• 제목/요약/키워드: Scope of Practice

검색결과 308건 처리시간 0.029초

다중집단분석을 활용한 장기현장실습 프로그램 성과 영향요인 간의 구조관계 연구: K대학 IPP 사례를 중심으로 (A study on the structural relationships among performance influence factors of long-term on-site training using multi-group analysis: Focusing on IPP of K university)

  • 이지영;이상곤
    • 공학교육연구
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    • 제23권2호
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    • pp.49-60
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    • 2020
  • The purpose of this study is to empirically verify whether there are differences according to group characteristics in the effect of job characteristic requirements on practice performance in university long-term on-site training. Specifically, the relationship between job characteristics (job scope, job content, coaching, benefits), practical satisfaction, and occupational competencies was examined according to the group characteristics (gender types, major types, corporation types). For this purpose, the survey data were collected and analyzed for 752 students who participated in K university long-term on-site training. As a result of the analysis, first, it was found that the job characteristics (job scope job content, coaching, benefits) had structural relationship affecting occupational competence through mediation of practice satisfaction. Second, As for the differences according to the group characteristics, there were differences in the relations. Based on the result, theoretical and practical implications and follow-up studies were proposed.

한방 의료행위의 개념과 그 한계 - 법령과 판례를 중심으로 - (The Concept of Practice of Korean Medicine and the Limitations - Focusing on Legislations and Precedents -)

  • 권순조;엄석기
    • 한국의사학회지
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    • 제28권1호
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    • pp.121-133
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    • 2015
  • Objectives : The purpose of this study is to suggest how to interpret the 'practice of Korean Medicine', differentiating it from 'medical practice'. Methods : I analyze the legislations and precedents regarding the practice of Korean Medicine. Results : The Korean Medicine and Pharmaceutics Promotion Act defines 'practice of Korean Medicine' and it clearly differentiates it from the definition of 'medical practice'. However, the scope of this definition is somewhat restricting and it can violate doctors of Korean Medicine's right to equality and their academic freedom. Thus, the application of this definition of the 'practice of Korean Medicine' should be limited to the field of research and development. Meanwhile, criteria of distinguishing 'practice of Korean Medicine' from 'medical practice', which used to make a sharp distinction between Medicine and Korean Medicine by rigorously applying their academic standards, are now focusing more on protecting and improving health of the people. Discussions & Conclusions : I suppose that the distinction between the 'practice of Korean Medicine' and 'medical practice' will be more focused on public health rather than the academic stance of those two medical fields. Meanwhile, in accordance with dualistic medical system, the mutual usage of medical equipment in the area of 'treatment' should be limited while it should be allowed in the area of 'diagnosis' if it satisfies requirements suggested by the Constitutional Court.

컴포넌트 가변성 유형 및 Scope에 대한 정형적 모델 ((A Formal Model of Component Variability Types and Scope))

  • 소동섭;신규석;김수동
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제30권5_6호
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    • pp.414-429
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    • 2003
  • 시스템 개발 시 복잡성을 감소시키고 개발 비용과 기간을 단축하기 위하여 컴포넌트 기반 개발(CBD)이 산업계에서 보편화 되고 있다. 그러나, 현재 대표적인 CBD는 한 회사나 하나의 어플리케이tus에 의존적인 컴포넌트를 개발하고 있다[1,2]. 따라서 어떤 도메인의 여러 패밀리에서 컴포넌트를 재사용하기 위한 컴포넌트 가변성이 강조 되고 있다. 하지만, 컴포넌트 가변성의 정의나 유형에 대해 구체적으로 제시된 연구가 미흡하여, 컴포넌트의 주 목적인 재사용 측면보다. 유지보수 목적의 컴포넌트가 개발되고 있다[3]. 본 논문에서는 컴포넌트의 재사용성을 높이기 위하여, 컴포넌트 특징을 반영한 컴포넌트 가변성을 정형적으로 정의한다. 또한, 기존의 컴포넌트 가변성으로 인식된 논리 가변성을 명확하게 정의하고, 추가로 3가지 가변성 유형을 제시함으로써, 컴포넌트에서 존재하는 모든 가변성 유형을 제시한다. 컴포넌트 커스터마이제이션시에 가변성의 경우의 수를 예측, 확인 할 수 있는 컴포넌트 가변성 Scope를 제시한다. 컴포넌트 개발에 있어서 이러한 기법을 적용함으로써, 여러 패밀리 멤버에서 재사용 할 수 있는 고품질의 컴포넌트 개발을 지원 할 수 있다.

한국형 우울증 진료지침 개발 및 적용연구 - 우울증 진료지침 개발의 국내외 현황과 개발방향 - (Korean Clinical Practice Guideline for the Treatment of Depressive Disorders - The Present State and Future Direction of Development -)

  • 임세원;이민수
    • 생물정신의학
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    • 제13권1호
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    • pp.11-18
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    • 2006
  • Depressive disorder is one of well-known major public health problems in Korea. The socioeconomic burden of depression is growing bigger and bigger. Therefore, the Korean government decided to establish the clinical research center for depression for better care of patients with depression. One of the major task of the center is the development of Korean clinical practice guideline for depressive disorders. This guideline should reflect the clinical situation in Korea and meet Korean physicians' needs. In addition, it should be feasible and easy to use. We reviewed the present status of the guideline development in Korea and other countries, and introduces the scope, method, and goals of Korean clinical practice guideline for depression.

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판례분석을 통한 한방의료행위개념의 법적 근거 고찰 (A Study on the Legal Aspect of the Concept for Medical Practice in Korean Medicine through Cases Analysis)

  • 이미선;권영규
    • 한국한의학연구원논문집
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    • 제15권3호
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    • pp.19-28
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    • 2009
  • Objectives : The lawsuits associated with medical practice in Korean medicine are increasing gradually. However, the clear definition for medical practice in Korean medicine has not been existed in Korean law. Only we may understand the concept regulated by judicial precedents of the court of justice or the authoritative interpretation by the government. Methods : For study, a database was established for medical lawsuits involving Korean medicine(1968~2009, n=130). Results : According to court rulings, the medical practice in Korean medicine is an act to diagnose a person's illness, prescribe and treat to cure based on traditional Korean medicine, to be understood as a medical care, to have some factor to create or increase danger for the preservation of health or hygiene, and to be practiced by medical specialists based on their professional knowledge. Conclusions : But, such definition is not proper and exceedingly vague. Besides medical circumstances Koreans Medicine are changing, and new precedent to the definition of the practice of medicine is establishing. Therefore the meaning and scope of the medical practice in Korean medicine should be modified and amended, reflecting these conditions.

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경추 고정 마네킹에게 직접 후두경(Macintosh laryngoscope), 부지(Gum elastic bougie), 비디오 후두경(Pentax AirWay Scope)을 사용한 기관내삽관 비교 (A Comparison of Endotracheal Intubation using the Macintosh Laryngoscope, the Gum Elastic Bougie and the Pentax AirWay Scope in Neck-Stabilized Manikin)

  • 최욱진;조근자
    • 한국응급구조학회지
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    • 제15권3호
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    • pp.71-80
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    • 2011
  • Purpose : This research was designed to provide basic data for advanced pre-hospital airway management by comparing the ease of intubation, the success rate and the time for intubation performed with Macintosh Laryngoscope, Gum Elastic Bougie and Pentax AirWay Scope on the floor and table. Methods : Intubation was performed 30 times in total, including 5 times for each of intubation using Macintosh Laryngoscope, Gum Elastic Bougie and Pentax Airway Scope on the table and floor, only on subjects who passed the practice test of the national exam for paramedics. Data were collected by measuring the ease of intubation, the success rate and the time for intubation, and then analyzed by descriptive analysis, paired t-test, ANOVA using SPSS 18.0. Results : 1. There was a significant difference in the ease of intubation according to intubation devices. 2. There was a significant difference in the ease of intubation according to table height for intubation. 3. There was a significant difference in the success rate according to intubation devices. 4. There was no significant difference in the success rate according to table height for intubation. 5. There was a significant difference in the intubation time according to intubation devices. 6. There was a partially significant difference in the intubation time according to table height for intubation. Conclusion : Sufficient training not only with Macintosh Laryngoscope but also with Gum Elastic Bougie and Pentax Airway Scope could improve the survival rate by intubation in patients with difficult airway.

의료과오시(醫療過誤時) 간호사의(看護師)의 주의의무(注意義務)에 관한 연구(硏究) (A Study on the Nurse's Due Care in Medical Malpractice)

  • 강선주
    • 간호행정학회지
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    • 제5권1호
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    • pp.113-136
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    • 1999
  • There are some new trends in judgments concerning medical malpractice. which include emphasis on medical professionals' explanation duty in order to materialize patient's rights of self-determination. Now, patient is not a mere subject of medical and nursing care any more, but a subject, participating in medical practice on equal terms with medical professionals. Legal accountability is no limited to nurses in advanced practice: it is a recognized fact of life for every practicing nurse. whether she is an RN employed as a staff nurse in a hospital, a Certified Nurse-Midwife in independent practice or a patient's home. Therefore, it is essential for nurses to be as familiar as possible with the legal guidelines that govern their patient care responsibilities. However there are only a few studies focused on nursing negligence. To define nurse's civil liability in medical malpractice, it is necessary to indentify both legal nursing behaviors and nurse's due care in those nursing behaviors. So this paper focused on nurse's due care, especially in nursing malpractice. To clarify nurses' due care. chapter II has focused on nursing behavior and the scope of nursing practice based on the medical law and health care related study results. Chapter III deals with the content and scope of nurse's due care. Generally. negligence is defined as not doing something which a resonable person. guided by those ordinary considerations which or dinarily regulate human affairs. would do. or doing something which a resonable and prudent man would not do. Next. it describes how we can set the standard of due care in nursing practice. There is objective factors and subjective factors. And we also discuss about the limitation of due care in nursing practice. Finally. chapter IV deals with the case studies related to nursing negligence in the situation of determination. Now', patient is not a mere subject of medical and nursing care any more, but a subject participating in medical practice on equal terms with medical professionals. Legal accountability is not limited to nurses in advanced practice; it is a recognized fact of life for every practicing nurse. whether she is an RN employed as a staff nurse in a hospital. a Certified Nurse-Midwife in independent practice or a patient's home. Therefore, it is essential for nurses to be as familiar as possible with the legal guidelines that govern their patient care responsibilities. However. there are only a few studies focused on nursing negligence. To define nurse's civil liability in medical malpractice, it is necessary to identify both legal nursing behaviors and nurse's due care in those nursing behaviors. So this paper focused on nurse's intravenous injection. post operation nursing care. blood transfusion. and patient nursing care. The result of this paper is as follows. First. there are several cases dealing with nurse's negligence in nursing practice. however, those cases didn't judge nurse's due care based on individual -specific standard but general-objective standard. Second, there is a tendency to put an emphasis on the principal of belief to distinguish who has the liability in the case of medical malpractice among medical care team. So nurses shoud practice nursing care more actively to protect themselves and patients because there is an effort to form professional nurse system and the scope of nursing practice will be deeper and broader. Third, standard of care is a necessary element in establishing negligence. If a nurse is able to meet the standard of care, no breach will be found.

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간호사 및 간호학생의 영적간호 인지조사 연구 (Perceptions of Spiritual Nursing Care Nurses and Nursing Students)

  • 권혜진
    • 대한간호학회지
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    • 제19권3호
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    • pp.233-239
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    • 1989
  • This study was designed to clarify how nurses and nursing students perceive their clients' needs for spiritual nursing care, it's practices, and problems. The purpose was to suggest directions for the development of spiritual nursing practice. The major findings are as follows : Respondents primarily perceived spiritual nursing as nursing care designd to help terminally ill patients accept death. Many of the respondents showed a high level of awareness of spiritual nursing care and its necessity. Few of them, however, bad actual experience in spiritual care. Those with experience in spiritual nursing care tend of take either a religious approach or perceived it as the therapeutic use of the self. The greatest problem related to the practice of spiritual care was found to be lack of time. Most of nurses and nursing students were found to be well aware of the needs for spiritual nursing care but were hindered from practising it because of the lack of time. To resolve the problem it was recommended that the scope of nursing practice be readjusted and that pre-and in-service programs should be developed to further heighten nursing students' interest in spiritual nursing care.

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희망의 공간을 향하여: 개인의 윤리적 실천과 공동체 (The Space of Hope: the Individual′s Ethical Practice and Community)

  • 박상진
    • 인문언어
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    • 제1권1호
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    • pp.323-345
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    • 2001
  • My purpose in this paper is to construct what I call "the space of hope" for the individual′s unfettered interpretation of the world and examine its ethical and political potential. 1 discuss the network of context to define the nature and scope of the space and also suggest that the individual′s interpretation of the world should be deemed a form of ethical practice or commitment. 1 would like to add that the term context, which refers, among other things, to the organic and dynamic relationship between individual and community, is meant to be strategic: it presupposes productive malleability, even slipperiness, in order to destabilize the institutional or ideological hierarchy between center and margin and enhance the individual′s self-conscious negotiation with his or her own community. It is my contention that every act of interpretation is always under some kind of contextual pressure and that the individual is able, in turn, to define and construct the context. This interaction represents a way to guard against the inimical force of totalization in the realms of theory and practice and can be summed up, that is, tentatively and strategically, in the idea of positionality.

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중풍환자에 대한 일차 한의임상진료 가이드라인 (Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation)

  • 한창호
    • 대한한방내과학회지
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    • 제33권4호
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    • pp.347-366
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    • 2012
  • The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.