• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.543-555
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• 2019

The purpose of this study was to define and clarify the concept of Shared decision-making (SDM) in patients with chronic disease. Walker and Avant's concept analysis process was used to analyze interdisciplinary convergence in SDM. SDM in patients with chronic disease can be defined by the following attributes: acknowledgment patients as 'self-care experts', the rights of self-determination, reversible negotiation, and patient-centered care. The antecedents of SMD consisted of situations where there is a need to make a decision from several treatment options of similar efficacy, decisional conflict, patient, family, and health provider's willingness to participate in the decision-making process, enough time and opportunity for SDM. The consequences occurring as a result of SMD were decrease decisional conflict, improvement health outcome, satisfaction, quality of life, enhancement self-management and self-efficacy with long-term, and living acceptably with the illness. Based on these results, a scale measuring SDM in patients with chronic disease is needed.

• Quality Improvement in Health Care
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• v.24 no.1
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• pp.40-52
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• 2018

Purpose: This study aimed to identify the factors influencing on patients' participation in their treatment decision making, and influences of patients' experience on their health status. Methods: Data from the 2015 Korea National Health and Nutrition Examination Survey were used for the analysis. Multivariate logistic regression analysis was conducted to identify the factors influencing on patients' participation in their treatment decision making. The influences of patients' experience on their health status were analyzed using multiple linear regression analysis. Results: Of the 4,497 respondents, 3,698 (82.2%) respondents mostly participated in their treatment decision making. Those who experienced enough visit duration, physicians' explanation easy enough to understand, or more opportunities to ask were more likely to participate in their treatment decision making. After controlling for their sociodemographic factors and health status, those who had better experience during the outpatient visits were more likely to have better self-rated health or quality of life. Conclusion: To improve patients' health outcomes and satisfaction of health care uses, it is necessary to provide better experiences and expand the opportunities for participation in treatment decision making during their hospital visits.

• Journal of the Korean Operations Research and Management Science Society
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• v.33 no.3
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• pp.29-42
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• 2008

Semantic Web society initially focused only on data but has gradually moved toward knowledge. Recently rule beyond ontology has emerged as a key element of the Semantic Web. All of these activities are obviously aiming at making data and knowledge on the Web sharable and reusable between various entities around the world. If one of ultimate visions of the Semantic Web is to increase human's decision making quality assisted by machines, there is a missing but important part to be shared and reused. It is knowledge about constraints on data and concepts represented by ontology which should be emphasized more. In this paper, we propose Semantic Web Constraint Language (SWCL) based on OWL and show how effective SWCL can be in representing and solving an internet shopper's decision making problem by an implementation of a shopping agent in the Semantic Web environment.

• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.488-498
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• 2010

Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.

• Journal of the Korean Society for information Management
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• v.21 no.1
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• pp.209-230
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• 2004

This study examines the concept of knowledge and knowledge management. Then. it analyzes some factors for successful knowledge management in terms of trust. communication channels, decision making participation, innovativeness, shared value. and CKO support. The suggestions of the study ran be used to establish knowledge management in organizations.

• Journal of Korean Neurosurgical Society
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• v.55 no.4
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• pp.195-199
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• 2014

Objective : Age is a strong predictor of mortality in traumatic brain injuries. A surgical decision making is difficult especially for the elderly patients with severe head injuries. We studied so-called 'withholding a life-saving surgery' over a two year period at a university hospital. Methods : We collected data from 227 elderly patients. In 35 patients with Glasgow Coma Score 3--8, 28 patients had lesions that required operation. A life-saving surgery was withheld in 15 patients either by doctors and/or the families (Group A). Surgery was performed in 13 patients (Group B). We retrospectively examined the medical records and radiological findings of these 28 patients. We calculated the predicted probability of 6 month mortality (IPM) and 6 month unfavorable outcome (IPU) to compare the result of decision by the International Mission for Prognosis and Analysis of Clinical Trials in TBI (IMPACT) calculator. Results : Types of the mass lesion did not affect on the surgical decision making. None of the motor score 1 underwent surgery, while all patients with reactive pupils underwent surgery. Causes of injury or episodes of hypoxia/hypotension might have affected on the decision making, however, their role was not distinct. All patients in the group A died. In the group B, the outcome was unfavorable in 11 of 13 patients. Patients with high IPM or IPU were more common in group A than group B. Wrong decisions brought futile cares. Conclusion : Ethical training and developing decision-making skills are necessary including shared decision making.

• The Journal of Asian Finance, Economics and Business
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• v.7 no.11
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• pp.843-851
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• 2020

This study focuses on identifying and prioritizing the broader performance measures for the service supply chains by taking the case of Majan Electricity Company, Sohar, in the Sultanate of Oman. For an examination of the uniformity of ultimate objectives and the priorities therein, two strata of respondents with a total of fourteen respondents were approached for their valuable insights. Suitable structured instruments were personally administered to elicit the insightful and worthy responses. The two multi-criteria decision-making techniques, namely, the Fuzzy Analytical Hierarchy Process and the Best-Worst Method were used to reach a meaningful prioritization of the identified and refined broader performance measurement dimensions. The results show that there exists a minor gap between the two respondents' groups in terms of their prioritizations. The major finding points to the difference in terms of the topmost priorities as revealed by the two set of respondents. For one group of respondents, the customer satisfaction matters the most, whereas for the other group, it is the overall profitability that matters the most. This gap against the utopian state assists in concluding that there is a requirement to reorient the employees so as to have a shared and common understanding of the organizational priorities.

• Tuberculosis and Respiratory Diseases
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• v.78 no.3
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• pp.175-179
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• 2015

The intensive care unit (ICU) is the most common place to die. Also, ethical conflicts among stakeholders occur frequently in the ICU. Thus, ICU clinicians should be competent in all aspects for ethical decision-making. Major sources of conflicts are behavioral issues, such as verbal abuse or poor communication between physicians and nurses, and end-of-life care issues including a lack of respect for the patient's autonomy. The ethical conflicts are significantly associated with the job strain and burn-out syndrome of healthcare workers, and consequently, may threaten the quality of care. To improve the quality of care, handling ethical conflicts properly is emerging as a vital and more comprehensive area. The ICU physicians themselves need to be more sensitive to behavioral conflicts and enable shared decision making in end-of-life care. At the same time, the institutions and administrators should develop their processes to find and resolve common ethical problems in their ICUs.

• Asia pacific journal of information systems
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• v.8 no.3
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• pp.21-36
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• 1998

Group collaborative systems are recently emerging to support a group of users engaged in common tasks such as group decision making, engineering design, or collaborative writing. Simultaneously, as communications networks and distributed database systems become core underlying architecture of the organization, the need of collaborative systems are gaining more attentions from industry. In such collaborative systems, as the shared objects may evolve constantly or change for operational purposes, providing the users with synchronized and consistent views of the shared object and maintaining the consistency between shared object and replicated objects are important to improve the overall productivity. This paper provides an change management framework for the group collaborative systems to facilitate managing dependency relationships between shared objects and dependents, and coordinating change and propagation activities in distributed computing environments. Specifically, the framework adopts an object-oriented database paradigm and presents several object constructs capturing dependency management and change notification mechanisms. And the proposed framework accommodates both persistent dependents such as replicated data and transient dependents such as various user views in a single formalism. A prototype system is developed on a commercial object-oriented database management system called OBJECTSTORE using the C++ programming language.

• Journal of the Korean Operations Research and Management Science Society
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• v.20 no.3
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• pp.1-16
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• 1995

Group collaborative systems are recently emerging to support a group of users engaged in common tasks such as group decision making, engineering design, group scheduling, or collaborative writing. This paper provides an change management framework for the group collaborative system to facilitate managing dependency relationship between shared objects and dependent user views, and coordinating change and propagation activities between the two in distributed computing environments. Specifically, the framework adopts an object-oriented database paradigm and presents several object constructs capturing dependency management and change notification mechanisms. First, it introduces change management mechanisms with transient shared objects and secondly, it extends them into presistent object computing environment by integrating transaction management mechanisms and change notification mechanisms. A prototype change management framework is developed on a commercial object-oriented database management system.