• 제목/요약/키워드: Multiple Client

검색결과 217건 처리시간 0.024초

간호사의 유방자가검진(Breast Self-Examination) 실천 예측요인 (Predictive Factors of Brest Self-Examination Practice of Clinical Nurse)

  • 태영숙;김종선
    • 종양간호연구
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    • 제3권2호
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    • pp.122-132
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    • 2003
  • Purpose: The purpose of this study was to identify predictive factors of Brest Self-Examination practice of clinical nurses. Method: The subject for this study were 277 nurses in 8 university hospitals in Busan. The data were collected from September 21 to October 20, 2001 by means of a structure questionnaire. The instruments used for this study were Choi's BSE knowledge scale. Kim's BSE attitude scale and Jung's BSE practice scale. The data were analyzed using frequency, percentage, mean, Peason Correlation, t-teat, ANOVA, scheffe's test, and multiple stepwise Regression using SPSS program. Result: 1. The mean score of BSE practice for the total sample was 7. 25${\pm}$4.62. 2. Statistically significant factors influencing the BSE Practice among social demographic characteristics were age(F=2.734, P=0.44), Married status(t=2.598, p=0.010). 3. Statistically significant factors influencing the BSE Practice among BSE relating characteristics were enlisting the help of significant peers(t=3.34, P=0.00), Intention of Practice for BSE(t=10.462, p=0.00), performance of BSE(t=7.800, P=0.00), frequency of performance in BSE(F=13.932, p=0.00), confidence in Knowledge of BSE technique(F=5.350, p=0.00), confidence in finding breast nodule(F=7.204, p=.00), asking client's BSE (t=3.153, P=0.01). 4.The mild correlation between nurse's BSE knowledge and practice was found(r=0.366,p=0.000). 5. There were significant predictors of BSE Practice. Performance of BSE was the best significant predictive factor(R2=.383, p=.000) Another significant predictive factors were knowledge, intension of practice, married status, frequency of performance. Conclusion: Degree of nurses' performance of BSE was average. It is necessary to develope the nurses' educational program for BSE with its focus on above predictive factors of performance of BSE.

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퇴행성관절염 노인환자의 우울과 삶의 질 예측요인 (Predictors of Depression and Quality of Life among Older Adults with Osteoarthritis)

  • 전정호;이해정;김명희;신재신
    • 성인간호학회지
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    • 제15권4호
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    • pp.650-659
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    • 2003
  • Purpose: The purpose of this study was to identify predictors of depression and quality of life among older adults with osteoarthritis. The predictors included in the model were the client's characteristics(age, pain, disease duration, ADLs), personal resources(hardiness, self-care agency and family support), and depression. Method: 150 subjects who were older than 65 years and had diagnosis of osteoarthritis participated in the study. To answer the research questions, descriptive analysis, Pearson correlation, and hierarchical multiple regression were utilized using SPSS WIN program. Result: Older adults who were younger and had lower levels of pain and dependency on ADLs, and higher levels of self care agency and hardiness reported lower levels of depression($R^2=0.517$). Older adults who had lower levels of depression, pain, and dependency on ADLs, higher levels of family support and hardiness, and who are younger reported higher levels of quality of life($R^2=0.084$). Conclusion: Based on the findings of this study, development of nursing intervention program including pain reduction, enhancing ADL abilities and personal resources (hardiness, family support) can be suggested. Further study is needed to increase the ability of generalization of the study findings to the broader population.

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노인장기요양보험 시설서비스에 대한 가족수발자 만족도 영향 요인 (Factors related to Family Caregiver Satisfaction with the Institutional care services under the Public Long-Term Care Insurance system)

  • 권진희;한은정;이정석
    • 보건행정학회지
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    • 제19권4호
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    • pp.78-97
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    • 2009
  • This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

간호 서비스의 마케팅을 위한 이미지 연구 (A Study on the Image for the Marketing of Nursing Services)

  • 정면숙
    • 간호행정학회지
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    • 제1권1호
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    • pp.22-34
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    • 1995
  • Health care marketing can be defined as a process of developing, promoting and administering health care services for the benefits of hospitals as well as consumers. Researchers have reported that one of the significant attributes in the selection of hospital is a client's perceived image of the hospitals. Especially the image of nursing services was one of the important factors of the hospital image. The main purposes of the study were 1) to define the positioning about 5 hospitals' image of nursing services. 2) to define the effects of image attributes to the iamage of hospital nursing services. Eighteen hundred questionnaires were distributed to the parents of middle schools and high schools in Seoul. Among them, 1340 cases were returned but 849 cases were turned out to be useful data and used in final analysis. In data analysis, $SPSS\;/PC^+$ and PC-MDS programs were used for descriptive statistics, multiple regression, and drawing perceptual maps. The image of hospital nursing services was measured developed by the author through literature review and content validation. Reliability coefficients was found to be statistically appropriate level of confidence(Cronbach's Alpha=.8617). The results were as follows : 3) The perceptual map shows that hospital A, B and C,D,E were divided into five groups(See Fig. 1). That is, hospital A, and B are located in a close position and hopital C & E are located at opposite position between X-axis, Hospital D was located in the middle area of the hospital C and:E. In conclusion, this research visiblely depicted perceptual maps using MDS of the consumer's image about hospital nursing services. Since hopital nursing services were differentiated by the image attributes in consumer's perception, the results of the study can help hospital managers plan marketing strategy according to their strong points or weak points. Because the necessity of marketing in recent health care was importantly recognized, this research which is adopting posititioning concept will contribute to the consumers and hospital organizations.

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응답시간 향상을 위한 커넥션 스케줄링 기법 (Connection Scheduling for Improving the Response Time)

  • 방지호;하란
    • 한국정보과학회논문지:시스템및이론
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    • 제33권1_2호
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    • pp.69-78
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    • 2006
  • 웹서버가 클라이언트들의 요청을 처리하는 방법은 요청된 문서의 크기를 고려한 스케줄링 기법과 요청된 문서의 크기를 고려하지 않는 스케줄링 기법으로 구분할 수 있다. 웹 문서의 크기를 고려한 스케줄링 기법은 크기를 고려하지 않은 스케줄링 기법 보다 평균 응답시간이 우수하다. 크기기반의 스케줄링 기법인 SRPT(Shortest Remaining Processing Time first)는 웹 문서의 크기를 고려한 대표적인 스케줄링 기법으로 대부분의 연구들이 SRPT 스케줄링 기법을 기반으로 하고 있다. 그러나, 기존 연구들 대부분은 HTTP/1.0 기반으로 클라이언트들이 각각의 커넥션을 통해 HTML 문서에 포함된 다수의 문서들을 동시에 요청할 수 있는 HTTP/1.1 프로토콜의 특성을 고려하지 않았다. 본 논문은 HTTP/1.1 프로토콜을 기반에서 스케줄링 윈도우를 사용하여 커넥션의 전체 응답시간을 향상시키는 커넥션 스케줄링 기법을 제시하고, 성능분석을 통해 제안한 커넥션 스케줄링 기법의 커넥션 응답시간이 SRPT를 이용한 커넥션스케줄링보다 $10\%$ 정도 향상됨을 보인다.

건강증진센터 내원자의 건강증진행위 (Determenants of Health Promotion Behaviors in the Clients of Health-Promoting Center)

  • 정미숙;소희영
    • 한국직업건강간호학회지
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    • 제8권1호
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    • pp.42-55
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    • 1999
  • The purposes of this study were to understand health-promoting behavior of client visiting health-promoting center, to identify the major subscales affecting performance in health promoting behavior to facilitate nursing intervention for health promoting of this population and to test Pender's Health Promotion Model. The subjects for this study were 177 sampled among clients from health-promoting center in General Hospital at Teajon. Data was collected by self-reported questionnaires from February 11 to May 22, 1998. Analysis of the data was done by frequency, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regrssion using SPSS-PC. The results of the study were summarized as follows : 1. The mean score of performance in the health-promoting behavior was 109.22 and range was 71 to 170. The subscale of the highest mean score was self-actualization(30.77) and the subscale of the lowest mean score was exercise(10.50). 2. The most important variable in the health promoting behavior was the perceived self-efficacy. The perceived self-efficacy explained 15.8% of the variance in health promoting behavior. The combination of perceived self-efficacy, perceived barriers, religion, perceived benefits, perceived symptom, and age explained 43.5% of the variance in health promoting behavior. 3. In the relationships between individual characteristics and experience and health promoting behavior, age, religion, the significant differences in the subscale of the health promoting behavior ; sex, educational state, previous occupation, monthly income, marrital state, perceived symptom, and visiting plan of health-promoting center. 4. The health promoting behavior was statistically significant correlated with perceived benefits, perceived barriers, affect related to action, and perceived self-efficacy.

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The Scope of Practice for Registered Nurses in 64 South Korean Laws

  • Choi, Sungkyoung;Jang, Seung Gyeong;Lee, Won
    • 대한간호학회지
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    • 제49권6호
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    • pp.760-770
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    • 2019
  • Purpose: The role of registered nurses is expanding in scope as the healthcare paradigm shifts from acute, hospital-based care to community and population-based care. Given this paradigm shift, this study explores the legal aspects of the role of a registered nurse. Methods: We used document analysis for extracting laws and legal orders related to nursing from the entirety of Korean law. Using textualism approach, we examined the contents utilizing a framework that was developed based on the role classification of community nurses by Clark in this study. Results: A total of 119 items related to nursing were derived from 64 laws. Of these, 71.4 % can be performed by people in multiple types of occupations including nurses. As a result of analyzing required qualifications, 45.4% of 119 items required additional qualifications besides registered nurse license. Analysis of workplace and activity type demonstrated that 26.1% of the 119 items were related to medical institutions, with nurses performing mostly "Client-oriented role." More than half (68.9%) were non-medical institutions, with nurses performing mostly "Delivery-oriented role." Some, however, did not stipulate the nurse's roles clearly. Conclusion: Therefore, to match the enhanced scope and responsibilities of registered nurses and to appropriately recognize, guide, and hold these nurses accountable, laws and policy must reflect these changes. In doing so, these updated laws and policies will ultimately serve as a basis for improving the quality and safety of nursing services.

분산 인-메모리 환경에서 부하 분산을 위한 데이터 복제와 이주 기법 (Data Replication and Migration Scheme for Load Balancing in Distributed Memory Environments)

  • 최기태;윤상원;박재열;임종태;복경수;유재수
    • 정보과학회 컴퓨팅의 실제 논문지
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    • 제22권1호
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    • pp.44-49
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    • 2016
  • 최근 소셜 미디어의 성장과 디지털 기기의 활용이 증가함에 따라 데이터가 기하급수적으로 급증하고 있다. 이러한 대용량의 데이터를 효율적으로 처리하기 위해 분산 메모리 처리 시스템을 사용한다. 하지만 분산 환경에서 특정 노드에 부하가 집중이 되면 노드의 성능이 저하되는 문제가 발생한다. 본 논문은 분산 메모리 환경에서 노드의 부하를 적절하게 분배하는 부하 분산 기법을 제안한다. 제안하는 기법은 노드의 부하를 관리하기 위해 핫 데이터를 여러 노드에 복제하고 노드가 추가되거나 삭제될 때 노드의 부하를 고려하여 데이터를 이주시킨다. 클라이언트는 핫 데이터의 메타데이터 정보를 유지하여 직접 노드에 접근함으로써 중앙 서버의 접근을 감소시킨다. 성능 평가를 통해 제안하는 부하 분산 관리 기법이 기존에 캐시 관리 기법에 비해 우수함을 입증한다.

뷰티계열 대학생의 재학 중 일 경험과 전공 만족도가 전공 일치 첫 일자리에 미치는 영향 (An Effect Analysis of Impact of the Major Satisfaction Level And Job Experience Had Been Done During Undergraduate on the First Job in Beauty Major Undergraduate Students)

  • 황해정
    • 융합정보논문지
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    • 제10권11호
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    • pp.288-295
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    • 2020
  • 뷰티 계열 대학생의 재학 중 일 경험과 전공 만족도가 전공 일치 첫 일자리에 영향을 주는지 알아보고자 "대졸자 직업이동 경로 조사"(Graduates Occupational Mobility Survey : GOMS) 6개년도 (2012~2017년) 자료에서 뷰티 계열 취업자 168명을 선정하였다. 자료 및 통계분석은 Windows 기반 SPSS Client 프로그램을 이용하였다. 독립성 검증과 로지스틱 다중회귀 분석결과, 재학 중 일 경험 여부, 일 경험 기간, 일 경험 회수가 전공 일치 첫 일자리에 영향을 미치는 것으로 나타났다. 전공 불일치 일 경험이 있는 경우, 반면 전공 일치 일 경험이 있는 경우, 일 경험 기간이 1년 이상일 때 대비 6개월 이상~1년 미만일 때 높게 나타났다. 본 연구를 통하여 재학 중 일 경험에 대한 학점인정 제도의 교육 정책 지원과 뷰티 계열 졸업생의 취업 이행 행태를 파악하는 기초 자료가 되고자 한다.

효율적 웹 기반 VOD 서비스를 위한 에이전트 시스템 (An Agent System for Efficient VOD Services on Web)

  • 이경희;한정혜;김동호
    • 디지털콘텐츠학회 논문지
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    • 제2권1호
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    • pp.73-79
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    • 2001
  • VOD 서비스를 제공하는 서버는 클라이언트에게 좋은 서비스를 제공하기 위하여 요청을 처리할 수 있는 여러 개의 부본서버를 이용한다. 또한 시공간적으로 다양한 환경으로부터 요청된 클라이언트의 요구를 가장 효과적으로 처리할 수 있는 서버를 선택하기 위한 다양한 서버 선택 알고리즘들이 제안되었다. 선택 알고리즘은 각 부본서버의 성능을 평가할 수 있는 척도에 의하여 클라이언트의 요청을 적절하게 분산시켜야 서버 부하의 균형이 이루어지고 서비스의 질이 향상된다. 이때 척도를 어떻게 결정하느냐 하는 것이 선택알고리즘의 성능을 결정짓는 중요한 요소이다. 본 논문에서는 서버의 성능에 따라 서비스 요청을 분산시킴으로써 QoS를 향상시키는 데 중점을 둔 에이전트 시스템을 제안하고자 한다. 이 시스템은 부본서버 성능 분석자, 지식베이스, PCI 알고리즘기반 오토마타로 구성하였다. 학습자들의 요청에 응답한 각각의 서버로부터 수집한 로그를 분석하고, 조사하여 지식베이스를 생성하고 이로부터 추출한 규칙에 의하여 서비스를 제공할 서버를 선택한다. 여러 개의 부본서버 중 사용자 요청에 대하여 가장 좋은 서비스를 제공할 것으로 기대되는 서버를 동적으로 선택한다.

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