• 제목/요약/키워드: Study guideline Development

검색결과 1,136건 처리시간 0.033초

뇌졸중 작업치료 지침의 질 평가 (Quality Evaluation of the Occupational Therapy Guidelines for Stroke)

  • 이은영;한대성;박지혁
    • 재활치료과학
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    • 제10권3호
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    • pp.57-69
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    • 2021
  • 목적 : 본 연구는 임상지침 중 뇌졸중 환자의 작업치료를 다룬 지침을 확인하고, 확인된 지침들의 질과 특성에 대해 알아보고자 하였다. 연구방법 : 본 연구는 2008년부터 2019년까지 국내·외의 재활 치료 지침을 살펴보았으며, 검색어는 'stroke', 'guideline', 'practice guideline', 'recommendation', 'protocol compliance', 'practice guideline', '뇌졸중 가이드라인', '뇌졸중 지침' 등으로 하였다. 결과 : 검색을 통해 총 708편의 논문이 검색되었고, 자료 선정 기준에 부합한 지침 8편을 최종적으로 선정하였다. 선정된 논문은 캐나다, 미국, 영국, 한국, 호주 등에서 개발한 지침이었으며. 8개의 지침 중 1개는 작업치료 지침이었고, 나머지 7개는 재활치료 지침이었다. 지침에서 다룬 내용을 총 36개의 주제로 분류하였으며, 이 중 호주 뇌졸중 재활치료 지침은 28개, 영국과 미국심장협회(AHA)의 지침은 24개, 한국에서 개발한 뇌졸중 재활치료 지침은 23개 등의 내용을 포함하고 있었다. 결론 : 본 연구에서는 기존의 뇌졸중 환자를 위한 작업치료 지침을 확인하고, 지침들의 질과 특성을 비교해 보았다. 이는 추후 뇌졸중 작업치료 지침 개발을 위한 중요한 기초자료가 될 수 있을 것으로 사료된다.

Change of Critical Thinking Disposition by Applying Learning Portfolio Completion

  • Kim, Jungae
    • International Journal of Advanced Culture Technology
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    • 제8권2호
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    • pp.12-17
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    • 2020
  • This study was a similar experimental study that analyzed the effect by applying the learning portfolio completion. The study period lasted from October 1, 2019 to November 20, 2019. A total of 47 people participated in the study, and the effectiveness of the program was analyzed with the SPSS 18.0 program for critical thinking disposition. The statistical analysis method was frequency analysis and paired t-test. As a result of the analysis, the critical thinking disposition increased significantly in the application of the learning portfolio completion (Truth-seeking MD= -0.05, p <0.01), Open-mindness MD= 0.11, p <0.001), Analyticity MD= 0.76, p <0.001), Systematicity MD= -.25, p <0.001), Self-confidence MD=-0.54, p <0.001), Inquisitiveness MD=0.29, p <0.001), Maturity MD=-.0.33, p <0.001). In conclusion, the teaching method applied with the learning portfolio completion actually helped nursing students learn nursing students learn based on critical thinking. Based on these result, further research using learning portfolio is to be done and more systematic and practical application of learning portfolio completion to nursing students. This study would be used as a basic data for the study guideline development for learners.

인터넷 쇼핑몰사이트 평가 척도 개발 (Development of an Evaluation Scale of Internet Shopping Mall Sites)

  • 김기옥;남수정
    • 가정과삶의질연구
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    • 제22권4호
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    • pp.15-27
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    • 2004
  • This study investigated the factors in evaluating internet shopping mall sites, and developed a self-report evaluation scale of such sites, This article identifies factors to determine criteria for evaluating the sites from the consumers' viewpoint. Eighty three items were extracted initially, which were then categorized as follows: \circled1 Type of business, \circled2 Navigation ease, \circled3 Technological level, \circled4 Design of sites, \circled5 Communication ease, \circled6 Information available, \circled7 Ease of access, and \circled8 Site security, Overall reliability coefficients were high in the individual domains ($\alpha$=.86 to $\alpha$=.95). Face validity and contents validity were demonstrated to be good, There were significant differences in the means of these categories. The results also show that the technological level is the most important in shopping mall sites evaluation. These results may be used not only as a tool to evaluate shopping mall sites but also as a guideline to improve the quality of a shopping mall site that is under development.

동아시아를 제외한 국가에서 보완대체의학 중재를 포함한 소아 대상 임상진료지침의 현황 보고 (The Current State of Clinical Practice Guidelines on Complementary and Alternative Medicine in Paediatrics in Countries except East Asia)

  • 심수보;이주아;이혜림
    • 대한한방소아과학회지
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    • 제34권2호
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    • pp.75-85
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    • 2020
  • Objectives Although clinical practice guidelines (CPGs) are becoming crucial in medical decision-making worldwide, there are very few development guidelines for children. Therefore, this preliminary study aimed to assess the status of worldwide except east asia-CPGs recommending complementary and alternative medicine interventions (CAM-i) in children worldwide except east asia in order to help developing Korean medicine CPGs (KMCPGs) for children. Methods To identify the current status of CPGs including CAM-i that have been developed so far, the author searched the related databases, and selected CPGs for children. The data related to the status of evidence-based CPGs, the materials related to the characteristics of CAM-i, and the details of recommendations for CAM-i were selected from the obtained findings. Results A total of 106 CPGs were identified based on the searches, of which 11 were finally selected as pediatric CPGs. These pediatric CPGs have been developed since 2007 to target various diseases. The countries developing these CPGs include the United Kingdom, Scotland, Australia, and the United States, with the U.K. having the largest share. The majority of CPGs used MEDLINE, Embase, and Cochrane library as databases. The most frequently recommended topic was acupuncture, followed by herbal medicine. Many CPGs suggested that more research was needed. Conclusions Through this study, the author was able to identify the characteristics of the developed pediatric CPGs that include CAM-i. More preceding studies are needed for the development of pediatric KMCPGs. It is hoped that this report can be used as the foundation for future development of pediatric KMCPGs.

식도암 한의 임상진료지침 개발 예비 연구 (Preliminary Study on Development of Korean Medicine Clinical Practice Guideline for Esophageal Cancer)

  • 곽시라;최진양;주종천;유화승;박수정
    • 대한암한의학회지
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    • 제22권1호
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    • pp.37-48
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    • 2017
  • Objectives: The purpose of this study was to suggest the direction for the development of a clinical practice guideline (CPG) for esophageal cancer (EC). Methods: We collected and analyzed CPGs and related data about esophageal cancer by searching the database of domestic and foreign articles. Results: There were little contents or proposals related to Korean Medicine (KM) or Traditional Chinese Medicine (TCM), those related to KM or TCM can be found only in "Guidelines of Diagnosis and Therapy in Oncology with Traditional Chinese Medicine (惡性腫瘤中醫診療指南)". They were symptom factors, syndrome differentiation (SD) and 'treatment process of esophageal cancer by combination of western medicine and Korean medicine'. Conclusions: The topics of the development Korean medicine CPG for EC are (1) the method and procedure about combination of western medicine and Korean medicine (2) the process of SD and diagnosis (3) safety and efficacy of the herbal medicine and preparation (4) availability and timing of the tools related to KM or TCM like acupuncture, moxibustion, massage, etc.

수술환자의 심부정맥혈전증 예방 지침 수용개작 (Development of the Prevention Guideline of Deep Vein Thrombosis in Patients with Surgery according to the Guideline Adaptation Process)

  • 윤지현;이인선;이경윤;장미자;이정민;남민선;박지현;황지원;송현주;조용애;권인각;김미영
    • 임상간호연구
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    • 제20권3호
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    • pp.337-347
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    • 2014
  • Purpose: Deep Vein Thrombosis (DVT) is the cause of fatal diseases such as pulmonary embolism, due to a prolonged immobility, surgery, paralysis, and injuries. This study aimed to develop an evidence-based practice guideline for DVT prevention and apply it to patients with surgery in diverse nursing sites in South Korea. Methods: A 24-staged processes of adaptation was carried out on the basis of "adaptation of nursing practical guidelines" developed by Gu et al., in 2012. Results: Developed nursing guidelines of DVT prevention are composed of 79 recommendations in 8 domains. The extent and ratings of each recommendation with its evidence were addressed along with the background information. Conclusion: The developed DVT prevention guideline is necessary to be added to the evidence-based practice guidelines for the fundamentals of nursing practice. The developed guideline is needed to be disseminated to diverse nursing clinical settings in order to prevent DVT and enhance the quality nursing care.

웹과 모바일을 연동하기 위한 모바일웹 컨텐츠 가이드라인 구현에 관한 연구 -뉴스 사이트를 중심으로- (A Study on the Implementation of the Mobile Web Contents Guideline for integrating Web and Mobile - Focus on the NewsSite-)

  • 고희애;심근정;김종근;임영환
    • 디지털콘텐츠학회 논문지
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    • 제8권2호
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    • pp.141-148
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    • 2007
  • 무선 인터넷 환경의 발달로 인하여 모바일로 정보를 구하고자 하는 수요가 급격히 증가함과 동시에 무수히 많은 컨텐츠가 증가 하고 있다. 그러나 컨텐츠의 질은 유료로 제공하는 벨소리 다운로드 등의 컨텐츠에 머물로 있어 일반 유저들이 원하는 정보 서치 욕구는 채워지지 못하고 있다. 한편 그러나 이유로는 모바일 컨텐츠를 제작하는 비용이 크기 때문에 비용대비 효과를 거두지 못하는 측면으로 컨텐츠가 늘지 못하고 있는 실정이다. 이에 따라 본 논문에서는 웹 컨텐츠를 모바일 컨텐츠로 바로 전환하는 프로그램을 소개하고 웹 사이트구축 시 필요한 가이드라인과 같이 모바일 컨텐츠에서도 모바일용 컨텐츠 가이드라인을 제시해 보고 제시된 컨텐츠 가이드라인을 이용하여 모바일 뉴스 사이트를 구현하였다.

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IPCC가이드라인을 이용한 중소도시 C위생매립장의 메탄가스 발생량 예측을 통한 경제성 평가 (Estimation of Economics thorough Prediction of Methane Generation using IPCC Guideline from C Sanitary Landfill)

  • 이상우;박서윤;장인수;강병욱;박상찬;연익준
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2011년도 춘계학술대회 초록집
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    • pp.189.1-189.1
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    • 2011
  • Global warming effect was intensified due to rapid growth of fossil fuel consumption caused by urbanization and industrialization. Various efforts was being done to solve the problems leading to anomaly climate such as flood, downpour, heavy snow. As a results of international efforts for management of global warming, Kyoto Protocol, which was passed in Kyoto, Japan in 1997, designated $CO_2$, $CH_4$, $N_2O$, HFCs, PFCs, $SF_6$ as a global warming gases. And IPCC(Intergovernmental Panel on Climate Change) suggested IPCC guideline for systematic establishment of national greenhouse gas inventory. Among five categories in IPCC guideline, the representative emission source of waste category is SWDS(solid waste disposal site). The concentrative research should progress for effective management of greenhouse gas related with waste. In this study, Tier1 and Tier2 methods which was suggested by 2006 IPCC(Intergovernmental Panel on Climate Change) guideline, was used to predict methane generation from C sanitary landfill located in Chungju area. To predict methane generation from C sanitary landfill, all factors were defaults values that were provided by 2006 IPCC guideline and Korea emission factors for Tier1 and Tier2 method. And economics of generated methane was estimated. From the predicted result using IPCC guideline, the methane generation was persistingly increased over a 9-year period(2000 ~ 2008). Aggregated amount of methane generation was about 3,017ton and 3,170ton predicted by Tier1 and Tier2, respectively. From the results of estimated economic value gained by generated methane from the C sanitary landfill for ten years from now(2010 ~ 2020), the profit was about 2.39 ~ 2.76 hundred million won.

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빅데이터 개인정보보호 가이드라인(안)의 개선 방향에 관한 연구 (A Study on the Improvements of the Big Data Guideline in Korea)

  • 김선남;이환수
    • 정보화정책
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    • 제21권4호
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    • pp.20-39
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    • 2014
  • 빅데이터 시대의 도래는 산업 발전에 대한 긍정적 시각과 함께 개인정보보호 및 프라이버시 침해와 관련한 우려 또한 낳고 있다. 이러한 상황에서 최근 방송통신위원회는 빅데이터 환경에서 개인정보 수집과 이용 범위를 규정하는 '빅데이터 가이드라인(안)'을 제시하였다. 그러나 동 '가이드라인(안)'은 산업 진흥에 목적을 두고 있어, 기존 "개인정보보호법"과 충돌하는 내용을 많이 포함하고 있는 상황이다. 이에 시민단체들은 정보주체의 인권이나 프라이버시를 침해할 수 있다는 이유로 제정을 강력히 반대하며, 결국 개인정보위원회는 최근 전면 재검토를 요청했다. 따라서 본 논문에서는 현 '가이드라인(안)'의 한계점을 분석하고, 국내 외 관련 법률을 검토하여, 개인정보보호를 통한 프라이버시 침해를 최소화하는 방향에서 기업들이 빅데이터를 안전하게 활용할 수 있도록 법과 제도적 정비 방안에 대해 논의한다.

경장영양 간호실무지침 개정 (Updates of Nursing Practice Guideline for Enteral Nutrition)

  • 조용애;구미옥;은영;유미;김정연;이현희;민자경;송정미
    • 임상간호연구
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    • 제26권1호
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    • pp.10-25
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    • 2020
  • Purpose: The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.