• Title/Summary/Keyword: Hypothetical Model

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Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals (중소병원 간호사의 낙상예방행위와 관련 변인 간의 구조 분석)

  • Park, Ji Hyun;Son, Jung Tae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.4
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    • pp.269-281
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    • 2018
  • Purpose: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. Methods: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. Results: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. Conclusion: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.

The Prediction Model of Adaptation in Patients with Rheumatoid Arthritis - Propositional Synthesis of Roy's and Lazarus & Folkman's Theory - (류마티스 관절염 환자의 적응 예측모형 -Roy이론과 Lazarus 및 Folkman 이론의 명제 합성-)

  • Kim, In-Ja;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.197-220
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    • 1997
  • The lack of a comprehensive theory describing the mechanism of adaptation scientifically has been one of the limiting factors for the development of nursing intervention of patients with chronic illness. Since Roy's theory provides the general conceptual framework depicting adaptation process with structural stimuli and control mechanism, it is appropriate to understand the process of adaptation. But in Roy's theory, the propositions about cognator and regulator as control mechanisms are not clearly defined. For this reason, most of the previous researches applying the Roy's theory have disregarded the study of cognator and regulator. For the patients with chronic illness such as rheumatoid arthritis, it was reported that adaptation states were different for the same stimuli due to the difference of the control mechanism. Moreover in nursing it is important to identify the control mechanism which can be and must be intervened by nurses. It was the Lazarus and Folkman's theory that proposed the control mechanism. They suggested that individual differences in the reaction against the perceived stress are due to the difference in appraisal and coping. Therefore, the synthesis of Roy's and Lazarus and Folkman's propositions might help to clearly understand the mechanism of adaptation. From this point, a theoretical framework has been developed and tested. The subjects were the 297 patients who had been diagnosed rheumatoid arthritis and attended the outpatient clinic. A hypothetical prediction model of adaptation was tested by the covariance structure analysis with PC-LISREL 7.13. As a result, the overall fit was good($x^2$=78.83, p=0.00 ; GFI=0.96 : AGFI=0.90 ; RMR=0.04) for the hypothetical model. In the final model added GA(5, 1), the overall fit was increased ($x^2$=57.82, p=0.003 ; GFI=0.97 ; AGFI=0.93 : RMR=0.036). Except the fact that illness symptoms affected physical adaptation directly, it was supported that focal and contextual stimuli affected physical and psychosocial adaptation through appraisal and coping. Therefore, it was asserted that the synthesis of two theory's propositions was appropriate. So this model would be useful for the theoretical framework in the nursing practice. And this study synthesizing and testing the theory might contribute to establish nursing's scientific base.

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Model Structure for Mother-Child Relationship for Korean Infants and Toddlers and Their Mothers (한국 영유아와 어머니의 모아상호작용 구조모형)

  • Park, Sun-Jung;Kang, Kyung-Ah;Kim, Shin-Jeong
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.268-278
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    • 2017
  • Purpose: The purpose of this study was to set up a hypothetical model to explain causal relationships among influential variables in the mother-child relationship for Korean infants and toddlers and their mothers. The research was based on Barnard's (1978) mother-child relations model, and goodness-of-fit was examined. Methods: The participants were 207 mothers with infants or toddlers. Data were analyzed using SPSS and AMOS programs. Results: Regarding the influence of the variables on the mother-child relationship between infants and toddlers and their mothers, social support had a 75% explanation of mother-child relationships, and attachment had a 58% explanation of social support. Attachment had both direct and indirect effects on the mother-child relationships, and social support had direct and total effects on the mother-child relationships. Among child-related variables, child temperament had a moderating effect on the mother-child relationships. Conclusion: The findings indicate that the model has utility in developing effective nursing intervention methods to boost mother-child relationships between infants and toddlers and their mothers.

Structural Equation Modeling on Living and Brain Death Organ Donation Intention in Nursing Students (간호대학생의 생존 시와 뇌사 시 장기기증 의도에 관한 구조모형)

  • Kim, Eun A;Choi, So Eun
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.802-811
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    • 2015
  • Purpose: The purpose of this study was to test and validate a model to predict living and brain death organ donation intention in nursing students. The conceptual model was based on the theory planned behavior. Methods: Quota sampling methodology was used to recruit 921 nursing students from all over the country and data collection was done from October 1 to December 20, 2013. Results: The model fit indices for the hypothetical model were suitable for the recommended level. Knowledge, attitude, subjective norm and perceived behavioral control explained 40.2% and 40.1% respectively for both living and brain death organ donation intention. Subjective norm was the most direct influential factor for organ donation intention. Knowledge had significant direct effect on attitude and indirect effect on subjective norm and perceived behavioral control. These effects were higher in brain death organ donation intention than in living donation intention. Conclusion: The overall findings of this study suggest the need to develop systematic education programs to increases knowledge about brain death organ donation. The development, application, and evaluation of intervention programs are required to improve subjective norm.

Assessing Tourists' Restaurant Preferences within Tourism Area (관광 지역 음식점에 대한 관광객들의 선호도 평가)

  • Kang, Jong-Heon;Jeong, Hang-Jin
    • Journal of the East Asian Society of Dietary Life
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    • v.18 no.2
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    • pp.165-171
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    • 2008
  • The purpose of this study was to measure tourists' preference for alternative restaurants with different combinations of attribute levels: grown area logo, origin description, traditional food, fusion food, national food, and price. A total of 210 questionnaires were completed. A conjoint experimental method was used to develop hypothetical restaurants, and an ordinal probit model was used to measure the effects of the attribute levels on tourists' preference. The ordinal probit model analysis results for the data indicated an excellent model fit. The effects of the attribute levels on tourists' preferences were statistically significant. As expected, estimates of the marginal willingness to pay were statistically significant Moreover, the tourists were more willing to pay for grown area logo as compared to the other attribute levels. The tourists also considered the grown area logo as a very important attribute. Withe regard to developing and testing conjoint models in the design of choice experiments involving multifactor alternatives, this study may approach a deeper understanding of the conjoint experiment. Greater understanding of the conjoint experiment can improve the managerial diagnoses of the problems as well as the opportunities for different marketing strategies including local branding programs and menu development and marketing communications.

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Analysis of Users' Satisfaction Utility for Precipitation Probabilistic Forecast Using Collective Value Score (그룹 가치스코어 모형을 활용한 강수확률예보의 사용자 만족도 효용 분석)

  • Yoon, Seung Chul;Lee, Ki-Kwang
    • Korean Management Science Review
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    • v.32 no.4
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    • pp.97-108
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    • 2015
  • This study proposes a mathematical model to estimate the economic value of weather forecast service, among which the precipitation forecast service is focused. The value is calculated in terms of users' satisfaction or dissatisfaction resulted from the users' decisions made by using the precipitation probabilistic forecasts and thresholds. The satisfaction values can be quantified by the traditional value score model, which shows the scaled utility values relative to the perfect forecast information. This paper extends the value score concept to a collective value score model which is defined as a weighted sum of users' satisfaction based on threshold distribution in a group of the users. The proposed collective value score model is applied to the picnic scenario by using four hypothetical sets of probabilistic forecasts, i.e., under-confident, over-confident, under-forecast and over-forecast. The application results show that under-confident type of forecasts outperforms the others as a measure of the maximum collective value regardless of users' dissatisfaction patterns caused by two types of forecast errors, e.g., miss and false alarm.

Current progress in development of full 3D earth model for integrated ray tracing simulation of planetary disk averaged spectra

  • Ryu, Dong-Ok;Jung, Kil-Jae;Oh, Eun-Song;Ahn, Ki-Beom;Jeong, Soo-Min;Jeong, Yu-Kyeong;Yu, Jin-Hee;Lee, Jae-Min;Hong, Eric(JS);Kim, Sug-Whan
    • Bulletin of the Korean Space Science Society
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    • 2008.10a
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    • pp.28.1-28.1
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    • 2008
  • Detection of spectral bio-signatures from extra terrestrial planets has received an increasing attention from the astronomy and space science communities in recent years. In an attempt to better-understand disk averaged spectra of the only know terrestrial planet i.e. Earth, we are constructing a scale-able 3D earth model with surface reflectance and scattering properties. The USGS coastal line data were used to form coastal line segments and they were then stitched to generate continuous coastal lines to represent major continents and large islands. As the first stage of model verification, wavelength dependent ocean and land reflectance data and scattering characteristics were defined over the land and sea surfaces respectively. We then performed ray tracing based imaging and radiometric transfer simulations using a hypothetical optical payload receiving the reflected and scattered sun lights from the earth. The model concept, computational details, the simulation results are discussed as well as the future development plan.

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The Relationship between Leadership, Empowerment, and Nursing Performance (리더십 ${\cdot}$ 임파워먼트 ${\cdot}$ 간호업무성과간의 관계)

  • Bak, Won-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.335-346
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    • 2002
  • Purpose: This study is to analyze the relationship between leadership, empowerment, organizational commitment, and nursing performance. Method: The method of the study is the establishment of the analytical framework of the theoretical model and the hypotheses for the empirical survey, analysis of the data collected by the empirical survey, and the provision of a revised model explaining more clearly the causal relationship between variables. Result: Transformational leadership has greater influence on empowerment and nursing performance than transactional leadership. Self determination and impact of empowerment factors greatly influence on organizational commitment, competence and impact significantly influence on nursing performance, and organizational commitment is closely related to the general nursing affair, the human relationship, and the job as an organizational member. Transactional and transformational leadership, in provision of the revised model by verification of goodness-of-fit of the hypothetical model, affects all parts of nursing performance by intervening competence and self determination of empowerment factors. Especially, transactional leadership directly influences on nursing performance without intervening the empowerment factor. Conclusion: The conclusion of the study is transformational leadership exerts a more positive influence on empowerment, organizational commitment, and nursing performance than transactional leadership.

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Prediction Model for Health-Related Quality of Life in Hospitalized Patients with Pulmonary Tuberculosis (폐결핵 입원환자의 건강관련 삶의 질 예측모형)

  • Jang, Kwang-Sim;Jeon, Gyeong-Suk
    • Journal of Korean Academy of Nursing
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    • v.47 no.1
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    • pp.60-70
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    • 2017
  • Purpose: This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalized patients with pulmonary tuberculosis (PTB). Methods: Participants were 256 patients with PTB who were 20 years or older and admitted in two national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries. Results: The goodness-of-fit statistics of the final hypothetical model were as follows: ${\chi}^2/df=2.19$, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96, TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social support and stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the prediction model. Conclusion: Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improve the quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended.

Development of a Model for Emotional Labor Worker's Health (감정노동 종사자의 건강 모형)

  • Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.1
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    • pp.78-88
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    • 2007
  • Purpose: The Purpose of this study is to build up model of the emotional labor worker's health. Methods: Data was collected from 230 emotional labor workers from 2 department stores, 2 insurance companies, and 3 hotels located in Seoul and Kyung-gi areas, by the health managers and team leaders. For data analysis, descriptive statistics, pearson correlation, factor analysis and covariance structure analysis were used by SPSS window 10 version and AMOS 4.01. Results: The hypothetical model showed a goodness-of-fit to the empirical data(GFI=0.90, RMR=0.04, NFI= 0.79, PNFI=0.64). Eight out of fifteen paths of the model were accepted, while the other seven paths rejected. : From 'surface acting' to 'health', from 'social support' to 'surface acting', from 'social support' to 'health', from 'factors of organizational culture' to 'surface acting', from 'factors of organizational culture' to 'deep acting', from 'personal factor' to 'social support', from 'factors of organizational culture' to 'social support', from 'routine stress' to 'social support'. In conclusion, it has been confirmed that surface acting and social support were dominating factors to the health of emotional labor workers. Conclusion: In order to manage the health of emotional labor workers, it is imperative to develop a strategy to reduce their surface acting.

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