponsiveness for the first time. Conclusion : To design an effective simulation program for identifying and addressing deteriorating patient care, a framework for observation and interpretation is essential, along with regular simulated training. It is important to design and assess simulation programs and to conduct thorough interviews with nursing students to gain insight into their clinical decision-making.

시설물의 효율적 재해정보관리를 위한 재해관리전자매뉴얼 구축 연구 (Development of Disaster Management IETM for Effective Disaster Information Management of Construction Facilities)

  • 문현석;강인석
    • 대한토목학회논문집
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    • 제29권2D호
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    • pp.255-265
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    • 2009
  • 기존의 재해관리 업무는 각 부서별로 분산된 업무 체계 및 재해관리정보 누락의 문제점으로 인하여 재해 발생시 많은 피해를 발생시키고 있다. 본 연구에서는 기존의 재해관리 정보 및 업무특성을 파악하여 재해업무 단계 및 단계별 정보를 분 하며, 재해관리 정보간 통합 및 효율적 관리를 위해 재해정보분류체계를 구축한다. 또한 재해발생시 실시간 활용을 위한 재해관리 전자문서의 표준 XML(eXtensible Markup Language) 스키마(Schema)를 구성하며, 이를 기반으로 전자적 매뉴얼 시스템을 구축함으로써 제시된 방법론을 검증하고 있다. 따라서 본 시스템은 통합된 재해정보의 제공을 통해 재해관리업무 수행의 일관성 확보, 정보의 누락 방지 및 실시간적이고 종합적인 재해관리 정보제공을 위한 전자적 도구로 활용될 것이다.

콘크리트 구조물의 확률론적 탄산화 예측 모델 개발 및 내구성 해석 (Durability Analysis and Development of Probability-Based Carbonation Prediction Model in Concrete Structure)

  • 정현준
    • 대한토목학회논문집
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    • 제30권4A호
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    • pp.343-352
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    • 2010
  • 최근에 탄산화 콘크리트 구조물의 정량적인 사용수명과 장기적인 성능을 확보하고 예측하기 위해서 확률론적인 내구성 해석 및 설계를 수행하는 연구가 많이 진행되고 있다. 이와 관련하여 콘크리트 구조물에 확률론적 내구성 설계 개념을 도입되고 있다. 본 논문에서는 탄산화 콘크리트 구조물의 통계적인 자료를 이용하여 Fick의 첫 번째 법칙에 근거한 탄산화 예측 모델에 적용하였으며, 이를 이용하여 확률론적 내구성 해석을 수행하였다. 이 예측모델에 관련된 설계변수인 $CO_2$ 확산계수, 대기중의 $CO_2$ 농도, $CO_2$ 흡착량, 시멘트 수화도 등의 영향을 검토하였다. 확률론에 기초한 탄산화 예측모델은 여러 환경에 위치한 콘크리트 구조물에 모니터링 자료를 이용하여 탄산화 깊이와 잔존수명을 예측하였다. 그 결과로 본 연구에서 합리적인 탄산화 예측모델을 이용한 적용 방법은 탄산화 콘크리트 구조물의 내구성 확보 및 구조물의 손상 개시시기를 예측하고 구조물을 유지 관리하기 위한 유연한 의사결정을 할 수 있을 것으로 판단된다.

Constructionarium: Turning Theory Into Practice

  • Stevens, Julia
    • 국제학술발표논문집
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    • The 9th International Conference on Construction Engineering and Project Management
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    • pp.1220-1220
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    • 2022
  • Constructionarium Ltd is a not-for-profit organisation which delivers a residential, experiential, immersive learning opportunity to university students from across the built environment education sector. Since 2002, the Constructionarium education model has been available to students in engineering, construction management and architecture at a purpose built, 19-acre multi-disciplinary training facility in Bircham Newton, England simulating real site life and reflecting site processes, practices and health and safety requirements. The unique approach of Constructionarium puts experiential learning and sustainability at the heart of everything. In a week, students develop a practical understanding of the construction process, develop transferable skills, build a team and are exposed to the latest in sustainable technologies. Experiential learning is what differentiates a Constructionarium project from regular field trips or site visits. At Constructionarium the focus is on learning by participation rather than learning through theory or watching a demonstration. The projects cannot be replicated in a classroom or on campus. Using the hands-on construction of scaled down versions of iconic structures from around the world, students learn that it requires the involvement of the whole construction team to successfully complete their project. Skills such as communication, planning, budgeting, time management and decision making are woven into a week-long interrelationship with industry professionals, academic mentors and trades workers. Working together to enhance transferable skills brings the educational environment into the reality of completing an actual construction project handled by the students. Constructionarium has used this transformational learning model to educate thousands of students from all over the United Kingdom, Europe and Asia. Texas A&M University in the United States has sent multiple teams of students from its Department of Construction Science every operational year since 2016.

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BIM-based Lift Planning Workflow for On-site Assembly in Modular Construction Projects

  • Hu, Songbo;Fang, Yihai;Moehler, Robert
    • 국제학술발표논문집
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    • The 8th International Conference on Construction Engineering and Project Management
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    • pp.63-74
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    • 2020
  • The assembly of modular construction requires a series of thoroughly-considered decisions for crane lifting including the crane model selection, crane location planning, and lift path planning. Traditionally, this decision-making process is empirical and time-consuming, requiring significant human inputs. Recently, research efforts have been dedicated to improving lift planning practices by leveraging cutting-edge technologies such as automated data acquisition, Building Information Modelling (BIM) and computational algorithms. It has been demonstrated that these technologies have advanced lift planning to some degree. However, the advancements tend to be fragmented and isolated. There are two hurdles prevented a systematic improvement of lift planning practices. First, the lack of formalized lift planning workflow, outlining the procedure and necessary information. Secondly, there is also an absence of a shared information environment, enabling storages, updates and the distribution of information to stakeholders in a timely manner. Thus, this paper aims to overcome the hurdles. The study starts with a literature review in combination with document analysis, enabling the initial workflow and information flow. These were contextualised through a series of interviews with Australian practitioners in the crane-related industry, and systematically analysed and schematically validated through an expert panel. Findings included formalized workflow and corresponding information exchanges in a traditional lift planning practice via a Business Process Model and Notation (BPMN). The traditional practice is thus reviewed to identify opportunities for further enhancements. Finally, a BIM-based lift planning workflow is proposed, which integrates the scattered technologies (e.g. BIM and computational algorithms) with the aim of supporting lift planning automation. The resulting framework is setting out procedures that need to be developed and the potential obstacles towards automated lift planning are identified.

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Attributes for Developing a Database for Construction Information Interface

  • Moon, Sungwoo;Cho, Kyeongsu
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.673-673
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    • 2015
  • Earthwork is an operation that provides space for structures, and it takes up a large portion of the construction costs in a construction project. In large-scale earthwork, numerous types of construction equipment are used in the operation. The types of equipment should be selected based on the field conditions and the construction methods. These construction vehicles are constantly changing positions during the earthwork operation. Therefore, the equipment operators require effective communication to ensure the efficiency of the earthwork operation. All equipment operators should exchange information with the other equipment operators. Information should be exchanged continuously to support decision making and increase productivity during the earthwork operation at the construction site. This paper investigates the attributes required for an information interface between construction vehicles during an earthwork operation. This paper 1) discusses the importance of an information interface for construction vehicles in order to increase productivity during an earthwork operation, 2) analyses the types of attributes that need to be communicated between construction vehicles, and 3) provides a database that has been built for attribute control. The database built for the information interface between construction vehicles will enhance communication between vehicle operators. Table I shows the typical attributes that should be shared between the excavator operator and the dump truck operator. This information needs to be shared among the operators, as it helps them to plan the earthwork operation in a more efficient manner. A database has been developed to store this information in an entity relation diagram. A user-interface display environment is also developed to provide this information to the operators in the construction vehicles. The proposed interface can help exchange information effectively and facilitate a common understanding during the earthwork operation. For example, the vehicle operators will be aware of the planned volume, excavated volume, transportation time, and transportation numbers. As a part of this study, mobile devices, such as mobile phones and google glasses, will be used as hands-on communication tools.

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A SIMULATION MODEL FOR DECIDING AN OPTIMIZED 3D SHAPE OF CONSTRUCTION WORKSPACE CONSIDERING RESOURCES IN BIM ENVIRONMENT

  • Hyoun Seok Moon;Hyeon Seung Kim;Leen Seok Kang;Byung Soo Kim
    • 국제학술발표논문집
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    • The 5th International Conference on Construction Engineering and Project Management
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    • pp.163-168
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    • 2013
  • A construction workspace is considered as a critical factor to secure constructability and safety of a project. Specially, optimized size of each workspace helps to minimize any conflicts between workspaces, works and resources within a workspace in the construction site. However, since an existing method for making a decision workspace's size depends on generally experiences of managers and work conditions of activity, it is difficult to perform safe works considering feasible workspace size. The workspace size is changed according to the quantity of resources allocated into each activity as time progresses. Accordingly, it is desirable that optimized workspace size considering input size of resources is determined. To solve these issues, this study configures an optimized model for deciding standard size of workspaces by simple regression analysis and develops a visualized scenario model for simulating the optimized workspace shape in order to support BIM (Building Information Modeling) environment. For this, this study determines an optimized resource shape size considering maximum working radius of each resource and constructs its visual model. Subsequently, input size of resources for each activity is estimated considering safety execution area of resources and workspaces. Based on this, an optimized 3D workspace shape is generated as a VR simulation model of a BIM system based on the suggested methodologies. Moreover, operational feasibility of the developed system is evaluated through a case study for a bride project. Therefore, this study provides a visualized framework so that project managers can establish an efficient workspace planning in BIM environment. Besides, it is expected that constructability, productivity and safety of the project will be improved by minimizing conflicts between workspace and congestions between resources within a workspace in the construction phase.

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DYNAMIC ANALYSIS OF ATTENDANCE BEHAVIOR WITHIN CONSTRUCTION CREWS

  • Seungjun Ahn;Sungjoo Hwang;SangHyun Lee;Ian R. Gellatly;Moonseo Park
    • 국제학술발표논문집
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    • The 5th International Conference on Construction Engineering and Project Management
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    • pp.539-545
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    • 2013
  • Although individual-level factors (e.g., attitudes, personality) have long been associated with day-to-day attendance decisions, increasingly researchers have recognized "the social nature of attendance dynamics and their susceptibility to social control (Johns, 2008)." Implications of this social approach for research would be to focus attention on the causes and effects of absence culture (i.e., absence-related perceptions, beliefs, values), and the effects of absence culture on individual and group attendance within social units. Construction projects typically require workers to work in teams or crews on highly interdependent projects, and, thus, are particularly relevant contexts to study absence culture. In this paper we apply a system dynamics (SD) model to study absence culture by utilizing the advantages of SD in capturing a feedback process and state changes. We were particularly interested in: (a) the awareness of social norms within construction crews that pertained to attendance, (b) the interplay between formal attendance rules (policy) and these social norms, and (c) how these sources of influence affected the decision-making process of construction crew members. We expect that the results of this work will help construction organizations evaluate (or re-consider) the effects of their attendance control policies (e.g., timing, strength, and frequency) within a social context. Moreover, our findings suggest that the key to reducing excessive absences might be to invest time in influencing absence culture directly rather than imposing frequent and strict regulations - which, in turn, may inadvertently fortify a culture that works against the organization's interests.

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무법으로 태어나 준법을 거쳐 위법으로 성장하는 이유? ( Why do children loose their compliance with the law as they grow?)

  • 허태균
    • 한국심리학회지 : 문화 및 사회문제
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    • 제11권spc호
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    • pp.117-131
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    • 2005
  • 본 논문은 현재 우리사회에서 문제가 대두되고 있는 준법의식의 약화에 대한 설명과 관련될 수 있는 다양한 관점의 심리학적 이론들 비교분석하고, 특히 준법의식 약화에서 인지부조화 기제의 역할에 대한 이론적 실증적 연구들을 개관요약하였다. 이를 위해 범죄의 현상과 원인을 설명하는 고전이론, 유전학과 생물학적 이론과 정신분석학, 성격이론, 지능/도덕성 발달, 의사결정이론 과 같은 심리학적 이론들의 특성과 준법과 위법행동의 다양한 측면을 통합적으로 비교하였다. 이런 이론들이 현재의 범죄행동에 대한 설명을 제공하는데 초점을 맞춘다면, 사회학습이론과 인지부조화 이론은 직간접의 경험을 통한 준법의식의 변화에 대한 설명을 제공해 주고 있다. 특히 과거의 위법행동이 준법의식과 인지부조화와 부정적 각성을 일으키고, 이 각성을 없애기 위한 준법의식의 변화시킨다는 인지부조화적 관점은 사소한 법규위반이 낮아지는 준법의식의 부분적 원인이라는 것이 일련의 연구들을 통해 검증 되었다. 이런 인지부조화의 이론적 틀이 법률입안과 정책제안에 제안하는 시사점들을 논의하였다.

에어 택시 이용률 최대화를 위한 수직이착륙장 위치 결정 문제 (Vertiport Location Problem to Maximize Utilization Rate for Air Taxi)

  • 김광
    • 한국산업정보학회논문지
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    • 제28권5호
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    • pp.67-75
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    • 2023
  • 본 논문에서는 도시 내 교통 혼잡 문제를 해결하기 위한 새로운 혁신 기술 중 하나인 에어 택시 운영에 관한 연구를 다룬다. 성공적인 기술 도입과 합리적인 운영을 위해 초기에 고려해야 할 문제 중 하나인 수직이착륙장(vertiport) 위치 결정 문제를 다룬다. 교통수단 이용에 따른 비용과 이동시간을 고려하여 각 경로에서의 교통수단 예측 수요 확률을 이산 선택 모형을 활용하여 구하고, 이를 반영하여 에어 택시 이용률의 최대화를 목적으로 하는 수리적 모형을 제안한다. 본 수리적 모형은 NP-난해(NP-hard) 문제로, 위치 결정 문제를 해결하기 위한 효과적이면서 효율적인 문제 해결방법론이 필요하다. 단순히 최적화 모형을 제안한 기존 연구와 달리 본 연구에서는 교차-엔트로피 알고리즘(cross-entropy algorithm)을 활용한 문제 해결 방법론을 제안하고, 수치 실험을 통해 알고리즘의 효과성과 효율성을 확인한다. 문제 해결 방법론의 학술적 우수성 외에도, 실제 데이터 및 에어 택시 활용 계획을 고려한 의사결정의 제시는 실무적인 활용 가능성을 높일 수 있음을 시사한다.