• Title/Summary/Keyword: Shared decision making

Search Result 115, Processing Time 0.028 seconds

A Study on Wisdom Management through Theoretical Research and Empirical Analysis (이론연구 및 실증분석을 통한 지혜경영)

  • Oh, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.9 no.2
    • /
    • pp.508-514
    • /
    • 2008
  • Knowledge management has been spread rapidly since Knowledge is regarded as a crucial asset in future. Once, Knowledge had been obtained freely but hard to be shared. Studies on importance and share of knowledge have been taking place and it leads to development of knowledge management systems. However, decision makers still have problems even though they are using knowledge management systems. Eventually, for the decision makers are needed concentrated knowledge which is unconscious and embodied, when they make a decision. This is wisdom. Thus, wisdom is superior to knowledge for the decision makers. There are some researches on wisdom but wisdom management were overlooked. This study presents differences between knowledge and wisdom with theoretical research and empirical analysis on the wisdom management.

Elicitation of drought alternatives based on Water Policy Council and the role of Shared Vision Model (협의체 기반 가뭄 대응 대안 도출과 비전공유모형의 역할)

  • Kim, Gi Joo;Seo, Seung Beom;Kim, Young-Oh
    • Journal of Korea Water Resources Association
    • /
    • v.52 no.6
    • /
    • pp.429-440
    • /
    • 2019
  • The numbers of multi-year droughts due to climate change are increasing worldwide. Boryeong Dam, located in Chungcheongnam-do, South Korea, was also affected by a 4-year drought from 2014 to 2017. Since traditional unilateral decision making processes to alleviate drought damage have, until now, resulted in conflicts between many of the involved groups, the need for active participation from both stakeholders and policymakers is greater than before. This study introduced Shared Vision Planning, a collaborative decision making process that involves participation from various groups of stakeholders, by organizing Water Policy Council for Climate Change Adaptation in Chungcheongnam-do. A Shared Vision Planning Model was then developed with a system dynamics software by working together with relevant stakeholders to actively reflect their requests through three council meetings. Multiple simulations that included various future climate change scenarios were conducted, and future drought vulnerability analysis results of Boryeong Dam and districts, in terms of frequency, length, and magnitude, were arrived at. It was concluded that Boryeong Dam was more vulnerable to future droughts than the eight districts. While the total water deficit in the eight districts was not so significant, their water deficit in terms of spatial discordance was proved to be more problematic. In the future, possible alternatives to the model will be implemented so that stakeholders can use it to agree on a policy for possible conflict resolutions.

Internet-based Procurement Process for Marine Service (해운대리점의 인터넷 구매/조달 프로세스 구축)

  • 서준용;고재문;고형일
    • The Journal of Information Systems
    • /
    • v.10 no.1
    • /
    • pp.51-72
    • /
    • 2001
  • E-commerce has not only brought about a great change in the way we exchange goods and services but also revolutionized the way we handle business transactions. In addition, it has a significant influence upon the present business structure, and most of firms in service industry as well as manufacturing are considering adopting E-commerce in a serious manner. Most vessels purchase merchandises through a number of shipping agents. As the amount of harbor materials increase, the number of vessels and their navigation frequency also increase. As a result, the amount of procurement for ships has increased. Traditional means such as telephone and fax to handle ever-increasing harbor transaction, however, has proved to be very time-consuming and cost ineffective. Therefore, people are starting to look for more effective ways. In this paper, an internet-based scheme of B2B transaction is proposed to handle procurement problem between shipping agency and shipping company, and between vessel and suppliers as a more effective approach to streamline such problems. We extract problems of shipping agency through task-analysis and present a scheme that performs decision making and procurement as a system agent with brokering structure. Purchaser and supplier are offered material information rapidly and task loads are minimized by the scheme. Also, the system can support decision making of purchasing goods, and information is shared among purchaser, supplier and system through the system interface.

  • PDF

How to optimize aesthetic outcomes in implant-based breast reconstruction

  • Nava, Maurizio Bruno;Catanuto, Giuseppe;Rocco, Nicola
    • Archives of Plastic Surgery
    • /
    • v.45 no.1
    • /
    • pp.4-13
    • /
    • 2018
  • The evolution of breast reconstructive surgery keeps pace with the evolution of breast oncologic surgery. The reconstructive choice should always balance the optimal local control of disease and the best cosmetic result, reflecting an informed decision that is shared with the patient, who is always at the center of the decision-making process. Implant-based breast reconstruction following mastectomy represents a complex choice. In order to obtain optimal results, the following considerations are mandatory: thorough preoperative planning, a complete knowledge of the devices that are used, accurately performed surgery, and appropriate follow-up.

Local community case management service and regional case management council performance analysis through concept mapping (Concept mapping을 통한 지역사회 사례관리서비스와 지역사례관리협의체 성과 분석)

  • Jang, Yu Mi
    • The Journal of the Convergence on Culture Technology
    • /
    • v.8 no.4
    • /
    • pp.37-44
    • /
    • 2022
  • The purpose of this study is to investigate how the local community case management council perceives the expected outcome of the council and case management service by participating actors in order to establish the identity and direction of the activities of the council through concept mapping. A total of 12 practitioners from participating organizations freely expressed and shared their opinions about the case management service performance with the local community case management council in a brainstorming manner, producing a total of 42 statements. Through concept mapping, participants were empowered in the decision-making process, and their opinions were not alienated, but were accepted and rationally handled. It can be said that it is important to provide an opportunity for the participants to discuss on an equal footing in the decision-making process. Through this, it can be seen that the agreement between the case management council and the case management service was quickly reached, and the direction for subsequent activities was clearly set.

The Perceptions and Needs of Hospice Palliative Care and Shared Decision Making among Middle-Aged Adults (중년기 성인의 호스피스 완화의료와 공유의사결정에 대한 인식 및 요구도)

  • Lee, Na-Yeon;Lee, Seungjin;Lee, Soo-Kyoung
    • Journal of Hospice and Palliative Care
    • /
    • v.19 no.4
    • /
    • pp.310-321
    • /
    • 2016
  • Purpose: The purpose of this study is to examine the level of understanding of hospice palliative care (HPC) and shared decision making (SDM) among middle-aged adults. Methods: Data were collected from 90 middle-aged adults living in D city using a self-reported questionnaire. The SPSS program was used to analyze the data. Results: Among the participants, 76.7% were aware of the HPC while 82.2% of the participants were not aware of SDM. Among all, 85.6% responded positively for needs of HPC, and 77.8% of participants for SDM. Participants with Christian faith (Protestants and Catholics), high income level and present illness were better aware of HPC than others. The most needed services were nursing care and treatment along with systematic counseling and explanation provided by the medical staff. There was also a significant relationship between the HPC factors, gender, income, current health status and current illness status. Participants with high income level were well aware of SDM. Stronger SDM needs were observed among participants with professional jobs or current illness. Conclusion: For continued discussion on HPC and SDM, it is necessary to implement and promote various education programs for medical staff and the public.

A Comparison of Shared Governance and Nursing Unit Culture in Three Hospitals (공유관리와 간호단위문화에 대한 조사;세개 종합병원 대상)

  • Kang, Sun-Joo
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.2 no.1
    • /
    • pp.17-33
    • /
    • 1996
  • The primary purpose this descriptive study was to identify, describe, and compare the patterns of shared governance and nursing unit culture in the hospital settings. The secondary purpose of the research was to identify, describe whether the participation style or responsibility style of nursing management activities shared through nurses in a consistent way. Methodology included survey and in-depth interviews with a total 145 members of 15 nursing units in 3 hospitals. One was a national hospital, another was a corporation hospital and the other was a teaching hospitals. Conclusions from this research included the following: 1. The degree of shared governance in nursing management activities was the highest in the corporation hospital. 2. In the participation style of nursing management activities, 'all participation' was the highest in the corporation hospital. 'Nursing administration only' was the highest in the national hospital. 3. Distribution of responsibility style differed from that of participation style. Three hospitals showed high in nursing management activities such as 'nursing administration only' and 'head nurse only' style. 4. Five experts surveyed showed that the ideal level of nurses' participation in nursing management activities was a traditional nursing governance pattern. 5. There was a distinct difference in the nursing unit culture throughout the institutions in the professional growth. 6. There was no significant difference in the same nursing units of three hospitals in nursing unit culture. According to these results, the following implications can be made; 1. In nursing administration, there should be an emphasis on preparing staff nurses' potential decision-making ability through continuing education so that staff nurses' autonomy and responsibility will be developed and increased. 2. It is necessary to develop a strategic nursing unit for improving nursing quality in hospital setting. 3. The relationship of shared governance, nursing unit culture and nursing outcome should be researched further.

  • PDF

Web-based Disaster Operating Picture to Support Decision-making (의사결정 지원을 위한 웹 기반 재난정보 표출 방안)

  • Kwon, Youngmok;Choi, Yoonjo;Jung, Hyuk;Song, Juil;Sohn, Hong-Gyoo
    • Korean Journal of Remote Sensing
    • /
    • v.38 no.5_2
    • /
    • pp.725-735
    • /
    • 2022
  • Currently, disasters occurring in Korea are characterized by unpredictability and complexity. Due to these features, property damage and human casualties are increasing. Since the initial response process of these disasters is directly related to the scale and the spread of damage, optimal decision-making is essential, and information of the site must be obtained through timely applicable sensors. However, it is difficult to make appropriate decisions because indiscriminate information is collected rather than necessary information in the currently operated Disaster and Safety Situation Office. In order to improve the current situation, this study proposed a framework that quickly collects various disaster image information, extracts information required to support decision-making, and utilizes it. To this end, a web-based display system and a smartphone application were proposed. Data were collected close to real time, and various analysis results were shared. Moreover, the capability of supporting decision-making was reviewed based on images of actual disaster sites acquired through CCTV, smartphones, and UAVs. In addition to the reviewed capability, it is expected that effective disaster management can be contributed if institutional mitigation of the acquisition and sharing of disaster-related data can be achieved together.

A Model Management Framework for Supporting Departmental Collaborative Work (부서간 협동적 작업을 지원하는 모형관리 체계의 개발)

  • Huh, Soon-Young;Kim, Hyung-Min
    • Asia pacific journal of information systems
    • /
    • v.10 no.2
    • /
    • pp.51-69
    • /
    • 2000
  • Recently, as business problems become more complicated and require more precise quantitative results, large-scale model management systems are increasingly in demand for supporting the decision-making activities. In addition, as distributed computing over networks gains popularity, departmental computing systems are gradually adopted in an organization to facilitate collaboration of geographically dispersed multiple departments. In departmental collaborative model management systems, multiple departments share common models but approach them with different user-views depending on their departmental needs. Moreover, the shared models become evolved as their structures and the corresponding data sets change due to the dynamic nature of the operating environment and the inherent uncertainty associated with the problems. In such capacity, providing the multiple departmental users with synchronized and consistent views of the models is important to improve the overall productivity. In this paper, we propose a collaborative model management framework for coordinating model change and automatic user-view update in a departmental computing environment. To do so, we describes changes in the model and their effects occurred in departmental model management environments and identifies the constructs and processes for maintaining the consistency between a shared model and its departmental user-views. Especially, in this framework, generic model concept was adopted for accommodating diverse mathematical models in a uniform way in a modelbase and object-oriented database management systems(ODBMS) for combining the model management constructs and automatic user-view update mechanisms in a single formalism. A prototype object-oriented modeling environment was developed using an ODBMS called ObjectStore and $C^{++}$ programming language on Windows NT.

  • PDF

Characteristics Associated with Survival in Patients Receiving Continuous Deep Sedation in a Hospice Care Unit

  • Ahn, Hee Kyung;Ahn, Hong Yup;Park, So Jung;Hwang, In Cheol
    • Journal of Hospice and Palliative Care
    • /
    • v.24 no.4
    • /
    • pp.254-260
    • /
    • 2021
  • Continuous deep sedation (CDS) is an extreme form of palliative sedation to relieve refractory symptoms at the end of life. In this study, we shared our experiences with CDS and examined the clinical characteristics associated with survival in patients with terminal cancer who received CDS. We conducted a chart audit of 106 consecutive patients with terminal cancer who received CDS at a single hospice care unit between January 2014 and December 2016. Survival was defined as the first day of admission to the date of death. The associations between clinical characteristics and survival were presented as hazard ratios and 95% confidence intervals using a Cox proportional hazard model. The mean age of participants was 65.2 years, and 33.0% (n=35) were women. Diazepam was the most commonly administered drug, and haloperidol or lorazepam were also used if needed. One sedative was enough for a majority of the patients. Stepwise multivariate analysis identified poor functioning, a high Palliative Prognostic Index score, hyperbilirubinemia, high serum ferritin levels, and a low number of sedatives as independent poor prognostic factors. Our experiences and findings are expected to be helpful for shared decision-making and further research on palliative sedation.