• Title/Summary/Keyword: Practice management

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Fever and Fever Management in Children: A Literature Review (아동의 발열과 발열관리: 문헌고찰)

  • Jeong, Yong-Sun;Kim, Jin-Sun
    • Child Health Nursing Research
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    • v.16 no.1
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    • pp.30-40
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    • 2010
  • Purpose: The purposes of this review were to identify whether available evidence supports the nursing interventions that are commonly used to reduce fever in children and to introduce research findings into practice. Methods: Journal databases and clinical guidelines from 1990 to 2009 were searched. The search terms were fever, febrile convulsion, fever management, fever phobia, child, antipyretics, temperature, external cooling, tepid sponge bath, and physical treatment. Results: Evidence suggests that uncomplicated fever is relatively harmless, but it is an important immunological defense. Antipyretics should not routinely be used with the sole aim of reducing body temperature in children with fever who are otherwise well. Currently a lack of evidence supports the practice of alternating acetaminophen and ibuprofen, and the routine use of tepid sponge bath. Conclusion: Currently, fever management in children does not reflect research evidence. Pediatric nurses can play an important role by encouraging clinical research in this area and also by enhancing research utilization in their practice. Moreover, pediatric nurses can educate parents about evidence-based fever management. Evidence-based educational interventions for pediatric nurses need to be developed and evaluated to improve the quality of nursing care in the management of childhood fever.

Risk Assessment in Finland: Theory and Practice

  • Anttonen, Hannu;Paakkonen, Rauno
    • Safety and Health at Work
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    • v.1 no.1
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    • pp.1-10
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    • 2010
  • The Finnish risk assessment practice is based on the Occupational Safety and Health (OSH) Act aiming to improve working conditions in order maintain the employees' work ability, and to prevent occupational accidents and diseases. In practice there are hundreds of risk assessment methods in use. A simple method is used in small and medium sized enterprises and more complex risk evaluation methods in larger work places. Does the risk management function in the work places in Finland? According to our experience something more is needed. That is, understanding of common and company related benefits of risk management. The wider conclusion is that commitment for risk assessment in Finland is high enough. However, in those enterprises where OSH management was at an acceptable level or above it, there were also more varied and more successfully accomplished actions to remove or reduce the risks than in enterprises, where OSH management was in lower level. In risk assessment it is important to process active technical prevention and exact communication, increase work place attraction and increase job satisfaction and motivation. Investments in OSH are also good business. Low absenteeism due to illness or accidents increases directly the production results by improved quality and quantity of the product. In general Finnish studies have consistently shown that the return of an invested euro is three to seven-old. In national level, according to our calculations the savings could be even 20% of our gross national product.

The current status and legal review of advanced airway management implemented by 119 EMTs (소방 119구급대원에 의해 시행된 전문기도관리 현황 및 법적 고찰)

  • Park, Si-Eun
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.169-186
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    • 2021
  • Purpose: This study aimed to analyze the data from public information disclosure about pre-hospital advanced airway management and identify the problem by considering domestic laws and guidelines. Methods: Data were collected between 2017 and 2018 and analyzed using SPSS 25.0. Then, the problems of the analysis results based on the relevant laws and practical guidelines were reviewed. Results: The review of domestic laws and practice guidelines revealed that ambulance nurses can implement supraglottic airway device only under the following three conditions: ① smart advanced life support pilot project area, ② trained to insert I-Gel, and ③ member of a special ambulance. In total, 21,574 cases of advanced airway management (endotracheal intubation: 2,428, I-Gel: 18,502, LMA : 499, KING AIRWAY: 144) were reported. In many cases, advanced airway management was performed by ambulance nurses who did not meet the above conditions, which was in violation of laws and guidelines. In addition, the prognosis of intubated patients was not followed up. Conclusion: The Korea National Fire Agency must stop all unlicensed medical practice by untrained, uneducated, and uncertified nurses and demand quality control programs for intubated patients.

A Case Study of Quality Improvement practice in Cooling Fan Motor Manufacturing (냉각팬 모터 제조공정의 품질개선에 관한 사례연구)

  • Jeoung, Ji-Yong;Bae, Young-Ju
    • Journal of the Korea Safety Management & Science
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    • v.15 no.4
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    • pp.279-288
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    • 2013
  • The purpose of this study is to present a case study of six sigma quality improvement practice in cooling fan motor(CFM) manufacturing processes. In this study, the CFM manufacturing process of automobile parts not relevant to the target process rate of the process point of view, in order to reduce the system to solve the problem of localized resolution procedures of six sigma DMAIC methodology was applied to study. In conclusion, this study's field D in order to improve the initial rate of inadequate quality management best practices by applying the method of Six Sigma quality CFM failure through stabilization schemes were proposed cost reduction.To be CFM product to satisfy customers based on continuous monitoring of the effective field of claims quality management system is required.

A STUDY ON CULTURAL PRACTICES IN CONSTRUCTION CONTRACTING ORGANIZATIONS IN MALAYSIA

  • H. Abdul-Rahman;Wang Chen;Halimatun. Othman
    • International conference on construction engineering and project management
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    • 2007.03a
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    • pp.169-178
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    • 2007
  • This paper has investigated the cultural practices influencing business performance and integrity in selected Malaysian contractors and has discussed culture related issues to improve the management of cultural capitals in the Malaysian construction industry. Issues of current enterprise culture and applicable cultural practices, leadership styles, enterprise axiology and integrity, cultural practices and loyalty, and identification of organizational culture are discussed during the semi-structured interviews and questionnaire survey. Conclusions has been drawn that the people oriented and task oriented management style have a similar quantity of supporters in Malaysian contractors. The integrity and profit are respectively identified as the enterprise axiology in the ethical and economic perspective. The monkey culture is considered as the most applicable type for the cultural practice and the current enterprise cultures applied in the Malaysian contractors are mostly positive to both the organizations and society.

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"Belt and Road" and Arbitration Law Teaching and Education System Theory

  • Fuyong, Zhu
    • Journal of Arbitration Studies
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    • v.30 no.3
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    • pp.47-66
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    • 2020
  • Due to the division of China's departmental laws, the disconnect between theory and practice, and the influence of traditional academic thinking on the understanding of the knowledge structure of arbitration legal talents in practice, the construction of law school colleges, teaching teams, and research centers mostly revolves around departmental laws, tearing the connection of the arbitration legal system. The student-centered, process-guaranteed, and result-oriented arbitration master of law training model is "virtualized," the shaping of arbitration professionalism is ignored, the coverage of practical teaching is narrowed, and the arbitration legal profession is mostly formalized. The prevalence of specialized curriculum systems shortage, single faculty, formalized practical teaching, outdated curriculum settings, unsuitable curriculum system design for development, and inaccurate professional curriculum standards and positioning renders it difficult to integrate the "Belt and Road." The cutting-edge, the latest research results, and practical experience cannot reflect the connotation, goals, and requirements of "Entrepreneurship" education, as well as arbitral issues such as the ineffective monitoring of practical education and the inconsistent evaluation of standards and scales. Under the background of the "Belt and Road," based on system theory and practice and through training goals that innovate and initiate organizational form, activity content, management characteristics, assessment and support conditions, etc., the arbitration law teaching curriculum system is gradually improved and integrated. Through the establishment of a "Belt and Road" arbitration case file database and other measures, a complete arbitration law theory and practice teaching guarantee system has been established. Third parties are introduced, arbitration law experimental modules are developed, students are guided how to discover new knowledge, new contents are mastered, solidarity, cooperation, and problem-solving capabilities are cultivated in the practice of the "Belt and Road," and quality education, vocational education, and innovation education are organically integrated. In order to implement the requirements of arbitration law education, innovation development and collaborative management of arbitration law teaching practice base should be cultivated, thus giving full play to the effect of collaborative education between universities and arbitration institutions.

A Study of Nurses' Knowledge, Attitude and Practice Regarding Medical Waste (Busan and Kyongnam Province University Hospitals) (간호사의 의료폐기물에 대한 지식, 태도 및 실천에 관한 연구(부산, 경남지역 대학병원을 중심으로))

  • Yu, Su-Jeong;Ha, Won-Chun;Park, Young-Mi;Ha, Yoon-Ok;Bae, Kyung-Hee
    • The Korean Journal of Health Service Management
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    • v.11 no.1
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    • pp.79-89
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    • 2017
  • Objectives : As a descriptive study, the present research investigated the knowledge, attitude, and practice regarding medical waste and factors influencing these variables, based on nurses working at university hospitals in Busan and Gyoengnam provinces. Methods : The 508 participants were selected from five university hospitals in Busan and Kyongnam provinces and consented to participate in the study between June 1 and July 15, 2016. The collected data were analyzed by using SPSS 23.0 based on descriptive statistics, t-test, ANOVA, Scheffe's test, Person correlation coefficients, and hierarchical analysis. Results : The average scores for knowledge, attitude, and practice regarding medical waste among the participants were 15.88 (1.71), 4.38 (0.45), and 4.24 (0.40) respectively. When the scores for the knowledge and attitude related to medical waste were higher, the score for practice (r=.500, p<.001) increased, and the most influential factor on practice regarding medical waste was attitude toward medical waste (${\beta}=.45$, p<.001). Conclusions : Thus, to reinforce a positive attitude toward medical waste management, continuous education and a systematic approach to minimize health and environmental hazards are needed.

A study on personal protection equipment for Infection control at dental offices (치과에서의 감염방지를 위한 개인보호용구착용에 관한 연구)

  • Woo, Seung-Hee;Joo, Eon-Joo
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.3
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    • pp.459-464
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    • 2010
  • Objectives : The purpose of this study was to minimize cross infection that can take place within dental office, to make dental workers recognize importance of infection management, and to improve dental-care environment that is exposed to infection. Methods : It conducted the self-reported questionnaire survey on the practice of wearing PPE(personal protective equipment) from April 1, 2008 to May 30 targeting 180 dental workers who are working for dental offices where are located in Jeonnam region. Results : 1. As for research subjects' general characteristics, age was the largest in under 29 years old with 75.0%. It was surveyed to be large in over 5 years(56.1%) for working career, in a city(83.3%) for working region, and in having licence of dental hygienist(75.0%). 2. As a result of surveying the practice of wearing PPE, wearing mask given dental care was surveyed to have the highest practice level with 75.6%. Wearing protective glasses showed the lowest practice ratio with 23.3%. 3. As a result of surveying the difference in the practice of wearing PPE according to general characteristics, the difference according to the working region was surveyed to be the greatest. Conclusions : As the above result, the education of infection management for dental workers needs to be performed continuously even after curriculum of school. Even the in-service education on infection management needs to be vitalized. Also, the necessity was examined for always recognizing and practicing importance of infection by using a method of publishing newsletter via post to dental clinics where are located in rural area, with considering regional deviation.

Study about the relation between clinical practice stress, satisfaction and self-concept of dental hygiene department students (치위생과 학생들의 임상실습 스트레스와 만족도, 자아개념간의 관련성 연구)

  • Heo, Nam-Suk;Lee, Yu-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.3
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    • pp.399-410
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    • 2018
  • Objectives: The purpose of this study was to examine the current status of the relationship between clinical practice stress, satisfaction and self-concept of dental hygiene department students in order to effectively implement the clinical practice, which is a necessary course for professional dental hygienists. Methods: The subjects in this study were 299 dental hygiene department students who participated in clinical practice. The survey was conducted from November 1, 2017 to December 31, using self-filling questionnaire (INJE 2017-08-004-002). Statistical analysis was conducted to identify the clinical practice characteristics, clinical practice stress, satisfaction and self-concept and the results according to clinical practice characteristics were compared through t-test and ANOVA. The regression analysis was conducted to identify the effects on self concept. Results: Clinical practice stress, satisfaction and self concept were identified to be significant(p<0.01). Multiple regression analysis results of the factors affecting self concept of study subjects showed that self concept was statistically significant in grade, education programs and satisfaction. Conclusions: Self-concept, clinical practice stress and satisfaction were significantly correlated. In order to raise the quality of clinical practice and to become a professional dental hygienist, it is necessary to continue research on the measures to improve the stress management and satisfaction in clinical practice for establishing self-concept.

Outcome and Implication of Establishment and Practice of Action Plan for the Elderly Care Facility in Establishing Risk Management System (노인요양시설의 위험관리시스템 구축활동에서 액션 플랜의 수립과 실행에 따른 성과와 시사점)

  • Youn, Ki-Hyok;Park, Kyung-Il;Kwon, Jin-A
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.308-320
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    • 2016
  • This research is an empirical case study that suggests the practical practice and output of action plan, the actual performing activity of risk management system established to prevent and respond to risk of the elderly care facility. For this, this research analyzed the action plan practice process and outcome upon 2 years' practice (2014~2015) by A Elderly care facility which has conducted performance activity by establishing risk management system to prevent and respond to danger for the first time in Korea. As the research result, first, risk management system action plan was established in the choice and performance stage of risk prevention and response handling method, the 3rd among 4 staged process of risk management system establishment. Second, as the outcome along with risk management system action plan performance, as the result of comprehending the investigation on risk change for 2 years(2014~2015), risk decreased by 28% in 2015 compared to 2014, displaying effect in risk management activity along with performing action plan. Based on this result, it was determined that action plan for the effective action plan establishment and practice in the elderly care facility should be established with systematic promotion schedule to be well connected with its strategy, achievement goal, and achievement project, etc. based on vision and strategy, instead of being established individually, based on clear matter of responsibility, utilizing such technique as Gantt chart, etc., composing concretely by schematizing in order to view all contents to be practiced clearly.