• Title/Summary/Keyword: Evidence Based Design

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Impact of Premarital Coaching (PMC) Intervention using the Psycho-educational Approach on Parenting Self-efficacy of Newly-married Underage Couples: A Narrative Literature Review of Evidence and Feasibility in Indonesia

  • Sutrimo, Ade
    • Perspectives in Nursing Science
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    • v.15 no.1
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    • pp.41-48
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    • 2018
  • Purpose: The purpose of this study was to identify the latest evidence for interventions involving adolescent newlyweds, and the feasibility of premarital coaching (PMC). Methods: A narrative literature review design carried out through related studies was used for the present literature review. A diverse search from several databases was performed to create a critical appraisal and to develop a more integrated model for the PMC program. Studies that empirical, written in English, peer-reviewed, and published during 2008~2017 were included. Results: Six articles were selected for the review. The principal findings identified three major themes including underage period as a high-risk for marriage, development tasks of the newly married spouse, parenting self-efficacy and the psycho-educational approach of PMC to enhance parenting knowledge, skills, and readiness. Conclusion: It was found that content of PMC as the preparation of underage married couples were formulated based on coaching technic, various spouse and parenting educations, and adjusted based on couples's preferences. Rigorous studies with measurement of long-term retentions are needed.

Regional Multinationals: Evidence from Wal-Mart's Withdrawal from the South Korean Market

  • AHN, Se-Yeon
    • East Asian Journal of Business Economics (EAJBE)
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    • v.9 no.1
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    • pp.53-61
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    • 2021
  • Purpose - This study aims to understand the phenomenon called "regional multinational" in the geographical expansion of multinational enterprises and to find some evidence whether globalization of multinational enterprises tends to have a strong home region bias. Research design, data, and methodology - Through an in-depth case analysis, we analyze the series of strategic behaviors Wal-Mart made in South Korea from its entry in 1998 to its withdrawal in 2006. Then, we discuss the plausible causes of this exit, seeking to provide some evidence on the "regional multinational" phenomenon. Result - This study finds some evidence on the regional-based expansion of multinational enterprises. Our case study shows that Wal-Mart in South Korea focused on global standardization strategy and made an exit from the market as they were faced with increasing localization demands. From the perspective of multinational enterprises' globalization strategy, Wal-Mart's exit from the South Korean market can be considered as a strategic exit. Conclusion - The findings of this study suggest that while national responsiveness and localized adaptation are considered as a panacea for penetrating international markets, in reality most multinational enterprises attempt to add value primarily by capitalizing on similarities across markets and remain as regional multinationals.

Registered Nurses' Knowledge, Attitudes, and Practice about Evidence-Based Practice at General Hospitals in Korea (상급종합병원 간호사의 근거기반실무에 대한 지식과 태도 및 수행)

  • Lim, Kyung Choon;Park, Kwang Ok;Kwon, Jeong Soon;Jeong, Jae Sim;Choe, Myoung Ae;Kim, Joo Hyun;Lee, Kyung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.375-387
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    • 2011
  • Purpose: Evidence-based practice (EBP) has emerged as a marker for healthcare quality and a global issue in nursing care. This study was conducted to identify Korean registered nurses' knowledge, attitudes, and practice about EBP in Korea. Methods: With a cross-sectional design, the EBP questionnaire (EBPQ) was administered to a convenience sample of nurses (N=453) recruited from 44 general hospitals. To increase the response rate, the directors of nursing were individually contacted by the researchers. The final response rate was 95.7%. Results: The majority of participants were females (99.3%), staff nurses (57.8%), and with bachelors degree (40.6%). Most of them (314, 73.4%) had ever heard about EBP. The overall mean score for the EBPQ was $4.72{\pm}0.69$ out of maximum score of 7. The mean score for the knowledge of EBP, attitudes towards EBP, and practice/use of EBP were $4.61{\pm}0.75$, $4.85{\pm}0.94$, and $4.90{\pm}0.88$, respectively. Educational level, age, and exposure to EBP were statistically significant predictors of Korean nurses' EBP perception. Conclusion: The findings showed that nurses with higher education are more likely to use and value the best available evidence for practice. This study suggests needs not only for further exploration but also for developing educational plans provided by each institute to assist nurses with the process of EBP and the associated skills.

Effect of digital therapies on balance and gait in children with cerebral palsy: A systematic review (디지털 치료제가 뇌성마비 아동의 균형 및 보행에 미치는 효과: 체계적 고찰)

  • Jung-Hyun Kim
    • Journal of Korean Physical Therapy Science
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    • v.30 no.4
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    • pp.92-110
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    • 2023
  • Background: Digital therapeutics are software medical devices that provide evidence-based treatments to prevent, manage, and treat disease. Digital therapies have recently been shown to be effective in motivating children with cerebral palsy as a tool in neuropsychological therapy. Digital therapies improve postural control, balance and gait in children with cerebral palsy. Therefore, this study aims to investigate the effects of digital therapies on balance and gait in children with cerebral palsy and to provide guidelines for prescribing digital therapies for children with cerebral palsy. Design: A Systematic Review Methods: This study searched for English-language articles published in medical journals from January 2000 to July 2023 using PubMed and MEDLINE based on the year of initiation of the digital therapy. The search terms used in the study were 'digital technology' OR 'digital therapeutic' OR 'mobile application' OR 'mobile health' OR 'virtual reality' OR 'game' AND 'cerebral palsy', 'balance' 'gait' as the main keywords. The final article was assigned an evidence level and a Physiotherapy Evidence Database (PEDro) score to assess the quality of clinical trials studies. Results: The digital therapies applied to improve balance and gait in children with cerebral palsy are game-based virtual reality training and the Nintendo Wii Fit program. Both digital therapy interventions had a significant effect on improving balance in children with cerebral palsy, and virtual reality training significantly improved balance and gait. However, there were no significant improvements in balance and gait within two weeks of treatment, regardless of the type of digital intervention. Conclusion: The study suggests that this data will be important in building the evidence base for the effectiveness of digital therapies on balance and gait in children with cerebral palsy and in advancing clinical protocols.

Quantifying Values from BIM-projects life cycle with cloud-based computing

  • Choi, Michelle Mang Syn;Kim, Inhan
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.271-275
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    • 2015
  • A variety of evaluation application and initiatives on the adoption of Building Information Modelling (BIM) have been introduced in recent years. Most of which however, focused mainly on evaluating design to construction phase-processes, or BIM utilization performances. Through studying existing publications, it is found that continuous utilization of BIM data throughout the building's life cycle is comparatively less explored or documented. Therefore, this study looks at improving this incomplete life cycle condition with the concept that accumulated BIM data should be carried forward and statistically quantified for cross comparison, in order to facilitate practitioners to better improve the projects the future. Based on this conceptual theory of moving towards a closedloop BIM building life cycle, this study explores, through existing literature, the use of cloud based computing as the means to quantify and adaptively utilize BIM data. Categorization of BIM data relations in adaptive utilization of BIM data is then suggested as a initial step for enhancing cross comparison of BIM data in a cloud environment.

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Uncertainty Quantification of Propulsion System on Early Stage of Design (추진체계 개념설계단계에서 불확실성 고려방법에 대한 연구)

  • Ahn, Joongki;Um, Ki In;Lee, Ho-il
    • Journal of the Korean Society of Propulsion Engineers
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    • v.22 no.5
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    • pp.73-80
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    • 2018
  • At the early stages of development of high-speed propulsion systems, associated uncertainties cannot be easily modeled into probabilistic distributions, owing to the lack of test data, cost, and difficulty of simulating real-flight environments on the ground. To tackle this issue, in this research, the combustion efficiencies of dual-combustion ramjet engines are assumed to have been provided by experts and quantified by evidence theory. Using quantified uncertainty, the inlet area and combustor exit are optimized while satisfying reliability margins of thrust and thermal choking. The result shows a reasonable design of the engine under uncertain circumstances.

Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers (의료종사자의 안전한 개인보호장비 탈의를 위한 공간 설계에 관한 연구)

  • Matic, Zorana;Oh, Yeinn;Lim, Lisa
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.26 no.3
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    • pp.17-26
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    • 2020
  • Purpose: This paper presents research evidence that the environmental design of the doffing area in a biocontainment unit (BCU) can have a measurable impact on increasing the safety of frontline healthcare workers (HCW) during doffing of high-level personal protective equipment (PPE), and proposes optimized biocontainment unit design. Methods: From 2016 to 2019, The SimTigrate Design Lab conducted 3 consecutive studies, focusing on ways in which the built environment may support or hinder safe doffing. In the first study, to identify the risky behaviors, we observed 56 simulation exercises with HCWs in 4 BCUs and 1 high-fidelity BCU mockup. In the second study, we tested the effectiveness of a redesigned doffing area on improving the HCWs performance and used simulation, observation, and rapid prototyping in 1 high-fidelity mockup of a doffing area. In a follow-up study, we used simulation and co-design with HCWs to optimize the design of a safer doffing area in a full-size pediatric BCU mock-up. Results: We identified 11 specific risky behaviors potentially leading to occupational injury, or contamination of the PPE, or of the environment. We developed design strategies to create a space for safer doffing. In the second study, in a redesigned doffing area, the overall performance of HCW improved, and we observed a significant decrease in the number of risky behaviors; some risky behaviors were eliminated. There was a significant decrease in physical and cognitive load for the HCWs. Finally, we propose an optimized layout of a BCU for a safer process of PPE doffing. Implications: The proposed BCU design supports better staff communication, efficiency, and automates safer behaviors. Our findings can be used to develop design guidelines for spaces where patients with other highly infectious diseases are treated when the safety of the patient-facing HCWs is of critical importance.

Analysis of Research Papers Published in the Journal of the Korean Academy of Nursing-Focused on Research Trends, Intervention Studies, and Level of Evidence in the Research (최근 2년간 Journal of Korean Academy of Nursing 게재논문 분석-연구 동향, 실험중재, 연구의 근거등급을 중심으로)

  • Shin, Hyun-Sook;Hyun, Myung-Sun;Ku, Mi-Ok;Cho, Myung-Ok;Kim, Sook-Young;Jeong, Jea-Sim;Jeong, Geum-Hee;SeoMoon, Gyeong-Ae;Son, Youn-Jung
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.139-149
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    • 2010
  • This study aimed was done to analyze recent trends in nursing research published in the Journal of Korean Academy of Nursing by focusing on the content of nursing interventions and their level of evidence. Methods: A total of 209 studies published between 2007 and 2008 were reviewed using analysis criteria developed by the researchers. Results: The number of quantitative studies was greater than that of qualitative studies. There was a slight increase in the number of qualitative studies and studies including elderly populations, which reflects the recent population trend in Korea. More randomized controlled trials with a low risk of bias were needed to support more evidence-based nursing practice. Concerning the low rate of ethical consideration, stricter application of research ethics needs to be encouraged. Conclusion: The findings of this study suggest the recent trends in nursing research and the direction of nursing research and review in the Journal.

Economic Design of Tree Network Using Tabu List Coupled Genetic Algorithms (타부 리스트가 결합된 유전자 알고리즘을 이용한 트리형 네트워크의 경제적 설계)

  • Lee, Seong-Hwan;Lee, Han-Jin;Yum, Chang-Sun
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.35 no.1
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    • pp.10-15
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    • 2012
  • This paper considers an economic design problem of a tree-based network which is a kind of computer network. This problem can be modeling to be an objective function to minimize installation costs, on the constraints of spanning tree and maximum traffic capacity of sub tree. This problem is known to be NP-hard. To efficiently solve the problem, a tabu list coupled genetic algorithm approach is proposed. Two illustrative examples are used to explain and test the proposed approach. Experimental results show evidence that the proposed approach performs more efficiently for finding a good solution or near optimal solution in comparison with a genetic algorithm approach.

Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room (응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발)

  • Jeong, Min-Jin;Shin, Hyun-A;Kim, Yun-Hee;Lee, Jee-Hyang;Lee, Seung-Ja;Song, Mi-Ra
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.214-221
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    • 2012
  • Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.