• Title/Summary/Keyword: Decisions support

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An Analysis of Nursing Decision Tasks, Characteristics, and Problems with Decision Making (환자 간호에 대한 간호사의 의사결정 내용과 특성 및 의사결정 장애요인에 관한 분석)

  • 최희정
    • 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.

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A Factors Effecting Online Social Decisions in Online Consumer Behavior

  • HAN, Sang-Seol
    • Journal of Distribution Science
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    • v.18 no.3
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    • pp.67-76
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    • 2020
  • Purpose: Consumers are affected by the purchase of a large number of opinions or support during the online purchasing process. This can be defined as the term of 'social decisions' on line. This paper seeks to explore the factors of influence on social decisions in on-line environment and to study in depth. Methodology: The purpose of this paper is to empirically examine the impact of factors on online social decisions. To verify the hypothesis of study, This study collected 256 from Seoul City, Gyeonggi Province and Chungcheong Province through Survey. Results: According to the research results, First, eWOM information usefulness have a positive impact on online social decisions, Second, online network connectedness have a positive impact on online social decisions. Third, innovative product have a positive impact on online social decisions. and the lower the category of knowledge, the more inclined it is to make online social decisions. Finally, social decisions have a positive impact on purchasing decisions about product. It is most significant that academic research has advanced consumer behavior in response to recent changes in the consumption environment. It is meaningful that we have studied in depth the changing consumer decision process in online channel environment.

Agent-based approach for the construction of a design support system for conceptual chemical process synthesis

  • Han, Chonghun;Stephanopoulos, George
    • 제어로봇시스템학회:학술대회논문집
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    • 1995.10a
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    • pp.328-331
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    • 1995
  • A successful, computer-aided design support system can help a process designer focus on making effective design decisions, not merely tedious routine calculations. Such a system is essential to enhance quality of design in terms of economics, environmental benignity, reliability, robustness, and operability. Such a statement is even more accepted when applied to conceptual design problems, where gross design specifications are given while a combinatorial number of design alternatives exists. This paper presents an agent-based approach as a systematic and efficient way to design a design support system for the synthesis of conceptual chemical processes. An agent-based approach allows us to handle design knowledge as an object and thus greatly improve the modularity and reusability of that knowledge. Such modularity and reusability lead to the increased productivity in the development of a design support system and the increased ease in the relaxation of design decisions and the generation of design alternatives, both of which functions are critically important in dealing with the complexity and uncertainty of conceptual design problems.

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Intergenerational Transfers: The Influence of Children's Support for Parent on Parents' Bequest Decisions (세대간 이전: 자녀의 부모부양이 부모의 상속결정에 미치는 영향)

  • Kim, Soon-Mi
    • Journal of Family Resource Management and Policy Review
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    • v.21 no.1
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    • pp.19-44
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    • 2017
  • The intergenerational transfer between parents and children is a major concern due to low birth rates and aging society of Korea. This study investigated the influences of children's support for parent regarding parents' decision to bequest, including the influences of parental characteristics, household-related factors, and characteristics of children. The data are the 5th wave of KReIS, a sample of 1,834 married household heads(HHs), which were classified into 142 baby boomers (1955-1963), 534 post-liberation HHs (1945-1954), and 1,158 Japanese-era HHs (-1945). The results were as follows: First, 49.3% of baby boomer HHs, 59.2% of post-liberation HHs, and 59.1% of Japanese-era HHs, were willing to make bequest decision. Second, in the baby boomer HHs, although the children's contact with their parents represented an emotional resource transfer, a child's economic resource transfer to his/her parents did not affect the parents' bequest decisions. However, in the post- liberation HHs, children's contact with parents, and economic resource transfers were significant variables. In addition, in the Japanese-era HHs, only children's contact with their parents was a significant variable. Third, in the baby boomer HHs, the variables that influenced parents' bequest decisions were household financial assets and having a daughter rather than having son and daughter. However, the variables that heavily influenced bequest decisions of the post-liberation HHs were the presence of a spouse, home ownership, household expenditures, and satisfaction of relationships with children. In the Japanese-era HHs, the variables that significantly affected parents' bequest decisions were home ownership, household expenditures, and household financial assets.

Reversals in Decisions about Life-Sustaining Treatment and Associated Factors among Older Patients with Terminal Stage of Cardiopulmonary Disease (만성 심폐질환을 가진 말기 노인 환자의 연명의료 의사결정의 번복 및 관련 요인)

  • Choi, Jung-Ja;Kim, Su Hyun;Kim, Shin-Woo
    • Journal of Korean Academy of Nursing
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    • v.49 no.3
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    • pp.329-339
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    • 2019
  • Purpose: The purpose of this study was to investigate the frequency, patterns, and factors of reversals in decisions about life-sustaining treatment (LST) among older patients with terminal-stage chronic cardiopulmonary disease. Methods: This was a retrospective correlational descriptive study based on medical chart review. De-identified patient electronic medical record data were collected from 124 deceased older patients with terminal-stage cardiopulmonary disease who had made reversals of LST decisions in an academic tertiary hospital in 2015. Data were extracted about the reversed LST decisions, LST treatments applied before death, and patients' demographic and clinical factors. Multivariate logistic regression analysis was used to identify the factors associated with the reversal to higher intensity of LST treatment. Results: The use of inotropic agents was the most frequently reversed LST treatment, followed by cardiopulmonary resuscitation, intubation, ventilator therapy, and hemodialysis. Inconsistency between the last LST decisions and actual treatments occurred most often in hemodialysis. One-third of the reversals in LST decisions were made toward higher intensity of LST treatment. Patients who had lung diseases (vs. heart diseases); were single, divorced, or bereaved (vs. married); and had an acquaintance as a primary decision maker (vs. the patients themselves) were significantly more likely to reverse the LST decisions to higher intensity of LST treatment. Conclusion: This study demonstrated the complex and turmoil situation of the LST decision-making process among older patients with terminal-stage cardiopulmonary disease and suggests the importance of support for patients and families in their LST decision-making process.

A Study On Optimized Design of Decision Support Systems for Container Terminal Operations (컨테이너 터미널 운영을 위한 의사결정시스템 설계의 최적화에 관한 연구)

  • Hong, Dong-Hee;Chung, Tae-Choong
    • The KIPS Transactions:PartA
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    • v.10A no.5
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    • pp.519-528
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    • 2003
  • Container terminals need decisions in the course of daily-24 hour and 365 day - operations, and all these decisions are inter-related. The ultimate goal of Decision Support System is to minimize ship loading/unloading time, resources used to handle the workload, and congestion on the roads inside the terminal. It is also to make the best possible use of the storage space available. Therefore, the necessity of decision support tools are emphasized to enhance the operational efficiency of container shipping terminals more, because of limits and complexity of these decisions. So, in thia paper, we draw evaluation items for Decision Support Systems and suggest optimization strategy of evaluation items which have the greatest influence on Decision Support system, that is, yard stacking allocation, RTGC deployment among blocks, and YT allocation to QCs. We also estimate the efficiency of Decision Support System design by simulation using G2 language, comparing ship loading/unloading time.

The Effects of Financial Support Policies on Corporate Decisions by SMEs

  • NAM, CHANGWOO
    • KDI Journal of Economic Policy
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    • v.38 no.3
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    • pp.79-106
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    • 2016
  • This paper investigates the effectiveness of public credit guarantee programs and interest-support programs for SMEs (small and medium enterprises). First, assuming that there is an imperfect information structure in the SME loan market, we analyze how SME support financial programs affect the corporate decisions made by SMEs with regard to default or loan sizes. In addition, this paper theoretically computes the optimal levels of credit guarantee amounts and the interest-support spread under equilibrium with imperfect information in a competitive loan market. Second, the paper empirically analyzes the continuous policy-treatment effect with the GPS (generalized propensity score) method. In particular, we consider the ratio of guaranteed debt to the total debt as a continuous policy treatment. The empirical results show that marginal effects of a credit guarantee on SMEs' productivity, profitability, and growth potential decrease with the ratio of guaranteed debt to the total debt. In addition, the average effect of a credit guarantee is maximized when this ratio is at 50% to 60%.

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CRM 데이터 웨어 하우스 구축 모형에 관한 연구

  • Jeong, Jin-Taek
    • 한국디지털정책학회:학술대회논문집
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    • 2003.12a
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    • pp.11-24
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    • 2003
  • It is far more expensive for companies to acquire new customers than it is to retain customers. As a result, companies are turning to Customer Relationship Management (CRM) in order to make decisions about managing the relationship and the profitability of those customer relationships. CRM is a strategy that integrates the concepts of Knowledge Management, Data Mining and Data Warehousing in order to support the organization's decision -making process to retain long-term and profitable relationships with its customers. This paper examines the design implications that CRM poses to data warehousing. We then present a robust data warehouse schema to support CRM analyses and decisions. For example, the proposed schema could be used to calculate customer profitability and to identify social networks of influence between customers. The paper also discusses future areas for research pertaining to CRM data warehousing and data mining.

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Ubiquitous Data Warehosue: Integrating RFID with Mutidimensional Online Analysis (유비쿼터스 데이터 웨어하우스: RFID와 다차원 온라인 분석의 통합)

  • Cho, Dai-Yon;Lee, Seung-Pyo
    • Journal of Information Technology Services
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    • v.4 no.2
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    • pp.61-69
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    • 2005
  • RFID is used for tracking systems in various business fields these days and these systems brought considerable efficiencies and cost savings to companies. Real-time based information acquired through RFID devices could be a valuable source of information for making decisions if it is combined with decision support tools like OLAP of a data warehouse that has originally been designed for analyzing static and historical data. As an effort of extending the data source of a data warehouse, RFID is combined with a data warehouse in this research. And OLAP is designed to analyze the dynamic real-time based information gathered through RFID devices. The implemented prototype shows that ubiquitous computing technology such as RFID could be a valuable data source for a data warehouse and is very useful for making decisions when it is combined with online analysis. The system architecture of such system is suggested.

Development of an OLAP Database System for SME Growth Support -Centering around the Small Business R&D Support Project- (중소기업성장지원 OLAP 데이터베이스 시스템 구축 -중소기업기술개발지원사업을 중심으로-)

  • Hwang, Man-Mo;Choi, In-Soo
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.1
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    • pp.235-245
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    • 2012
  • The purpose of this paper is to develop an online analytical processing (OLAP) database system for small and medium-sized enterprises (SMEs) growth support. In this paper, we made a model of measuring SME size first. The model is composed of five determinants of firm growth such as employment, sales, the amount of export, own technology, and the ratio of R&D expenditure to sales. Second, we designed the FREQUENCY dimension table which will make staged support of R&D expenditure. We developed the OLAP database system by using three dimensions including the FREQUENCY dimension, and using the model of measuring SME size. Also we assessed past decisions on R&D expenditure support in the Small Business R&D Support Project by using the OLAP database system.