Purpose: This study aimed to describe nurses' perceived needs and barriers to pediatric palliative care (PPC). Methods: Mixed methods with an embedded design were applied. An online survey was conducted for nurses who participated in the End-of-Life Nursing Education Consortium- Pediatric Palliative Care (ELNEC-PPC) train-the-trainer program, of whom 63 responded. Quantitative data were collected with a survey questionnaire developed through the Delphi method. The 47 items for needs and 15 items for barriers to PPC were analyzed with descriptive statistics. Qualitative data were collected through open-ended questions and analyzed with topic modeling techniques. Results: The mean scores of most subdomains of the PPC needs were 3.5 or higher out of 4, and those of PPC barriers ranged from 3.22 to 3.56, indicating the items in the questionnaire developed in this study properly reflect each factor. The needs for PPC were divided into 4 categories: "children and adolescents," "families," "PPC management system," and "community-based PPC." Meanwhile, PPC barriers were divided into 3 categories: "healthcare delivery system," "healthcare provider," and "client." The keywords derived from the topic modeling were perception, palliative, children, and education for necessities and lack, perception, medical care, professional care providers, service, and system for barriers to PPC. Conclusion: In this study, by using mixed-methods, items of nurses' perceived needs and barriers to PPC were identified, categorized, and weighted, and their meanings were explored. For the stable establishment of PPC, the priority should be given to improving perceptions of PPC, establishing an appropriate system, and training professional care providers.
Junhyoung Chung;Donguk Shin;Seyong Hwang;Gunwoong Park
The Korean Journal of Applied Statistics
/
v.37
no.2
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pp.239-253
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2024
This research applies both point-wise and pair-wise learning strategies within the learning-to-rank (LTR) framework to predict horse race rankings in Seoul. Specifically, for point-wise learning, we employ a linear model and random forest. In contrast, for pair-wise learning, we utilize tools such as RankNet, and LambdaMART (XGBoost Ranker, LightGBM Ranker, and CatBoost Ranker). Furthermore, to enhance predictions, race records are standardized based on race distance, and we integrate various datasets, including race information, jockey information, horse training records, and trainer information. Our results empirically demonstrate that pair-wise learning approaches that can reflect the order information between items generally outperform point-wise learning approaches. Notably, CatBoost Ranker is the top performer. Through Shapley value analysis, we identified that the important variables for CatBoost Ranker include the performance of a horse, its previous race records, the count of its starting trainings, the total number of starting trainings, and the instances of disease diagnoses for the horse.
This study conducts the soft contact lenses user's understanding and contentment of training while at the place of purchase. It is based on a questionnaire to the residents in and outside the Masan area, aged between ten to thirty, who have worn soft contact lenses. It examines the training of using contact lenses and lens-care products, the period of wearing lenses, exchanging lenses, sterilizing lenses, side effects of using lenses or the periodic examination, and the understanding and contentment of the users during the training. The results of the research are as below : First, the understanding of training of using lenses, using lens-care products, the period of wearing lenses, exchanging lenses was high, but it was low for the training of sterilizing lenses, side effects of wearing lenses or the periodic examination. Second, the contentment of training of using lenses, lens-care products, the period of wearing lenses, exchanging lenses was high, but low for the training of sterilizing lenses, side effects of wearing lenses or the periodic examination. Therefore, the trainer of the contact lenses must easily and sincerely explain sterilizing lenses, the side effects of using lenses and the periodic examination, cheek with the users, and provide guidelines so as to improve the understanding and the contentment of training of using contact lenses.
Journal of Fisheries and Marine Sciences Education
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v.4
no.2
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pp.109-120
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1992
The auther reported the distribution of fisheries high schools and arrangement of curriculum in Japan in the forward report, and describes on the outer apparance and substantiality of education of fisheries high schools in Japan in the present report. 1. The rate of population to the number of fisheries high school shows 2,350 thousands in Japan, compared with 3,250 thousands in Korea. Then the rate in Korea is 1.4 times as high as that in Japan. 2. The rate of pupil to the whole regular instructors for fundamental subjects and for vocational subjects in the fisheries high schools, and also the rate to the instructors for vocational subjects show 10.4 and 16.3 in Japan, compared with 18.2 and 30.2 in Korea. Then the rate in Korea is 1.8 times as high as that in Japan. In addition to the instructors for vocational subjects. trainer and assistants for technical training-are employed in Japan compared with no such instructors or assistants in Korea. Then the rate of pupil to the whole instructing staffs in Korea is 2.4 times as high as that in Japan. 3. 81 percents of training ships in Japan are larger than 400 gross tons, which is extremely higher to that in Korea. The rate of gross tonnage of the ships to the number of trainees shows 6.2 tons in Japan compared with 1.1 tons in Korea. Also such large dimensioned training ships are newly built every other 12 years. the construction cost per 1 gross ton of such ships are said as 2.5 to 3 million yen, which corresponds to 15 to 18 million wons, and is over 3 times as much as that in Korea. 4. The basic education on the marine field is widely diffused in Japan. For an example, swimming pools are prepared not only in fisheries high schools but also in primary schools although it is rate even in fisheries high schools or colleges in Korea. 5. Almost all provinces which locate on the seashore have at least one fisheries high school and the curriculum is arranged to match the needs of local districts, then the management of school is tightly linked to the local government. 6. Entrance system is also flexible and recommended entrance system for successors of fishermen is settled. 7. Re-education of instructors for the new subjects which should be prepared to match the demands of ages are supported by local government in the aspect of time and budget. 8. The special two-year course for advanced seamen' s education is attached to some fisheries high schools and the graduates are qualified to get the third grade marine officer's or engineer's liscence.
Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.10
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pp.4523-4535
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2012
As a way to popularize Karatedo, a curriculum for developing excellent trainers is needed. For that, DACUM was used to specifically look into the field of duty and work that a Karatedo trainer should have, and the purpose of this study is to present fundamental data necessary for developing and organizing the curriculum of cultivating Karatedo and create a useful material that can contribute to improve Karatedo trainers' performances who are working on site. A survey using Likert scale's 7 stages was conducted on DACUM meeting data, 28 managers and 108 trainers. Based on the collected data, this study had a test in order to solve the presented subject using DACUM method and SPSS WIN Ver. 14.0. This core work through the requirements analysis process. And karate leaders the necessary knowledge, skills, and tools, and attitude analysis was carried out to perform the tasks of each. Knowledge, skills, tools and attitude for each task, toward the results of the analysis were 47 core tasks. 167 knowledge items, function 143 items, the tool 60 items, 16 attitude items reclassified a total of 18 subjects were derived. The configuration of the karate leader training program curriculum model 'Karate practical expert area', 'theory karate expert area', 'Karate gym business area experts' was composed. Basic process of how it works Step 1, Step 2 integration process, replenishment process intensified Step 3 was composed.
The purpose of this study was to examine the effectiveness of interventions for improving the social skills for people with schizophrenia by using method of meta-analysis. For the purpose of the study, master's theses, doctoral dissertations, and journal articles published in korea up to July, 2013 were systematically reviewed. As a result, a total of 22 studies were eligible for the inclusion criteria. The mean effect sizes and test for homogeneity of effect size(Q-statistic) were analyzed by using Comprehensive Meta-Analysis software 2.0. The main findings of the study were as follows. First, the average effect sizes for total social skill training programs were ES=0.838 of interpersonal capacity, ES=0.782 of social behavioral skills, ES=0.601 of self-assertiveness skills, and ES=0.293 of symptoms. Second, by analysing the moderate variables of the effect size for social skill training programs, 'a place of training', 'a major of trainer', 'running times' and 'sessions' were statistically significant. Based on the study results, the research and practice implications were discussed.
Purpose: Childhood obesity is an increasing public health issue worldwide. We examined dietary patterns among adolescents in a dormitory school, identified obese adolescents and tried to intervene to improve food habits and physical activity. Methods: We conducted an experimental prospective longitudinal study based on 36 obese (body mass index $[BMI]{\geq}95th$ percentile) adolescents (aged 12-18 years) compared with controls (healthy children: normal age-appropriate BMI ($BMI{\leq}85th$ percentile). Six months' intervention included lifestyle-modification counseling (once a week by a clinical dietician), and an exercise regimen twice a week, 60 minutes each time, instructed by a professional pediatric trainer). Both groups underwent baseline measurements at the beginning of the study and 6 months later (arterial stiffness, blood pressure, pulse, weight and height, hemoglobin, creatinine, liver enzymes, highly sensitive C-reactive protein and complete lipid profile). Results: Twenty-one participants completed the study. Low compliance from participants, school staff and parents was observed (participation in planned meetings; 71%-83%). BMI significantly decreased from $32.46{\pm}3.93kg/m^2$ to $30.32{\pm}3.4kg/m^2$ (P=0.002) in the study group. Arterial stiffness was not significantly different between the 2 groups and did not change significantly after 6 months' intervention (P=0.494). No significant changes in CRP and lipid profile were observed after the intervention. Conclusion: Making lifestyle modifications among adolescents in a dormitory school is a complex task. Active intervention indeed ameliorates BMI parameters. However, in order to maximize the beneficial effects, a multidisciplinary well-trained team is needed, with emphasis on integrating parents and the school environment.
The purpose of this study was to analyze the effect of the interaction between middle and high school archery trainers and players to the exercise satisfaction, trust and adherence. In particular, this study was to develop and examine a theoretical model through theory trimming. To achieve the goal of this study, some of the archery trainers and players participated in korea archery championship in 2007 were selected as a collected group. Total 220 participants were selected using the purposive sampling method to analyze the relationships between archery trainers and players. The data collection method was a brochure named 'the survey on the interaction, exercise satisfaction, adherence, Trust socio-demographic characteristics' Chronbach' a was calculated to check up the reliability and was $.661{\sim}.855.$. Reliability analysis, correlation analysis, SEM were used to analyze the collected data. The results were as follows. First, the interaction between middle and high school archery trainers and players influences on the exercise satisfaction. More interaction gives the players more exercise satisfaction. Second, the interaction between archery trainers and players influences on the trust for trainers. More interaction makes the more trust. Third, the interaction between archery trainers and players did not influences on the exercise adherence. Fourth, the exercise satis)action influences on the trust for trainers. More exercise satisfaction makes the more trust. Firth, the exercise satisfaction did not influences on the exercise adherence. Sixth, the trust influences on the exercise adherence.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.2
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pp.219-227
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2018
The consortium for the HRD ability magnified program is part of the joint training program for SMEs in the strategic field and supports the infrastructure, training, personnel, and general operation expenses required for the joint training. The purpose of this study was to analyze the factors affecting the satisfaction of the education and training program, as perceived by the participants of the Consortium for the HRD Ability Magnified Program. The results of this study are as follows. Gender, trainer satisfaction, educational facilities and service satisfaction have a statistically significant effect on training program satisfaction. The impact on education and training satisfaction of gender, instructor satisfaction, educational (facilities) and service satisfaction was high and in that order. It was found that the male participants have a more positive effect on satisfaction of education and training than the female participants. Age, job group, and job title did not have a statistically significant effect on training program satisfaction. Based on the results of this study, the following suggestions are made. The capacity of the trainers should be strengthened. It is important to provide facilities that enable trainees to participate effectively in education and training and increase the transfer of education and training to the field. It is necessary to design and implement a curriculum that takes into consideration the female trainees' characteristics and situations. More effort is needed to improve the appropriateness of the education and training contents, education and training time, job relevance, and job contribution.
Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.3
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pp.1178-1185
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2012
The 4th year medical students were randomly divided and designated as group HF and LF, representing high and low fidelity simulations respectfully. Both groups performed OSCE on 2 topics(adult intubation and IV cannulation) with each composed of the same scenario. Each scenario was developed by a faculty in charge of clinical skill education with supervision from 2 other faculty members. High fidelity simulations were designed as in-situ simulations in real OR. Low fidelity simulations had the same scenarios but the environment was simulated only with a simple task trainer in the classroom. All students participated in series of survey using a Likert scale before and after the simulations. The provided data was anlayzed with paired T-test and Mann-Whiteney test(p<0.05). The post simulations self evaluation score for group HF was lower than pre-simulation self confidence score for both topics of adult intubation and IV cannulation where as for group LF, it was lower only for adult intubation(p<0.05). In group HF, the needs for clinical training on both topics increased after the simulation. In group LF, there was no significant change of needs for clinical training between pre and post simulation survey. This suggest that fidelity may be a helpful factor to improve the motivation of the students and further study on economical aspect should be addressed.
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