• Title/Summary/Keyword: Guideline

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Adherence to Clinical Guideline for Endotracheal Suction in ICU Nurses (중환자실 간호사의 기관내 흡인 임상지침 수행 현황)

  • Yang, Eunjung;Shin, Hyunsook
    • Journal of East-West Nursing Research
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    • v.23 no.1
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    • pp.53-62
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    • 2017
  • Purpose: This study aimed to evaluate the adherence to the clinical guideline for endotracheal suction in nurses working at intensive care units (ICU) and to identify the characteristics of nurses with good adherence. Methods: This study was a descriptive study to evaluate the pattern of adherence and its related factors to endotracheal suction. One hundred fifty five nurses working at ICU participated in this study. We used a questionnaire developed based on American Association for Respiratory Care (AARC) guidelines and other associated factors from previous studies. Results: Around half of the participants reported that their adherence to the clinical guideline was poor. Items deviated from the recommended guideline were reasons for initiating a suctioning, applied suction pressure ranged from 20 to 200mmHg, and applied catheter size from 6 to 17 french. Other factors deviated were the depth of inserted catheter, and inappropriate use of normal saline instillation. The most significant factor was related to hospital; the misused or misled clinical protocol. Conclusions: The adherence to the clinical guidelines of the endotracheal suction in ICU nurses was not appropriate, which might contribute to the patient health outcomes. More enhanced continuing education as well as hospital regulation is warranted.

Development of the Guideline Applied for University on GHG Emission Inventory (대학단위 온실가스 인벤토리 구축 가이드라인 개발)

  • Shin, Eun-Seop;Jung, Hye-Jin;Yi, Seung-Muk
    • Journal of Korean Society for Atmospheric Environment
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    • v.28 no.3
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    • pp.316-324
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    • 2012
  • This research shows the improved methodology which can be applied for universities which want to set up their GHG inventories. In other words, we tried to make guideline in problems due to the unique characteristics of universities. This guideline will help university to deal with the problems they are facing: For example university has less enforcement in operational control compared to the business sector. And it also has various usage of facilities, although these facilities are not maintained by same principal agent. The difference between owner and manager is an another reason for difficulty in setting group organization. The improved and adaptable methods responding to these problems were suggested from this research. The results of this research says the new definition of function for various actors in university for quality control and quality assurance. Because the suggestions made in this research which concerns with criteria for building of universities' GHG inventories were all read by current legislation, there is an anticipation that this can be an official guideline that can be applied to the universities right away.

Guidelines Development of Living and Social Environmental Aspects for the Planning of Back-to-Farm Community Village (귀촌형 공동체마을 조성을 위한 생활환경과 사회환경 측면의 가이드라인 개발)

  • Park, Kyoung-Ok;Lee, Sang-Un;Jung, Ji-In
    • Journal of the Korean Institute of Rural Architecture
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    • v.20 no.1
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    • pp.1-10
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    • 2018
  • In order to give back-to-farm residents the stable settlement environment in the rural area, the 'community village' is desirable as the village type and its village planning guideline should be supported as well. The purpose of this study was to develop a guideline for the planning of back-to-farm community village in the living and social environmental aspects, based on the comprehensive comparative analysis about items that field survey and literature suggested. The guideline for the living environment was developed for 6 items; village structure(adequate size, lot, outer space for household), village landscape(allocation, space composition), road system and transportation(parking lot in village, placement of bus stops, village trail, public transportation, road and pedestrian system), common living facilities and common space(number, size, location & placement, plan type, planning type of common facilities), transfer space, individual housing(type, size, planning type). The guideline for the social environment was developed for 3 items; village making and establishment(resident participation type, resident participation tool, residents' construction participation) and resident education in the course of planning, resident participation(gathering resident opinion, decision making, composition of construction committee, community newsletter).

User Benefit Characteristics of Customized Housing Design Guideline for Childcare Families (사용자혜택 이론에 따른 신혼·육아가구 맞춤형 주택계획가이드 라인의 특성 연구)

  • Lee, Yeunsook;Ahn, Somi;Park, Jaehyun
    • Korean Institute of Interior Design Journal
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    • v.25 no.5
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    • pp.63-70
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    • 2016
  • Modern society is suffering from the phenomena of low-fertile, ultra-aging, and low-growth. On this social flow, most social classes undergo vulnerable situation and their overall housing and living condition have difficulties. So far many housing guidelines for diverse population were developed, recently, inclusive 'Customized Housing Design Guideline for Childcare Families' in terms of maintaining family and society has been completed. The purpose of this study is to analyze User Benefit Characteristics of 'Customized Housing Design Guideline for Childcare Families'. The research subjects are essential 140 guidelines appropriate to children's development and parents' care. The research method is contents analysis and the analysis criterion are 4 concepts of the User Benefit Criteria- 'Behavioral Facilitation (BF)', 'Physiological Maintenance (PhM)', 'Perceptual Maintenance (PM)', 'Social Facilitation (SF)'. 3 people inter-raters reliability was established. Altogether, the guidelines were rated in the order of PhM>PM>BF>SF, and these characteristics are similar as common universal design guidelines. This showed the supportability of spatial characteristics in the guidelines related to user's special behaviors. Also, the results show the importance of outdoor space planning for safe social interactions. The supportable characteristics of 'Customized Housing Design Guideline for Childcare Families' could be expected to efficiently apply for new housing development in the future.

Development of Education Courseware for Clinical Care Classification System based PC and Smartphone (PC와 스마트 폰 기반 임상간호분류체계 교육 코스웨어 개발)

  • Hong, Hae-Sook;Lee, In-Keun;Cho, Hune;Kim, Hwa-Sun
    • Journal of Internet Computing and Services
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    • v.12 no.3
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    • pp.49-56
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    • 2011
  • It is urgently needed to develop programs supporting lifelong education for nurses and students of nursing, which are not restricted by time or space and use personal computers or smartphone. The purpose of this study is to develop CCC(Clinical Care Classification) System into a education program and provides guideline to support clinical tasks for students of nursing. Comparing the search times of the book guideline and the web guideline developed, this study found that it was over 3.5 times faster. And its error rate was over four times lower. This result shows that it can provide accurate intervention for patients since it approaches to intervention and evaluation guideline fast and precisely in the actual tasks of nursing.

A Design Guideline of Sign System Based on DPD Concept in Traditional Heritage Villages

  • Noh, Hwang-Woo;Kitagawa, Keiko;Yoo, Jae-Soo;Park, Sun-Gyu;Oh, Sang-Hoon;Min, Byung-Won;Oh, Yong-sun
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.19-20
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    • 2015
  • Sign system currently used for traditional heritage villages in Korea does not have any well-defined concept and method so that somewhat improper signs can be developed like for general urban or tourism area. In this paper, we present a new method or guideline of sign system based on DPD(disaster prevention design) concept for our traditional heritage villages. We can enhance both safety of residents and satisfaction of visitors throughout this guideline. According to our investigations on the heritage villages, sign systems in Korea are mainly developed for tourism, on the other hand, sign development in Japan mainly focuses on prevention or protection against big disasters like earthquakes. Considering residents and their safety, we can submit a proper guideline to develop sign system for our traditional heritage villages based on the concept of DPD which can be applied to each space. Asan 'Oeam Village' and Beppu 'Onsen Village' are used as application sites compared between Korea and Japan.

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The Maintenance Guideline of Long-Life Housing for the Manager(I) (장수명 공동주택의 관리자 유지관리 지침(I))

  • Ji, Jang hun;Kim, Soo Am;Yoon, Sang Cho;Chung, Joon Soo
    • KIEAE Journal
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    • v.10 no.3
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    • pp.63-74
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    • 2010
  • The general housing causes various environmental problems on the squandering of the resources and the production of the construction wastes, as it was removed and rebuilt because of the short-life in 20-30 years after constructing. The short-life of the general housing makes the rebuilt-term short and takes a negative attitude in maintenance. In the other hand, the long-life housing is constantly dwelling house that considers the carbon reduction among the world issues, Support and Infill. The long-life housing promotes the durability of Support and maximize the variability of Infill through separation of Support & Infill. It's useful dwelling house in maintenance as well as various life-cycle and life style. As the maintenance guideline of dwelling house is used for long-life housing, there is not distinction considering who controls maintenance and there is not conception considering alteration, variability and convenience. Consequently, it is required to develop the proper maintenance guideline applied maintenance process for long-life housing. Therefore this study shows efficient maintenance guideline for manager in long-life housing.

Development of Air-Environment management guideline in Building construction process (건설사업추진단계에서의 대기환경 관리지침 개발에 관한 연구 - 군 건설사업 중심으로 -)

  • Na Duk-So;Suh Sang-Wook;Lee Chan-Sik
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2004.11a
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    • pp.376-379
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    • 2004
  • Building construction Is essential part that we get the enjoyment and promote the quality in human life. But construction process itself has an bad effect on environment: air Pollution, water Pollution, soil Pollution ,etc. These day, Air-environment management becomes very important part in Construction because Construction duration delay which is caused by civil petitions related air-environment occurs frequently. For developing the management-guideline of environment management, This study suggests an executive management-guideline based on surveying air-environmental related laws, regulations and literatures, making out important factors. With the management guideline, The Purpose of this study is to make an air-environmental management system through that Process.

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

  • Hong, Sung Jung;Lee, Eunjoo
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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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.

Clinical Practice Guidelines of Korean Medicine for Malignant Lymphoma (악성 림프종 치료에 대한 한의 임상진료지침)

  • Jung, Hyun-sik;Lee, Sang-hun;Yoo, Hwa-seung;Kim, Kyung-suk
    • The Journal of Internal Korean Medicine
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    • v.37 no.3
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    • pp.453-466
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    • 2016
  • Objective: The purpose of this study was to present the clinical practice guideline of Korean medicine for malignant lymphoma.Background: Malignant lymphoma is the tenth most common cancer in Korea. The two main types of lymphoma are Hodgkin’s disease and non-Hodgkin’s lymphoma. Non-Hodgkin’s lymphomas are more common, comprising nearly 95 percent of all lymphomas. In China, the traditional Chinese medicine clinical guidelines for malignant lymphoma were published in 2014. Therefore, there is growing need for a clinical practice guideline in Korea, which has not thus far existed. This clinical practice guideline was created by reviewing the Chinese clinical practice guideline and Korean clinical reports. This study will be helpful in understanding malignant lymphoma and in understanding its treatment in Korean medicine.Conclusion: Further clinical research on malignant lymphoma is needed to develop a more advanced clinical guideline.