• 간호행정학회지
• /
• 제7권2호
• /
• pp.301-314
• /
• 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.

• 융합정보논문지
• /
• 제12권2호
• /
• pp.221-230
• /
• 2022

본 연구에서는 뷰티 전공 대학생의 진로 의사결정 유형을 확인하고, 진로 준비 행동과 전공 만족에 미치는 영향에 대한 분석을 통해 진로 준비 행동의 향상을 목적으로 한다. 2021년 11월 1일부터 30일까지 진행하였고, 질문지는 총 485부를 분석 자료로 활용하였다. 연구 방법으로 빈도 분석, 요인분석, 신뢰도 분석, 상관관계 분석, 다중 회귀분석을 실시하였다. 연구 결과로 첫째 진로 의사결정 유형이 진로 준비 행동과 전공 만족에서 정적(+) 상관관계가 나타나 통계학적으로 유의한 것으로 나타났다. 둘째, 합리적 진로 의사결정 유형은 의존 및 직관적 유형과 상관 관계가 있었으며, 진로 준비 행동으로 시간 노력, 능력 활동, 정보수집의 진로 준비 행동과 전공 만족으로 수업 만족, 교과 만족에서 모두 통계적으로 유의한 정적(+) 상관관계를 나타냈다. 셋째 진로 의사결정 유형 중 합리형과 의존형이 진로 준비 행동의 하위요인인 능력 활동에 통계적으로 유의한 영향을 미치는 것으로 나타났다.

• 대한간호학회지
• /
• 제29권4호
• /
• pp.880-891
• /
• 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
• /
• 제24권4호
• /
• pp.204-213
• /
• 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.

• 융합정보논문지
• /
• 제11권11호
• /
• pp.10-16
• /
• 2021

스마트공장의 구현이 널리 확산되면서 IoT장비를 이용한 방대한 양의 빅 데이터를 관련성과 품질 측면에서 우선순위를 지정하여 데이터 효율성을 향상시킬 수 있는 연구 필요성이 제기된다. 원가변동성 추정, 레시피 최적화 등의 관리회계 의사결정에 있어서 빅 데이터의 우선순위를 지정하는 것이 스마트솔루션 성과와 의사결정 효과를 향상시킬 수 있는지를 규명함이 본 연구의 목적이다. 제조데이터를 실시간으로 연계한 ERP, MES 등의 스마트솔루션을 운영하는 국내 중소제조업체 의사결정자 84명의 설문답변을 토대로 경험적 연구 수행 결과, 빅데이터우선순위 설정은 관리회계 의사결정에 긍정적인 영향을 미치는 것으로 분석되었다. 아울러 빅 데이터 우선 순위 지정은 관리회계 의사결정에서 빅 데이터를 사용함으로써 스마트솔루션 성과에 간접적인 영향을 미치는 매개 효과가 있음을 발견하였다. 연구결과를 통하여 경영의사결정과정에서 빅 데이터 간의 연관성을 평가하는 척도를 개발함에 선행연구로서의 기여를 할 수 있을 것이다.

• Journal of Computational Design and Engineering
• /
• 제2권3호
• /
• pp.148-156
• /
• 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.

• 한국시뮬레이션학회논문지
• /
• 제17권4호
• /
• pp.159-165
• /
• 2008

육군은 군단급 이하 제대에 육군전술지휘정보체계 ATCIS(Army Tactical Control Information System, 이하 ATCIS)를 구축하여 전장을 가시화하고 반응 시간의 단축을 이루고 있다. 이러한 ATCIS 및 정보 감시장비의 도입으로 전장(Battlefield)의 불확실성과 가변성이 점점 줄어들고 있음에도, 지상작전을 위한 의사결정의 방법은 지휘관 및 주무 참모의 전술적 관점이나 과거 자료 및 경험에 기초한 정성적인 방법이 널리 적용되고 있다. 또한, 방책(Course of Action)을 선정하고 분석하기 위한 워게임(War game)과정에서도 가용 시간 및 능력의 제한 등으로 피 아의 강약점 분석에 의존하고 있는 실정이다. 이에 새로운 장비도입에 따른 유 무형 전력의 균형적인 발전의 측면에서 보다 과학적이고 정량적인 의사결정방법의 필요성이 제기되고 있으며, 야전부대에서 보다 빠르고 쉽게 적용할 수 있는 방법이 요구되고 있다.본 연구에서는 지상작전을 위한 의사결정과정인 부대지휘절차간 전장정보분석(Intelligence Preparation of the Battlefield; IPB)을 위한 지휘관 및 참모들의 상황평가에서 전장의 불확실성으로 인해 발생하는 모호한 평가 및 분석을 정량적으로 반영하고 보다 실증적인 의사결정을 위해 Fuzzy AHP 기법을 적용한 지상작전 의사결정방법을 제안하고자 한다.

• 한국경영과학회지
• /
• 제30권1호
• /
• pp.75-94
• /
• 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.

• 산업경영시스템학회지
• /
• 제17권32호
• /
• pp.297-308
• /
• 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.

• 한국경영과학회지
• /
• 제27권1호
• /
• pp.53-73
• /
• 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.