• Journal of Home Health Care Nursing
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• v.2
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• pp.35-51
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• 1995

This study was done to define nursing diagnose and to test the validity of the characteristics for patients with cerebrovascular accidents being seen at home by home health care nurses. This study was a descriptive study. The sample consisted of 10 experts(professors and home health care nurses) who had had a variety of experience using nursing diagnoses in clinical practice, and 336 nurse progress notes for 18 patients with cerebrovascular accidents. First, 32 nursing diagnoses were defined by the analysis of 336 nurse progress notes, and ten nursing diagnoses were selected according to a criteria of frequency and four nursing diagnoses from home health care clinical practice. Second, content validity was examined by an expert group which considered the sign / symtoms of the fourteen nursing diagnoses. The instrument used for this was a checklist for sign / symtoms based on the nurse progress notes and literature : Carpenito(1993), Kim Cho Ja et al (1994), Lee Sun Ok et al.(1994), Kim Mae Ja et al. (1992), Seoul University Hospital (1993) , Kim Mi Ja et al. (1991). The data were collected from March 1995 to April 1995. Data were analyzed using Content Validity Incidence where if 80% or more of the expert group agreed, characteristics were defined as a major sign/symtoms, if between 50% and 79% of the expert group agreed with the characteristic it was defined as a minor sign / symtoms. The results of this study are summarized as follows : 1. Thirty-two nursing diagnoses related to patients with cerebrovascular accidents were defined. There was a high frequency for the following : 'Potential for disuse syndrome (61%)', 'Impaired physical mobility(50%)', 'Impaired skin integrity (44.4%)', Potential for aspiration(33.3%)', 'Potential for infection: respiration(33.3%)', 'Self-care deficit : bathing /hygine(27.8%)', 'Ineffective family coping(22.2%)', 'Potential for trauma(22.2%)', 'Alteration in nutrition: less than body requirements(22.2%)'. The following diagnoses were also used in home health care clinical practice : 'Anxiety in family (50%)', 'Caregiver fatigue(27.8%)', 'Ineffective treatment behavior (22.2%)', 'Ineffective Levin tube management and Levin tube feeding(22.2%)'. Fourteen nursing diagnoses were selected. 2. Ten of the nursing diagnoses for patients with cerebrovascular accident were listed as nursing diagnoses by NANDA but four nursing diagnoses were new nursing diagnoses used in home health care clinical practice. 3. Characteristics of the ten Nursing Diagnoses from NANDA were developed from the sign /symtoms in the literature and in the nurse progress notes. These characteristics was verified as major or minor sign / symtoms by the expert group. 4. Characteristics of the four nursing diagnoses used in home health care were not defined by the literature but only by the nurse progress notes and verified as major or minor signs /symtoms by the expert group. On the basis of the findings of this study, the following recommendations are made : 1. Continual study is necessary to identify other signs /symtoms not verified in this study. 2. It is necessary to use verified signs /symtoms in home health care clinical practice. 3. It is necessary to define related factors which define each diagnoses in this study. 4. It is necessary to develop of standardized nursing are plans which include defined signs and symtoms. 5. It is necessary to study the outcomes of the standardized nursing care plans.

• Journal of the Korea Convergence Society
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• v.9 no.6
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• pp.261-269
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• 2018

The purpose of this study is to investigate the influences of ethical propensity, self-esteem and clinical satisfaction on major satisfaction in dental hygiene students. The study was conducted with third grade students in 3 dental hygiene colleges in Gyeongnam and Ulsan. The results were as follows : 1. Self-esteem showed high score in 'Before senior high school student' of the time of department selection, in 'Good' of oral health, in 'Outgoing' of personality and in 'Good' of family atmosphere. 2. Clinical practice satisfaction showed high score in 'Have' of part-time job experience in dental clinic. In case of major satisfaction, there were significantly different means with time of department selection and oral health. 3. The factors that influence to major satisfaction are self-esteem(${\beta}=.165$, p=.000) and clinical satisfaction(${\beta}=.630$, p=.000). It is important that making the curriculum to improve ethical propensity and self-esteem, clinical satisfaction for dental hygiene students.

• Journal of Technologic Dentistry
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• v.30 no.2
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• pp.93-103
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• 2008

This research is designed for a consumer, not a supplier when it was designed. And the purpose is to present the reference data which is in order to improve the curriculum by analyzing the present subject of the curriculum. The research collected the curriculum for Dental Technology from a total of 20 schools --3-year colleges and 4-year colleges-- all in Korea. And we analyzed the average credits of subjects from students. As a result of this analysis, we get the conclusion below: 1. In a distribution which students answered about each subjects; Dental esthetic, Dental morphology I II, Dental morphology practice I II, and Seminar don't have many credits and mostly have a converged tendency in high points, according to the arithmetic mean of the major basis subjects. 2. In an analysis of the correlation which is based on the distinction of sex; Dental ceramics practice III, Medical terminology, Seminar, and The major basis subjects have a meaningful difference. (${\rho}$ < 0.05) 3. In an analysis of the correlation which is based on an age; The major basis subjects, and the application subjects have meaningful difference. (${\rho}$ < 0.05) 4. In a correlation coefficient between subjects; The correlation coefficient of the major application subjects is higher than the major basis subjects. According to the student ? t, we found that the level of significance is ${\rho}$ < 0.001, which is meaningful. We feel that Department of Dental Technology also highly need to design, and conduct focusing on a consumer who is working at the society, not a supplier. And we need to increase or decrease credits which have a meaningful difference.

• Health Policy and Management
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• v.23 no.2
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• pp.103-111
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• 2013

Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.

• Korean Journal of Human Ecology
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• v.10 no.4
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• pp.421-428
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• 2001

The purpose of this study is to tender as the basic data for practice of environment on the consciousness and practice of life environment on technical teacher in middle school and colleage students. For this purpose, the data were collected by using questionnaire distributed to 102 technical teacher in middle school and 103 male colleage students in Jan. and Aug., 2000. The major findings of this research are as follows; 1. It was found that the teachers had consciousness in industrial environment pollution but the students has the causes of house or car. All of the subjects set to the environment information through T.V. programs and the efficacy is highest. Also the teachers set to the environment information through environmental organization and books. The teachers had concern of high level and higher than the students on the life environment. Specially the awareness of life environment was upper to the average and higher than students. 2. The assessments of the earth life environment was 69.17(M), the oceanic environment was highest and water environment was lower. The assessments of the Korea life environment was 60.67(M) were lower than the assessments of the earth life environment, all items were lower than earth lie environment. Generally leachers has positive assessments to earth and Korea life environment than male students. 3. The teachers have high practice apparence on the life environment than the students. Also the teachers had upper to the average on the practice degree, and the practice degree lower than practice awarences. But all items on practices degree was higher than student's.

• Journal of Fisheries and Marine Sciences Education
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• v.28 no.6
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• pp.1614-1628
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• 2016

The purpose of this study was to examine the relationship between the safety awareness and safety practice of international marriage woman in Kimhae and Changwon city. We carried out a questionnaire survey that was targeted at 138 subjects. Data collected were analyzed with SPSS 21.0 statistical program. Analysis methods were t-test, one way ANOVA, Scheffe test, Perarsons correlation coefficient, and multiple linear regression. The results were as follows. First, safety awareness point was an average of 4.10 point which was higher level. Safety practice point was an over intermediate level of an average of 3.23 point. Second, safety awareness had statistically significant difference according to age, year of Korea residence, born Nation, whether or not Korean citizenshilp, monthly income, temper, satisfaction of marriage. Third, safety practice had statistically significant difference according to housing, monthly income, health state, satisfaction of marriage. Fourth, safety Practice had a positive correlation with home safety awareness, traffic safety awareness, fire safety awareness, and emergency care awareness. Therefore, a higher safety awareness results in having a very well safety practice. Fifth, International Marriage Women from Japan had the highest the level in the Safety Awareness and Safety Practice. From now on, two cities should have a major concern for safety education of fire and emergency care. And the safety education based on learning need analysis need to be done substantially.

• Korean Journal of Social Welfare Studies
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• v.40 no.2
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• pp.337-362
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• 2009

This study investigated the relation between social worker's reflective thinking levels and the usage of social work practice skills. Dewey definded reflective thinking as active, persistent and careful consideration of any belief. And social work practice skills refer to those purposeful intervention activities, that are intended to alleviate client's distress, enhancing a client's coping abilities. Reflctive thinking levels consists of intensive reflection, reflection, understanding and habit action. The key of social work practice skills can be categorized into three major categories: supportive skills, therapeutic coping skills and case management skills. These categories were designed to apply to a diverse range of client populations. This paper proves that social work's reflective thinking ability and interactions with other workers have an effect on the intervention activities. In conclusion, this research indicates that if social works have a higher reflective thinking levels, they will creat practice siklls and social work practice knowledge.

• Journal of Korean Clinical Nursing Research
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• v.29 no.3
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• pp.211-222
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• 2023

Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on international standards. The quality of the practice guidelines to be used for revision was evaluated using the Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and applicability of the draft recommendations of the revised practice guidelines was performed using the RAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consisted of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4 Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag change, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision was done in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%) recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%) recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as an evidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients, and caregivers with information to help manage IUC, leading to improved patient outcomes.

• Journal of Korean Foot and Ankle Society
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• v.28 no.3
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• pp.87-95
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• 2024

This study examined the levels of satisfaction from medical staff and patients by analyzing 691 Supreme Court precedents on medical practice from legal disputes in Korea, which are developing into a dual medical system. In addition, the issues that can be prevented in the medical field through the flow and judgment of legal disputes in medical practice after the revision of the medical law are discussed. The concept of medical practice not specified in the Medical Law was examined and compared with the medical-legal systems of Germany, Japan, and the USA through international comparative analysis to assess the illegal factors occurring in the medical field by analyzing the legal approach, medical practice, and medical personnel qualifications of each country. An analysis of the Supreme Court's case law revealed the timing analysis of issues in legal disputes related to medical practice, the incidence rate among the subjects of the cases, and medical personnel to be significant. The meaning was studied by finding the law that applied to it. Important cases were identified, and their meaning was reviewed. The legal issues of medical practice in orthopedics were divided into five sections based on precedents, such as problems in consent to information at the start of treatment, problems in prior radiography before treatment, explanation of the consent process for surgical treatment, problems related to the qualification of operators in the operating room, and the responsibility for postoperative results. In the wake of the recent major crisis in the government's medical reform policy (Essential medical package), procedural problems and legal reviews of illegal medical practices and their qualifications in the medical field were conducted because of the lack of medical personnel.

• Journal of dental hygiene science
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• v.15 no.2
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• pp.182-189
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• 2015

The purpose of this study was to investigate the relationship between degree of satisfaction and experience on performance in accordance with the characteristics for the dental hygiene students. Dental hygiene students to 480 people from November to December 2014 and analyzed by conducting a survey. The higher grade students were more satisfied with the degree of satisfaction on experience for clinical test performance and clinical practice organization rather than the lower grade students. Also, the degree of satisfaction on major for the higher grade students has been shown as relatively higher than the lower grade students. The factors that affecting the experience for clinical performance and the degree of satisfaction for clinical practice were shown as grade, satisfaction for major and period for practice. In order to enhance the degree of satisfaction on the clinical performance for students, it should be established the system for practice management considering the characteristics of clinical practice by relevant organizations. Also, the dental hygienist who is responsible for dental education should manage his/her practice for students actively. Meanwhile, the practice organization should improve and update the content of education through the consistent alliance with colleges continuously.