• 제목/요약/키워드: Self Management Training

검색결과 502건 처리시간 0.022초

간호사의 자가통증조절기 사용과 관리에 대한 지식 및 적용실태 (Knowledge and Practice of Patient-controlled Analgesia Use and Management among Nurses)

  • 박미현;김태임
    • 한국간호교육학회지
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    • 제24권1호
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    • pp.5-15
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    • 2018
  • Purpose: The purpose of this study was to investigate the knowledge and practice of patient-controlled analgesia use and management (PCA-UM) among nurses. Methods: Data were collected from 182 nurses employed by four general hospitals having more than 300 beds in Daejeon. The data were collected using self-report questionnaires from November 4 to November 20, 2015. Collected data were analyzed using descriptive statistics, t-test, and ANOVA. Results: The average nurses' knowledge about PCA-UM was 14.8 points out of 20. PCA-UM knowledge was significantly higher for nurses with experience in PCA education (t=3.55, p<.001). Most participants (91.2%) wanted to get PCA training, 86.8% of them provided PCA education to patients after surgery. Approximately 62% of participants regularly evaluated the level of consciousness of patients with PCA. Conclusion: Findings indicate that the knowledge and practice of PCA-UM among nurses were insufficient to provide safe and effective pain management to postoperative patients with PCA. Therefore, it is concluded that it is necessary to develop standardized PCA education programs for nurses to provide safe and effective pain management to postoperative patients with PCA.

병원의 외부환경 및 조직특성이 정보화 수준에 미치는 영향 (Influence of External Environment, Organizational Characteristics on Informatization Level in Hospital Settings)

  • 지재훈
    • 보건의료산업학회지
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    • 제5권1호
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    • pp.133-145
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    • 2011
  • The purpose of this study is to analyze the influence of external environment, organizational characteristics on informatization level in hospital settings, and to provide suggestions to improve the informatizaiton level of strategic information system of hospitals. In order to achieve study purpose, causal model was developed and empirically tested. Data were collected from 716 managers of 89 hospitals keeping information system in Busan and KyungNam Province using self-administered structured questionnaire. Major results of this study were as follows; First, among hospitals which had information training programs, informatization capacity was significantly higher. Moreover, informatization capacity was significantly varied by ownership type, institutional level, and number of beds of hospitals. Second, environmental uncertainty, intra-industry competition intensity, decision-making concentration, work standardization variables and perceived benefits were found to be significant affecting factors on informatization capacity as a result of path analysis. Third, support of top-management and perceived benefits were found to be significant affecting factors on informatization capability as a result of path analysis. Especially, informatization capability was positively affected by informatization capacity. Finally, perceived benefits was found to be significant affecting factors on informatization competency as a result of path analysis. Especially, informatization competency was positively affected by informatization capability.

Insights into the state of radiation protection among a subpopulation of Indian dental practitioners

  • Binnal, Almas;Rajesh, Gururaghavendran;Denny, Ceena;Ahmed, Junaid;Nayak, Vijayendra
    • Imaging Science in Dentistry
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    • 제43권4호
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    • pp.253-259
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    • 2013
  • Purpose: Radiographs is an integral part of patient management in dentistry, despite their detrimental effects. As the literature pertaining to radiation protection among Indian dental practitioners is sparse, exploring such protection is needed. Materials and Methods: All private dental practitioners in Mangalore, India were included in the study. A structured, pre-tested, self-administered questionnaire was employed to assess the knowledge, attitudes, practices, previous training, perceptions towards the need to spread awareness, and willingness to gain and implement knowledge about radiation hazards and protection. Information regarding each respondent's age, gender, education, and type and duration of practice was collected. Results: Overall, 87 out of 120 practitioners participated in the study. The mean knowledge, attitude, and practice scores were $9.54{\pm}2.54$, $59.39{\pm}7.01$, and $5.80{\pm}3.19$, respectively. Overall, 25.3% of the respondents had undergone training in radiation protection, 98.9% perceived a need to spread awareness, and 94.3% were willing to improve their knowledge. Previous training showed a significant correlation with age, sex, and duration of practice; attitude was significantly correlated with education and type of practice; and knowledge scores showed a significant correlation with type of practice. Conclusion: Although the knowledge and practices of respondents were poor, they had a positive attitude and were willing to improve their knowledge. Age, sex, and duration of practice were associated with previous training; education and type of practice with attitude scores; and type of practice with knowledge scores. The findings of this study suggest a policy is needed to ensure the adherence of dental practitioners to radiation protection guidelines.

전남지역 전략산업분야 인력양성 지원사업의 수요조사에 따른 문제점 및 개선방안 - 조선 산업을 중심으로 - (A Study on Problems and Improvement Ways According to Survey of Supporting Project for Human Resource Management of Strategic Industry in Jeonnam Government: Focused on Shipbuilding Industry)

  • 장흥훈;황재연;김경진
    • 한국항만경제학회지
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    • 제26권4호
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    • pp.289-309
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    • 2010
  • 외환위기 이후 지방경제의 구조적 불황을 극복하고 자력성장을 도모해야 한다는 인식아래 정부가 전국적으로 지역산업진흥사업을 추진된 바, 전국적으로 지역별 특성을 반영한 전략산업을 중심으로 산업클러스터의 형성을 활성화하고 있다. 이러한 상황속에서 전남의 전략산업인 조선산업의 경쟁력을 강화시키기 위해서는 전문적인 인력양성이 무엇보다도 중요하다. 따라서 본 연구는 전남 조선인력의 인력양성을 효율적으로 관리하고 추진하기 위한 조선인력 현황과 수요조사를 실시하여 조사결과에 따른 조선산업의 문제점 및 개선방안을 제시하였다. 전남 조선산업은 기능인력 고령화, 전문기능인력 및 우수한 인력 부족, 교육훈련기관 부족 등의 문제점이 나타났다. 이를 개선하기 위해서는 관련 기관과 기업간 네트워크, 기관 및 대학간 네트워크 강화 등 전문인력양성을 위한 다양한 지원 정책이 필요하다.

Formation of Research Competence Using Innovative Technologies to Improve the Quality of Training Future Specialists

  • Olena, Dobosh;Daria, Koval;Natalya, Paslavska;Natalia, Cherednichenko;Iryna, Bondar;Oksana, Vytrykhovska;Olena, Bida
    • International Journal of Computer Science & Network Security
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    • 제22권12호
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    • pp.91-97
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    • 2022
  • Analyzing the psychological and pedagogical literature, we showed the interest of researchers in the problem posed. The concept of competence is considered, which is interpreted as giving the key to solving a wide range of educational and life tasks. Research competence implies the ability to cooperate, enter into contacts, readiness for changes, for self-determination and is an integral quality of the individual, expressed in the readiness and ability to independently search for solutions to new problems and creative transformation of reality based on a set of personal and meaningful knowledge, skills, methods of activity and value attitudes.The article offers conditions that certify the improvement of forms and methods of training students in the formation of research competence of future specialists. The use of innovative technologies contributes to improving the level of training of future specialists: students are better prepared for classes, take an active part in the assimilation of program material in laboratory classes. It is noted that this creates a subject-subject relationship between the student and the teacher, and changes the attitude of students to classes. In the process of such organization of educational activities, students are convinced of the need for knowledge and its effectiveness, learn to compare, generalize, classify, establish cause-and-effect relationships, express opinions, defend their point of view, they ensure success in their studies, and develop research competence. It is proved that in order to apply the latest technologies, the teacher himself must know them well, that is, constantly improve himself, master new methods, techniques, ideas, which will help him create new pedagogical technologies and implement them in the educational process.

당뇨병 캠프의 자가간호 교육이 제1형 당뇨병 아동의 당뇨관리행위, 당뇨지식 및 당뇨관리 자아효능감에 미치는 영향 (Effect of Self-care Education at a Diabetes Camp on Diabetes Management Behaviors, Knowledge and Self-efficacy in Children with Type 1 Diabetes)

  • 강나래;안영미;이지은;손민
    • Child Health Nursing Research
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    • 제20권3호
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    • pp.168-175
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    • 2014
  • 목적 본 연구는 당뇨병 캠프에 참여한 1형 당뇨병 아동 및 청소년을 대상으로 자가간호 교육을 제공하고, 이 교육이 아동의 당뇨관리행위, 당뇨지식 그리고 당뇨관리 자아효능감에 미치는 효과를 파악하기 위함이다. 방법 본 연구는 단편적 서술연구로 인천지역 1개 대학병원에서 시행되었고, 대상자는 당뇨병 캠프에 참여한 제1형 당뇨병을 가진 만 8세-19세의 어린이 및 청소년을 편의추출 하였다. 인구사회학적 변수와 임상적 변수를 포함하여 당뇨관리행위, 당뇨지식 그리고 당뇨관리 자아효능감을 자가보고 방법을 이용하여 수집하였다. 결과 연구에 참가한 대상자들은 15명으로 평균 만 12 (${\pm}2.3$)세였고 여자가 53.3%로 약간 많았으며, 평균 HbA1c는 8.8 (${\pm}2.0$)%였다. 자가간호 교육 후, 당뇨관리행위($.56{\pm}.13$ vs $.60{\pm}.17$, p =.101)와 당뇨지식($70.2{\pm}15.7$ vs $71.6{\pm}14.7$, p =.606)은 점수가 향상하였고, 당뇨관리 자아효능감($6.2{\pm}2.1$ vs $6.1{\pm}2.6$, p =.883)은 감소하였으나 모두 통계적으로 유의하지는 못하였다. 또한, 자가간호 교육 후 향상된 당뇨관련 행위점수와 인구사회학적, 임상적, 사회 심리적 변수와의 상관관계를 탐색해 본 결과 총점과 통계적으로 유의한 상관관계를 보인 변수는 없었다. 결론 당뇨병 캠프 안에서 자가간호 교육 제공은 제1형 당뇨병 아동 및 청소년의 당뇨에게 당뇨관리행위, 당뇨지식 및 당뇨관리 자아효능감의 일부 영역을 향상시켰다. 앞으로 이러한 아동들의 다양한 건강 요구를 반영하면서, 집중적이고 지속적인 교육을 제공할 수 있는 다양한 형태의 교육이 개발되어야 한다.

이용자의 레크리에이션 이용만족에 기초한 도시림의 개발지표 설정에 관한 연구 -부산시 금정산을 사례로- (A study on the Developmental Indicators of Urban Forest with Reference to User Recreational Satisfaction -Case study of Mt. Gum-Jung-)

  • 박승범;김승환;남정칠;강영조;양위주
    • 한국조경학회지
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    • 제23권4호
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    • pp.50-60
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    • 1996
  • The purpose of this study is to investigate the prime factors that affect user satisfaction of area and facilities in urban forests, to classify those factors, to find out factorial structure of user satisfaction about them, and then to suggest important indicators in the urban forest planning, design, and development. The survey research was done using the self-administered questionnaire method by the people in the city of the Pusan who participated in recreational activities in the Mt. Keumjung. Factor analysis was used to extract the prime factors related to the recreational satisfaction concerning the area and facilities of the urban forest by the SPSS program, and then prime factors were used to investigate the factorial structure of user recreational satisfaction in the urban forest by the LInear Structure RELation program. According to the factor analysis concerning the 13 variables, 4 prime factors by the statistical values were considered as effective, indicating, 'health and recreational facilities', 'convenience and management facilities','facilities for the physical and psychological training' and 'historical and cultural areas'. The results of the causal structure analysis were identified as having significant effects mutually on endogenous variables, 'overall recreational satisfaction of the areas and facilities in the Mt. Keumjung','health and recreational facilities','convenience and management facilities','facilities for the psychological training', and 'historical and cultural areas'. But exogenous variables which have significant effects on endogenous variables were also indentified. Overall fits of both causal model were very good. The hypothetical causal structural equation models based on the results found partially significant correlation between dndogenous variables and between envogenous and exogenous variables. These significant relationships indiate important factors and variables that should be considered in planning, design, and development of the urban forests. Therefore, development direction of the Mt. Keumjung has to be analyzed as significant factors concerning user recreational satisfaction in a systematic was, recognized as important variables for planning process. The plan for development and management also should reflect the natural conservation policy from the environmental conservation movement like natural conservation advertisement and environmental education.

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A Web-based Platform for Managing Rehabilitation Outcome Measures

  • Sujin Kim;Jiwon Jeon;Haesu Lee
    • 한국전문물리치료학회지
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    • 제31권2호
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    • pp.174-181
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    • 2024
  • Background: Effective management of clinical assessment tools is critical in stroke and brain injury rehabilitation research. Managing rehabilitation outcome measures (ROMs) scores and training therapists in multicenter randomized clinical trials (RCTs) is challenging. Objects: The aim of this study was to develop a web-based platform, the Korean Rehabilitation Outcome Measurement (KoROM), to address these limitations and improve both therapist training and patient involvement in the rehabilitation process. Methods: The development of the KoROM spanned from June 2021 to July 2022, and included literature and web-based searches to identify relevant ROMs and design a user-friendly platform. Feedback from six physical therapy and informatics experts during pilot testing refined the platform. Results: Several clinical assessment tools categorized under the International Classification of Functioning, Disability, and Health (ICF) model are categorized in the KoROM. The therapist version includes patient management, assessment tool information, and data downloads, while the patient version provides a simplified interface for viewing scores and printing summaries. The master version provides full access to user information and clinical assessment scores. Therapists enter clinical assessment scores into the KoROM and learn ROMs through instructional videos and self-checklists as part of the therapist standardization process. Conclusion: The KoROM is a specialized online platform that improves the management of ROMs, facilitates therapist education, and promotes patient involvement in the rehabilitation process. The KoROM can be used not only in multi-site RCTs, but also in community rehabilitation exercise centers.

Cardiac dose reduction with breathing adapted radiotherapy using self respiration monitoring system for left-sided breast cancer

  • Sung, KiHoon;Lee, Kyu Chan;Lee, Seung Heon;Ahn, So Hyun;Lee, Seok Ho;Choi, Jinho
    • Radiation Oncology Journal
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    • 제32권2호
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    • pp.84-94
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    • 2014
  • Purpose: To quantify the cardiac dose reduction during breathing adapted radiotherapy using Real-time Position Management (RPM) system in the treatment of left-sided breast cancer. Materials and Methods: Twenty-two patients with left-sided breast cancer underwent CT scans during breathing maneuvers including free breathing (FB), deep inspiration breath-hold (DIBH), and end inspiration breath-hold (EIBH). The RPM system was used to monitor respiratory motion, and the in-house self respiration monitoring (SRM) system was used for visual feedback. For each scan, treatment plans were generated and dosimetric parameters from DIBH and EIBH plans were compared to those of FB plans. Results: All patients completed CT scans with different breathing maneuvers. When compared with FB plans, DIBH plans demonstrated significant reductions in irradiated heart volume and the heart $V_{25}$, with the relative reduction of 71% and 70%, respectively (p < 0.001). EIBH plans also resulted in significantly smaller irradiated heart volume and lower heart $V_{25}$ than FB plans, with the relative reduction of 39% and 37%, respectively (p = 0.002). Despite of significant expansion of lung volume using inspiration breath-hold, there were no significant differences in left lung $V_{25}$ among the three plans. Conclusion: In comparison with FB, both DIBH and EIBH plans demonstrated a significant reduction of radiation dose to the heart. In the training course, SRM system was useful and effective in terms of positional reproducibility and patient compliance.

인천시 중장년층 남성의 건강증진 행위 (A Study on Health Promotion Behaviors of a Group of Middle Aged Men in K-Ku, Incheon City)

  • 황승숙;박정모;이화인;김은주
    • 지역사회간호학회지
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    • 제15권3호
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    • pp.408-418
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    • 2004
  • This study aims to provide useful basic materials for planning the Health Improvement Program and Policy for men aged 20 40. This study investigated 889 subjects, and at each corresponding age, who were collected among the trainers at the Civil Defense Training Institute in K-ku, Incheon City. The data collection period lasted from April to July of 2003. I revised and complemented the measurement tool for the Health Improvement Life Style developed by Jung Eun-Kyung. For analysis of the acquired data. I used SPSS11.0 program. The study shows that the Health Improvement Action of a group of middle aged men averaged 2.80, and 0.44 point out of 5. According to the results found during the analysis of the generic characters of differences in behaviors of Health Improvement. It was revealed that there were significant differences in age, regular exercise and health interest, stress management, self-concept as well as degrees of interest in health, and education level. According to monthly income levels, regular exercise and degrees of self-concept degrees were significantly different from each other. According to marital status. balanced diet and regular exercise were related to each other. According to religion, balanced diet, stress management degree, self concept degree, and degrees of interest in health, significant differences were shown. Based on the earlier mentioned results, we should pay attention to act more, rather than merely recognize the development of the health improvement program of our regional community. Also, it is necessary to find out the cause, which lowers men's interest in health.

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