• 제목/요약/키워드: critical review

검색결과 2,096건 처리시간 0.034초

중환자 통증 평가 도구에 관한 체계적 문헌고찰 (A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients)

  • 김은정;홍지원;강지연;김나경;김나리;맹수연;박혜련;반민경;양근영;이경숙;장은혜
    • 중환자간호학회지
    • /
    • 제13권1호
    • /
    • pp.44-62
    • /
    • 2020
  • Purpose : The purpose of this study was to systematically review the measurement tools that are used to assess the pain of intensive care unit (ICU) patients. Method : In this systematic review, the studies published between 2009 and 2018 were selected based on the PRISMA flow chart. Data sources included MEDLINE, EMBASE, CINAHL, and Cochran. We assessed the quality of pain assessment tools reported in individual studies using Terwee et al.'s the Quality Criteria for Measurement Properties. Results : We reviewed 67 studies and 12 pain assessment tools that included two self-reported, seven observational, and three multifaced tools with observations and physiological indicators. The most frequently used tool was the Critical Care Pain Observation Tool. The Multidimensional Observational Pain Assessment Tool was rated the highest quality. Nine of the ten tools that included observations reported content validity, four reported construct validity and nine reported correlation coefficient. Conclusion : It was found that observational tools are appropriate for assessing pain in ICU patients with limited communication skills. To increase the validity and reliability of pain assessment in ICU patients, further research on the physiological indicators of pain is needed.

인공기도를 가진 중환자실 환자의 의사소통 경험과 요구에 관한 통합적 문헌고찰 (Communication Experiences and Needs among the Critically Ill with an Artificial Airway: An Integrative Review)

  • 김수현;김주영;최지연
    • 중환자간호학회지
    • /
    • 제14권2호
    • /
    • pp.24-41
    • /
    • 2021
  • Purpose : The aim of this integrative review was to describe communication experiences and needs among the critically ill with an artificial airway and evaluate relevant intervention studies. Methods : Using the method employed by Whittemore and Knafl (2005), we searched for papers on PubMed, CINAHL, and Web of Science published from January 1, 2015 to September 25, 2020. A total of 26 papers (11 descriptive studies, 15 experimental ones) were identified and evaluated. Results : Communication experiences while having an artificial airway, identified either by patients' recall or direct observation, were predominantly negative. However, positive experiences were reported in patients with improvements in physical conditions and functions. Patients' communication needs were diverse, encompassing physical, psycho-emotional, social, spiritual, and medical issues. Interventions tested included alternative and augmentative communication strategies, communication intervention packages, and voice restorative devices. Physical, psychosocial, and communication-related patient outcomes were evaluated using various methods including self-report surveys, interviews, and observations. Conclusions : The findings from this review represent the state of science regarding communication of the critically ill whose vocal abilities are inhibited by the presence of an artificial airway. Future studies with rigorous experimental designs and measures are warranted to better understand and support the complex needs of this highly vulnerable patient population.

'대한민국약전에 수재된 식물성 한약재의 학명에 대한 재고' 의 논평 (A Critical Review of 'Reconsideration about Nomenclature of Herbs Listed in the Korean Pharmacopoeia')

  • 김휘;박수경;장계선;장진성
    • 대한본초학회지
    • /
    • 제28권5호
    • /
    • pp.29-31
    • /
    • 2013
  • Objectives : 'Reconsideration about Nomenclature of Herbs Listed in the Korean Pharmacopoeia' was published by Doh and Lee with absolute misconception of nomenclature. A critical review of Doh and Lee's paper is given, to correct the confused the concept of nomenclature and to provide proper scientific name for taxa which are discussed. Methods : This paper discusses the proper usage, as mandated by the International Code of Nomenclature. Adherence to the rules described in this paper should reduce the present confusion in the nomenclature of scientific names listed in the Korean Pharmacopoeia. Results : Although Doh and Lee proposed four categories to correct the scientific names of the Korean Pharmacopoeia using available botanical databases, they failed to show how nomenclatural concepts are applicable due to misconception of legitimacy and the confusion about synonym. From a nomenclatural perspective, 'accepted name' or 'recommended name' is a subjective term which used to be employed for convenience in a certain databases or working group without nomenclatural meaning. Doh and Lee also pointed out the standardization of author citation. However, they missed the importance of author citation error such as basionym or validating authors. Conclusions : Doh and Lee were not able to solve nomenclatural problems of the Korea Pharmacopoeia due to lack of clarity on the nomenclature code. We strongly recommend that KFDA has to commence extensive nomenclatural review for the next revision of Korea Pharmacopoeia.

비판적 수학교육 관점에 따른 수학교과서 분석준거 개발: 전문가 델파이 조사를 중심으로 (Delphi Survey to Develop an Analysis Framework for Mathematics Textbooks from a Critical Mathematics Education Perspective)

  • 송륜진;주미경
    • 대한수학교육학회지:수학교육학연구
    • /
    • 제27권1호
    • /
    • pp.113-135
    • /
    • 2017
  • 본 연구는 비판적 수학교육의 관점에서 수학교과서를 분석하기 위한 분석준거 개발을 목표로 하여 이루어졌다. 이를 위한 첫 단계로서 비판적 수학교육의 이론적 근간이 되는 비판 이론과 비판적 교육이론에 대한 문헌분석을 통해 비판적 수학교육의 철학적, 인식론적 기저를 고찰하였다. 또한 비판적 수학교육에 대한 국내외 문헌을 분석하여 비판적 수학교육의 개념화 논의, 실제 수업사례 등을 종합하여 '비판적 수학교육 관점에 따른 수학교과서 분석준거 안'을 구성하였다. 이후 제시한 준거 안에 대한 타당도를 검증하기 위해 전문가 델파이 조사를 실시하였다. 델파이 조사 분석 결과에 따라 제시한 준거 안을 수정, 보완하여 '고전적 지식', '공동체적 지식', '대화적 지식', '정치적 지식' 네 범주로 이루어진 '비판적 수학교육의 관점에 따른 수학교과서 분석준거'를 최종적으로 개발하였다.

제왕절개술 환자를 위한 Critical Pathway 개발 (Development of the Critical Pathway for Cesarean Section Patient)

  • 정경희;장금성
    • 한국간호교육학회지
    • /
    • 제4권1호
    • /
    • pp.66-80
    • /
    • 1998
  • With the opening of healthcare market, the health care environment in Korea is anticipating a drastic change. In this Internationally open market environment, it is necessary to introduce a systematic health care plan and DRG system which offer qualitative medical services as well as reduced cost. Purpose of this study is to develop and test the critical pathway for Cesarean section patient in the way to be possible the integrated inpatient management. It was adopted the process of six phases to develop the critical pathway as the theoretical framework implemented by Johns Hopkins Hospital, Maryland, U.S.A. In the first phase, make a selection of diagnosis/procedures to develop. In the second phase, organize a development team consisted of eight expertises working in maternity nursing area. In the third phase, analyze the overall medical service offered to patient through review medical records and decided the service content and the implementation period for the Cesarean section patient. In the forth phase, make out a preliminary critical pathway after verification of expert group on content validity. In the fifth phase, validity operate to ten Cesarean section patients to test implementation in practice by using the preliminary critical pathway, In the sixth phase, defined the final critical pathway. The result of this study was as follows. 1. There were classified 8 categories as monitoring/assesment, treatment, medication, activity, diet, test, consult, education/discharge plan for vertical axis and showed hospital stayed from admission to discharge for horizontal axis of critical pathway through analysis 68 Cesarean section patients medical records. 2. After critical review 68 medical records to make out a preliminary critical pathway, hospital stays for horizontal axis were showed 6 days, mean hospital stays were 7.5 days, 2.1 days were to be taken operation after admission and 4.2 days were stayed until discharge after operation. 3. After making out a questionare in 90 items of a medical service content of eight categories and verifying the content validity of expertises, the 85 items of the preliminary critical pathway were selected by expertises agreement over 88% and modified or deleted 5 items showing agreement below 75%. 4. After verifying a validity to 10 patients for 4 weeks, hospital stays were 5.9 days. There were deleted 1 item and modified or supplemented the 9 items of the 10 items.

  • PDF

읍·면지역 한계고령화의 인과순환적 구조분석과 인구소멸 임계점에 대한 시뮬레이션 (Causal Loop-Based Structural Analyses of Marginal Ageing and Critical Mass Simulations for Demographic Extinction Scenarios in Eup and Myeon Regions)

  • 최남희
    • 한국시스템다이내믹스연구
    • /
    • 제17권1호
    • /
    • pp.107-134
    • /
    • 2016
  • Accelerated ageing with low fertility is one of the most critical problems in Korea. Because of ageing via low fertility, Korea will face a serious demographic cliff. This research primarily focus on the analyzing the dynamics of the marginal ageing state and decreasing population especially in Eup and Myeon region. This study based on the system dynamics approaches for finding causal loop structure of marginal ageing and critical mass of population disappearing. The results of this study are summarized as follows. First, demographic marginalization trends have already begun in the Eups and Myons of Gun. Second, marginal aging speed in Eup/Myeon areas is causing an population disappearing in the near future. Third, critical mass of population disappearing will begin when the rate of marginal aging is exceed 82% after 2023.

Visual Basic과 UML을 사용한 애플리케이션 개발시의 핵심적 단계: 주문처리 업무를 중심으로 (Critical Steps in Building Applications with Visual Basic and UML: Focusing on Order Processing Application)

  • 한용호
    • 산업공학
    • /
    • 제16권2호
    • /
    • pp.268-279
    • /
    • 2003
  • This paper presents critical steps in building client/server application with UML and Visual Basic, which are derived from the implementation case of a typical order processing system. To begin with, we briefly review the software architecture, the diagrams and the object-oriened building process in the UML. In the inception phase, it is critical to define the project charter, to draw use case diagrams, and to construct a preliminary architecture of the application. In the elaboration phase, it is critical to identify classes to be displayed in the class diagram, to develop user interface prototypes for each use case, to construct sequence diagram for each use case, and finally to design an implementation architecture. Steps to construct implementation architecture are given. In the construction phase, it is critical to design both the database and components. Steps to design these components are described in detail. Additionally the way to create the Internet interface is suggested.

펌프회전체의 임계속도해석 (Critical Speed Analysis of a Vertical Pump)

  • 전오성;김정태;임병덕
    • Journal of Advanced Marine Engineering and Technology
    • /
    • 제16권5호
    • /
    • pp.50-59
    • /
    • 1992
  • A critical speed analysis of a pump shaft has been investigated. Among various methods in the shaft critical speed calculation, a transfer matrix method has been examined in this research. After a brief review on the transfer matrix method, a modeling procedure for a continuous structure has been discussed. Then, a critical speed of a multistage pump shaft has been estimated up to several low modes. Throughout an analysis, parametric effects on the bearing stiffness, a degree of the modeling order, and attachmant of the impeller have been investigated. As an application example, a critical speed analysis of a verical pump which has been implemented in domestic electric power plants for cooling water circulation has been conducted in order to provide a safe operation as far as a pump vibration is concerned.

  • PDF

개발 성공요인을 적용한 네트워크 보안 시스템 개선에 관한 연구 (A Study on the Improvement of Network Security Systems Based on Critical Success Factors for Systems Development)

  • 김종선;황경태
    • Journal of Information Technology Applications and Management
    • /
    • 제14권4호
    • /
    • pp.121-138
    • /
    • 2007
  • This study proposes a method to improve network security systems based on critical success factors for systems development. To accomplish the research objective, the study analyzes required functions of network security systems and reviews existing methods to improve network security systems. Based on the analyses and literature review, critical success factors for development of network security systems are identified and a new method to improve network security systems based on the critical success factors is proposed. The proposed method to improve network security systems is based on utilizing multi-core processors. A prototype is developed and validated. This study will provide a good case in the network security area where research incorporating both engineering and management disciplines lacks.

  • PDF