• The Journal of Korean Academic Society of Nursing Education
• /
• v.29 no.4
• /
• pp.427-439
• /
• 2023

Purpose: This study aimed to evaluate the effects of a nursing education program for hyperglycemia patient care using standardized patients. Methods: This study used a nonequivalent control group pre-test and post-test non-synchronized design. A total of 50 senior university nursing students who had completed an adult nursing course participated in this study (experimental group, n=24; control group, n=26). This nursing education program was developed according to the stages of analysis, design, development, implementation, and evaluation. The collected data were analyzed using χ² -test, Fisher's exact test, independent t-test, paired t-test, and repeated measure ANOVA. Results: Significant differences were shown between the experimental and control groups in clinical performance ability (F=277.41, p<.001), communication skills (F=47.18, p<.001), self-efficacy (F=3.81, p=.031), and learning satisfaction (t=2.25, p=.033). Problem-solving ability was not statistically significant between the groups. Conclusion: The nursing education program for hyperglycemia patient care using standardized patients was effective in improving nursing students' clinical performance ability, communication skills, and learning satisfaction. Therefore, it is proposed that the education program developed in this study be used as part of an education program to enhance nursing students' abilities in caring for hyperglycemia patients.

• Quality Improvement in Health Care
• /
• v.28 no.1
• /
• pp.14-33
• /
• 2022

Purpose: To examine whether the Patient Experience Assessment (PEA) has led to perceptible changes at the ground level of health care, as a way of evaluating PEA as a policy intervention for quality improvement. Methods: Four focus group discussions (FGDs) were conducted, each comprising six to eight participants who were employees responsible for patient experience at their respective hospitals. The primary focus of the FGDs was on questions such as: 1) How do hospitals respond to PEA? 2) What significant changes were observed after the implementation of PEA? 3) What were the unintended consequences of implementing PEA, if any? 4) What areas of improvement have been identified for maximizing the potential of PEA? Results: Two broad themes emerged out of the FGDs: changes observed post implementation of PEA, and areas for improvement of PEA. Four significant changes were reported by participants: changes in perception and attitude regarding patient experience in hospital employees, increased active involvement by the hospital leadership, enhanced efforts to improve patient experience, and increased cooperation between such activities. Furthermore, eight areas of improvement were identified, which have been grouped in three categories: improving the process of data collection for PEA, introducing additional catalysts to facilitate further changes, and paying attention to structure- and patient-level constraints that must be addressed in parallel. Conclusion: The implementation of PEA led to perceptible changes within hospitals, which implies that it can serve as an effective catalyst for improving patient experience. A number of areas of improvement that would aid in maximizing the potential of PEA were also identified.

• Journal of Service Research and Studies
• /
• v.3 no.2
• /
• pp.1-17
• /
• 2013

The main purpose of this paper is to examine the aid effectiveness of ODA projects through a case of an e-Government ODA. The case at hand is the Mongolian National Data Center project, which was supported by Korea International Cooperation Agency in 2007~2009. In this paper, we analyze aid effectiveness through a case instead of a long-term macroeconomic analysis. By using OECD DAC guideline for performance evaluation of ODA project combined with PRM (Performance Reference Model) for evaluating e-Government, authors undertakes a post-implementation evaluation on the Mongolian NDC project. The result shows that the NDC project has been relevant and implemented effectively and efficiently given the political instability incurred by the election fraud in 2008. However, there have been problems as well. Provision of defected monitors was a critical problem while disagreement on the safety of the building was lasted for two more years to be settled. Some comments on the training program are also worth to hear to ameliorate similar projects. But more fundamental problems are found in impacts and sustainability areas. Low political status of ICTPA as a coordinating organization for ICT ODA and unstable job security of NDC are serious hurdles to increase effectiveness and efficiency of NDC. ICTPA has played very limited roles in coordinating government-wide ICT ODA projects because it lacks actual power and control over them. Other government organizations do not fully trust NDC as a reliable government data center due to low political status and lack of job security. Thus critical factors to affect the effectiveness and efficiency of e-Government ODA projects are political and organizational instead of economic.

• Journal of muscle and joint health
• /
• v.25 no.2
• /
• pp.61-74
• /
• 2018

Purpose: The purpose of this study was to examine the factors affecting changes in Korean Knee Score (KKS) and ranges of motion (ROM) of the knee after the structured exercise programs for the patients with total knee arthroplasty. Methods: This was a retrospective study using electronic medical records from January 2015 to February 2017, and the subject of this study was a total of 124 out of 434 patients underwent total knee replacement operation. They took part in a structured step-by-step exercise program conducted by orthopedic nurses, and then were evaluated for KKS and Knee ROM for 12 weeks after operation. Results: Post-intervention scores increased significantly in the KKS subdomains including pain and symptoms (t=-22.31, p<.001), function (t=-20.68, p<.001), evaluation of floor life (t=-14.18, p<.001), socioemotional function (t=-28.94, p<.001) over time. As for the change in the ROM, knee extension (t=9.23, p<.001) and knee flexion (t=4.04, p<.001) showed a statistically significant changes over time. Conclusion: This study illuminated the factors affecting the changes in pain and symptom, physical function, evaluation of floor life, socioemotional function and range of motion after structured exercise training programs for knee arthritis patients.

• Journal of Family Relations
• /
• v.22 no.4
• /
• pp.81-105
• /
• 2018

Objective: The purpose of this study was to analyze how couples relationship education (CRE) programs in Korean scholarly journals have been developed since they first appeared in 1994. Method: We selected articles that were published in journals related to human ecology and that included information about how the authors developed CRE programs (premarital education, marriage education). Using coding schemes based on the theoretical frameworks of CRE, we quantitatively coded programs in four specific areas: (a) overall characteristics, (b) program planning, (c) program construction and implementation, and (d) program evaluation. Results: Although CRE programs have increased and evolved since the 1990s, the literature has been limited on testing long-term program efficacy, developing dissemination plans, and applying theories to program design. In terms of program participants and content, most programs had similar themes despite their differences in the target audience. We also found that few programs have been provided for diverse couples. As for evaluation, pre- and post-testing was the most common method of efficacy test. Conclusion: Our findings suggest that family researchers and practitioners develop more elaborate and systematic programs to advance CRE in Korea as a core topic of family life education and to provide evidence-informed practice.

• Journal of Korean Society of Occupational and Environmental Hygiene
• /
• v.31 no.4
• /
• pp.396-416
• /
• 2021

Objectives: This study was conducted to analyze the trends of government R&D (R&D) projects related to laboratory safety over the past 20 years. Methods: We collected publications from various databases(DBs) with words such as laboratory(ies), lab(s), researcher(s), laboratory worker(s), safety, environment, hazard(s), risk(s), and so on. Selected publications were analyzed by the research funds and the number of projects according to the investment subject and research characteristics. Results: About 93% of the total R&D budget went to government policy projects, not scientific research. Second, from the perspective of 'safety management activities', most of the research is related to management and inspection at the organizational level. Issues that need to be discussed at the national level like policy governance are not included. Third, focusing on the 'safety management cycle', there were few studies related to 'prediction' or 'post-response'. Fourth, when an analysis framework combining the perspectives of 'safety management activities' and 'safety management cycle' is applied, most of the budget is spent on infrastructure such as digital management systems, whereas basic knowledge for prevention and production of evidence was very few. Conclusions: In order to prevent policy planning without policy evaluation, implementation without strategy, and evaluation without evidence, it is necessary to expand investment in empirical research on risks, research on the effectiveness of current application methods, and research on theory development. The government budget for laboratory safety-related projects should be managed separately from the R&D budget for scientific research. Although less than 5% of the budget allocated to scientific research is the total budget, an optical illusion occurs because both the project budget and the scientific research budget are counted as R&D budgets.

• The Journal of the Korea Contents Association
• /
• v.22 no.8
• /
• pp.403-415
• /
• 2022

This study aims to analyze the performance of public-private governance of urban parks in Cheongju-city, focusing on the 'cooperative governance' model of Ansell & Gash(2007) and find implications. The performance and limitations of the governance were analyzed using 13 success factors suggested by this model. According to the results of the analysis, four categories are satisfied: initial conditions, institutional design, leadership, and cooperation process. 8 out of 13 factors were analyzed at a 'good' level and thus this governance can be evaluated as successful one. Building trust and committed collaboration can be seen as key elements of successful governance. On the other hand, 5 factors were evaluated as 'average' because some limitations were revealed. The results of this analysis suggests that in order to improve cooperative governance, a post-implementation management system should prepared, and the inclusiveness of participation should further strengthened, and also regulations that ensure a regular forum for indirect participants and the public from the institutional design stage should be established. Although this study was analyzed based on the evaluation category of the objectively verified model, there is a limitation in that the evaluation was based on subjective judgment.

• Educational Technology International
• /
• v.6 no.2
• /
• pp.23-41
• /
• 2005

One of the main factors that determine the quality of instruction is the teaching ability of the instructor administering the class. To evaluate teaching ability, methods such as peer review, student feedback, and teaching portfolio can be used. Among these, because feedback from the students is directly associated with how well the students feel they have learned, it is essential to improving instruction and teaching ability. The principal aim of instruction evaluation lies in the evaluation of instructor's qualification and the improvement of instruction quality by enhancing professionalism. However, the mandatory instruction evaluations currently being carried out at the term's end in universities today have limitations in improving instruction in terms of its evaluation items and times. To improve the quality of instruction and raise teaching abilities, instruction evaluations should not stop at simply being carried out but also be utilized as useful data for students and teachers. In other words, they need to be used to develop teaching and improve instruction for teachers, and consequently, should also exert a positive influence on students' scholastic achievements and learning ability. The most important thing in evaluation is the acquisition of accurate information and how to utilize it to improve instruction. The online instruction diagnosis item pool is a more realistic feedback device developed to improve instruction quality. The instruction diagnosis item pool is a cafeteria-like collection of hundreds of feedback questions provided to enable instructors to diagnose their instruction through self-diagnosis or students' feedback, and the instructors can directly select the questions that are appropriate to the special characteristics of their instruction voluntarily make use of them whenever they are needed. The current study, in order to find out if the online instruction diagnosis item pool is truly useful in reforming and improving instruction, conducted pre and post tests using 256 undergraduate students from Y university as subjects, and studied the effects of student feedback on instructions. Results showed that the implementation of instruction diagnosis improved students' responsibility regarding their classes, and students had positive opinions regarding the usefulness of online instruction diagnosis item pool in instruction evaluation. Also, after instruction diagnosis, analyzing the results through consultations with education development specialists, and then establishing and carrying out instruction reforms were shown to be more effective. In order to utilize the instruction diagnostic system more effectively, from planning the execution of instruction diagnosis to analyzing the results, consulting, and deciding how those results could be utilized to instruction, a systematic strategy is needed. In addition, professors and students need to develop a more active sense of ownership in order to elevate the level of their instruction.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.1
• /
• pp.284-295
• /
• 2012

The purpose of this study was to develop and evaluate patient safety reporting promoting strategy for nurses to improve nursing care quality. The process included three phase - construction, implementation and evaluation phase. Before the construction phase has two kinds of subcategories as analysis and verification. Analysis phase was consisted of literature review and field study, and verification was conducted by two specialist. At the construction phase, patient safety reporting system, educational materials, planning for public relation, and reward preparation were developed. After implementation during 12 weeks, we evaluated pre-post scores of satisfaction, stress of conscience, job performances. The participants were 51 nurses working for a hospitals. The program was developed and then administered to the experimental group for 12 weeks. One group pretest-posttest design was used for this study. Data were analyzed using descriptive analysis, paired t-test with the SPSS WIN 18.0 program. After the intervention, job performance scores improved significantly from 3.62 to 3.75(t=2.653, p=.009). But job stress didn't changed significantly(t=.785, p=.434). These strategy can be applied to many clinical setting that will be helpful to promote patient safety reporting for nurses.

• Journal of Energy Engineering
• /
• v.18 no.4
• /
• pp.246-257
• /
• 2009

Regarding climate change, the most significant challenge the world faces is achieving the goal of stabilizing the global concentration of greenhouse gases. However, this cannot be accomplished by greenhouse gas reduction efforts of developed countries alone. In this context, a "sectoral approach" has been brought up as a way to overcome the limit of the Kyoto Protocol and induce the participation of developing countries. This paper focuses on the different types of sectoral approaches that have been suggested so far, and their criteria, scope and effectiveness. It therefore explores the potential each approach has as a policy alternative under the post-2012 scheme. On top of that, with the possibility of these sectoral approaches becoming strong future policy alternatives in mind, this paper also analyzes their applicability to the Korean industry. For the steel, petrochemical and oil industries - in which energy efficiency exceeds the world average- a technology-based approach is proposed as an alternative. For the cement, paper and power generation industries - in which energy efficiency is about the same as the global average - a sectoral crediting mechanism or an index-based approach or a sector-wide transnational approach are proposed as alternatives. Lastly, this paper suggests a future research direction for their adoption and implementation.