• Quality Improvement in Health Care
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• v.4 no.1
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• pp.82-103
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• 1997

Background : With increased concerns about variation among physician's practice pattern and their impact on the quality of care, clinical practice guidelines have been developed by many different organizations, with differing aims and incentives. From the same point of view, there is growing interest in the development of clinical practice guidelines in Korea, but with only a few examples. As a result, there is not much exploration on the incentive and barrier to develop guidelines as well as description on the development process. The purposes of this study are to describe the process of the four different clinical practice guidelines in a hospital setting, and to identify incentives and barriers in the development of guidelines. Methods : For this research, a clinical practice guideline development committee and four clinical practice guideline development teams were organized in a university hospital which has more than 1,200 bead. Twenty eight doctors, three nurses, and one technician participated as members of development teams for eight months. Four to six meetings were held, and three to seven departments in the hospital were involved. Results : The topics which developed into clinical practice guidelines were cardiopulmonary resuscitation(CPR), blood transfusion, anticoagulation, and angiography. The main goals set by teams were education(CPR, angiography), risk management(blood transfusion), and to enhance quality of care(anticoagulation). Among four teams, only in the team for anticoagulation guideline medical record review and pilot-testing were performed. Also literature review was not carried out systematically. However, all the guidelines were developed by multidisciplinary be used as standard protocols in the practice. Conclusion : Experience and skill in developing process has to be improved to have a more valid and useful practice guideline. In particular, literature review and problem identification by examining medical record should be emphasized. Also further studies on the clinical outcomes of the guidelines application and changes in physicians' behaviors would be required.

• Journal of Korean Clinical Nursing Research
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• v.22 no.2
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• pp.238-247
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• 2016

Purpose: This study was done to develop an evidence-based practice guideline for catheter dysfunction in hemodialysis patients. Methods: Development of the guideline process was done according to the De Novo development version 1.0 by NECA which consists of 12 steps. Results: The developed guideline consisted of 5 domains and 14 recommendations. The number of recommendations for each domain were: 3 on catheter dysfunction assessment, 1 on conservative management of catheter dysfunction, 7 on drug management of catheter dysfunction, 1 on catheter function test and 2 on maintenance management. Of the recommendations, 7.15% were marked as A grade, 52.85% of B grade, and 50% of C grade. Conclusion: Findings in this study indicate that this guideline can be added to the evidence-based practice guidelines for fundamentals of practice and that this guideline can be disseminated to nurses nationwide in order to improve the care of hemodialysis patients with catheter dysfunction.

• Korea Journal of Hospital Management
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• v.17 no.2
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• pp.34-51
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• 2012

This study is an empirical research to identify difference of education training satisfaction by demographic variables, and to investigate the influence of education training satisfaction on the member's organizational commitment in general hospitals. As a result of ANOVA, t-test based on the data of 325 employees in 7 general hospitals in Korea, education training satisfaction has a significant difference by a construct and demographic variables. Education training satisfaction has a significant difference by a construct such as education training system, education training administration and education training practice. Education training satisfaction has a significant difference by occupation, career, scholarship. Education training satisfaction has a partly significant difference by status, age. But it has not a significant difference by sex distinction. Satisfaction of education training system and education training practice has a significantly positive relationship with organizational commitment. But Satisfaction of education training administration has a partly positive relationship with organizational commitment. By these results, the advanced education training structure needs to equipped in order to elevate management performance in general hospitals.

• Proceedings of the Korean Society of Agricultural Engineers Conference
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• 2005.10a
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• pp.61-67
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• 2005

Agricultural water for rice growing is the important factor of water resources in Korea. so, it is imperative to know the practice of water management in paddy field. The experimental site has been operated in order to investigate water management practice and water supply discharge since 2001. There are 8 irrigation areas which are observed the water supply discharge in this site. We have investigate the water management practice in this site and we know that the practical date of rice growing stages and the date for calculating the water demand in paddy field. So, There is much differences between the calculated water demand and practical water supply. We could reduce the differences by calculating the water demand using the practical date of rice growing stages.

• Proceedings of the Korea Water Resources Association Conference
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• 2016.05a
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• pp.191-191
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• 2016

Hai River Basin is one of China's major agricultural areas, with a huge rural population. Water conservancy is of great importance in this region. There are three integral elements in managing rural water resources: the consideration of current situation, the adoption of effective management measures, and the projection of future needs. In this study, we provide an in-depth investigation of current water resources situation of Hai River Basin. Five issues are analyzed: (1) the construction of conservancy projects; (2) the irrigation of farmland; (3)the safety of drinking water; (4)the protection of water environment; and (5)the model of management practice. Existing problems are diagnosed and possible solutions are discussed. Finally, a summary is made for managing water resources and meeting future needs.

• Korean Journal of Childcare and Education
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• v.12 no.6
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• pp.227-248
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• 2016

The purpose of this study was to investigate the contents of pre-service early childhood teacher's practicum experience in kindergartens and child care centers through the analysis of practice teaching journals. The subjects of this study were a total 52 practice teaching journals of 26 pre-service early childhood teachers who completed their practicum in kindergartens and child care centers. This study analyzed the type of teaching practice management, the type of activities, and the contents of journal writings. The findings are as follows; First, pre-service teachers experienced a similar ratio of the type of teaching practice management in both types of teaching practice. Second, pre-service teachers performed more group activities in practicum in kindergartens, but more choice activities in practicum in child care centers. Third, the journal writing contents of pre-service teachers in both types of teaching practice mainly addressed the operating of educational and child care activities, and the execution of observing young children. But some categories of teacher's competency were hardly addressed. The results of this study could be used as basic data for designing early childhood practicum programs.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• autumn
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• pp.27-31
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• 2003

최근 해외시장에서는 Single Point Responsibility 개념의 선호와 프로세스사업관리능력의 중요성으로 건설사업관리 (Construction Management: 이하 CM)방식이 프로젝트 조달의 중요한 방안으로 사용되며 국내에서도 최근 CM 발주량의 획기적인 증가추세로 사업수행능력 향상을 위한 도구 개발이 절실하다. 가장 유용한 도구로는 국내${\cdot}$외 CM 수행사례 분석을 통해 이에 저해되는 요인과 모범사례 등을 파악하여 산업계로 하여금 체계적 점검과 벤치마킹을 통해 수행능력을 제고할 수 있는 핵심성공요인과 Best Practice의 보급 발간이다. 따라서 본 논문은 최근 감사원에 의해 모범선행사례로 선정된 무주 하천 1,2급 수해복구 건설사업관리 용역에 대한 CM성과를 분석하여 핵심성공요인과 Best Practice를 제공하는 것을 주요 목표로 한다. 본 CM용역에서는 무엇보다도 무주군내 수해복구공사에 CM 사업방식을 도입한 것은 현명하고 진취적이며 시기 적절한 일이라고 판단되며 이러한 선도적 기자체의 의욕적인 시도가 지방에서 수행되는 공공공사의 수준을 한 차원 높이는 계기가 됨은 물론 항구적인 복구공사기법의 하나로 정착하기를 기대한다. 또한 산업계는 CM관련 중심기관을 통하여 이러한 모범사례의 연속적인 분석과 보급을 통해 산업계 전반적인 CM수준을, 제고하여 국내외 CM확대 적용의 기반을 조속히 조성할 수 있기를 바란다.

• Journal of Korean Academy of Nursing
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• v.42 no.7
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• pp.1070-1078
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• 2012

Purpose: The purpose of this study was to examine the effects of a face-to-face self-management educational program on knowledge, self-care practice and kidney function in patients with chronic kidney disease (CKD) before kidney replacement therapy. Methods: This study employed a nonequivalent control group, non-synchronized design. Data were collected from 61 patients with CKD visiting an outpatient department of nephrology in a university hospital in Seoul, South Korea. The experimental group (n=31) took the pre-test, then after 3 weeks, face-to-face education and individualized consultation (1st intervention), after a week of self-practice, the 1st post-test, followed by re-enforcement education and consultation (2nd intervention), and 4 weeks later, the 2nd post-test. The control group (n=30) took the pre-test and post-tests at 4 and 8 weeks. Results: Scores for knowledge of CKD and self-care practice over time improved significantly in the experimental group compared to the control group. Kidney function did not improve significantly in the experimental group. Conclusion: Health care providers can identify various and individualized needs, and provide effective education and consultation through face to face self-management for patients with chronic irreversible illnesses. Nurses can coordinate for these program by designing and providing systematic and effective education.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2012.10a
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• pp.47-48
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• 2012

The purpose of this study was to find out knowledge, attitudes and practice-behaviors related Health Management of Seafares'. The subjects of this study were 516 Seafares' who took education in Korea Institude of Maritime and Fisheries Technology. this questionnaire was focused on finding the basic data for health management of Seafares'. The collected data were analyzed by SPSS package. The results were as follows: 1) The higher age, married life, religious belief, duty position, and embarkation carrer are, the higher knowledge-degree. And the higher age, married life, religious belief, embarkation carre and duty time are, the higher attitude-degree and practice -degree(p < 0.05).

• Journal of Korean society of Dental Hygiene
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• v.9 no.2
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• pp.73-88
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• 2009

The purpose of the study was to provide the basic for the prevention of infection control by analyzing the level of recognition and practice of dental hygiene students. It is important for dental clinic staffs to know and practice infection control measures in favor of effective infection control. Thus, this study conducted an one-month questionnaire survey (during October 2008) for dental hygiene students who ever experienced in 16-week clinical practice, and analyzed total 206 questionnaire forms as collected from them, so that it could determine potential associations between their recognition and practice of infection control and thereby suggest an efficient solution for infection control in dental hygiene. 1. It was found that our students' recognition about infection control averaged $4.49{\pm}.58$ points on the whole, and they were best aware of instrumental disinfection and sterilization among other measures, which was followed by hand washing, extirpation control, post-sterilization management, personal protective outfit and instrumental surface maintenance respectively. 2. It was found that our students' practice of infection control averaged $3.85{\pm}.57$ points on the whole, and they practiced hand washing most actively among other measures, which was followed by extirpation control, post-sterilization management, instrumental disinfection and sterilization, personal protective outfit and instrumental surface maintenance respectively. 3. It was found that our students scored higher mean points in recognition about every measure of infection control than those in practice (t=15.676, p=0.000). Particularly, it was notable that there were significant differences between their mean points in recognition and practice of some infection control measures, such as instrumental surface maintenance (t=15.361, p=0.000), personal protective outfit (t=15.245, p=0.000) and instrumental disinfection and sterilization (t=11.169, p=0.000). But there was least significant difference between mean points in recognition and practice of hand washing (t=5.460, p=0.000). 4. For potential associations between recognition and practice of infection control, it was found that higher recognition was in significantly positive associations with higher practice in every measure of infection control (r=.478, p=.000), such as extirpation control (r=.630, p=.000), instrumental disinfection and sterilization (r=.477, p=.000) and post-sterilization management (r=.433, p=.000). 5. It was found that there were differences in our students' recognition depending upon availability of infection control guideline (t=4.587, p=.011), and there were significant differences in practice depending on necessity of infection control education on a statistical basis (t=2.229, p=.027). Overall, it is found that our dental hygiene students are very likely to practice hand washing and extirpation control, because both of these measures are relatively easy to practice or are considered legally binding.