• Journal of Korean Academy of Nursing
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• v.53 no.1
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• pp.39-54
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• 2023

Purpose: This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs). Methods: Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN. Results: The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks. Conclusion: To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.14 no.1
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• pp.455-472
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• 2020

As a user in modern societies with the rapid growth of Internet environment and more complicated business flow processes in order to be effective at work and accomplish things on time when the manager of the company went for a business trip, he/she need to delegate his/her signing authorities to someone such that, the delegatee can act as a manager and sign a message on his/her behalf. In order to make the delegation process more secure and authentic, we proposed a secure and efficient identity-based proxy signcryption in cloud data sharing (SE-IDPSC-CS), which provides a secure privilege delegation mechanism for a person to delegate his/her signcryption privilege to his/her proxy agent. Our scheme allows the manager of the company to delegate his/her signcryption privilege to his/her proxy agent and the proxy agent can act as a manager and generate signcrypted messages on his/her behalf using special information called "proxy key". Then, the proxy agent uploads the signcrypted ciphertext to a cloud service provider (CSP) which can only be downloaded, decrypted and verified by an authorized user at any time from any place through the Internet. Finally, the security analysis and experiment result determine that the proposed scheme outperforms previous works in terms of functionalities and computational time.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.9 no.2
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• pp.361-365
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• 2005

Proxy signature schemes which allows original signer to delegate proxy signer to sign message on its behalf have a considerable amount of interest from researchers since Mambo[1] and have found many practical applications such as distributed network, Grid computing and electronic commerce. Araki[6] extended them to multi-level proxy signature. But it could not satisfy some security requirement. In this paper we propose a protocol to delegate signing right to another entity for multi-level proxy signature. Our protocol do not require secure channel and guarantee that nobody is able to repudiate delegation or acceptance of signing right, it is impossible for anyone to generate signature except designed and original signer can withdraw the delegation before expiration if it is necessary.

• Journal of Korean Academy of Nursing Administration
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• v.22 no.1
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• pp.11-21
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• 2016

Purpose: The purpose of this study was to develop and test the validity and reliability of the Korean version of nurses' attitudes toward delegation and preparedness to delegate (APD). Methods: The Korean version of APD was developed through forward-backward translation methods. Internal consistency reliability, criterion validity, and construct validity using exploratory and confirmatory factor analysis were conducted using IBM SPSS Statistics 19 and AMOS 20.0. Survey data were collected from 161 nurses working in 2 general hospitals. Results: The Korean version of APD showed Cronbach's alphas of .68 and .85. Factor loadings of the 8 attitude items on the 3 subscales ranged from .60 to .86 and the 15 preparedness items on the 4 subscales ranged from .47 to .90. The model of 3 subscales for the Korean nurses' attitude toward delegation and the model of 4 subscales for the Korean nurses' preparedness to delegate were both validated by confirmatory factor analysis(NC<3, CFI>.90, RMSEA<.10). Criterion validity compared to job satisfaction showed significant correlation. Conclusion: The findings of this study demonstrate that this modified Korean version of APD is applicable for measuring Korean nurses' attitude toward delegation and preparedness to delegate.

• Water for future
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• v.10 no.1
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• pp.12-14
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• 1977

• Journal of Korean Academy of Nursing Administration
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• v.5 no.2
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• pp.197-207
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• 1999

The purpose of this research was fourfold: (a) to identify the use rate of the indirect care interventions performed by nurses, (b) to estimate the time to perform each intervention, (c) to identify the indirect care interventions to be delegated to others, and (d) to determine the level of provider preparation needed to delegate indirect care interventions. The sample consisted of 199 nurses working in three hospitals. The Indirect Care Survey developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean and validated by nurse experts. Each of the 26 indirect care interventions were used several times a day. Four interventions (i.e.. Documentation, Shift Report, Specimen Management, and Transport) were performed several times a day by 50% or more of the nurses. The most frequently used intervention was Documentation, followed by the interventions Shift report. Environmental Management, Transport, and Examination Assistance. The least used intervention was Quality Monitoring, followed by the interventions Order Transcription, Referral, Health Care Information Exchange, Multidisciplinary Care Conference, and Product Evaluation. The intervention taking the most time to per-form was Technology Management (155.3 minutes), followed by the interventions Documentation, (122.2 minutes), Delegation (84.4 minutes), Supply management (83.4 minutes), and Preceptor: Student (79.9 minutes), Overall, the nurses reported that they would not delegate to others the majority of the interventions. More than 50% of the nurses would not delegate 21 interventions. Shift Report would not be delegated by 95% of the nurses and Documentation would not be delegated by 92% of the nurses. Caregiver Support would be delegated by 68% of the nurses to family. Three interventions (i.e.. Environmental Management, Examination Assistance, and Transport) would be delegated by more than 50% of the nurses to Nursing Assistant. This study will contributes to determining costs of nursing services and enhancing quality of nursing care. Replication study will be needed with large sample.

• Journal of Korean Clinical Nursing Research
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• v.26 no.2
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• pp.217-231
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• 2020

Purpose: To identify the clinical role of Advanced Practice Nurses (APN), and evaluate how other medical personnel perceive their work(difficulty, importance). Methods: A questionnaire survey was performed with 277 health care providers (APN 52, nurses 88, and medical doctors 137 [professors 51, fellows 44, & residents 42]) in a single, tertiary hospital. The questionnaire was categorized into 6 domains (total 40 tasks): 6 tasks on identifying health issues (A); 3 tasks on prescribing and conducting diagnostic tests (D); 18 tasks on disease treatment (T); 4 tasks regarding prescribing medicine (M); 3 tasks regarding medical collaboration (C); 6 tasks regarding patient education (E). The survey measured the frequency, difficulty, and importance of APN's clinical tasks, and evaluated the willingness of authorizing clinical tasks to APN. Results: The most frequent tasks for APN were A domain, lowest were T domain. The scores for perceived job difficulty were lower than those for job importance in all groups. The proportion of willingness to legally delegate clinical practices to APN was higher in A and E domains, but lower in D and T domains. However, professors, who spent the most time with APN, showed a higher willingness to legally delegate clinical practice. The participants favored medical doctors as substitutes for tasks which were not legislated for delegated job performance. Conclusion: In this study identified clinical roles that medical doctors considered possible for legal delegation to APN were identified. The results can be used as evidence for the legalization of the practice of APN.

• Proceedings of the KSR Conference
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• 2006.05b
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• pp.706-711
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• 2006

• The KIPS Transactions:PartC
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• v.10C no.3
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• pp.265-272
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• 2003

RBAC is an Access Control Mechanism for security administration of system resource and technique attracting in commercial fields because of reducing cost and complexity of security administration in large network. Many RBAC's research is progressive but several problems such as the delegation of role have been pointed out concerning the mechanism. It is necessary that a person's role delegate someone with reliability by reasons of a leave of absence, sick leave and the others. But the existing RBAC standards don't give definition of the delegation of roles. In this paper, we propose RBAC model that delegator can delegate subset of role and permission to a delegatee so that more efficient access control may be available.

• Environmental and Resource Economics Review
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• v.16 no.1
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• pp.3-26
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• 2007

This paper analyzes the effects of asymmetric reimbursement in a delegate model where the lawyers for a citizen and a polluting firm work on a contingent-fee basis. The major findings from the paper are as follows: (i) the asymmetric reimbursement triggers environmental conflicts by increasing the citizens' expected surplus; (ii) it enhances the possibility of settlement by decreasing the magnitude of expected loss less expected surplus; (iii) settlements reduce the total litigation effort levels, thus curtailing the rent dissipation; (iv) The total litigation effort levels increase if the conflicts result in trials rather than settlements.