• Title/Summary/Keyword: Pathways satisfaction

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Could Clinical Pathways Improve the Quality of Care in Patients with Gastrointestinal Cancer? A Meta-analysis

  • Song, Xu-Ping;Tian, Jin-Hui;Cui, Qi;Zhang, Ting-Ting;Yang, Ke-Hu;Ding, Guo-Wu
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.19
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    • pp.8361-8366
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    • 2014
  • This meta-analysis was performed to assess the implementation effects of clinical pathways in patients with gastrointestinal cancer. A comprehensive search was conducted in the Cochrane Library, PubMed, EMBASE, Web of Science and Chinese Biomedical Literature Database (from inception to May 2014). Selection of studies, assessing risk of bias and extracting data were performed by two reviewers independently. Outcomes were analyzed by fixed-effects and random-effects model meta-analysis and reported as mean difference (MD), standardized mean difference (SMD) and odds ratio (OR) with 95% confidence intervals (CI). The Jadad methodological approach was used to assess the quality of included studies and the meta-analysis was conducted with RevMan 5.1 software. Nine citations (eight trials) involving 642 patients were included. The aggregate results showed that a shorter average length of stay [MD = -4.0; 95% CI (-5.1, -2.8); P < 0.00001] was observed with the clinical pathways as compared with the usual care. A reduction in inpatient expenditure [SMD = -1.5; 95% CI (-2.3, -0.7); P = 0.0001] was also associated with clinical pathways, along with higher patient satisfaction [OR = 4.9; 95% CI (2.2, 10.6); P < 0.0001]. Clinical pathways could improve the quality of care in patients with gastrointestinal cancer, as evidenced by a significant reduction in average length of stay, a decrease in inpatient expenditure and an improvement in patient satisfaction. Therefore, indicators and mechanisms within clinical pathways should be a focus in the future.

Exploring pathways from paternal involvement in childrearing to intention of second childbirth by the employment status of married women (기혼여성의 취업 여부에 따른 둘째자녀 출산의도: 아버지의 양육참여를 중심으로)

  • Shin, Nary
    • Korean Journal of Human Ecology
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    • v.22 no.3
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    • pp.405-420
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    • 2013
  • The purpose of this study was to find pathways among factors that distinguish the mothers' intention to have a second child. As for factors affecting the childbirth intention of mothers, this study aimed to explore pathways from fathers' participation in childrearing to intention of second childbirth as mediating variables, maternal parenting stress and marital satisfaction. This study used the third wave data of the Panel Study of Korean Children (PSKC) that is a national-representative birth-cohort study. Among the 1,802 participants of the PSKC, 717 mothers who have a husband/partner and only one child have responded a decided intention of second childbirth. SPSS 19.0 and Amos 19.0 were used to implement exploratory analyses of predictors and test path models. Results showed that the hypothetical model assuming a path from paternal involvement in childrearing to mothers' intention of second childbirth, mediated by maternal parenting stress and marital satisfaction fitted the data of working mothers and non-working mothers well. The results suggest policies focusing on internal characteristics of mothers and dynamics in the family.

Pathways to Job Satisfaction of Local Officials in the Child Care Sector (보육담당 공무원의 직무만족도에 영향을 미치는 경로)

  • Shin, Nary;Kim, Jihyun;Min, Sunghye
    • Korean Journal of Human Ecology
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    • v.21 no.6
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    • pp.1095-1110
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    • 2012
  • The purpose of this study was to examine pathways between job characteristics and job satisfaction among local officials in the child care sector. Participants of this study comprised of 128 local officials who worked in the child care sectors. Structural equation modeling was used to test the direct and indirect effects of job characteristics on job satisfaction through job stress and job burnout. Results confirmed the initial model that assumed there would be an indirect effect of job characteristics based on job satisfaction. The path involving three variables of job characteristics, however, were not statistically significant. The initial model was modified by removing the job characteristics variables. The modified model that confirmed the initial model showed that job stress of local officials in the child care sector was likely to increase job burnout; in turn, the job burnout tended to decrease job satisfaction.

The Pathways From Parent Attachment to Adolescent Life Satisfaction Through Peer Attachment and Romantic Relationships (부모애착, 또래애착 및 이성관계가 청소년의 삶의 만족도에 미치는 영향)

  • Kim, Seung Jin;Doh, Hyun-Sim;Lee, Woon Kyung;Park, Bokyung
    • Korean Journal of Child Studies
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    • v.37 no.5
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    • pp.83-100
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    • 2016
  • Objective: The purpose of this study was to examine pathways from parent attachment to adolescent life satisfaction and to determine the mediating roles of peer attachment and romantic relationships. Methods: The participants were 221 high-school students (117 boys and 104 girls) living in Jeonnam province who had been in a romantic relationship for more than 3 months. The data were analyzed by t -tests, Pearson correlations, and SEM using SPSS 19.0 and Amos 18.0. Results: Based on the research objective, 4 important results were summarized. First, father attachment and mother attachment had direct effects on adolescent life satisfaction. Second, mother attachment had an indirect effect on adolescent life satisfaction through peer attachment. Third, father attachment had an indirect effect on adolescent life satisfaction through romantic relationships. Fourth, mother attachment had an indirect effect on adolescent life satisfaction through peer attachment and romantic relationships. Conclusion: The results from this study highlight the significant roles of parent attachment, peer attachment, and romantic relationships in adolescent life satisfaction. Specifically, the roles of father attachment and of romantic relationships in adolescent life satisfaction, which have seldom been explored in previous studies, should be emphasized. The findings can be used as an important basis for prospective research and practices for improving adolescent life satisfaction.

The Influence of IADL to Life Satisfaction and the Double-mediating Effects of Self-Rated Health, Leisure Activities in Adolescents with Disabilities (장애청소년의 수단적 일상생활 수행능력이 생활만족도에 미치는 영향과 주관적 건강인식, 문화·여가활동참여의 이중매개효과)

  • Choi, Jang Won
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.582-592
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    • 2019
  • This study was conducted to identify the causal pathways of variables affecting life satisfaction in adolescents with disabilities to establish a basis for concrete intervention in their daily lives. This study was conducted on 239 adolescents with disabilities aged 9 to 24 years who responded to the survey on the actual conditions of people with disability in 2017. The SPSS macro process was used for analysis of the dual mediation effect. The results showed that there was a statistically significant correlation between instrumental daily life performance capacity, life satisfaction, Self-Rated Health, and participation in culture and leisure activities. It confirmed the mediating effects of Self-Rated Health and cultural leisure activities when the instrumental daily life performance capacity affected life satisfaction. This confirmed the dual mediating effect of instrumental daily life performance capacity on life satisfaction through causal pathways of Self-Rated Health and participation in cultural leisure activities. Based on the results of this study, it was possible to identify the focus of practical intervention through the identification of sequential pathways of Self-Rated Health and cultural and leisure activities on influence of instrumental daily life performance capacity and life satisfaction in adolescents with disabilities.

Does Customer Delight Matter in the Customer Satisfaction-Loyalty Linkage?

  • KIM, Mi Jeong;PARK, Chul Ju
    • The Journal of Asian Finance, Economics and Business
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    • v.6 no.3
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    • pp.235-245
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    • 2019
  • This research focuses on the relationships among customer satisfaction, delight, and loyalty. Although customer delight is one facet of an affective evaluation that can be predicted from customer satisfaction as cognitive component of the evaluation, there is no empirical examination on the casual relationship among customer satisfaction, delight, and loyalty. This study aims at addressing this gap in the service literature. The research questions are (1) How is customer satisfaction related to customer delight? and (2) Does customer delight matter in the relationship between customer satisfaction and loyalty? Data from a survey of consumers across upscale restaurant and retail bank in Korea were obtained. Our results show that customer satisfaction contributes positively to customer delight, and that customer delight plays a significant role in the relationship between customer satisfaction and loyalty. This chained relationship from customer satisfaction to customer delight to customer loyalty suggests that achieving customer delight represents one of the underlying pathways through which basic or core requirements expected by customers are satisfied. Our finding suggests that service firms need to monitor and manage their levels of customer delight as a performance metric, and delighting customers may be an important strategy to build competitive advantage through customer loyalty.

An Ecological Approach to Housing Experience of Korean Women in Malaysia (생태학적 접근으로 본 말레이시아 거주 한인 여성의 주거경험)

  • Hong, Hyung Ock
    • Human Ecology Research
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    • v.53 no.4
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    • pp.375-390
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    • 2015
  • This study was designed to understand the residential experience of Korean women living in tropical country. For qualitative research, interviewees were selected by snowball sampling among Korean women living in Malaysia for over 20 years. The selection criteria for interviewees included husband's nationality, occupational experience, future living plan, frequency of travel to Korea. In-depth group and individual interviews were conducted from August 23 to October 7 2014. Subsequently (1) interviewees' general residential experiences in Malaysia were summarized, (2) interviewee's identity and lifestyle with housing pathways approach were clarified, (3) interviewees' residential experiences in 5 issues, reciprocity in residential area, intention of environmental change, meaning of housing and interaction, housing adaptation, and residential satisfaction/dissatisfaction were prescribed and interpreted. In conclusion, the reflection of interviewees' experiences in tropical country, suggested variations of housing structure type within a residential complex, air well and pocket by setback in building block for improving ventilation and noise prevention from neighbors, and ceiling fans in the house were suggested for the upcoming subtropical climate in Korea. Full option and minus options were also suggested for the presale market to reduce before occupancy remodeling needs. The research results implies valuable suggestions for a multicultural society, ecological housing and stronger communities.

The Effects of Child Care Support, Value of Children and Psychological Well-Being on Second Childbirth Plans for Employed Mothers with An Infant of 10 Months or Younger (10개월 이하 영아를 둔 취업모의 양육지원체계, 자녀가치관 및 심리적 안녕감이 둘째아 출산계획에 미치는 영향)

  • Park, Chan-Hwa
    • Korean Journal of Human Ecology
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    • v.21 no.1
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    • pp.95-111
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    • 2012
  • This study investigated the pathways of factors affecting 173 employed mothers' second childbirth plans. Participants were all employed working mothers with an infant under 10 months old. The hypothetical model used in this research proposed that workplace childcare support, social support, value of children and parenting stress of employed mothers will directly affect second childbirth plans. Additionally, workplace childcare support, social support, value of children, marital satisfaction and job satisfaction will indirectly influence second childbirth plans as a result of parenting stress. The results of this research demonstrated that value of children and parenting stress were the factors which directly affected second childbirth plans of employed mothers. In addition, workplace childcare support, social support, marital satisfaction and job satisfaction indirectly influenced second childbirth plans as a result of parenting stress. This study suggests the need for the establishment and development of workplace childcare support and the need for enhancing the value of children. This research further suggests the need for policies aimed at increasing psychological well-being and decreasing parenting stress for working mothers who are contemplating second childbirth plans.

Pathways from Peer Relationships to Subjective Well-Being through Self-Esteem in Late Childhood (학령 후기 아동의 또래관계 및 자아존중감이 주관적 안녕감에 영향을 미치는 경로)

  • Yoo, Seolheui;Park, Bokyung;Doh, Hyun-Sim
    • Korean Journal of Child Studies
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    • v.36 no.2
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    • pp.55-74
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    • 2015
  • This study examined the various pathways from peer relationships to subjective well-being through self-esteem in late childhood. A total of 354 fifth and sixth grade students in elementary school (189 boys and 165 girls) participated in the study. Peer relationships were assessed using the peer rating scale, and self-esteem and subjective well-being were measured using the self-rating scales. The data were analyzed by means of Structural Equation Modeling (SEM). Children's peer relationships affected their subjective well-being directly, as well as indirectly through their self-esteem. Positive relations with peers enabled children to improve their subjective well-being. In addition, those children who possessed good relationships with peers were more likely to perceive themselves as worthy, which led to higher overall levels of happiness and satisfaction in their lives. The study emphasizes the crucial influence of self-esteem on school-aged children's subjective well-being.

Influential Factors for Job Satisfaction: A Comparison of Part-Time and Full-Time Female Employees with Children (취업모 일만족도에 영향을 미치는 요인 분석: 전일제와 시간제 비교)

  • Chung, Youngsoon;Auh, Erica Yoonkyung;Im, Yujin
    • 한국사회정책
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    • v.19 no.3
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    • pp.215-245
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    • 2012
  • The purpose of this study is to examine pathways of factors that influence job satisfaction for full-time and part-time married female employees with children of 18 or under and to compare path coefficients for two groups. Simultaneously analyzing multiple populations, we found that the path model was appropriate for both groups with significant differences in path coefficients. Income, workplace size, husband's support for wife's work, and work-to-family conflict had direct effects on job satisfaction for both groups whereas health had a direct effect only among full-time workers. Family-to-work conflict had an indirect effect for both types of workers, while health had an indirect effect among full-time employees only, and income and having children under school age among part-time employees only. The results indicate that differentiated approaches to increase job satisfaction for full- and part-time employees are needed.