• 간호행정학회지
• /
• 제3권1호
• /
• pp.107-118
• /
• 1997

This study was designed to obtain basic data for development of evaluation tool which would be needed to measure the outcome of general quality nursing care of individual patient. The purpose of this study was to analyze and classify the outcome indicators of quality nursing care. The 29 articles of quality nursing care and outcome measures were selected coveniently, and analyzed to classify the outcome indicators of quality nursing care using open coding method. The results of this study were as follows: 1. Quality nursing care was defined as level of excellence of nursing care to achieve good patient outcome. 2. The 6 domains of which were health status, satisfaction, self care, patient progress and prognosis, and compliance were identified in outcome indicators of quality nursing care 3. Seven indicators of health status domain which were perceived health status, quality of life, well-being, daily activities, physical-physiological status, psychoemotional status, and social role functioning were identified. 4. Two indicators of satifaction domain which were patient satisfaction and family satisfaction were identified. 5. Three indicators of self care domain which were skill, knowledge, and home management were identified. 6. Seven indicators of patient progress and prognosis domain which were change of clinical status, resolution of nursing diagnosis and problem, days of stay, dicahrge state, recovery state, survival were identified. 7. compliance with therapeutic direction compliance was identified as an indicator of compliance domain. 8. It was sugested that studies for development of evaluation tools for outcomes of quality nursing the results of this study could be executed

• 한국병원경영학회지
• /
• 제19권2호
• /
• pp.44-54
• /
• 2014

In spite of effective curative therapy, morbidity and mortality remain high for hospitalized patients with tuberculosis(TB) in Korea. The purpose of this study was to identify patient and hospital characteristics associated with hospital care outcome. Using annual patient survey data produced by Korea Institute for Health and Social Affair, we identified 8,562 hospital discharge with primary diagnosis of TB. Logistic regression analyses were performed on a model that included age, gender, residence area, insurance status, hospital admission source, length of stay, hospital ownership and class of hospital as the explanatory variables and outcome of treatments as the dependent variable. The results show that negative outcome was associated with the patients older than 65 years, medical aid beneficiary, admission through emergency department, and the patients admitted to public owned hospitals. On the other hand, the patients who were admitted to teaching hospitals were associated with positive outcome. To improve hospital treatment outcome of TB patients, more vigorous strategies should be implemented targeting the older and poor population in regard to social support as well as the clinical management and prevention.

• 대한한방소아과학회지
• /
• 제20권3호
• /
• pp.61-74
• /
• 2006

Objectives : Nocturnal enuresis is one of common disorders in children. However, there are not a lot of researches going on about this disease, and also standardized criteria for analyzing were insufficient in Korea. Therefore, clinical researches were not in the confidence level. Methods : Korean journals which were published in 1990 to 2006, and online journals about nocturnal enuresis were used for analyzing based on outcome criteria. Results : The International Children's Continence Society and the World Health Organization have published outcome criteria about nocturnal enuresis, but different, often idiosyncratic, outcome criteria and/or definitions have been adopted in published research on treatment for nocturnal enuresis in recent years. But a new set of criteria suggested by Butler, Robinson, and et. al. referred to as a "dryness scale", which focuses on the percentage of dry nights accomplished at a point in time, will be an alternative proposal. These criteria will be of help to make standardized and proper outcome criteria in oriental medical studies. Conclusions : Agreed standardized outcome criteria in nocturnal enuresis treatment is needed.

• 보건행정학회지
• /
• 제17권4호
• /
• pp.31-53
• /
• 2007

The purpose of a national health care system is to improve health care outcome among population. The objective of the study was to explore the determinants of health outcome in the 24 OECD countries between two health care financing systems. The study employed the pooled time series and cross-sectional analysis with tax-funded and social insurance-funded countries over the period of 1980 to 1999 using OECD Health Data 2002. The study revealed that health expenditure per capita, physicians per 1,000 of the population and calorie intake were positively significantly associated, smoking rate was negatively associated with health outcome while controlling all variables in the tax-funded countries. But in the insurance-funded countries, health expenditure per capita and the number of physicians were not statistically significant factors explaining health outcome. Only the calorie intake was positively associated with, and smoking rate, alcohol consumption per capita, and total nitrogen oxide emission per capita were negatively significantly associated with health outcome. In conclusion, healthy life style factors were much more important to improve health outcome in the both systems.

• 한국산학기술학회논문지
• /
• 제16권5호
• /
• pp.3121-3130
• /
• 2015

본 연구는 간호교육 인증평가의 핵심인 프로그램학습성과 평가에 Course embedded Assessment(CEA)를 적용하기 위한 기초연구로 시행되었다. 선행연구과 미국대학 평가 사무국의 자료를 통해 CEA의 개념, 장 단점, 단계, 적용 시 주의사항 등을 고찰하였으며, 이를 근거로 간호교육 프로그램학습성과 평가체계에 적합한 CEA모형과 세부지침을 제시하였다. CEA 과정은 프로그램학습성과 설정, 학습성과의 가중치 산정, 교육과정에 연계, 루브릭 개발, 평가, 결과 및 성과달성도 분석, 교육과정개선을 위한 피드백으로 구성하였으며 선행연구에서 제시된 단점과 주의사항을 보완하여 시행 지침을 작성하였다. 본 연구를 토대로 간호교육 프로그램학습성과평가 체계를 구축한다면 학생의 성장과 성취에 대한 일관성 있는 평가와 지속적인 교육과정 개선으로 간호교육의 질적 향상에 기여할 것으로 사료된다.

• 의학교육논단
• /
• 제15권1호
• /
• pp.39-45
• /
• 2013

The recent medical education paradigm shift from teacher-centered to student-centered education, has led to a concentration on students' performance and competency. This means that a physician should be able to provide adequate health care in any real medical treatment situation. In order to reflect such a paradigm shift, The Catholic University of Korea School of Medicine launched a new curriculum in 2009 that emphasizes students' performance and competency-based education, known as "outcome-based education." In outcome-based education, the educational process is determined by the desired outcome, signifying the detailed competency that a graduating student should have. Thus, in outcome-based education, we should first determine the competency that results from adequate training and education, followed by specific teaching and learning strategies, methods, and assessment. This paper reviews how The Catholic University School of Medicine developed its new curriculum according to the development steps of outcome-based education.

• Korean Journal of Radiology
• /
• 제2권2호
• /
• pp.63-67
• /
• 2001

Objective: Atrophy and a high T2 signal of the hippocampus are known to be the principal MR imaging findings of hippocampal sclerosis. The purpose of this study was to determine whether or not individual MRI findings correlate with surgical outcome in patients with this condition. Materials and Methods: Preoperative MR imaging findings in 57 consecutive patients with pathologically-proven hippocampal sclerosis who underwent anterior temporal lobectomy and were followed-up for 24 months or more were retrospectively reviewed, and the results were compared with the postsurgical outcome (Engel classification). The MR images included routine sagittal T1-weighted and axial T2-weighted spin-echo images, and oblique coronal T1-weighted 3D gradient-echo and T2-weighted 2D fast spin-echo images obtained on either a 1.5 T or 1.0 T unit. The images were visually evaluated by two neuroradiologists blinded to the outcome; their focus was the presence or absence of atrophy and a high T2 hippocampal signal. Results: Hippocampal atrophy was seen in 96% of cases (55/57) [100% (53/53) of the good outcome group (Engel class I and II), and 50% (2/4) of the poor outcome group (class III and IV)]. A high T2 hippocampal signal was seen in 61% of cases (35/57) [62% (33/53) of the good outcome group and 50% (2/4) of the poor outcome group]. All 35 patients with a high T2 signal had hippocampal atrophy. 'Normal' hippocampus, as revealed by MR imaging, occurred in 4% of patients (2/57), both of whom showed a poor outcome (Engel class III). The presence or absence of hippocampal atrophy correlated well with surgical outcome (p<0.01). High T2 signal intensity did not, however, significantly correlate with surgical outcome (p>0.05). Conclusion: Compared with a high T2 hippocampal signal, hippocampal atrophy is more common and correlates better with surgical outcome. For the prediction of this, it thus appears to be the more useful indicator.

• 한국지하수토양환경학회:학술대회논문집
• /
• 한국지하수토양환경학회 2004년도 총회 및 춘계학술발표회
• /
• pp.421-425
• /
• 2004

연구개발의 성과를 체계적으로 가시화하는 데는 많은 어려움이 존재한다. 이러한 적용상의 문제점은 연구개발의 input, output, outcome의 개념을 도입하여 Input-Output-Outcome Roadmap 작성으로 해소될 수 있다. 본 연구에서는 지하수 오염저감기술 연구사업에 대한 적용을 통하여 사업의 경쟁력 및 사업성을 확보를 위한 연구개발 성과의 체계적 지표를 제시하였다.

• Journal of Information Technology Applications and Management
• /
• 제11권3호
• /
• pp.63-76
• /
• 2004

There have many studies seeking for an effective IS planning approach. These studies mainly considered organizational characteristics, external factors, and IS planning process as key factors influencing ISP outcome. ISP output, however, was less focused, which is believed to have a more direct relationship with ISP outcome. In this study we attempt to study empirically how architectural quality of ISP output impacts on ISP outcome.

• 문화기술의 융합
• /
• 제5권2호
• /
• pp.329-336
• /
• 2019

본 연구는 간호학생의 성과기반교육 달성도에 영향 미치는 요인을 확인하기 위해 364명의 간호학생을 대상으로 의사소통능력, 비판적 사고성향, 셀프리더십, 연구능력, 성과기반교육 달성도로 구성된 자가보고 질문지로 자료를 수집하였다. 간호학생의 성과기반교육 달성도는 학년, 성과기반교육 이해도 및 만족도, 임상실습 경험여부에 따라 통계적으로 유의한 차이가 있었다. 성과기반교육 달성도는 의사소통능력, 비판적 사고성향, 셀프리더십, 연구능력과 양의 상관관계로 나타났다. 간호학생의 성과기반교육 달성도에 영향을 미치는 요인은 성과기반교육 만족도(${\beta}=0.33$, p<0.001), 셀프리더십(${\beta}=0.21$, p<0.001), 연구능력(${\beta}=0.18$, p<0.001), 비판적 사고성향(${\beta}=0.17$, p=0.003), 의사소통능력(${\beta}=0.14$, p=0.006), 임상실습 경험(${\beta}=0.10$, p=0.023)의 순으로 나타났으며, 성과기반교육 달성도에 대한 이들 변수의 총 설명력은 38.1%였다. 성과기반교육의 달성도를 높이기 위해 셀프리더십, 연구능력, 비판적 사고성향 및 의사소통능력을 향상시킬 수 있는 교과 및 비교과 활동 전략을 개발하고 운영해야 할 것이다.