Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.
Kim, Hyungho;Kang, Hyeondeug;Kim, Rae Hyun;Kim, Cheol Min;Koh, Kwang Chul;Lee, Kyeong Hak
Journal of Korean Society of Forest Science
/
v.102
no.4
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pp.608-616
/
2013
The objective of this study was to suggest contingent valuation method, simple random sampling method, systematic sampling method, maximum practice area method, and overlay practice area method as the estimation methods for forest management area to estimate carbon dioxide sink by forest management as stated in Article 3.4 of the Kyoto Protocol. A case study for Chungcheongbuk-do was performed using maximum practice area method which was thought of as the most rational method within MRV(Measurable, reportable and verifiable). The forest management ratio was defined as forest management area over the total forest area. Based on the definition of forest management activity, forest area was divided into practice forest land and non-practice forest land. The area of forest mangement for practices was based on the 'National Forest Management Information System' and the history of practices from the 'Proposals on Private Management Information Database'. The area of forest management for non-practices was based on the public used forest land from 'Categorial map of forest land'. It was shown that the forest management area of Chuncheongbuk-do was 115,566 ha for practice forest land, and 131,008 ha for non-practice forest land. The forest managent ratio was 49.7% of the total forest area of 495,806 ha. This study made possible to the estimation of the forest management ratio under Kyoto Protocol, and had an advantage in searching for a practical method of forest management plan in which the forest management ratio could be enhanced.
Kim, Hyung-Chan;Lee, Sang-Won;Kwon, Jong-Jun;Choi, Sung-Youl;Kim, Dae-Hyun;Kim, Ji-Hwon;Kim, Tae-Heon;Lyu, Yeoun-Su;Kang, Hyung-Won
Journal of Oriental Neuropsychiatry
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v.18
no.1
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pp.173-814
/
2007
Objective : This Study is attempted to compare respiration training method on Sun-Do Training it is quadrivalence. Method : We used all books and paper, journal of inside and outside of the country on Sun-Do Training. Results and Conclusions: 1. Respiration training method on Mu-Eou-Do is spontaneous breathing, breath follows in individual’s respiratory. 2. Respiration training method on Suk-Mun, Guk-Seon-Do, Dan-Hak is all of the position differ, but all considers and breathes naturally abdominal region named Dan-Jeoun, the hypogastric center (丹田). 3. Respiration training method that intend in Guk-seon-do should be soft and slow and long and deep and the moment must not be stoppage. 4. Difference of respiration training method is that region that mean at practice differs. Suk-Mun and Guk-Seon-Do have respiration training method that do with anus as is special in practice process. Dan-Hak thinks that breath has entered as Myung-Mun(命門), means fundamental force.
Journal of Korean Academy of Fundamentals of Nursing
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v.6
no.2
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pp.331-346
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1999
Many studies have reported that a lot of nursing colleges do not have good facilities for the nursing practice in hospitals, so many students do not have the good ability which is needed to be a competent nurse. The purpose of this study was to develop a program in which students could improve their ability in fundamental nursing skills before the graduation. This study was primarily designed to identify items of the fundamental nursing practice in which nursing college students have perceived deficiencies. According to previous studies, a total 75 items were presented. In Identifying them, a modified Porter format was used. The questionnaire contained three sections. A. How well do you think you can/could perform the item when you graduate/graduated the college? B. How well do you think you should perform/should be able to perform the item when you graduate/graduated the college? C. How important do you think the item is? For each of the 75 items, the respondents were instructed to answer the above three questions, by circling a number on a rating scale extending from 1 to 5, where low numbers represented a low degree of performance or minimum amount, and high numbers represented a high degree of performance or maximum amount. The perceived degree of deficiency in performance on each questionnaire item was obtained by subtracting the answer to Part A of an item from that to of Part B. The larger difference means a larger perceived degree of deficiency in performance. This method of measuring the perceived degree of deficiency in performance is an indirect measure derived from two direct answers by the respondent for each item. From this result Part C of each item was used to rank the items, and the items were prioritized. The items which had the highest priority were IV injection, simple catheterization, indwelling catheterization, CPR, and nurse recording. By this method, through these results from a nursing college, and the items which will be used first in developing the supplementation program for nursing college students can be identified.
Considering the existence of asymmetric information between doctor and patient, the doctor's reimbursement method has been considered as a desirable policy device of improving efficiency of patient's use of medical care in terms of its affecting doctor's practice pattern by determining doctor's practice revenue. By using the Community Tracking Study (CTS) physician data set, which includes not only various information on doctors practice arrangements and sources of practice revenue, but also vignettes of various clinical presentations, this paper investigates doctor's reaction to the financial incentive under the control of patient's specific medical situation. Under the econometric model for exploring the effect of doctor's reimbursement method on his/her practice patterns; referring patients, recommend doctor-visit or medical tests, the Hausman's specification test was used for checking out the possibility of the doctor's reimbursement method being endogeneized explanatory variable. In the case where the endogeneity problem of doctor's reimbursement method exists, the 2SLS method was used for correcting that problem, and the multiple regression method was used in the case where the problem is found to be nonexistent. Based on the empirical results, this paper finds that doctors do appear to respond to financial incentive. The empirical results show that the doctor's reimbursement method statistically significantly affects doctor's practice pattern and are coincident with the theoretical result proposed by previous researches, This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would more refer their patients to specialists, and hesitate in recommending doctor-visit or medical exam.
In this study, the SCAMPER method which is a creative thinking method is applied in the food and beverage class of a specialized high school NCS study module to enhance creative thinking and investigate the influence on learning motivation of students. For verification, 10 sessions of 50 minutes classes were performed on 1, 2 grade students in H high school located in Gyeonggi-do Yangju City from August to November 2015 subject to 54 subjects in the experiment group and 54 subject in the control group. To look into the influence of the NCS food and beverage practice class using the SCAMPER method on learning motivation, pre post survey investigation was conducted on the students for measurements through surveys to deduct conclusions. As a result, it was verified that the NCS food and beverage practice class using the SCAMPER method had positive influence on the learning motivation of specialized high school students and positive change was also found in the awareness of SCAMPER method using classes and creative activities in the students. In this study, the influence of the NCS food and beverage practice class using the SCAMPER method on learning motivation subject to specialized high school students is investigated to have meaning as data to expand the research range of NCS food and beverage practice education.
Journal of Elementary Mathematics Education in Korea
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v.1
no.1
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pp.87-98
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1997
A practice is classified into the practice as a content and the practice as a method. The former means that the practical nature of mathematical knowledge itself should be a content of mathematics and the latter means that one should teach the mathematical knowledge in such a way as the practical nature is not damaged. The practical nature of mathematics means mathematician's activity as it is actually done. Activities of the mathematician are not only discovering strict proofs or building axiomatic system but informal thinking activities such as generalization, analogy, abstraction, induction etc. In this study, it is found that the most instructive ones for the future users of mathematics are such practice as content. For the practice as a method, students might learn, by becoming apprentice mathematicians, to do what master mathematicians do in their everyday practice. Classrooms are cultural milieux and microsoms of mathematical culture in which there are sets of beliefs and values that are perpetuated by the day-to-day practices and rituals of the cultures. Therefore, the students' sense of ‘what mathematics is really about’ is shaped by the culture of school mathematics. In turn, the sense of what mathematics is really all about determines how the students use the mathematics they have learned. In this sense, the practice on which classroom instruction might be modelled is that of mathematicians at work. To learn mathematics is to enter into an ongoing conversation conducted between practitioners who share common language. So students should experience mathematics in a way similar to the way mathematicians live it. It implies a view of mathematics classrooms as a places in which classroom activity is directed not simply toward the acquisition of the content of mathematics in the form of concepts and procedures but rather toward the individual and collaborative practice of mathematical thinking.
Journal of Korean Academy of Fundamentals of Nursing
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v.15
no.1
/
pp.22-33
/
2008
Purpose: The purpose of this study was to compare frequency and importance of nursing practice in novice nurses and student nurses. Method: A descriptive design was used with convenience sampling of 292 novice nurses in 2 hospitals with 500 beds and 214 student nurses from 4 universities. Data were collected using a structured questionnaire. Results: 1) The total score for frequency of nursing practice was $2.58{\pm}0.41$ and for the importance of nursing practice was $3.03{\pm}0.36$ in novice nurses and in student nurses the frequency score was $2.66{\pm}0.69$ and the total score for importance was $3.24{\pm}0.35$. 2) The total score for frequency was not different between novice and student nurses, but 9 of the top 10 categories in order of frequency were significantly different. 3) The score for importance between novice nurses and student nurses was significantly different with the student nurses having higher scores than the novice nurses. 4) Frequency scores were not different for students in universities compared to students in community colleges. Conclusion: Novice nurses perform skills associated with medication, but student nurses do not and therefore do not recognize the importance of these skills. Education in nursing needs to identify strategies to strengthen practice in this vulnerable area.
This study attempted non-face-to-face collaborative product development practice that can respond to the spread of COVID-19 by expanding existing product data management system-based product development practice. For the complete non-face-to-face product development practice, it utilized prototype development using a 3D paper model, an online class management system and social media for classes and meetings. As a result of applying the non-face-to-face method, product developments of 26 practice teams have been completed without any failures. Therefore, through this study, the author can confirm that it is possible to provide the complete non-face-to-face collaborative product development practice based on product data management systems.
Park, Yu Lee;Kang, Yeonseok;Baek, Kyung Hee;Ra, Sewhan
Journal of Society of Preventive Korean Medicine
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v.18
no.3
/
pp.91-104
/
2014
Objective : This study aims to compare the scope of practice of Korean Medicine doctors and western medicine doctors based on laws related to medical practice Method : We searched for laws related to medical practice using terminologies such as "Korean Medical practice", "Korean Medicine", "Principles of Korean Medicine", "western medicine", "Korean Medicine doctor", "western medicine doctor" at the national law information center(http://law.go.kr/main.html). Results : We categorized the laws we found into four categories: diagnosis, treatment, prescription, and all the other areas including public health. In diagnosis, both Korean Medicine doctors and western medicine doctors have a right to issue medical certificates including birth and death. However, diagnosis of a few specific diseases is allowed only to western medicine doctors. In treatment, laws related to emergency medicine and nursing at home were searched. Korean Medicine doctors and western medicine doctors are emergency care providers; however, most of emergency medicine can be done by western medicine doctors. In prescription, the scope of practice is divided by herbal medicine and western medicine. Finally, as public health professionals, both of them need to do lots of public health works. However, in some area such as vaccination, maternal and child health care, and industrial health, only western medicine doctors can practice. Conclusion : This study suggests that, in diagnosis, treatment, prescription, and all the other areas including public health, the scope of practice of Korean Medicine doctors and western medicine doctors has huge difference. There is also lack of consistency in current law, and some laws do not reflect current health care system and health care services.
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