• Title/Summary/Keyword: Practice management

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Evaluation of the Effect of Clinical Practice Guideline using Systematic Review (체계적 고찰 방법을 이용한 임상진료지침 정책효과 평가)

  • Lee, Sun-Hee;Ha, Gwi-Yeom;Kim, Ju-Hye;Seo, Ju-Hyun;Kim, Hyun-Mi
    • Korea Journal of Hospital Management
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    • v.14 no.1
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    • pp.62-98
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    • 2009
  • A systematic review of the literatures was conducted to evaluate the effect of clinical practice guideline. The 77 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and Blackwell synergy from January, 1997 to October, 2007. The main search terms were "clinical practice guideline" and "effectiveness", "clinical practice guideline" and "impact", "clinical practice guideline" and "evaluation". These studies were assessed the Quality twice by one Qualified expert and converted into weighted scale. The 63 studies were eligible inclusion criteria and subdivided into type of effect. Final indicator using for policy effect of clinical practice guidelines were classified as 4 categories; "improvement of outcomes" in 81 studies, "betterment in practice patterns" in 68 studies, "rationalization in resource utilization" in 84 studies and "cost containment" in 31 studies. The vote-counting method, one of meta-analysis method, was applied to summarized the effect of clinical practice guidelines and test statistically. From results of meta analysis, all indices were statistically significant. In conclusion, this meta-analysis showed that introduction of clinical practice guidelines were resulted positive outcomes in health policy.

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Mediating Effect of Satisfaction with Clinical Practice on the Relation between Satisfaction with Major and Career Preparation Behavior of Nursing Students (간호대학생의 전공만족도와 진로준비 행동과의 관계에서 임상실습만족도의 매개효과)

  • Chae, Min-Jeong;Jung, Hyo-Ju
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.213-222
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    • 2016
  • Objectives : This study identified the mediating effect of satisfaction with clinical practice on the relation between nursing students' satisfaction with major and career preparation behavior. Methods : Study participants were 454 nursing students with a clinical practice experiences who were enrolled as members of two university in Korea. Data were collected with self-report questionnaire and analyzed with SPSS 19.0 program. Results : Satisfaction with major was positively correlated with career preparation behavior, and satisfaction with clinical practice was also positively associated with career preparation. A mediating effect of satisfaction with clinical practice was found in the relation between satisfaction with major and career preparation behavior. Conclusions : Universities and departments should provide much effort and support for the development of clinical practice experience curriculum and hands-on training that are appropriate for the students' level and interests so that their outcomes can be connected to the career preparation behavior.

A Study on the Learner's Satisfaction of Computer Practice Classes by applying BL: Focusing on contents and instructor interactions (블렌디드 러닝을 활용한 컴퓨터 실습수업에서의 학습자 만족 연구: 콘텐츠 요인과 교수자 상호작용을 중심으로)

  • Jun, Byoungho
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.13 no.4
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    • pp.221-230
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    • 2017
  • BL(Blended Learning) has been presented as a promising alternative learning approach. BL is defined as a learning approach that combines e-learning and face-to-face classroom learning. The adoption of BL in computer practice class is necessary due to the characteristics of computer practice class itself. This study proposes a research model that examines the determinants of learner's satisfaction of computer practice classes in BL environment. Considering the characteristics of computer practices classes contents and instructor interaction were identified as the determinants. The research model is tested using a questionnaire survey of 141 participants. Confirmatory factor analysis (CFA) was performed to test the reliability and validity of the measurements. The partial least squares (PLS) method was used to validate the measurement and hypotheses. The empirical findings shows that contents easiness and contents constructs are the primary determinants of instructor interaction in BL. Instructor interaction was also found to be related to the learner's satisfaction resulting in re-using. The findings provide insight into the planning and utilizing BL in computer practice classes to enhance learner's satisfaction.

A Conceptual Framework to Study the Effectiveness of Interface Management in Construction Projects

  • KEERTHANAA, K.;SHANMUGAPRIYA, S.
    • Journal of Construction Engineering and Project Management
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    • v.9 no.3
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    • pp.1-21
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    • 2019
  • The management of mega construction projects which incorporate a large number of stakeholders, technologies, data, work culture etc., is cumbersome. The experts in the construction arena advocate that interface management serves as a precise tool in resolving these conflict points due to the intricate nature of the construction projects. Interface management is a current trending management practice in the construction industry which is also a beneficiary to mega/fast track projects in enhancing the project performance. The main objective of this study is to validate a model for assessing the relationships among interface management, IT applications, project performance & project benefits. The mediating effect of interface management in relationship between project performance & interfacial factors was also investigated. The research model was validated using PLS-SEM (Partial Least Square-Structural Equation Modelling) approach. Data were collected from clients, contractors, consultants in large scale projects through questionnaire survey and smart-PLS software was used to analyse the conceptual model. The research model comprises eleven hypothesis and the significance of these hypothesis were tested using T- statistics values. The research implies that people/participants factor is greatly influenced by interface management with the path coefficient of 0.608 and also enhancement of project's schedule performance due to the interface management is strongly appealing (Path coefficient = 0.711). The results also reveal IT application is significantly associated with interface management practice (Path coefficient =0.723) and also the effect of IT application on project performance (schedule, cost, quality & safety) is successfully mediated through interface management practice. The practical application of this validated model was done through case study. The case study aims at measuring the impact of interface management on interfacial factors and role of interface management in improving the project performance in the construction organisations.

Pain Management Knowledge, Attitudes, and Performance of Nurses in Long-Term Care Hospitals (요양병원 간호사의 통증관리에 대한 지식, 태도, 수행정도)

  • Cho, Hyeonju;Kwon, So-Hi
    • Journal of Hospice and Palliative Care
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    • v.19 no.4
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    • pp.322-330
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    • 2016
  • Purpose: This study investigated long-term care hospital nurses' knowledge and practice of pain management and their attitudes towards the job with an ultimate aim to provide fundamental information for development of a pain education program. Methods: A cross-sectional survey was carried out with 120 nurses from four long-term care hospitals. Nurses' knowledge of and attitudes towards pain management was measured using a tool developed by Watt-Watson. To examine their pain management practice, an instrument was developed based on the pain management guidelines used by the long-term care settings. Results: For pain management knowledge, the participants gave an average of 26.2 (${\pm}13.10$) correct answers out of 40 questions. The most frequently missed question was one about subjectivity of pain, "Patients' physiological and behavioral reactions to pain hint at the presence and intensity of pain" (89.2%), and 56.7% of the nurses believed that increasing tolerance for a narcotic analgesic means addiction. Regarding attitudes towards and practice of pain management, 80.2% of the nurses used placebos to patients who complain about pain often. Conclusion: This study revealed poor level of pain management knowledge of and attitude among long-term care hospital nurses. This might negatively affect their pain management practice. From the educational perspective, nurses should be provided with education on pain management education with emphasis on the nature of pain and misuse of placebo drugs.

An Analysis on Factors related to Health Knowledge and Practice of Industrial Workers in Korea (산업근로자의 보건지식 및 실태수준과 이에 영향을 미치는 요인분석)

  • 남철현;최상복
    • Korean Journal of Health Education and Promotion
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    • v.12 no.2
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    • pp.1-35
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    • 1995
  • This study conducted from September 1 through October 30, 1993, in order to provide the data related to the industrial health policy and the development of health education program and the basic foundation. The data collected were analyzed in order to determine factors affecting knowledge and practice(KP) on health level of industrial workers. 3,396 workers were randomly selected from Kyungki, Inchun, Kwangju, Taejon, Taegu, Ulsan, Pohang, Masan and Changwon, Questionnaire forms were prepared and the personnel selected were interviewed by a graduate student with the aid of health management. As mentioned before, it was a serious problem that the industrial workers got the fairly low score of health KP and they did not practice what they know. Therefore it is necessary to establish the industrial policy and develop the education program for workers practice what they know and cooperate with related specialists, the management and the government authorities, Therefore we must ensure the good health of workers through a healthy home life, and a healthy work place and environment. Furthermore this will contribute to industrial peace and the development of korea.

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Factors Affecting the Cost-Reduction Practice of Clinical Nurses (임상 간호사의 비용절감수행 영향 요인)

  • Park, Grum-Ja;Lim, Kyoung-Min
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.49-58
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    • 2016
  • Objectives : The purpose of this study was to find factors affecting the cost-reduction practice of clinical nurses. Methods : The Data were collected from Feb. 25, to Mar. 15, 2015.the Total subjects were 201 nurses working in secondary-care hospitals located in Busan Results : The Meaningful variables that explain the cost-reduction practice in clinical nurses were psychological ownership, religion, and marital status in that order. Total explanation power was 22.1.% and psychological ownership has most explanation power. Conclusions : Psychological ownership and economic consciousness need to improve to develop cost-reduction practices. Additionally, nurses with and low concern about finances need to receive financial-related education.

The impact of green practices on firm's performance (그린활동이 기업 성과에 미치는 영향)

  • Kim, Seonmin
    • Journal of the Korea Safety Management & Science
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    • v.16 no.2
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    • pp.121-129
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    • 2014
  • The purpose of this paper is to evaluate the impact of green practice on firm's performances. It focuses on the performance of the firm that already accredited as an excellent green practice firm by the Corporate Governance Service. The regression analysis method was chosen to measure firm performance. This paper also investigate how the performance of green practice are related to some factors such as levels of accredition, R&D cost, and R&D capitalization. This result will give an insight of constructive directions for increasing of firm performance.

Infection control realities and relevant factors in dental hygienists (치과위생사의 감염관리실태와 관련요인)

  • Eom, Suk;Kim, Gyeong-Won
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.379-389
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    • 2012
  • Objectives : The purpose of this study was to improve the practice level on dental hygienists'infection prevention by examining the actual condition of dental hygienists'infection control and analyzing factors of having influence upon this. Methods : A questionnaire survey was carried out from July 18, 2011 to August 26 targeting dental hygienists who work at medical institutions where are located in Daegu, Busan and Ulsan Metropolitan Cities and Gyeongsangnam buk-do. After then, the following conclusions were obtained. Results : 1. As a result of surveying practice by item in the practice level of infection prevention, the items with high practice level in the management of infectious diseases were surveyed to be 12 months(89.6%) for health-checkup cycle and to be having experience of vaccination(78.0%) for hepatitis type B. The items with high practice level in the management and practice of washing hands were indicated to be in order of regularly paper towel(87.7%) and hands cleaning after regular medical examination(80.5%). In the item of the practice on wearing and managing individual protection equipment, regularly wearing(93.1%) rubber globes given washing implements was indicated to be high. 2. As a result of analyzing working career, working institution, working region, and practice level of infectious-disease management, the appearance of fulfilling infection control guidelines at medical institution and the experience of education for infection control were indicated to have difference depending on working institution. Regularly health checkup was indicated to have difference depending on respondents' working career and working institution. 3. The whole average in the practice level of infection prevention according to working career, working institution, and working region was indicated to be 2.55 out of 3-point perfection. 4. Wearing latex gloves was indicated to have statistically significant difference depending on working institution(p<0.001) and working region(p<0.001). The exchange of latex gloves every patient and the use of paper apron had statistically significant difference depending on working region(p<0.001). 5. As a result of comparing the frequency of using protection equipment for preventing infection according to the management of infectious diseases, the statistically significant difference was shown depending on the appearance of infection control guidelines at medical institution(p<0.001), the appearance of having experience of health checkup(p<0.01), and the appearance of having experience of vaccination for hepatitis type B(p<0.05). Conclusions : The above-mentioned findings showed that the denture satisfaction of the denture-wearing senior citizens was linked to their subjective oral health awareness. Therefore it will be possible to improve denture-wearing elderly people's quality of life when oral health plans geared toward boosting their denture satisfaction are carried out.

A Study on the Awareness and Practice of Hospital Infection Control among Medical Workers in General Hospitals (종합병원 의료종사자의 병원감염관리 인지도 및 실천도 연구)

  • Kang, Yeon-Hee;Koo, Jae-Heung
    • Journal of the Korean Society of Radiology
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    • v.15 no.3
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    • pp.361-370
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    • 2021
  • In this study, a survey was conducted and analyzed to provide basic data on hospital infection control measures and education by identifying awareness and practice of hospital infection control among workers at general hospitals in Busan. As a result of conducting a t-test and one-way ANOVA to see the difference in general variables, the awareness and practice of personal hygiene management were generally low, and the awareness and practice of equipment hygiene management were high. In all areas except for men's personal hygiene management, the level of awareness was higher than the level of practice, confirming that the level of practice was insufficient compared to the level of awareness of infection control. As a result of Pearson's correlation analysis, people with high awareness of infection control showed a high level of practice, so it was thought that raising the awareness of infection control among hospital workers would be effective in preventing hospital infection. Therefore, it is considered that it is necessary to raise the awareness of infection control among workers through continuous education on hospital infection control, and to make efforts of hospital workers to practice it.