• 제목/요약/키워드: Evidence Based Design

검색결과 495건 처리시간 0.024초

임상 간호사들의 연구 관련 활동 실태 및 연구결과 활용의 장애 요인 (Nurses′ Research Activities and Barriers of Research Utilization)

  • 오의금;오현주;이윤정
    • 대한간호학회지
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    • 제34권5호
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    • pp.838-848
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    • 2004
  • Purpose: This study was to describe nurses' research activities, perceptions and performances of evidence-based practice and barriers to the use of research evidence in nursing practice in Korea. Method: A cross-sectional survey design was used. A questionnaire, except for Barriers Scale, was developed for the study. Data was collected from a convenient sample of 437 registered nurses working at research and education oriented university hospitals. Result: Nurses' research-related activities were relatively low compared to previous studies. Also perceptions and performances of evidence based nursing practice were low. Preferred informational resources for clinical decision making were identified as ward manuals/clinical guidelines, manager/senior nurses, and literature/research. The major barriers to research utilization were a lack of implication for practice along with inadequate facilitation to implement research evidence and difficulty understanding research written in English. Priorities of barriers factor were Administrator, Communication, Adopter, and Research. Conclusion: The findings provide directions for future training, education, and managerial policy to achieve successful evidence based nursing practice.

Design and Implementation of a Digital Evidence Management Model Based on Hyperledger Fabric

  • Jeong, Junho;Kim, Donghyo;Lee, Byungdo;Son, Yunsik
    • Journal of Information Processing Systems
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    • 제16권4호
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    • pp.760-773
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    • 2020
  • When a crime occurs, the information necessary for solving the case, and various pieces of the evidence needed to prove the crime are collected from the crime scene. The tangible residues collected through scientific methods at the crime scene become evidence at trial and a clue to prove the facts directly against the offense of the suspect. Therefore, the scientific investigation and forensic handling for securing objective forensic in crime investigation is increasingly important. Today, digital systems, such as smartphones, CCTVs, black boxes, etc. are increasingly used as criminal information investigation clues, and digital forensic is becoming a decisive factor in investigation and trial. However, the systems have the risk that digital forensic may be damaged or manipulated by malicious insiders in the existing centralized management systems based on client/server structure. In this paper, we design and implement a blockchain based digital forensic management model using Hyperledger Fabric and Docker to guarantee the reliability and integrity of digital forensic. The proposed digital evidence management model allows only authorized participants in a distributed environment without a central management agency access the network to share and manage potential crime data. Therefore, it could be relatively safe from malicious internal attackers compared to the existing client/server model.

근거중심실무 연계 중환자간호 실습교육의 적용 및 효과 (Effects of Evidence Based Practice Integrated Critical Care Clinical Practicum)

  • 박명화
    • 한국간호교육학회지
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    • 제17권3호
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    • pp.346-354
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    • 2011
  • Purpose: This study examines the effects of integrating Evidence Based Practice (EBP) into a critical care clinical practicum on nursing students' access and use of information resources and EBP competency. Methods: A one-group pretest-posttest design was used. Fifty senior nursing school students from a university participated. A critical care clinical practicum combined with EBP consisted of six full days of clinical practicum in intensive care units with EBP education. Group and individual training in EBP skills, lectures, small group discussion and conferences were provided. Data were analyzed using paired t tests for 50 participants. Results: The scores of evidence based practice competency increased significantly (p<.001) showing significant improvement in searching and classifying the evidence. Nursing students' access and use of research evidence improved (p=.004). Conclusion: This study showed that the integration of EBP into a clinical practicum was effective in improving accessibility and usefulness in research evidence such as guidelines and research articles, and increasing EBP competency in undergraduate students.

임상간호사의 근거기반실무 신념과 연구 관련 행동의도에 따른 온 요법 간호 (Heat Application According to Nurse's Belief on Evidence-Based Practice and Behavioral Intention Related to Research)

  • 윤수경;신용순
    • 기본간호학회지
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    • 제23권3호
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    • pp.264-274
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    • 2016
  • Purpose: This study was done to compare heat applications by nurses in accordance to belief in evidence-based practice and behavior intention related to research. Methods: A cross-section survey design was used. Participants were 228 nurses from 5 institutions who completed the research questionnaire. Data were collected during July and August 2015. Results: The nurses reported that duration of heat applications was 2.5 minutes to 90 minutes. Frequently used heat application devices, in order of frequency, were rubber bag, gel pack and red clay pack. Most of the nurses (78%) responded that advice from colleagues was the most frequently used basic evidence for heat application. There was a statistically significant difference for the necessity of heat application practice guidelines between the high evidence-based practice belief cluster and the low cluster ($x^2$=15.39, p<.001). Conclusion: There were difficulties in providing consistent nursing interventions because of practical differences and absence of evidence-based guidelines for heat application. The researchers recommend that basic studies with various instruments be conducted and proper practice guidelines developed for heat application.

간호연구 질 평가 도구 및 보고지침 고찰 (Quality Assessment Tools and Reporting Standards in Nursing Research)

  • 김경희;김주현;임경춘;이경숙;정재심;최명애;채영란
    • Journal of Korean Biological Nursing Science
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    • 제14권3호
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    • pp.221-230
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    • 2012
  • Purpose: Quality of nursing research should be evaluated before it is applied as an evidence for evidence-based nursing practice. This study attempted to analyze and to compare tools for the quality assessment and reporting standards of nursing research using CONSORT and STROBE checklist by types of research design. Methods: We searched the tools for quality assessment in nursing research based on the National Evidence-based Healthcare Collaborating Agency (NECA) publication. Then, we analysed and compared the tools for quality evaluation by types of research design. Results: According to the analysis using CONSORT checklist, ROB shows coherence in 17 items, Jadad shows coherence in 3 items, SIGN (for RCT) shows coherence in 26 items, and Downs & Black shows coherence in 24 items. According to the analysis using STROBE checklist, MINORS shows coherence in 25 items, NOS shows coherence in 21 items, SIGN (for Cohort studies & Case-control studies) shows coherence in 29 items, and RoBANS shows coherence in 21 items. Conclusion: Based on our analysis, we recommend that nursing researchers should report according to the reporting standards of tools for quality evaluation. We hope that our analysis can be helpful to develop evidence-based nursing.

근거기반 정맥주입요법 간호실무지침 실무적용 프로그램 개발 및 평가 - 중소병원을 대상으로 (Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals)

  • 홍인화;은영
    • 대한간호학회지
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    • 제50권6호
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    • pp.863-875
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    • 2020
  • Purpose: This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals. Methods: A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital's medical records. Data were analyzed using t-test, χ2-test, and Shapiro-Wilk test, with qualitative content analysis used for interview data. Results: Following the intervention, nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group. Conclusion: This program is effective to improve nurse's perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

간호대학생의 간호정보활용역량 강화프로그램이 근거기반실무 역량과 문제해결능력에 미치는 효과 (The Effectiveness of Nursing Information Literacy Competency Enhancement Program on Evidence-Based Practice Competencies and Problem Solving Skills in Nursing Students)

  • 하영미;리메일링;채여주
    • 디지털융복합연구
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    • 제14권11호
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    • pp.347-356
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    • 2016
  • 본 연구는 간호대학생을 대상으로 간호정보활용역량 강화프로그램을 개발하여 적용한 후 이 프로그램이 근거기반실무 역량(근거기반실무 지식, 태도, 기술)과 문제해결능력에 미치는 효과를 검증하고자 시도되었다. 간호대학 2학년 학생 72명을 대상으로 한 단일군 전후설계 연구이다. 실험중재는 간호대학생에게 6회(총 8시간)의 간호정보활용역량 강화프로그램이 제공되었다. 간호정보활용역량 강화프로그램을 실시한 결과 간호대학생들의 근거기반실무 역량(근거기반실무 지식, 태도, 기술)과 문제해결능력이 실험전보다 유의하게 향상되었다. 따라서 본 연구결과를 바탕으로 향후 간호대학에서 간호정보활용역량 강화프로그램을 활용하여 이들의 근거기반실무 역량 및 문제해결능력을 증진시킬 수 있는 기초자료를 마련하고자 한다.

Influence of Physical Therapist and Work Environment on Evidence-Based Practice in South Korea

  • Shin, Kyung-Mi;Song, Chang-Ho
    • Physical Therapy Rehabilitation Science
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    • 제11권2호
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    • pp.224-234
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    • 2022
  • Objective: The purpose of this study was to identify the practitioner and organizational characteristics that either detracted from or encouraged the use of evidence-based practice (EBP) by physical therapists. Design: A cross-sectional survey study Methods: Participants were 260 physical therapists currently practicing in South Korea. They completed a questionnaire designed to determine attitudes, beliefs, interest, self-efficacy and barriers to EBP, as well as demographic information about themselves and their practice settings. Logistic regression was used to examine relationships between socio-demographic and work environment characteristics and each practitioner factor. Results: Respondents agreed that the use of evidence in practice was necessary. Although 80% of them agreed that research findings are useful, 71% felt that a divide exists between research and practice. In terms of confidence in their skills, the ability to interpret results of statistical procedures ranked lowest. Despite internet access at work for 63% of respondents, only 14% were given protected work time to search and appraise the literature. Only 2% of respondents stated that their organization had a written requirement to use current evidence in their practice. The primary barrier to implementing EBP was a reported lack of time. Conclusions: In conclusion, most physical therapists stated they had a positive attitude toward EBP and were interested in learning or improving the skills necessary for implementation. Most recognized a need to increase the use of evidence in their daily practice, but a lack of ability to understand the results of research represents a significant barrier to implementing EBP.

Health benefits of evidence-based biophilic-designed environments: A review

  • Hung, Shih-Han;Chang, Chun-Yen
    • 인간식물환경학회지
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    • 제24권1호
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    • pp.1-16
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    • 2021
  • Background and objective: People-nature experiences, which suggest that humans seek connections between nature and other forms of life, were presented by biologist E. O. Wilson in 1984. Biophilic design attributes support environments that can improve human connections to nature. A significant amount of literature on environmental psychology provides empirical evidence that nature benefits humans, and that practical landscape and built environments can be designed to link humans and nature (e.g., the 14 biophilic design patterns). To date, however, there has been no well-done research on reviewing the health benefits of biophilic design. Methods: The paper provides a narrative review on biophilic design and human health. The scope of this article is limited to biophilic-design books and peer-review articles related to "biophilic design," "evidence-based," "benefits," "health," rather than an attempt to identify universal issues with biophilia hypothesis. Results: A total of 45 papers were included in our review, which was related to the top five biophilic design patterns and design: the presence of natural images, the presence of plants, visual and non-visual connections to nature, and material connection with nature. These studies were related to physiology and psychology through direct or indirect connections with nature and experiences in space and place. Conclusion: This study presents two important comparisons of the empirical research on biophilic design and human health that can explain the relationship of people-nature experiences to biophilic design and human health and provides insights into related researches and recommendations for future application of our findings.

항암화학요법을 받는 암 환자의 오심, 구토관리를 위한 환자용 지침 개발 (Development of Cancer Patient Guide for Nausea & Vomiting Management in Chemotherapy)

  • 이지은;박명화
    • 성인간호학회지
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    • 제22권6호
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    • pp.570-581
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    • 2010
  • Purpose: This study was conducted to develop a Cancer Patient Guide with patients involvement using evidenced based practice research. The purpose of this patient guide was to help patients undergoing chemotherapy to manage their nausea and vomiting based on evidence. Methods: The design of the research was a methodological study. The participants consisted of seven cancer patients who were asked about their ' need for nausea and vomiting management, and secondly, 16 expert & 15 cancer patients to evaluate the Cancer Patient Guide using the DESCERN tool. Results: 1) Sixty-four relevant research evidences based articles were reviewed. 2) Patients were interviewed as to their needs in controlling nausea and vomiting. 3) The preliminary Cancer Patient Guide utilizing the research evidenced and the cancer patients interviews was then evaluated and revised by the experts and cancer patients. Lastly, the Cancer Patient which included an overview of chemotherapy, pathophysiology of nausea & vomiting, pharmacological and non-pharmacological interventions was finalized with each intervention supported by research evidence and patients' narratives of their experience. Conclusion: The Cancer Patient Guide was developed using evidenced based research and cancer patients in-put and be used to improve patients' self-management skill of nausea and vomiting in chemotherapy. The guide t also provides evidence based patient friendly information and contributes as a baseline data for developing and evaluating evidence-based guide for patients.