• Journal of Korean Academy of Nursing Administration
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• v.19 no.5
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• pp.613-621
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• 2013

Purpose: To identify the extents of nursing professionalism, clinical decision making abilities and job performance of advanced practice nurses and investigate the relationship among the variables Methods: Participants, selected by a convenience sampling method, were 135 advanced practice nurses working in 4 tertiary care general hospitals in 'B' Metropolitan City and in 1 tertiary care general hospital in 'J' city. Data collection was done from January 15 to February 28, 2013 using self-reporting questionnaires. Results: The average score for nursing professionalism of study participants was $81.19{\pm}7.56$. for clinical decision making abilities, $140.42{\pm}9.62$ and for job performance, $102.54{\pm}10.30$. These averages are relatively high. The relationship between the extent of nursing professionalism and the extent of clinical decision making abilities showed an intermediate level positive correlation (r=.45, p<.001). The relationship between the extent of nursing professionalism and the extent of job performance was also an intermediate level positive correlation (r=.42, p<.001). The extent of clinical decision making abilities and the extent of job performance was an intermediate level positive correlation (r=.41, p<.001). Conclusion: Developing a program, which can improve nursing professionalism and clinical decision making abilities of nurse, is required to enhance their job performance.

• Journal of Korean Academy of Nursing Administration
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• v.7 no.2
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• pp.301-314
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• 2001

The main purpose of this research is to describe comprehensively the processes of clinical decision making in novice critical care nurses through clinical experience. This research was an exploratory, longitudinal study using a fieldwork approach incorporating "think-aloud" method and in-depth interviews with the study participants. The study participants consisted of 5 novice nurses assigned to critical care units at a tertiary medical center located in Seoul, among a group of 27 novice nurses who started at the same period at this hospital. The data were collected from March 1999 to April 2000. The major findings of the study is that the novice nurses followed the analytic linear model of clinical decision making in the beginning, but were changed increasingly to follow the comprehensive, integrated model of clinical decision making. Through repeated experience that resulted in increasing repertoire of clinical schema and familiarity of task environments of clinical practice the novice nurses expanded their ability to arrive at comprehensive integration of information and to arrive at accurate and time-efficient decisions. Both the analytic, linear model mostly used at the beginning period and the comprehensive, integrated model that seems to be the mode significantly dependent upon experience seem to have strengths and weaknesses as decision making processes in clinical situations. Hence, it is imperative to develop an effective orientation and training program for novice nurses through the use of clinical preceptors. In addition, students should be exposed to the process of clinical decision making early in their nursing education through an appropriate clinical experiences and clinical assignments.

• Korean Journal of Adult Nursing
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• v.26 no.4
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• pp.403-412
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• 2014

Purpose: The purpose of this study was to validate the Korean version of shortened Nursing Decision-Making Instrument developed by Lauri & $Salanter{\ddot{a}}$(2002). Methods: The subjects were 247 nurses working in eight hospitals of Korea. Data were collected by questionnaires from June to July, 2012 and were analyzed by Principal Component Analysis for construct validity and Cronbach's ${\alpha}$ coefficient for reliability. Results: Factor loadings of the four subscales ranged from .32 to .73. The explained variance from the four factors was 48.54% of the total variance. The factors were named 'implementation of plan, monitoring and evaluation', 'plans of action', 'data collection', and 'data processing and identification'. The first factor consisted of 6 items which explained 13.21% of the total variance and the second factor contained 8 items. The Cronbach's ${\alpha}$ coefficients of the four subscales were from .64 to .81. Conclusion: The Korean version of the shortened Nursing Decision-Making Instrument has satisfactory construct validity and reliability. However, that the scores of the analytic items weren't reversed unlike the analysis method of the original tools is the biggest limitation of this study. In addition, based on the fact that there were several discrepancies for item interpretation of Korean comparing to the findings of the instrument development study, repetitive researches would be suggested.

• Journal of the Korean Home Economics Association
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• v.50 no.7
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• pp.59-66
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• 2012

The purpose of this study was to identify a causal relationship in the career preparation behavior, parental social support, career decision making self-efficacy and the career maturity of the pre-service elementary school teachers. A total of 374 questionnaires were used for data analysis, excluding the 23 copies deemed insincere in response. To ensure the reliability and validity of the questions, technical statistics of the frequency, ratio, average, standard deviation, skewness, and kurtosis via PASW 18.0, item-total correlation, the totality, and the reliability analysis. The structural analysis via AMOS 7.0 in the bootstrapping method was undertaken to perform the path analysis among the variables and to assess the suitability of the model. The findings of the study led to the following conclusions: First, the causal model for the career preparation behavior, parental social support, career decision making self-efficacy, and the career maturity of the pre-service elementary school teachers is suitable to empirical analysis on research variables. Second, the career decision making self-efficacy of pre-service elementary teachers has direct effect on career preparation behavior positively. Third, parental social support of the pre-service elementary teachers has indirect effects on the career preparation behavior positively.

• Korean Journal of Occupational Health Nursing
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• v.18 no.2
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• pp.141-152
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• 2009

Purpose: The purpose of this research was to describe the decision making of nurses in a VIP ward. Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin (1998). The data were collected through an in-depth interview, which were audio-taped and transcribed. The data were collected from 10 nurses from July to November 2007. Results: The core category on VIP ward nurses' decision making was named as "adjusting with flexibility and deepened insight". The causal condition was established by 'the patients who wanted to be treated specially'. The contextual conditions included 'caring patients from various departments', 'differences depending on the nurses' clinical experience', and 'client-centered atmosphere in the VIP ward'. The intervening conditions included 'problem solving styles of nurses', 'attitudes of patients and family members', 'nurse-doctor relationships', and 'accessibility to information'. It was confirmed that nurses changed their action-interaction strategies depending on the intervening conditions, thus resulted in the nurses' role conflict and the need to expand their consciousness. Conclusion: The result of this study indicates that nurse's decision making depends on their experiences and the nature of social context in which nursing occurs.

• Journal of Korean Academy of Nursing Administration
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• v.9 no.3
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• pp.459-480
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• 2003

Purpose: This study was done to analyze the contents of nurses' ethical decision-making in four of hypothetical dilemma cases using the Cameron's Ethical Decision-Making Model of 'Value, Be, Do'. Method: Sixteen nurses who work at ICU at present or worked before, participated from April 10 to May 10 in 2002. The participants were interviewed three times each and for 40 minutes at once, with a structured questionnaire at their working places and locker rooms. The data was analyzed by a procedure of qualitative content analysis into three categories; what should I value, who should I be, what should I do. Result: 1) In consistency, most of subjects showed a unified voice in 'Value, Be, Do'. Exceptionally 8 subjects showed inconsistency such as 3 in active treatment to the incurable patients(case 1), 1 in treatment truth-telling to the terminally ill patients(case 2), 3 in conflict with uncooperative doctors(case 3), 3 in dying patients and euthanasia(case 4). Only one subject showed inconsistency in 3 dilemma cases. 2) Closing the interview procedure, the subjects evaluated Cameron's Model as it would help them build consistent value, carry right action, and cope to conflicts. Conclusion: On the basis of the results, it is recommended that nursing ethics should adopt the ethical decision-making model, and be applied to the curriculum of nursing colleges and continuing education program for clinical nurses.

• International Journal of Advanced Culture Technology
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• v.7 no.2
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• pp.158-167
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• 2019

The purpose of this study was to investigate the effect of Health Promotion Behavior on Spiritual well-being through decision making ability. The data for the study were collected from April 1 to 15, 2019 and the final data used in this study were 332. The research method was cross-sectional questionnaire survey. The collected data was analyzed by descriptive statistics, t-test, ANOVA, $X^2$ analysis, multiple regressions and median effect analysis using SPSS 18.0. Among the participants of this study, 18.1% of men and 81.9% of women were female. The results of this study appeared that the differences in sub-factors of health promotion behaviors by gender were higher in female in health responsibility, substance abuse, social relationship, and self-actualization (p<0.01), while men were higher in exercise than women (p<0.05). Differences in sub-factors of health promotion behaviors by gender were higher in female in health responsibility, substance abuse, social relationship, and self-actualization (p<0.01), while men were higher in exercise than women (p<0.05). Decision making (t=4.899, p<0.01), Health responsibility (t=-1.990, p<0.05), Substance abuse (t=7.344, p<0.01), Exercise (t=7.344, p<0.01), and Self-actualization (t=7.619, p<0.01) were appeared to affect Spiritual Well-Being under statistical significance. Also Decision Making Ability had a partial mediating role in health responsibility and social relationship, which were sub-factors of health promotion behavior, affecting spiritual Well-Being.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.4
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• pp.371-380
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• 2023

Purpose: The purpose of this study is to determine the relationship between nursing students' biomedical and artificial intelligence (AI) ethical awareness, ethical values, professional self-concept, and ethical decision-making confidence, and to then identify factors that can influence their ethical decision-making confidence. Methods: This study employed a descriptive research method and was conducted from June 8 to 12, 2023, with 204 students from three nursing colleges in Korea. The collected data were analyzed by frequency and percentage, independent t-test, Pearson's correlation coefficient, and multiple regression using IBM SPSS 23.0. Results: The results of the multiple regression analysis showed that the regression model was significant (F=18.88, p<.001) and that professional self-concept (β=.46, p<.001), ethics education (β=.23, p<.001), AI ethical awareness (β=.16, p=.020), and relativistic ethical values (β=.14, p=.035) explained 34.6% of the nursing students' ethical decision-making confidence. Conclusion: It is necessary to include professional self-concept, AI ethical awareness, and ethical values contents when constructing the curriculums of educational programs in order to improve nursing students' ethical decision-making confidence.

• Fashion & Textile Research Journal
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• v.24 no.4
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• pp.418-430
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• 2022

This study aims to analyze consumers' purchase decision-making process of buying avatar fashion items on the Metaverse platform. Drawing on the connection between the self-expression tendency of the MZ generation and that of avatars in the Metaverse, this study uses a qualitative research method to analyze how consumers express their self-image through the appearance of their avatars. Unlike previous studies on the clothing purchase decision-making process, this study shows that purchasing and consumption behavior involve the following six stages: recognizing desire, collecting information, evaluating alternatives, making purchases, evaluating the consumption, and post-purchase action-taking. In the first stage of the purchase decision-making process, consumers' desire arises with self-image expression and confirmation. In the second stage, consumers have a high tendency to shop in the best item category. In the alternative evaluation stage, consumers tend to seek items that match their highest standard while considering their personal preferences. In the fourth stage, when making actual purchases, unplanned purchase behavior often occurs along with an active practice of alternative evaluation. In the fifth stage, the evaluation of the consumption shows that consumers achieve satisfaction by applying a style to their avatars that they are unable to try in the real world. In the last stage, consumers often use their purchases to communicate their various styles with other online consumers. Therefore, we conclude that the online purchase decision-making process differs from the offline process as it is divided into six stages.

• Journal of KIISE
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• v.43 no.7
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• pp.801-811
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• 2016

Self-adaptive systems (SASs) can change their goals and behaviors to achieve its ultimate goal in a dynamic execution environment. Existing approaches have designed, at the design time, utility functions to evaluate and predict the goal satisfaction, and set policies that are crucial to achieve each goal. The systems can be adapted to various runtime environments by utilizing the pre-defined utility functions and policies. These approaches, however, may or may not guarantee the proper adaptability, because system designers cannot assume and predict all system environment perfectly at the design time. To cope with this problem, this paper proposes a new method of dynamic decision making, which takes the following steps: firstly we design a Dynamic Decision Network (DDN) with environmental data and goal model that reflect system contexts; secondly, the goal satisfaction is evaluated and predicted with the designed DDN and real-time environmental information. We furthermore propose a dynamic reflection method that changes the model by using newly generated data in real-time. The proposed method was actually applied to ROBOCODE, and verified its effectiveness by comparing to conventional static decision making.