• Title/Summary/Keyword: Outcomes

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

  • Kim, Young-Hwa;So, Hyang-Sook;Lee, Eun-Joo;Ko, Eun
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.489-499
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    • 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.

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

  • Yom Young-Hee;Lee Kyu-Eun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.3
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    • pp.429-440
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    • 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.

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

  • Jin, Sung-Hee;Cho, Woo-Sug
    • Journal of Engineering Education Research
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    • v.14 no.2
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    • pp.13-20
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    • 2011
  • This study aimed to seek the ways of improving program outcomes assessment systems for engineering education accreditation of South Korea through performing comparative analysis on those of the United States. Case-study research method was implemented to achieve the research goal. Five university programs, which have been well recognized as good practices in engineering education accreditation in the United States, were selected and analyzed. In addition, those of three universities in South Korea were chosen for comparative analysis, which were reformed by university affiliated Engineering Education Innovative Centers. The analysis results indicated that there were differences in each program's program outcomes, assessment level of program outcomes, evaluation methods on program outcomes achievement, and analysis and improvement records. It was drawn up that the evaluation methods on program outcomes achievement should be paid full attention. For better program outcomes assessment system, however, the followings are in more attention. Firstly, to establish program outcomes reflecting program goal. Secondly, to set up the detailed plans for analysis and quality improvement on program outcomes. Thirdly, to keep continuing efforts on curriculum update.

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

  • Yom, Young-Hee;Lee, Kyu-Eun
    • Women's Health Nursing
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    • v.6 no.4
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    • pp.506-515
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    • 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.

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

  • Kim, Ji-Young
    • Korean Journal of Social Welfare
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    • v.59 no.3
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    • pp.281-304
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    • 2007
  • The purpose of this study is to verify the applicability of concept mapping in the process of planning of network outcomes in social welfare. Planning and evaluation of network outcomes involve many stakeholders. Recognizing the value and range of individuals' perspectives in the creation of a common framework is one of the biggest methodological challenges for planning of network outcomes. Concept mapping is a kind of methodology that creates a stakeholder-authored visual geography of ideas from a group. It uses both a quantitative and qualitative approach, including brainstorming, structuring the statement, specific analysis and data interpretation methods to produce maps that can then be used to guide planning and evaluation efforts on the issues that matter to the group. 13 network managers who work in the social welfare centers in Busan are core participants. The 50 statements on network outcomes from brainstorming session fell into six distinct clusters. After the interpretation session these clusters were rated according to the seven rating scales. This paper explores applicability of concept mapping in the process of planning of network outcomes in social welfare. Concept mapping helps stakeholders with different value and ideas about network outcomes to consensus on common conceptual framework. In addition, a multidimensional conceptualization of network outcomes was made. It will assist in designing future outcomes evaluation and guide the evaluators through a selection of key activities and outcomes.

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

  • Shin, Haeng-Ja;Kim, Si-Pom;Kang, Won-Ho
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.7 no.4
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    • pp.82-95
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    • 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.

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

  • Kim Myoung-Lang;Yoon Woo-Young;Lee Kyung-Hoon
    • Journal of Engineering Education Research
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    • v.7 no.1
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    • pp.74-78
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    • 2004
  • One of important criteria of an engineering certification is the outcomes. This study proposes a result of satisfaction for twelve's outcomes and improvement of engineering education curriculum to achievement of the outcomes. According to the research, students over 74%s have been satisfied. And we could get the conclusion which the general and design education must be strengthened more to achievement of the outcomes.

Long Term Outcomes after Pediatric Liver Transplantation

  • Yazigi, Nada A.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.4
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    • pp.207-218
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    • 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.

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

  • Kim, Hyo-Sil;Chun, Jin-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.2
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    • pp.7-26
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    • 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.

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

  • Kim, Su-Hyun;Son, Jung-Tae;Lee, Eun-Joo
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.181-188
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    • 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.

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