• Title/Summary/Keyword: Readiness for change

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Participants-focused health education for the management of Metabolic Syndrome (대상집단 중심의 보건교육을 통한 대사증후군 관리)

  • Kim, Hyekyeong
    • Korean Journal of Health Education and Promotion
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    • v.33 no.4
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    • pp.79-87
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    • 2016
  • Objectives: This study aims to identify participants-focused health education approaches for the management of metabolic syndrome. Methods: Data for metabolic parameters of 855,282 Koreans in 2012 were extracted and analysed from the data base of Korea Association of Health Promotion. Literature and documents including study protocols, program contents, evaluation reports and published articles were reviewed in relation to increasing effectiveness and efficiency of health education for managing metabolic syndrome. Results: Health education program should be based on participants-focused perspectives, in which clients' demographic characteristics, composition patterns of metabolic risk factors, and readiness of change are appreciated. Development of theory-based strategies for healthy behavior change and evidence-based program components are also important factors in designing and conducting health education intervention. Multiple health behavior intervention can offer a new paradigm for more comprehensive and efficient health education. Implementation fidelity needs to be systematically evaluated and strengthened to improve the validity of the health education efforts. Conclusion: Enhancing participants-focused health education is the responsibility of health education specialists in promoting the management of metabolic syndrome.

Characterization of the Chemical Mechanical Micro Machining for Single Crystal Silicon (실리콘의 화학기계적 미세가공 특성)

  • Jeong, Sang-Cheol;Park, Jun-Min;Lee, Hyeon-U;Jeong, Hae-Do
    • Journal of the Korean Society for Precision Engineering
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    • v.19 no.1
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    • pp.186-195
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    • 2002
  • The mechanism of micro machining of reacted layer on silicon surface were proposed. The depth of reacted layer and the change of mechanical property were measured and analyzed. Depth of hydrated layer which is created on the surface of silicon by potassium hydrate was analyzed with SEM and XPS. The decrease of the micro victors hardness of silicon surface was shown with the increase of the concentration of potassium hydrate and the change of the dynamic friction coefficient by chemical reacted layer was measured due to the readiness of machining. The experiment of groove machining was done with 3-axis machine with constant load. With chemical mechanical micro machining the surface crack and burrs generated by both brittle and ductile micro machining were diminished. And the surface profile and groove depth was shown in accordance with the machining speed and reaction time with SEM and AFM.

A Preliminary Review of REDD Mechanism for Rehabilitating Forest Degradation of North Korea (북한 산림황폐지 복구를 위한 REDD 메커니즘 사전 검토)

  • Bae, Jae Soo
    • Journal of Korean Society of Forest Science
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    • v.102 no.4
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    • pp.491-498
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    • 2013
  • Preliminary feasibility of REDD mechanism to combat forest degradation in North Korea is reviewed as a means of cooperation between South Korea and North Korea. North Korea has not established a national REDD+ strategy and a forest monitoring system which are required to implement REDD+ under the United Nations Framework Convention on Climate Change. Credible statistical data of forest resources is a necessary condition for implementing REDD mechanism in the developing countries. However, other than forest area data using satellite images, statistical data of forest resources of North Korea are mostly estimated based on simple hypothesis rather than transparent and robust results from national forest inventory. The review of statistical data of forest resources of North Korea shows that North Korea is in a pre-stage of REDD readiness. The study suggests that following research and cooperation agendas should be considered to implement REDD mechanism in North Korea: 1) detecting land use change since 2000, measuring carbon stock change, and identifying causes of deforestation and forest degradation; and 2) establishing a national REDD+ strategy' and a national forest inventory system in North Korea.

Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery (관상동맥우회술 후 금연변화단계와 관련요인 조사 연구)

  • Choi, Seung-Hee;Song, Kyung-Ja;ChoiKwon, S.-Mi
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1159-1165
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    • 2007
  • Purpose: The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors. Methods: The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, $X^2$ test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program. Results: The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and self-efficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre-contemplation and contemplation significantly increased 6 years after surgery(p=0.05). Conclusions: To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.

A Study on the development quality control by application of QFD and Stage-gate in defense system (QFD 및 Stage-gate 모델을 활용한 국방분야 개발단계 품질관리 방안 연구)

  • Jang, Bong Ki
    • Journal of Korean Society for Quality Management
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    • v.42 no.3
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    • pp.279-290
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    • 2014
  • Purpose: The purpose of this study is to propose adoption of QFD and Stage-gate in order to analyze the quality of korea defense system. Methods: Drawing change data of initial production phase in korea defense system were anlayzed and a practical method was proposed. Results: The results of this study are as follows; Off line Quality Control should be introduced in development phase. Specially, in case of defense system, the best method is QFD(Quality Function Deployment) and Stage-gate process. At first, QFD 1 step defines product planning from VOC(Voice Of Customer), QFD 2 step specifies part planning from product planning, QFD 3 step defines process planning from part planning, QFD 4 step defines production planning from previous process planning. Secondly, Stage-gate process is adopted. This study is proposed 5 stage-gate in case of korea defense development. Gate 1 is located after SFR(System Function Review), Gate 2 is located after PDR(Preliminary Design Review), Gate 3 is located after CDR(Critical Design Review), Gate 4 is located after TRR(Test Readiness Review) and Gate 5 is located before specification documentation submission. Conclusion: Off line QC(Quality Control) in development phase is necessary prior to on line QC(Quality Control) in p roduction phase. For the purpose of off line quality control, QFD(Quality Function Deployment) and Stage-gate process can be adopted.

Applying Theory Informed Global Trends in a Collaborative Model for Organizational Evidence-based Healthcare

  • Lockwood, Craig
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.2
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    • pp.111-117
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    • 2017
  • Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

Effects of High-fidelity Simulation-based Education on Maternity Nursing (시뮬레이션을 활용한 분만간호 실습교육의 효과)

  • Chung, Chae-Weon;Kim, Hee-Sook;Park, Young-Sook
    • Perspectives in Nursing Science
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    • v.8 no.2
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    • pp.86-96
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    • 2011
  • Purpose: This study examined the effects of simulation-based education on knowledge about and self-confidence in maternity nursing care in senior students. Methods: One group, pre-post design, was utilized with 28 students. The simulation-based maternity nursing education that consisted of two sessions each 2 hours long for intrapartum and postpartum care was provided to 4 small groups. An expert panel of 3 maternity clinical instructors developed the module with a high-fidelity maternal simulator. Core items of knowledge about and self-confidence in maternity nursing care were measured with 13 items before and after the sessions. Results: The knowledge score did not increase significantly (z=-1.95, p=.05); however, self-confidence in maternity nursing care showed a significant change in the posttest (z=-2.82, p<.001). The subjective evaluation of the students indicated that the simulation-based education was helpful in preparing for clinical practicum as far as interaction with clients, psychological readiness to practice, and learning efficiencies. Conclusion: The simulation-based nursing education was useful in improving self-confidence in clinical performance for childbirth and postpartum care in nursing students. Along with the application of diverse scenarios in simulations, modules with standard patients and role-plays are also recommended for maternity nursing practicum to empower the competency of the students.

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The Impact of Development and Government Expenditure for Information and Communication Technology on Indonesian Economic Growth

  • AGUSTINA, Neli;PRAMANA, Setia
    • Asian Journal of Business Environment
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    • v.9 no.4
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    • pp.5-13
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    • 2019
  • Purpose - This research is aimed to investigate the impact of the Information and Communication Technology (hereinafter ICT) development index and ICT investment on Indonesian economic growth. Research design, data and methodology - The data used consist of ICT development index, government expenditure on ICT sector, and economic growth from 33 provinces in Indonesia from 2012 to 2015. Based on the Networked Readiness Index published by the World Economic Forum (WEF), Indonesia was ranked 80th among 142 countries in 2012 and had climbed 64th in 2014. This indicates that the businesses in Indonesia have adopted ICTs to increase productivity and expand their activities. Panel data regression analysis is performed to reveal the change of the impact over time in each of the provinces. Result - The ICT development index and government expenditure for ICT have a positive effect on the economic growth of all provinces, although the impact is different in each of the provinces. There is a digital gap between the provinces, especially the large digital gap occurring with DKI Jakarta. The provinces of Eastern Indonesia such as NTT and Papua are still relatively slow in development of ICT. Conclusions - ICT development index and allocation of local government expenditure for ICT have significant effect on economic growth. ICT development index has a bigger role in increasing economic growth.

Measuring the Corporate Readiness to Address Climate Challenges : Developing an Index of Climate Competitiveness (기업경쟁력에 미치는 기후변화의 영향 : 경쟁력 결정요인과 측정지표 개발)

  • Lee, Myung-Kyoon;Kim, Hoseok
    • Environmental and Resource Economics Review
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    • v.19 no.2
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    • pp.383-411
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    • 2010
  • Climate change and related policies and regulations influence the performance of the firms in various ways. Climate change influences corporate competitiveness through physical impacts, GHG regulations, changes in asset values, demand shift, etc. Therefore, corporate competitiveness could be maintained by reducing vulnerability to climate change and adapting to new circumstances. Without effective responses to the challenges, the firms would have difficulties in maintaining their competitiveness in the market and the cost of national economy will significantly increase as well. Even though it seems fairly easy to understand the meaning of competitiveness, deriving the driving forces of and measuring changes in competitiveness are complicated and disputable processes. A common way to overcome it is to develop a 'competitiveness index'. The objective of this study is to derive the main factors influencing corporate competitiveness related to climate change and develop 'competitiveness index' reflecting those factors. The index will make contribution to enhance the response capacity of the firms to climate change and increase the effectiveness of climate change policies for the industry by providing a quantitative tool to measure the changes in corporate competitiveness related to climate change.

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The Concept Analysis of Motherhood (간호이론개발을 위한 개념 분석 : 어머니됨)

  • Kim, Young-Hee
    • Women's Health Nursing
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    • v.4 no.2
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    • pp.245-257
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    • 1998
  • The characteristics of health behavior related pregnancy and childbirth have reflected on the cultural belief and value in the society. The efforts for women's health promotion through the current illumination of the traditional health care are the prompting assignment to be in nursing. The process of motherhood already progress before the motherhood actually. The functional state as the expectant mother can be the important predicting factor of the postpartum state, the quality of a married life. Motherhood was analyzed by Walker and Avant's method to clarify the concept 'to be a mother' using the various concepts like Koreans' Taekyo, transition to motherhood, maternal identity, maternal role attainment, maternal fetal attachment, and maternal fetal interaction. Upon the concept analysis, naturalness, responsibility, attachment, readiness, controllability were identified as the defining characteristics of motherhood. The antecedents of motherhood were consist of maternal affection, positive self esteem, pregnancy acceptance, fetus recognition and the consequences of motherhood were consist of positive maternal identity, maternal fetal attachment, confidence about the maternal role, the healthy mother and the healthy baby. The empirical referents of motherhood were consists of recognition of motherhood, expectation about motherhood, fetal recognition with ultrasonography and fetal movement, experience of unification between mother and fetus, expression of affection to the fetus, concern about fetal health, concern and practice about Taekyo, adaptation behavior about physical change and discomfort due to pregnancy. Therefore it is necessary to develop the instruction program of motherhood including the defining attributes identified in this study.

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