• 제목/요약/키워드: Outcomes

검색결과 10,086건 처리시간 0.038초

뇌혈관질환자에게 적용가능한 간호결과 분류체계의 타당성 검증 (Validation of the Nursing Outcomes Classification on Cerebrovascular Patients)

  • 김영화;소향숙;이은주;고은
    • 성인간호학회지
    • /
    • 제20권3호
    • /
    • pp.489-499
    • /
    • 2008
  • Purpose: The purpose of this study was to assess the importance and contribution of 9 nursing outcomes and their indicators that could be applied to cerebrovascular patients. Methods: Data were collected from 175 neurosurgical nurses working at two university affiliated hospitals and five secondary hospitals located in Gwang-ju. The Fehring method was used to estimate outcome content validity(OCV) and outcome sensitivity validity(OSV) of nursing outcomes and their indicators. Stepwise regression was used to evaluate relationship between outcome and its indicators. Results: The core outcomes identified by the OCV were Tissue Perfusion: Cerebral, Nutritional Status, Neurological Status, and Wound Healing: Primary Intention, whereas highly supportive outcomes identified by the OSV were Oral Health, Self-Care: ADL, and Nutritional Status. All the critical indicators selected for Fehring method were not included in stepwise regression model. By stepwise regression analysis, the indicators explained outcomes from 19% to 52% in importance and from 21% to 45% in contribution. Conclusion: This study identified core and supportive outcomes and their indicators which could be useful to assess the physical status of cerebrovascular patients. Further research is needed for the revision and development of nursing outcomes and their indicators at neurological nursing area.

  • PDF

자가간호결과에 대한 타당성 검증 -간호결과분류(NOC)에 기초하여- (Validation of Nursing-Sensitive Patient Outcomes: Focused on Self Care Outcomes)

  • 염영희;이규은
    • 기본간호학회지
    • /
    • 제7권3호
    • /
    • pp.429-440
    • /
    • 2000
  • The purpose of this study was to validate self care outcomes included Nursing Outcomes Classification(NOC) developed by Johnson and Maas at the University of Iowa. A sample of 103 nurse experts working in university affiliated hospitals participated in this study. They were asked to rate indicators that examplified the outcomes on a scale of 1(indicator is not at all characteristic) to 5(indicator is very characteristic). A questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of outcomes. The results were as follows : 1. All indicators were considered to be 'supporting' and no indicators were considered to be 'nonsupporting'. 2. 'Self care: Toileting' attained an OCV score of 0.884 and was the highest OCV score among self care outcomes. 3. 'Self care: Oral Hygiene' attained an OCV score of 0.756 and was the lowest OCV score among self care outcomes. 4. 'Self-care: Activities of Daily Living (ADL)' attained an OCV score of 0.845 and the highest indicator was 'eating'. 5. 'Self-care: Bathing' attained an OCV score of 0.810 and the highest indicator was 'washes body'. 6. 'Self-care: Dressing' attained an OCV score of 0.831 and the highest indicator was 'buttons clothing'. 7. 'Self-care: Eating' attained an OCV score of 0.815 and the highest indicator was 'chews food'. 8. 'Self-care: Grooming' attained an OCV score of 0.833 and the highest indicator was 'combs or brushes hair'. 9. 'Self-care: Hygiene' attained an OCV score of 0.823 and the highest indicator was 'washes hands'. 10. 'Self-care: Insrumental Activities of Daily Living(IADL)' attained an OCV score of 0.776 and the highest indicator was 'uses telephones'. 11. 'Self-care: Non-Parenteral Medication' attained an OCV score of 0.796 and the highest indicator was 'identifies medication'. 12. 'Self-care: Parenteral Medication attained an OCV score of 0.810 and the highest indicator were 'identifies medication' and 'administers medication correctly'. More outcomes need to be validated and outcomes sensitive to Korean culture need to be developed.

  • PDF

한국과 미국의 프로그램 학습성과 평가체계 사례분석 (A Case Analysis of Program Outcomes Assessment Systems for Engineering Education Accreditation of South Korea and USA)

  • 진성희;조우석
    • 공학교육연구
    • /
    • 제14권2호
    • /
    • pp.13-20
    • /
    • 2011
  • 본 연구의 목적은 한국과 미국의 프로그램 학습성과 평가체계 사례를 비교 분석함으로써 프로그램 학습성과 평가체계 개선을 위한 시사점을 제공하는 것이다. 연구의 목적을 달성하기 위해 사례연구방법이 적용되었다. 미국에서 공학교육인증을 우수하게 수행하고 있는 5개 대학 프로그램과 한국에서 공학교육혁신센터를 주축으로 연구를 수행하여 프로그램 학습성과 평가체계를 개선한 3개 대학을 선정하여 각각의 프로그램 학습성과 평가체계 사례를 분석하였다. 분석 결과 각 프로그램에서 설정한 학습성과, 학습성과를 평가하는 수준, 학생의 학습성과 달성도 평가 방법, 분석 및 개선 실적 측면에서 차이가 있는 것으로 나타났다. 연구 결과에 기반하여 프로그램 학습성과 평가체계 개선을 위해서는 학생의 학습성과 달성도 평가방법에 대한 관심보다는 프로그램의 특성이 반영된 학습성과 설정, 학습성과 평가결과 분석 및 개선에 대한 보다 구체적인 계획 수립, 수집된 자료에 근거하여 교육과정을 지속적으로 개선하는 데 보다 노력을 기울일 것을 제안하였다.

간호결과분류(NOC)에 대한 타당성 검증 - 학대 결과를 중심으로 - (Validation of Nursing-sensitive Patient Outcomes: Focused on Abuse Outcomes)

  • 염영희;이규은
    • 여성건강간호학회지
    • /
    • 제6권4호
    • /
    • pp.506-515
    • /
    • 2000
  • The purpose of this study was to validate abuse outcomes included Nursing Outcomes Classification(NOC) developed by Johnson and Maas at the University of Iowa. A sample of 71 nurse experts working in university affiliated hospitals participated in this study. They were asked to rate indicators that examplified the outcomes on a scale of 1 (indicator is not at all characteristic) to 5(indicator is very characteristic). A questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of outcomes. The results were as follows: 1. All indicators were considered to be 'supporting' and no indicators were considered to be 'nonsupporting'. 2. 'Abuse Recovery : Emotional' attained an OCV score of 0.780 and was the highest OCV score among abuse outcomes. The highest indicator was 'demonstration of positive interpersonal relationship'. 3. 'Abuse cessation' attained an OCV score of 0.739 and was the lowest OCV score among abuse outcomes. The highest indicator was 'physical abuse has ceased'. 4. 'Abuse Protection' attained an OCV score of 0.743 and the highest indicator was 'plans for avoiding abuse'. 5. 'Abuse Recovery: Financial' attained an OCV score of 0.762 and the highest indicator was 'court-ordered benefits received'. 6. 'Abuse Recovery: Physical' attained an OCV score of 0.767 and the highest indicator was 'resolution of physical health problem'. 7. 'Abuse Recovery: Sexual' attained an OCV score of 0.768 and the highest indicator was 'expression of confidence with gender identity'. More outcomes need to be validated and outcomes sensitive to Korean culture need to be developed.

  • PDF

네트워크 성과측정 기획을 위한 개념도 연구법(Concept Mapping) 적용가능성 (A Study on the Applicability of Concept Mapping in the Planning of Network Outcomes Measurement)

  • 김지영
    • 한국사회복지학
    • /
    • 제59권3호
    • /
    • pp.281-304
    • /
    • 2007
  • 사회복지 서비스 부문에서 최근 상호조직간 네트워크의 필요성이 증가하면서 상호조직간 네트워크 사업이 활성화되고 있다. 이와 함께, 네트워크 성과에 대한 책임성의 요구도 증가하고 있다. 네트워크 성과를 성공적으로 수행하기 위해서는 성과에 관한 상호조직 간의 공통된 이해의 틀을 갖추는 것이 필요하며, 성과 개념에 관한 합의 도출이 이루어져야 한다. 따라서, 본 연구는 사회복지 실천현장에서 각기 다른 이해관계에 놓인 조직들이 네트워크 성과측정을 기획하기 위한 기초 작업으로서 성과의 개념적 틀을 개발하고 개념적 합의를 도출할 수 있도록 돕는 concept mapping(개념도 연구법)을 적용한 사례를 소개하고 실천현장에서의 활용가능성을 모색해 보았다. 개념도 연구법을 적용한 결과 협력적인 수행과 지속적인 의사결정 과정 속에 놓여 있는 네트워크 조직에서의 성과측정 기획을 위한 실천적 함의를 발견할 수 있었으며, 사회복지 실천에의 적용 유용성을 향상하기 위한 대안들을 제시하였다.

  • PDF

프로그램 학습성과 타당성 관찰을 위한 교과목-임베디드 평가도구 분석 (An Analysis for the Course-Embedded Assessment Tool to Validate Program Outcomes)

  • 신행자;김시범;강원호
    • 한국기계가공학회지
    • /
    • 제7권4호
    • /
    • pp.82-95
    • /
    • 2008
  • As society has changed to being more knowledge-based, it is necessary that change of paradigm is incorporated into engineering education and the education goals and the assessment method of educational outcomes is developed to promptly meet the needs of the times. A purpose of this study is to measure learning outcomes in coursework of engineering college every semester, which ultimately provides to validate program outcomes. We looked into teaching-learning style of course in the engineering college and analyzed its grade method and tool. By use of a survey, we derived a reasonable method to measure for the learning outcomes in course and presented tools for course-embedded assessment to measure that learning outcomes had been tied to their objectives. These tools are effective to determine that program outcomes and education goals have been achieved, ultimately. In addition, it will help that instruction builds a loop system for better.

  • PDF

학습 성과(outcomes) 만족도 분석 - K대학을 중심으로 - (Analysis of Satisfaction for the Outcomes)

  • 김명랑;윤우영;이경훈
    • 공학교육연구
    • /
    • 제7권1호
    • /
    • pp.74-78
    • /
    • 2004
  • 한국공학교육인증원(ABEEK)에서는 공학 인증의 중요한 기준의 하나로 학습 성과(outcomes)를 제시하고 있다. 본 연구는 12가지 학습 성과에 대한 만족도를 조사하여 학습 성과를 달성하기 위한 공과대학의 교육 과정의 개선 방향을 제시하고자 한다. 연구 결과에 따르면 74% 이상의 학생들이 만족하고 있었고, 학습 성과를 달성하기 위해서는 설계 및 교양 교육이 더욱 강화되어야 한다는 결론을 얻을 수 있었다.

Long Term Outcomes after Pediatric Liver Transplantation

  • Yazigi, Nada A.
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제16권4호
    • /
    • pp.207-218
    • /
    • 2013
  • Long term outcomes after liver transplantation are major determinants of quality of life and of the value of this heroic treatment. As short term outcomes are excellent, our community is turning to take a harder look at long term outcomes. The purpose of this paper is to review these outcomes, and highlight proposed treatments, as well as pressing topics needing to be studied. A systemic review of the English literature was carried in PubMed, covering all papers addressing long term outcomes in pediatric liver transplant from 2000-2013. Late outcomes after pediatric liver transplant affect the liver graft in the form of chronic liver dysfunction. The causes include rejection particularly humoral rejection, but also de novo autoimmune hepatitis, and recurrent disease. The metabolic syndrome is a major factor in long term cardiovascular complication risk. Secondary infections, kidney dysfunction and malignancy remain a reality of those patients. There is growing evidence of late cognitive and executive function delays affecting daily life productivity as well as likely adherence. Finally, despite a good health status, quality of life measures are comparable to those of children with chronic diseases. Long term outcomes are the new frontier in pediatric liver transplantation. Much is needed to improve graft survival, but also to avoid systemic morbidities from long term immunosuppression. Quality of life is a new inclusive measure that will require interventions and innovative approaches respectful not only on the patients but also of their social circle.

병원 밖에서 발생한 급성 심장정지 환자의 생존결과에 영향을 미치는 요인 : 다수준 분석 (Determinants on survival outcomes of sudden out-of-hospital cardiac arrest: a multilevel analysis)

  • 김효실;전진호
    • 한국응급구조학회지
    • /
    • 제24권2호
    • /
    • pp.7-26
    • /
    • 2020
  • Purpose: This study aimed to identify the factors affecting the survival outcomes of out-of-hospital cardiac arrest based on the Sudden Cardiac Arrest Survey by the Korean Centers for Disease Control and Prevention from 2012 to 2016. Methods: Out of 84,776 cases, 57,104 cases of cardiac arrest were analyzed. To identify the factors that affect survival outcomes after a sudden cardiac arrest (SCA), we performed a logistic regression using SPSS. We also performed a multilevel analysis using SAS to determine whether the survival outcomes were affected by the socioeconomic level and health index of the communities. Results: When SCA was witnessed by someone, the possibility of discharge with survival outcomes increased by a factor of 4.54. If CPR was administered immediately in emergency situations, this possibility further increased. When defibrillation was performed before hospitalization, the possibility was increased by a factor of 10.31. The multilevel analysis reflected the personal and regional factors that had an impact on the survival outcomes. Conclusion: Because the initial response in SCA is crucial, a community response system is essential before hospitalization. It is necessary to actively publicize and educate the people because the their understanding, sympathy, and cooperation in emergency situations play a role in determining the survival outcomes of the patients.

Nursing Outcomes Classification(NOC)를 이용한 일부 입원환자의 간호결과에 대한 분석 (Analysis of Patient Outcome using Nursing Outcomes Classification(NOC))

  • 김수현;손정태;이은주
    • 간호행정학회지
    • /
    • 제12권2호
    • /
    • pp.181-188
    • /
    • 2006
  • Purpose: The purpose of study was to determine differences in patient outcomes that exists in terms of Nursing Outcomes Classification (NOC) during hospital days of neurosurgical and respiratory patients. Method: Before starting clinical practicum, nursing students were received two hours' lecture on how to apply NOC to patient care plan and they were required to evaluate patient condition using NOC at the beginning and at the end of their clinical practicum. Data were extracted from 62 neurosurgical patients and 66 respiratory patients and analyzed by frequency and paired t-test. Results: The most frequently used NOC were Pain Level (37.1%), Mobility Level (25.8%), and Bowel Elimination (19.4%) in neurosurgical patients and Nutritional Status (37. 9%), Respiratory Status: Ventilation (37.9%) and Pain Level (25.8%) in respiratory patients. The numbers of outcomes used were 75 and 46 neurosurgical and respiratory patients respectively. During the hospital days, the level of patient outcomes increased significantly in all patient groups. Conclusion: The finding clearly suggests that nursing interventions make differences in patient outcomes and make contribution to the patient health achieved. To more effectively use NOC, however, nursing information system should be developed and included standardized nursing languages regarding nursing diagnoses and interventions.

  • PDF