• Title/Summary/Keyword: Study protocol

Search Result 4,206, Processing Time 0.036 seconds

Development and Evaluation of an Evidence-Based Nursing Protocol for Fever Management in Adult Patients (성인 발열 환자를 위한 근거기반 간호 지침 개발 및 평가)

  • Shin, Yong Soon;Kim, Sung Reul;Yoo, Sung-Hee;Kim, Sun Hwa;Kim, Jeoung Hee;Kim, Hyun Jung;Na, Ra;Chae, Jee Sun;Lee, Hye Jin;An, Young Hee;Kim, Kyoung-Ok
    • Korean Journal of Adult Nursing
    • /
    • v.25 no.3
    • /
    • pp.250-262
    • /
    • 2013
  • Purpose: This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients. Methods: This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations; 4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol. Results: The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90) and nursing practice could be improved after implementation of the protocol. Conclusion: This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.

Implementation of LLI Protocol in the PROFIBUS (PROFIBUS의 LLI 프로토콜 구현)

  • 백인찬;홍승호
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 2000.10a
    • /
    • pp.95-95
    • /
    • 2000
  • In this study, the LLI software in the Profibus is developed by using MFC and API of visual C++. This paper presents the implementation method of LLI protocol. Software of LLI protocol was implemented as Window-based program and DOS-based program for PC and sensor module, respectively.

  • PDF

Adaptation and Evaluation of the Incontinence Care Protocol (실금간호 프로토콜 수용개작 및 효과 검증)

  • Park, Kyung Hee;Choi, Heejung
    • Journal of Korean Academy of Nursing
    • /
    • v.45 no.3
    • /
    • pp.357-366
    • /
    • 2015
  • Purpose: This study was done to develop an evidence-based incontinence care protocol through an adaptation process and to evaluate the effects of the protocol. Methods: The protocol was developed according to the guideline of adaptation. A non-randomized controlled trial was used for testing the effects of the new Incontinence Care Protocol. A total of 120 patients having bowel incontinence with Bristol stool type 5, 6, and 7 and admitted to intensive care units were recruited to this study. The newly developed incontinence care protocol was used with patients in the experimental group and conventional skin care was given to patients in the control group. Outcome variables were incontinence-associated dermatitis (IAD) severity, pressure ulcer occurrence and severity. Results: The experimental group had significantly less severe IAD (t=6.69, p <.001), lower occurrence of pressure ulcers (${\chi}^2=7.35$, p =.007), and less severity of pressure ulcers (Mann-Whitney=86.00, p =.009) than the control group. Conclusion: Use of this incontinence care protocol has the effects of preventing pressure ulcers and inhibiting worsening of IAD and pressure ulcers. Therefore, this incontinence care protocol is expected to contribute to managing IAD and pressure ulcers.

Protocol for Physical Restraints of Patients in Nursing Homes (노인요양시설의 신체적 억제대 프로토콜 개발)

  • Lim, Mi Hye;Ko, Il Sun
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.20 no.4
    • /
    • pp.345-358
    • /
    • 2013
  • Purpose: The purpose of this study was to develop a protocol that would help prevent accidents, apply physical restraints properly, and reduce the use of physical restraints in nursing homes. Method: A review of the literature and analysis of existing statutes and regulations were used to develop the preliminary protocol. To test the validity of this preliminary protocol, ten experts were selected from academia and clinical practice to review the protocol. The initial protocol was finalized after it had been reviewed by experts and tested for clinical validity in five different nursing homes. Result: The protocol consists of objectives, definitions and accident probability assessment, principle of using physical restraints, monitoring and documentation of physical restraints. Conclusion: The findings of this study can be used as guidelines to focus on preventing accidents arising out of use of physical restraints, assessing the probability of accidents, and reducing the use of physical restraints through preventive interventions. This will be helpful to prevent ethical, physical, or psychological problems arising from use of physical restraints and to protect the rights of elderly people in nursing homes.

Development of a Standardized Education Protocol for Peritoneal Dialysis Patients (복막투석 환자를 위한 표준화된 간호교육 프로토콜의 개발)

  • Kang, Jeong-Hee;Kang, Ji-Yeon;Lee, Young-Ock
    • Journal of Korean Critical Care Nursing
    • /
    • v.4 no.2
    • /
    • pp.47-60
    • /
    • 2011
  • Purpose: The purpose of this study was to develop a standardized education protocol for peritoneal dialysis patients. Methods: First, the demand for education was investigated from the 27 patients on peritoneal dialysis and 16 guardians, and later, the standardized nursing education protocol has been developed through the comprehensive literature review and the critical analysis of the related studies. Contents validity and applicability have been tested through the expert group survey. Results: The standardized peritoneal dialysis nursing education protocol with 9 areas and 20 items has been developed. The content validity for timing and duration, contents, method, and place of education proposed by the protocol were all above than 0.8. In terms of the applicability of the protocol, the experts scored between 4.20 to 4.93 for all items except one. The item on home visit education acquired the lowest applicability score, because there might exist potential restrictions in visiting patient's home. Conclusion: The standardized education protocol developed in this study turned out to be adequate by representing high content validity for all items and the applicability also was high except the item on home visit education. Further researches to test the effects of this education protocol should be done.

  • PDF

Implementation and Experimental Evaluation of Bandwidth Allocation Scheme on MS/TP Protocol (MS/TP 프로토콜에서 대역폭할당기법 구현 및 실험적 평가)

  • Kwon, Young-Chan;Hong, Seung-Ho
    • Journal of Institute of Control, Robotics and Systems
    • /
    • v.12 no.11
    • /
    • pp.1144-1155
    • /
    • 2006
  • Digital communication networks have become a core technology in advanced building automation systems. BACnet(Building Automation and Control networks) is a standard data communication protocol designed specifically for building automation and control systems. BACnet adopts Master-Slave/Token-Passing(MS/TP) protocol as one of its field level networks. In this study, we introduce a method of implementing a bandwidth allocation scheme in the MS/TP protocol. The bandwidth allocation scheme improves the capability of real-time communication of the original MS/TP protocol. The bandwidth allocation scheme introduced in this paper can be easily implemented in the existing MS/TP protocol with a slight modification. In this study, we actually developed the hardware and firmware of the modified MS/TP communication module in which the bandwidth allocation scheme is implemented. Using the modified MS/TP communication module, we developed an experimental model in order to examine the validity of the bandwidth allocation scheme in the MS/TP protocol. Experimental results show that the modified MS/TP protocol satisfies the requirements of real time communication for periodic and urgent messages of BACnet communication services.

Bandwidth Allocation Scheme for Real-Time Communication on MS/TP Protocol (MS/TP 프로토콜에서 실시간 통신을 위한 대역폭 할당 기법)

  • Song, Won-Seok;Hong, Seung Ho
    • The Transactions of the Korean Institute of Electrical Engineers D
    • /
    • v.54 no.11
    • /
    • pp.660-668
    • /
    • 2005
  • Digital communication networks have become a core technology in advanced building automation systems. BACnet (Building Automation and Control networks) is a standard data communication protocol designed specifically for building automation and control systems. BACnet adopts Master-Slave/Token-Passing (MS/TP) protocol as one of its field level networks. Tn this study, we introduce a method of implementing bandwidth allocation scheme in the MS/TP protocol. The bandwidth allocation scheme improves the capability of real-time communication of the original MS/TP protocol. The bandwidth allocation scheme introduced in this paper can be easily implemented in the existing MS/TP protocol with a slight modification. In this study, we examined the validity of bandwidth allocation scheme using simulation models. The results from the simulation experiment show that the proposed scheme satisfies the requirements of real-time communication.

A study on the MAC protocol for an aeronautical mobile data communication (항공용 이동 무선 데이터 통신에 적합한 매체접속제어 프로토콜에 관한 연구)

  • 이은주;박효달
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.22 no.11
    • /
    • pp.2604-2612
    • /
    • 1997
  • Media access control(MAC) protocol that is used between aircraft and ground station now is non-persistent CSMA protocol, but this protocol hs defects to apply in the wireless mobile radio communication environment. In this paper, to solve this Problems, the modified ICMA/CD protocol which ban be applied in the wireless environment was proposed and analyzed. In the modified ICMA/CD protocol, instead of usig special control channel, control signal was inserted into the uplink message. After the analysis, simulation was performed to approve the analysis resutls. As a results, modified ICMA/CD protocol can solve the hidden termined effect of CSMA protocol and packet detection delay time problem of ICMA/CD protocol and acquired the same channel throughput as CSMA/CD protocol. This results shows the modified ICMA/CD protocol can be used in the aeronauical telecommunication.

  • PDF

Improvement of IS-IS Protocol for TICN Tactical Backbone (TICN 전술백본망을 위한 IS-IS 프로토콜 성능 개선)

  • Kwon, Tae-Wook
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.36 no.8B
    • /
    • pp.996-1002
    • /
    • 2011
  • Recently Korea Army are developing the TICN(Tactical Information Communication Network) which is the next army tactical communication system. The TICN tactical backbone's ability is very important. So analysis of the standard protocol for the data transmission guarantee are obliged. For the TICN tactical backbone, previous paper analysed routing protocol efficiency index and compared to superiority of the OSPF and IS-IS protocols in the tactical environment. Conclusively IS-IS protocol was more suitable for TICN backbone routing protocol. As follow-up study of previous paper, this paper try to find the proper parameters of IS-IS protocol in order to improve the performance of IS-IS protocol as a TICN tactical backbone protocol under the tactical environments. Finally it selected four time-parameters of IS-IS protocol, those can improve performance of the protocol.

Effects of Cotrolled Ovarian Hyperstimulation (COH) Protocols on Pregnancy and Delivery Rate in In-Vitro Fertilization and Embryo Transfer (체외수정시술시 과배란유도 방법이 임신율에 미치는 영향)

  • Hong, J.E.;Lee, J.S.
    • Clinical and Experimental Reproductive Medicine
    • /
    • v.24 no.3
    • /
    • pp.361-368
    • /
    • 1997
  • A total of 55 patients with various etiologies of infertility particitated in a study comparing two regimens of controlled ovarian hyperstimulation (COH) with GnRH agonists and gonadotropins. Nineteen patients were given an ultra-short stimulation protocol when the agonist was administered for 3 day from Day 2 of the cycle. The remaining 36 patients were given a long stimulation protocol when the agonist was administered from the mid-luteal phase of the cycle preceding the stimulation cycle. The mean number of gonadotropins used per patient was not different between two groups. No significant differences were found in the mean number of oocytes recovered, fertilization rate and embryo cleavage rate between two groups. Pregnancy and delivery rates were higher in ultra-short protocol than in long protocol, but these were not significant. These results suggest that an ultra-short protocol is as effective as a long protocol in in-vitro fertilization and embryo transfer.

  • PDF