• 제목/요약/키워드: Intensive Management Items

검색결과 54건 처리시간 0.027초

시판 한국 전통음료제품의 품질에 대한 기대치와 만족도 비교(IPA) (Comparison of the Importance and Performance(IPA) of the Quality of Korean Traditional Commercial Beverages)

  • 이연정
    • 한국식품조리과학회지
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    • 제21권5호
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    • pp.693-702
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    • 2005
  • The purpose of this study was to provide useful information for establishing efficient marketing direction by investigating the performance (satisfaction) and importance for the quality of Korean traditional commercial beverages. The subjects were 320 participants (130 males and 190 females) in Daegu and Kyungpook. The importance and satisfaction score of Korean traditional commercial beverages were measured on a five-point Likert scale. The results are summarized as follows. The overall satisfaction score on Korean traditional commercial beverages was 2.96 points. The beverages with the highest satisfaction scores were 'green tea' (3.48 points) 'shickhae' (3.35 points) and 'rice tea' (3.34 points) whereas 'ppongip tea' (2.58 points) 'gugija tea' (2.63 points) and 'gukhwa tea' (2.64 points) scored lowly. From the analysis of the difference between importance and performance of Korean traditional commercial beverages, importance (3.11 points) was rated much higher than performance (3.66 points). In the IPA result, it was important to continuously maintain 'taste', 'hygiene', 'freshness', 'period of circulation', 'wrapping condition' etc. Some items such as 'nutrition', 'safety', 'health', and 'ingredient' did not need intensive care and operation.

간이식환자와 간호사의 퇴원교육 요구 중요도 차이 비교 (Comparison of Discharge Learning Needs between Nurses and Liver Transplantation Patients)

  • 구미지;김동희;김경남
    • 중환자간호학회지
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    • 제7권2호
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    • pp.1-13
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    • 2014
  • Purpose: The purpose of this study was to determine the difference in reported discharge learning needs between nurses and liver transplantation (LT) patients. Methods: The participants of this study were 40 patients discharged after LT at P University Hospital in Y City and 42 nurses in intensive care units and the ward. The data were collected for two months from December 1, 2012, to January 31, 2013, and were analyzed using descriptive statistics, Student's t-test and analysis of variance (ANOVA). Results: Patients earning a low income (p=.041), having no experience of hospitalization after LT (p=.023), and receiving information about LT from nurses (p=.003) indicated higher discharge learning needs. Among the items evaluated regarding discharge learning needs, "rejection symptoms or signs" were regarded to be more important by nurses than LT patients (p=.038). However, "management of other diseases after LT" (p=.003), "risk of recurrence" (p=.001), "food choices" (p<.001), "obesity prevention" (p=.020), "amount of exercise" (p=.007), and "ways to receive financial help"(p=.033), were thought to be more important by LT patients than nurses. Conclusion: There exist differences between LT patients and nurses with respect to their perceptions of LT discharge learning needs. Therefore, an individualized education program reflecting patients' conditions and learning needs rather than providing information uniformly needs to be developed.

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한국어판 Cornell Assessment of Pediatric Delirium 소아 섬망 사정 도구의 검증 (The Reliability and Validity of the Korean Version of the Cornell Assessment of Pediatric Delirium)

  • 남송이;박기영;최수정
    • 임상간호연구
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    • 제26권2호
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    • pp.254-264
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    • 2020
  • Purpose: This study was to examine the reliability and validity of the Korean version of the Cornell Assessment of Pediatric Delirium (CAPD). Methods: For testing the reliability of the Korean version of the CAPD, this study calculated the internal consistency (Cronbach's α) and the Interrater Correlation Coefficient (ICC) by comparing the independent assessment results of three nurses in Pediatric Intensive Care Unit (PICU). For testing the validity of the Korean version of the CAPD, the assessment result of the Korean version of the CAPD compared with that of the Diagnostic and Statistical Manual of Mental Disorders V (DSM-V). Receiver Operating Characteristics (ROC) analysis was used for measuring sensitivity and specificity. Results: Overall interrater reliability of the Korean version of the CAPD, ICC was .98 (95% CI .96~.99). Cronbach's α was .91 for eight items. The concordance between the Korean version of the CAPD and psychiatrist's diagnosis was 90.0%. When the Korean version of the CAPD has the cut point of 9, sensitivity was 93.8%, and specificity was 75.0%. The area under the curve indicated by the ROC analysis was .88. Conclusion: The Korean version of the CAPD showed good reliability and validity. This tool will be useful for pediatric delirium screening and management in Korean PICU.

응급실 간호사의 소아응급간호 업무 및 간호수행자신감 분석 (An Analysis of Pediatric Emergency Nursing Practice and Nursing Competence among Emergency Department Nurses)

  • 전희경;임여진
    • Child Health Nursing Research
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    • 제25권2호
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    • pp.143-153
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    • 2019
  • Purpose: The purpose of this study was to examine the frequency, perceived importance and competence of pediatric emergency nursing practice (PENP) in nurses who cared for pediatric patients in the emergency department. Methods: This cross-sectional descriptive study analyzed 175 emergency department nurses caring for pediatric patients at 7 university hospitals with more than 500 beds, located in Seoul and Gyeonggi Province. The measurement tool was modified from the Classification of Standard Nursing Activities to measure the frequency, importance of PENP, and nursing competence. It comprised 143 items in 16 domains of PENP. Results: The most frequent nursing practice was the domain of 'nursing records and environmental management' and the least frequent practice was the 'research and consulting' domain. The nursing care domain perceived to be most important by nurses was 'specialized intensive nursing care'. The nursing care domain with the highest level of nursing competence was 'hygiene care', and the domain with the least level of nursing competence was the 'research and consulting'. Conclusion: These results will be utilized as basic data for future pediatric emergency nursing education initiatives and for establishing priorities of nursing policy to improve health care for children admitted to the emergency department.

의료서비스경험조사의 신뢰도 및 타당도 검토: 의료기관 특성별 차이를 중심으로 (Review of Reliability and Validity of Medical Service Experience Survey: Focused on the Differences by Type of Medical Institutions)

  • 김희년;최용석;문석준;신정우
    • 보건행정학회지
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    • 제32권1호
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    • pp.94-106
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    • 2022
  • Background: The efforts to build more "people centered," "patient centered" health system has been emerging all over the world. Aligning with it, the Korean government is conducing the survey called "Medical Service Experience Survey (MSES)." There are critics, however, that MSES is not scrutinizing the medical experiences of patients in various healthcare settings. For this reason, this study aims to perform an empirical analysis of the differences in answers of patients responding to various healthcare settings. Methods: There are two steps in this study. First, explanatory analysis is conducted to compare the tendency of statistical concentration on questionnaires by divided healthcare settings. Second, confirmative analysis is carried out to evaluate the construct validity, reliability, and discriminant validity of the questionnaire in each healthcare setting. The raw data of MSES, which was conducted in 2020 by the Ministry of Health and Welfare in Korea and the Korean Institute for Health and Social Affairs is used. Results: As a result of exploratory factor analysis for all outpatients, the items were classified into four factors statistically: "doctor experience," "nurse experience," "outpatient service experience," and "patient satisfaction." It was confirmed that the reliability of all factors extracted was secured. However, for patients who visited hospitals, questionnaires related to personal privacy, such as "experiences on medical staffs considering physical exposure" or "experiences related to personal information exposure," were answered in conjunction with items of "nurse experience." Besides, patients responded that administrative elements of medical services, such as "experiences of comfort in medical institutions" and "experiences of satisfactory administrative services," were related to the items of "nurse experience." The answers of patients who visited traditional medical hospitals and clinics about "doctor experience" and "nurse experience" were not discerned statistically, and the answers to "doctor experience," "nurse experience," and "medical institution experience" were entangled with the responses of patients who visited dental hospitals and clinics. On the other hand, as a result of the confirmatory factor analysis, it was found that the inquiries of MSES generally had intensive validity. Conclusion: The collection of objective and scientific data is the prominent component to enlighten the patient-centered healthcare system alongside with change of the worldwide paradigm of measuring the healthcare system performance as follows the transition of perspective of health care from provider-centered to patient-centered. This study empirically shows that the patient experience can vary as the healthcare settings. Furthermore, to make an advance in measuring the experience of patients with medical services, this article proposes the deliberate consideration of the different kinds of healthcare settings and articulate design of the survey.

농촌관광마을 VI디자인·포장디자인 개선 현장 실용화 및 효과 - 연천옥계마을을 중심으로 - (Commercialization of Field for Improving VI Design & Package Design at Rural Tourism Village and Its Effect : Focused on Ok-Gye Village of Youngcheon)

  • 진혜련;채혜성;조록환
    • 농촌계획
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    • 제20권3호
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    • pp.191-199
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    • 2014
  • The current rural conditions are undergoing the change from the past production-intensive structure to an integral and complex one of producing, processing, selling, touring and lodging owing to the changes of life-style, consumption trend and social environments. The rural area is developing into a community of rural tourism villages to grow into one management system along with the assistance of the government's various supporting projects. Through this, the rural designing has got to play a significant role as one of the factors of the enhancement of competitiveness and the increase of income. Therefore, those previous studies on the variety and possibility of rural development are being employed for the researches which are to develop techniques of branding, marketing and packaging. In particular, the researches for VI (Village Identity), BI (Brand Identity) and designs of landscaping, packaging of agricultural specialties and display stores, which definitely shows that the importance of rural designing, is being paid a lot more attention to. Thus, this study has verified the site commercialization and its effect by developing some practical designing with the focus of package design at rural tourism villages. The Okgye Village in Yoncheon was selected for study subject based on the result of status investigation. This study has analyzed such problems as lack of village identity, non-description of items and their indispensible marks which were seen their designs of village and packaging. The colors of major items and the village image being substituted into the image scale of IRI color were estimated so that the appropriate colors might be selected, along with which the shapes of major items were decided to be motif for the village symbol and design to be created. The designs of such major items as grains, greens and sauces were created with the consideration of the easiness of loading, the continuity of using and the aesthetics. For grains, those outer boxes which are possible for set-packaging and small-sized packaging have been developed. For greens were developed the boxes with the structure of the permeability for the persisten't quality as well as the possibility for packaging small amount. In case of sauces, those outer-boxes equipped with fixing tray were made with the transport-convenience taken into consideration. The sticker-label designs for all those three were also developed which stand for the village identity and are conveniently used in each farm family. When this development was applied at the sites, it was found that the satisfaction and reliability of consumers as well as the satisfaction of farmers were raised along with the increase by more than 30% after the improvement.

부산광역시 소재 병원의 신생아간호 실태조사 (A Study of the Neonatal Care in the hospitals located in Pusan)

  • 김영혜;이화자;김순구
    • 부모자녀건강학회지
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    • 제6권1호
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    • pp.31-45
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    • 2003
  • This study is designed to produce basic data on the nursing intervention between infants and mothers after discharge from hospitals. This research is carried by investigating the nursing intervention during their after-delivery staying in the hospitals located in Pusan. The object of this study includes the neonatal wards of 51 hospitals. Data collection was carried from the 3rd of September, 2001 to the 4th of October in the same year. Tools for measurement using in this research is the nursing checklist designed by these researchers. The data were analyzed by using SPSS and the output was produced in frequency and percentage considering general characteristics and nursing activities. On the course of investigation, it was revealed that the average number of items checked are as follows; total beds in one hospital came up to 360.1, the beds in each newborn infant ward came up to 36.1, in each ward the numbers of incubators came up to 9.2 and intensive care unit to 1.7. In each ward 8.4 nurses and 2.9 nurse aids were working at that time. In each hospital, secure of air way, physical examination, eye care, umbilical cord care, maintenance of body temperature, identification of infant, nutritive condition, safety and danger management, infection management, mother-infantile interaction, medical assistant to doctor, medication and discharge education were comparatively well done. But, in case of emotional, social and cognitive aspect of nursing activities through interactions between newborn infants and nurses as substitutes are not reached to the adequate level. In the end, this study hereby suggests that further investigation on the device to facilitate the interaction between newborn infant and nurse as a nursing intervention of high quality.

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플랜트 EPC 해외 사업을 위한 입찰단계 시 AI 기반의 ITB Risk 관리 모델 개발 (Development of ITB Risk Mgt. Model Based on AI in Bidding Phase for Oversea EPC Projects)

  • 이돈희;윤건호;김정준
    • 한국인터넷방송통신학회논문지
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    • 제19권4호
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    • pp.151-160
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    • 2019
  • EPC 회사들이 해외에서 계속 사업을 운영하기 위해서는 위험이 더 이상 피할 수있는 것이 아니라 관리 대상이된다는 것이 점점 더 분명 해지고 있다. 입찰 단계에서 입찰 패키지 내의 요구 사항, 사양 및 프로젝트 광고 항목을 자세히 조사하여 비용 초과를 방지하기 위해 다양한 위험 요소를 분석해야한다. 그러나 막대한 양의 입찰 서류를 검토하는 것은 시간이 많이 걸리고 노동 집약적이며 쉬운 작업이 아니며 자동화 된 정보 기술이 도움이 될 수 있다. 이 연구에서는 짧은 시간에 방대한 양의 문서를보다 효과적으로 분석하고 적용 할 수있는 Watson AI 기반의 ITB 분석 모델을 구축하였다. AI 기반 ITB 위험 관리 모델 연구, 학습 절차 및 분석 대상 선택, 성능 평가 기준을 위한 Watson Explorer AI 아키텍처의 구성을 정의하고 시험 연구를 수행하기위한 테스트 베드를 구축하였다. 결과적으로 분석 시간 단축의 효과와 전문가의 결과 및 VOC 운영 품질을 확인하였다.

체외막산소공급(ECMO) 치료 환자의 간호 중재에 대한 체계적 고찰 (A Systematic Review of Nursing Interventions in Patients with Extracorporeal Membrane Oxygenation (ECMO))

  • 박수민;조관웅
    • 대한통합의학회지
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    • 제12권3호
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    • pp.237-247
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    • 2024
  • Purpose : This study aimed to systematically review the effectiveness of nursing interventions for patients receiving extracorporeal membrane oxygenation (ECMO). As the use of ECMO increases in critical care settings, it is important to understand how nursing interventions affect patient outcomes, survival, and complication rates. Methods : This systematic review followed the preferred reporting items for systematic reviews and meta-analysis guidelines. A literature search was performed using terms related to ECMO and nursing interventions in several international electronic databases including CINAHL, Embase, MEDLINE, and Web of Science. Studies were screened and selected according to predefined eligibility criteria, focusing on those that evaluated the impact of nursing interventions on adult. Data extraction and risk-of-bias assessment were independently performed by two researchers. Results : A total of 647 studies were identified, and seven met the inclusion criteria for qualitative analysis. The included studies demonstrated that high-quality nursing care significantly improves clinical outcomes and reduces complications in patients receiving ECMO. Effective nursing interventions included prone positioning combined with ECMO for patients with acute respiratory distress syndrome, meticulous infection control, comprehensive and continuous nursing protocols, skilled nursing, and multidisciplinary management. These interventions have been shown to improve oxygenation, reduce complications, such as bleeding, manage blood pressure, and enhance overall clinical outcomes. Conclusion : High-quality nursing interventions are critical to improve survival and reduce complications in patients receiving ECMO. Implementing a multidisciplinary approach and comprehensive nursing protocols, including infection control and psychological support, is essential for the effective management of these patients. The findings of this study provide a foundation for the development of practical guidelines and educational programs to improve the quality of care for patients undergoing ECMO, ultimately enhancing the effectiveness of ECMO treatment and patient outcomes.

하천친수시설의 모니터링과 평가를 통한 유지관리방안 연구 - 전주천을 중심으로 - (A Study of Maintenance Method by Monitoring and Evaluation of Water Friendly Facilitiesin Urban Streams - A Case Study of Jeonjucheon in Jeonju-si -)

  • 임현정;정문선
    • 환경영향평가
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    • 제28권3호
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    • pp.263-274
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    • 2019
  • 본 연구의 목적은 도시하천의 생태복원사업 이후 친수시설의 모니터링 방법을 연구하고 그 결과를 바탕으로 관리구역의 설정과 유지관리방안을 제시하는데 있다. 이를 위해 친수시설의 유지관리모니터링 항목을 '이용공간 시설물', '산책로 및 자전거도로', '접근로', '안내판'으로 구분하였다. 각 친수시설의 평가는 '관리상태', '안전성', '이용정도'를 기준으로, '양호', '보통', '불량' 등급으로 구분하였다. 전주천을 대상으로 500m간격의 총 15개 구간을 조사 및 평가하여 친수시설마다 '우선관리', '일반관리', '유지/제거', '제거' 여부를 결정하고 이를 바탕으로 구간별 관리구역설정과 유지관리방안을 제시하였다. 전주천에서 '우선관리'가 필요한 시설이 5~9개로 나타난 J2, J3, J4, J9 구간은 '집중관리구역', '우선관리'가 필요한 시설이 1~3개로 나타난 J5, J6, J7, J8, J11, J14 구간은 '정기관리구역'으로 설정되었다. '우선관리'할 시설이 없는 J1, J10, J12, J13, J15구간은 '최소관리구역'으로 설정되었다. 본 연구의 모니터링 및 평가, 유지관리구역 설정과정은 향후 거버넌스가 참여하여 하천 친수시설물의 체계적인 유지관리계획을 마련하는데 적용될 수 있다.