• Title/Summary/Keyword: Supportive education

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Systematic Review of Research on Adherence among Hemodialysis Patients in Korea (혈액투석환자의 이행에 관한 체계적인 문헌고찰)

  • Yeun, Young-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5993-6000
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    • 2012
  • The purpose of this study was to analysis instruments, identify relevant factors and analyze the effect size of intervention studies in reference to adherence among hemodialysis patients. Electronic literature searches were conducted for PubMed, CINAH, RISS, Naver academic, KISS, NDSL, Nanet, Kci, DBpia and KoreaMed. Of 437 studies identified, 37 met inclusion criteria, and 5 were used to estimate effect size. As a results, total of 11 original instruments were found, 61 factors were considered as relevant factors for adherence. Types of intervention were individual education program, self-care program using SMS, E-mail, or telephone counseling, supportive care program and drug education program. The effect size using random model effect was high (d=1.04, 95% CI: 0.60, 1.49, p<.00001).

A Study on the Development of a Training Program to Reinforce the Teachers' Performance as Facilitators (교원의 퍼실리테이터 수행지원 강화를 위한 연수 프로그램 개발 연구)

  • Jung, Ju-Young;Hong, Kwang-Pyo
    • Journal of Fisheries and Marine Sciences Education
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    • v.22 no.3
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    • pp.431-444
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    • 2010
  • This research aims at developing a teachers' training program to reinforce teachers' capability to perform the action learning program. To accomplish this goal, the key value of the training program based on action learning, the process of the core learning activities, and the elements to support learners and facilitators respectively were deducted on the foundation of documentary research and case study, based on which, the program was developed through the formative test by professionals and application to the field. This research was applied to 105 middle or high school teachers, the participants of the in-service training on creative problem solving hosted by B metropolitan city for one week (30 hours) from 9 a.m. on Monday, January 25th, 2010 to 4 p.m. on Friday, January 29th. The result of this research is as follows. First, as for the key values of this study, (1) the team-based learning centered on the trainees, not lecturers-oriented, knowledge-transmitting training, is possible, (2)for each process, guidelines, related information, tools, and various kinds of media are supported just in time, and (3)a focus is given on fostering facilitators centered on teachers. Second, the process of the core learning activities of the teachers' training program based on action learning consists of the procedure of a prior lecture${\rightarrow}$break${\rightarrow}$investigation into problems${\rightarrow}$clarification of problems${\rightarrow}$drawing possible solutions${\rightarrow}$decision on the priority${\rightarrow}$making an action plan${\rightarrow}$performance${\rightarrow}$evaluation, and on each stage, the contents for the activities of teachers and learners and detailed supportive elements are offered.

Use of Blood Transfusion at the End of Life: Does it Have Any Effects on Survival of Cancer Patients?

  • Goksu, Sema Sezgin;Gunduz, Seyda;Unal, Dilek;Uysal, Mukremin;Arslan, Deniz;Tatli, Ali Murat;Bozcuk, Hakan;Ozdogan, Mustafa;Coskun, Hasan Senol
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.10
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    • pp.4251-4254
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    • 2014
  • Background: Treatment of anemia is an important issue in the palliative care setting. Blood transfusion is generally used for this purpose in supportive care. However the place of blood transfusion in terminally ill cancer cases is less far established. Objective: We aimed to outline the use of transfusions and to find the impact of blood transfusion on survival in patients with advanced cancer and very near to death. Design: Patients dying in 2010-2011 with advanced cancer were included in the study. We retrospectively collected the data including age, type of cancer, the duration of last hospitalisation, ECOG performance status, Hb levels, transfusion history of erythrocytes and platelets, cause and the amount of transfusion. The anaemic patients who had transfusion at admission were compared with the group who were not transfused. Survival was defined as the time between the admission of last hospitalisation period and death. Results: Three hundred and ninety eight people with solid tumours died in 2010-2011 in our clinic. Ninety percent of the patients had anemia at the time of last hospitalisation. One hundred fifty three patients had erythrocyte transfusion at admission during the last hospitalisation period (38.4%). In the anaemic population the duration of last hospitalisation was longer in patients who had erythrocyte transfusion (15 days vs 8 days, p<0.001). Conclusions: Patients who had blood transfusion at the end of life lived significantly longer than the anaemic patients who were not transfused. This study remarks that blood transfusions should not be withheld from terminal cancer patients in palliative care.

A Study on Influence to Business performance of business incubator company via CEO's Characteristics (창업보육기업의 창업자 특성이 기업성과에 미치는 영향에 관한 연구)

  • Kim, Min-Su;HwangBo, Yun;Kim, Hong
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.5 no.2
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    • pp.33-57
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    • 2010
  • This study aims at researching whether business founders' psychological characteristics, behavioral characteristics, and career characteristics have influence upon corporate performance and whether business founders' career characteristics and start-up education experience have influence upon corporate performance targeting business founders of start-up business-incubated companies. As a result of this study, business founders' psychological characteristics(achievement desire, risk-endurance propensity) were indicated to have significant influence upon corporate performance. On the other hand, business founders' behavioral characteristics were indicated to have no influence upon corporate performance. Also, it is seen to have clarified that business founders' career characteristics, past practical-affairs experience during start-up education business, and job-life experience are important factors of having significant influence upon corporate performance. These findings are expected to give many implications even to preliminary business founders as well as establishment in supportive direction and effective development of start-up business-incubated companies. Accordingly, the implication is seen to have been suggested that the services, which the business incubator supports the living-in companies, need to be planned and offered by considering business founders' characteristics of start-up business.

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A Study on the Influence of Learning Style and Instructional Method in Cyber-home Learning (사이버가정학습에서 학습 스타일과 교육 방법이 미치는 효과성 연구)

  • Han, Hee-Seop;Han, Seon-Gwan
    • The Journal of Korean Association of Computer Education
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    • v.14 no.1
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    • pp.81-89
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    • 2011
  • Cyber-home Learning aims to extend learning space from the classroom to real-life situations, and teachers of research schools on Cyber-home learning have indicated the importance of connection with school instruction in order to improve students' performance. The goal of this study is to evaluate the influence of the instructional method( blended-learning vs just cyber learning) and the learning styles by Kolb's LSI on Cyber-home learning. We carried out the experiment using two similar classes in the social and math subjects for 1 semester. The results statistically shows the instructional method is the most influence on learning score and the next element is the learning styles. Therefor this study proved again Cyber-home learning is effective when connecting with school instruction and also the more various contents on learning styles could be supportive to students. In other words teacher's role and the adaptive learning contents by learning styles are essential for Cyber-home Learning's success.

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The Development and Implementation of Problem-Based Learning Module Based on Lung Cancer Case (폐암환자사례를 바탕으로 한 PBL 모듈의 개발과 적용)

  • Hwang, Seon-Young;Chang, Keum-Sung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.2
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    • pp.390-405
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    • 2000
  • PBL is a process and an effective educational tool that empower the student to be an active participant and emphasize a clinical context for learning, developing skills in working with a group, and encouraging self-directed study. The purpose of this study was to develop the PBL module based on lung cancer case, and to evaluate after implementation. The data on lung cancer patients at C university hospital in K city were collected from interviews and nursing records in June, 1999. A PBL module was developed including situation scenarios, timetable and tutor guide. PBL course was conducted at C university for short term period (3 days) in August, 2000. Fourteen nursing students at C college were participated in this study and they were divided into two small groups. I explained them about the PBL course through a preparatory meeting. At a stage of implementation, two groups went through the same process consisting of seven steps with group meetings and self-directed study. Their performances of identifying, stating problems and presenting referred resources were evaluated and supervised by researcher. The PBL course was evaluated by them with questionnaire and essay. Most students responded positively about PBL course and preferred the tutors in a supportive attitude. However, 3 days for PBL course seemed not enough for maximal educational benefits, and many possible problems were discussed. It is necessary for nursing educators to accumulate lots of knowledge and skills regarding creating good working problems and implementing and evaluating diverse PBL tutorials to test the feasibility changing to PBL curriculum.

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Advances in Hospice and Palliative Care in Japan: A Review Paper

  • Mori, Masanori;Morita, Tatsuya
    • Journal of Hospice and Palliative Care
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    • v.19 no.4
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    • pp.283-291
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    • 2016
  • Over the past decade, hospice and palliative care in Japan have progressed rapidly under the national policies supported by the Cancer Control Act. The numbers of palliative care units/inpatient hospices, hospital palliative care teams, and clinics with a home hospice function have been steadily increasing. The increasing numbers of physicians, nurses, and pharmacists have been certified as specialists in palliative care by national associations. Collaborative efforts have been made to standardize and disseminate educational programs and training opportunities in undergraduate, postgraduate, and continuing medical education. Research activities in Japan have markedly contributed to the growing body of evidence, especially in the fields of terminal delirium, terminal dehydration, palliative sedation, care for dying patients, prognostication, communication, psycho-oncology, and regional palliative care programs. This review focuses on major palliative care settings, specialty, national associations, education, and research in palliative care in Japan.

When Are Circular Lesions Square? A National Clinical Education Skin Lesion Audit and Study

  • Miranda, Benjamin H.;Herman, Katie A.;Malahias, Marco;Juma, Ali
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.500-504
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    • 2014
  • Background Skin cancer is the most prevalent cancer by organ type and referral accuracy is vital for diagnosis and management. The British Association of Dermatologists (BAD) and literature highlight the importance of accurate skin lesion examination, diagnosis and educationally-relevant studies. Methods We undertook a review of the relevant literature, a national audit of skin lesion description standards and a study of speciality training influences on these descriptions. Questionnaires (n=200), with pictures of a circular and an oval lesion, were distributed to UK dermatology/plastic surgery consultants and speciality trainees (ST), general practitioners (GP), and medical students (MS). The following variables were analysed against a pre-defined 95% inclusion accuracy standard: site, shape, size, skin/colour, and presence of associated scars. Results There were 250 lesion descriptions provided by 125 consultants, STs, GPs, and MSs. Inclusion accuracy was greatest for consultants over STs (80% vs. 68%; P<0.001), GPs (57%) and MSs (46%) (P<0.0001), for STs over GPs (P<0.010) and MSs (P<0.0001) and for GPs over MSs (P<0.010), all falling below audit standard. Size description accuracy sub-analysis according to circular/oval dimensions was as follows: consultants (94%), GPs (80%), STs (73%), MSs (37%), with the most common error implying a quadrilateral shape (66%). Addressing BAD guidelines and published requirements for more empirical performance data to improve teaching methods, we performed a national audit and studied skin lesion descriptions. To improve diagnostic and referral accuracy for patients, healthcare professionals must strive towards accuracy (a circle is not a square). Conclusions We provide supportive evidence that increased speciality training improves this process and propose that greater focus is placed on such training early on during medical training, and maintained throughout clinical practice.

The Effects of Social Support on School Adjustment of the Children Who Were Abused by Their Parents (사회적 지지가 부모로부터 학대를 경험한 아동의 학교생활적응에 미치는 영향)

  • Jo, Eun Jung
    • Journal of the Korean Home Economics Association
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    • v.51 no.1
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    • pp.17-26
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    • 2013
  • The purpose of this paper is to analyze how social supports, such as family, teachers, and friends, affect the school adjustment of children who were abused by their parents, and suggest the interventional solutions in order to improve the social support system and school adjustment. 692 children, aged 4 to 6 in primary schools in Busan, were chosen for the survey and all of them are currently under children's service. Among the respondents, 485 children (70.1%) have experienced abuse, and neglect was the most frequent abuse experienced among them. Neglected children were influenced by teachers, families and friends' support in terms of social support for school adjustments. However, the emotionally abused children were influenced by families, teachers and friends in terms of social support for school adjustments. In addition, children who experienced physical abuse have been influenced by families and teachers'support. Support from friends has no meaning for them. As a result, this paper suggests that an effective interventional solution will be necessary for the school adjustment of abused children. The effective interventional solutions are firstly that neglected children require a high level of attention from their teachers and teachers should encourage parents with parental education and counseling to be helpful for their children. Secondly, emotionally abused children require strong family support through parents'education for child development and caring support programs. Finally, physically abused children need caring programs which develop supportive relationship skills both with parents and teachers for their adjustment in school.

Social Support, Loneliness, Alcohol Use and Perceived Health Status in College Students (일부 대학생의 사회적지지, 외로움, 음주 및 건강지각에 관한 연구)

  • Park, Mi-Kyung;Chung, Kyung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.72-83
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    • 2002
  • The purpose of this study was to investigate the level of social support, loneliness, alcohol use and perceived health status in college students and to explore the relationships between the variables. The convenience sample consisted of 473 students attending a college located at Chonnam province. Data were collected by a structured questionnaire which included the PRO85-partⅡ Social Support Scale, revised UCLA Loneliness Scale, Alcohol frequency, Perceived Health Status Scale from June 10 to 25, 2001. And data were analyzed by SPSS/PC+program including descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficients. The results are summarized as follows; 1. The mean scores of social support, loneliness and perceived health status were 3.01($SD={\pm}0.31$), 2.08($SD={\pm}0.34$), 1.64($SD={\pm}0.65$) respectively. 2. Students in use of alcohol mostly reported that they had started a drinking in the period of high school(35.7%), motivated with friendship(32.6%) and drank with their friends(56.9%) in drinking frequency of 2-3times per a month(49.6%). 3. The students who have friend of the opposite sex were significantly more likely to have higher than the students having no friend of the opposite sex in scores of social support. 4. The scores of loneliness were significantly lower in female students than male students, in students with friend of the opposite sex than with no friend of the opposite sex. 5. There were significant negative correlations between social support and loneliness(r=-5.25, p<.000), and between loneliness and perceived health status(r=-0.93, p<.05), while there was a significant positive correlation between social support and perceived health status(r=1.01, p<.05). The findings suggested that supportive social support, especially lowering loneliness, would be a powerful nursing intervention in maintaining good health of college students. And, more variables affecting health status in college students will be identified with further research.

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