• 제목/요약/키워드: Development Guideline

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통증관리 근거중심 가이드라인의 국내 타당성 검증 - 복부수술 환자를 대상으로 - (Validation of a Translated Guideline on Pain Assessment and Management: Focused on Abdominal Surgery Patients)

  • 홍성정;이은주
    • 임상간호연구
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    • 제18권1호
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    • pp.159-170
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    • 2012
  • Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.

간호사의 임상실무지침서 사용현황과 근거중심 임상실무지침서 요구도 조사 (Nurses' Usage of Clinical Practice Guideline and Demand of Evidence Based Clinical Practice Guideline)

  • 하미숙;박명화
    • 성인간호학회지
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    • 제18권4호
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    • pp.582-592
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    • 2006
  • Purpose: The purpose of this study was to offer the baseline data for developing a systematic and high quality of clinical practice guideline by exploring how nurses utilize clinical guidelines and what they need for. Method: This study has been done with 242 nurses of a university hospital in Daegu using a self-administered questionnaire. The instrument used in this study was developed by researchers based on the results of the previous studies. Data analysis was done with SPSS 11.0 Program. Results: Nurses felt that clinical guidelines were not sufficiently disseminated to update their clinical knowledge education. Nurses showed the strong demand for developing clinical practice guidelines with the newest and systematic evidence. However, a relatively low number of nurses knew evidence-based nursing and evidence-based clinical guidelines. Conclusion: It is necessary to develop an educational program for evidence-based nursing and an evidence-based nursing clinical practice guideline for nurses and to explore the strategies for development and dissemination of evidence-based clinical practice guidelines to solve the urgent and frequent clinical problems.

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수술환자를 위한 웹 기반 근거중심 실무 가이드라인의 개발 및 평가 (Development and Evaluation of the Web-based Evidence-based Practice Guideline for the Operation Patients)

  • 홍성정;장재식;전영훈;이은주;김화선
    • 인터넷정보학회논문지
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    • 제12권1호
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    • pp.131-139
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    • 2011
  • 본 연구는 수술환자에게 적용할 수 있는 수술 후 통증, 수술 후 오심 구토, 체온관리에 대한 웹 근거중심 실무 가이드라인 시스템을 개발하여 이를 적용하고 수술 환자의 수술 후 통증, 오심/구토, 체온관리에 대한 의료인의 지식정도와 환자의 만족도를 평가하기 위한 것이다. 수집된 자료는 SPSS/WIN 17.0 프로그램을 이용하여 평균, 표준편차, t-test, Repeated ANOVA로 분석하였다. 웹으로 구축한 근거중심 실무 가이드라인 적용 전과 후의 수술 후 통증, 수술 후 오심/구토, 수술환자 체온관리에 대한 지식정도와 환자 만족도에 유의미한 차이가 있었다.

국내병원 간호사의 인수인계 실무표준, 표준지침 및 표준화된 항목 개발에 대한 연구 (Development of Nursing Handoff Practice Guideline and Standards for Korean Hospital)

  • 김은만;유미;이향열;고지운;조의영;김을순
    • 임상간호연구
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    • 제20권1호
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    • pp.1-14
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    • 2014
  • Purpose: Addressing current status of nursing handoff provides information as to where to change practice for improvement in patient care. The aim of this study was to develop nursing a handoff practice guideline and standardsfor Korean hospitals. Methods: A questionnaire was used to collect data in a cross-sectional survey with 207 head nurses and 697 nurses working in general hospitals. Results: The practice guideline consisted of 2 items on purpose of handoff, 5 items on policy, 3 on environment, 5 on process, 7 on content, 3 on evaluation, and 1 on the function of education, for a total 26 of items. Standard instruction was developed related to Patients, Assessment, Situation, Safety concerns, Background, Actions, and Recommendations. Conclusion: The findings of this study indicate that the guideline can be applied in real nursing practice to improve the effectiveness of handoff procedures. It can be used to guide nurses to follow the standardized content, which presents patient details clearly. The guideline provides consistency and structure for the information that is handed over.

선박 해양용 본질안전 LED 방폭 조명 표준화를 위한 가이드 개발 연구 (A Guideline on Development of LED Convergence Intrinsic Safety Luminaire for Marine Plants & Ships and It's Standard)

  • 이승혁;김태훈
    • 대한안전경영과학회지
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    • 제19권4호
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    • pp.25-34
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    • 2017
  • Offshore plants should be managed at a high level of safety condition. Because the offshore plant has cramped space and has difficult access when a fire occurred, a fire can be critical to the plants. LED lighting can reduce the risk of fire by its lower energy consume suitable to intrinsic safety and lower heat radiation that can reduce the possibility of ignition. Also LED has a long lifetime. Though LED luminaire has various advantages for offshore plants, an international standard for the luminaire has not provided because it is new technology. Because there is no international and domestic standard specially provided for the LED luminaire, a guideline is required for developing the LED light and for the future establishment of an international standard. This study was conducted to develop the guideline for LED luminaire for offshore plants. Firstly, relevant standards were analyzed for the guideline. Then we found that there are editorial differences between international standards and domestic standards. So the guideline was developed based on international version and the differences between the domestic and international standard were provided to let Korean developers recognize the differences.

CARE(CAse REport) 지침에 따른 대한한방부인과학회지의 증례보고에 대한 질 평가 (Evaluation of the Quality of the Case Reports from the Journal of Obstetrics and Gynecology of Korean Medicine Based on the CARE Guidelines)

  • 남은영;박주연
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.71-86
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    • 2019
  • Objectives: The purpose of this study is to assess the quality of case reports from the Journal of Obstetrics and Gynecology of Korean Medicine. Methods: Case reports were selected from the Obstetrics and Gynecology of Korean Medicine from January 2015 to March 2019, by utilizing Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports were reviewed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guideline. Results: Total of 41 case reports were finally selected for the assessment. 69.23% of the case reports included necessary information based on the CARE guideline but the rest of the reports did not. More than 50% of the reports were missing data regarding 'Diagnostic challenges', 'Intervention adherence and tolerability', 'Adverse and unanticipated events', or 'Patient perspective or experience', and 'Informed consent'. Also, the reports did not include 'Key word', 'timeline'. Conclusions: Case reports from the Journal of Obstetrics and Gynecology of Korean Medicine have important role in women. Efforts are needed to improve the quality of the case reports as well as to develop reporting guidelines for the Journal of Obstetrics and Gynecology of Korean Medicine.

BIM 가이드라인 개발에 관한 연구 (A Study on the Development of BIM Guideline)

  • 성준호;김길채
    • 한국BIM학회 논문집
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    • 제1권2호
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    • pp.1-5
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    • 2011
  • 최근 BIM이 도입되면서 BIM가이드라인의 필요성이 대두되고 있으며 국내외 모두 BIM 도입 결정이 후 BIM 가이드라인을 제시하고 있다. 이에 본 연구에서는 건축 분야의 BIM 가이드라인을 개발 하고자 하였으며 이를 위해 BIM의 이론적 고찰과 해외 가이드라인 사례를 분석하여 BIM 가이드라인의 역할 및 개발 방향을 설정 하였다. 분석 결과 가이드라인의 역할은 (1) BIM 적용의 유도 및 확장 (2) BIM을 적용한 업무프로세스 지원 (3) 분야 간 협업방식 지원 및 개선 (4) 건설 정보의 표준화 구현 (5) BIM 활용 기술에 대한 기술적 지원으로 구분 할 수 있으며, 본 연구에서는 이를 가이드라인, 표준, 매뉴얼의 각각의 역할을 구분하여 가이드라인의 구체적인 개발 방향을 설정하였다. 이중 핵심 사항으로 BIM의 업무 범위를 명확히 할 수 있는 BIM 프로세스, 단계별 정보 수준, 적용 범위 등에 대하여 초점을 두고 국내 설계단계별 업무를 토대로 그 내용을 제시하였다.

U-Eco City 구축 가이드라인 프레임워크 개발 (Framework Development for the U-Eco City Construction Guideline)

  • 강영옥;피민희;조아라;이주연
    • 한국공간정보시스템학회 논문지
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    • 제12권1호
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    • pp.85-93
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    • 2010
  • 현재 유비쿼터스 도시개발과 관련한 사업계획 수립이나 설계과정은 사업수행자의 역량에 따라 과정이나 고려사항이 다양하고 체계화되어 있지 않은 실정이며, 지방자치단체는 유비쿼터스 도시 개발 과정에서 고려해야할 요소들이 제대로 분석되지 않아 여러 가지 어려움을 겪고 있다. U-Eco City 구축 가이드라인은 유비쿼터스 도시개발의 전 과정과 U-Eco City R&D 사업의 성과물을 체계화하여 지방자치단체 및 사업수행자가 활용할 수 있는 지침서 작성을 목적으로 한다. 본격적인 U-Eco City 구축 가이드라인의 개발에 앞서 본 연구에서는 U-Eco City 구축의 세부단계별 과정 및 핵심고려사항을 체계화한 프레임워크를 개발하였다. 개발된 프레임워크는 관련단계에서 수행해야할 활동을 체계적으로 수행하여 문제점을 최소화하고 지속가능한 U-Eco City 사업이 될 수 있도록 유도하며, U-Eco City 사업의 성과물을 체계적으로 담아내는 기본틀의 역할을 하게 될 것이다.

주민참여 도구로써 가로경관 디자인 가이드라인 구성 연구 (A Study on The Structure and Contents of Streetscape Design Guideline as a Tool of Residents' Participation)

  • 강혜연;이연숙
    • KIEAE Journal
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    • 제12권4호
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    • pp.59-69
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    • 2012
  • In order to create humanitarian living environment with sustainable ecological environment, urban regeneration project has been implemented recently seeking diverse methods for residents'participation stressing the process of communication with the residents changing from the existing one way planning by limited number of experts. Particularly, it is essential to develop systematic tools to promote the voluntary and positive participation of the residents because residents have to perform as the master of urban streetscape design project that requires sophisticated knowledge and experience and also because the residents have to function as sustainable maintainers and managers of their streetscape. This study intends to identify the organizational structure and major contents of design guideline as a tool to support the voluntary and positive participation of the residents in streetscape maintenance. For this purpose based on the structural system and characteristics of Chicago streetscape design guideline that was developed as tool for residents' participation, efforts were made to set up framework of design guideline for sustainable streetscape project with the users' participation with their overall understanding and trust. In detail, the author studied the resident participatory process for sustainable maintenance and management in a long term landscape project and the principle and theories of design planning for streetscape that supports the utilizing behaviors of the users, and how this information should be linked and organized to form the structure and contents of design guideline. As a tool supporting residents' participation and helping the residents perform the responsible function as sustainable maintainers and managers of their streetscape through social maturity with ontological sense of masters of their local community as they experience the gradual processes of their streetscape maintenance project, streetscape design guideline has its meaning in the efforts that tried to achieve deep participation of the residents through researches converging the two academic sectors of urban architecture and social psychology.

국내.외 지속가능경영보고서의 산업안전보건 분야의 GRI guideline을 이용한 평가 및 산업안전보건법을 이용한 지표 개발에 관한 연구 (A Study on the Indicator Development using Industrial Safety Sanitation Field GRI Guideline and Industrial Safety Sanitation Act from Domestic and Overseas Sustainable Management Reports)

  • 조기홍;임화영;최순영
    • 대한안전경영과학회지
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    • 제11권4호
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    • pp.1-6
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    • 2009
  • This study was evaluated the indicators of GRI guideline LA6-LA9 for industrial safety sanitation field on 22 domestic sustainable management reports and 46 overseas reports published by companies in 2007 and 2008, was developed new indicators with emphasis on industrial safety sanitation act, and was assessed whether they are released. As a result, LA6(Percent of total workforce represented in formal joint management-work health and safety committees that help monitor and advise on occupational health and safety programs) was evaluated highest in release ratio on whether to release the reports by each indicator of industrial safety sanitation field using domestic sustainable management report GRI guideline, and in the case of overseas companies, it was evaluated that there is no companies that release all from LA6 through LA9 among GRI guideline, but it was grasped that the ratio of partial release is high. As for the release of indicators was developed with the use of industrial safety sanitation act of 22 domestic companies, the release of indicator No. 1(report and industrial disaster record) and 10(health diagnosis) of industrial safety sanitation act was high. This study is meaningful in that it analyzed the industrial safety sanitation field of sustainable management report(CSR) that has not been attempted so far with the use of new indicators developed with emphasis on GRI guideline and industrial safety sanitation act.