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Weighting of Acute Myocardial Infarction Quality Indicators using Delphi Method (델파이기법을 이용한 급성심근경색증 질 평가지표 가중치 부여)

  • Kim, Hyung Seon;Cho, Yeon Hee
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.565-573
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    • 2014
  • Purpose: Health Insurance Review & Assessment Service (HIRA) launched an Acute Myocardial Infarction(AMI) assessment for the Payment For Performance(Quality Incentives) Pilot Project from July 2007. Assessment measures of AMI were composed of five process measures and one outcome measure, and each measure was incorporated into one composite quality score to Pay for Performance. Method: For calculation of composite quality score, we considered weighting for the measures using the Delphi method. The questionnaire was composed of three measure groups, 'Reperfusion rate'(Fibrolytic therapy received within 60 minutes of hospital arrival, Primary Percutaneous Coronary Intervention within 120 minutes of hospital arrival), 'Medication prescription rate'(Aspirin at arrival, Aspirin prescribed at discharge, Beta-blocker prescribed at discharge) and 'Survival Index'(30-day mortality rate). Result: A panel composed of 18 and completed a questionnaire by allocation of 10 scores to the three above mentioned measure groups. The Delphi was carried out until three rounds of surveys. In conclusion, each measure group was weighted differently and the 10 scores were allocated as 4.5 to 'Reperfusion rate', 2.5 to 'Medication prescription rate', and 3.0 to 'Survival Index'. Conclusion: The results of this study proposed the calculation method for weighting of Acute Myocardial Infarction quality indicators.

Development of the Speed Limit Model for Harbour and Waterway(I) - Considerations Discrimination for Speed Limit Decision - (항만과 수로의 제한속력 설정 모델 개발에 관한 연구(I) - 제한속력 설정을 위한 고려요소 식별 -)

  • Kim, Deug-Bong;Jeong, Jae-Yong;Park, Jin-Soo;Park, Young-Soo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.21 no.2
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    • pp.171-178
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    • 2015
  • This research is the first research on developing the speed limit select model and also it is the result of the research on the importance of each element and consideration factors when selecting the speed limit. For the consideration factor discrimination and calculation of the importance, the delphi method and AHP method was used. The delphi survey was processed through third round survey, 5 high consideration factor(Level 1) and 23 low consideration factor(Level 2) was discriminated. During the process of the third delphi survey, when the CVR cost was in the range between 0.4~1.0 it was treated as the consideration factor when selecting the speed limit and less than 0.4 cost was eliminated. In the process of the second delphi survey, 33 consideration factors were discriminated but was reordered into 23 categories through the third survey. Based on the 23 categories earned through the third delphi analysis, the AHP survey was processed. The result of the AHP survey was that out of the importance of the 5 high consideration factor(Level 1), the traffic condition was evaluated as the number one factor and the vessel condition, waterway condition, environment condition, supporting condition and etc. conditions were evaluated following the traffic condition. Out of the 23 low consideration factor(Level 2) consideration, the visibility was evaluated to be the first important and the performance of the vessel steering, objective factors within the harbor, amount of traffic and density, distance between the passing vessel, speed of the steering capacity and tidal current were the following evaluated factors.

Development of Educational Content for Nurses to Prevent Safety Accidents of Hospitalized Children: Delphi Approach

  • Lee, Yun Sil;Oh, Won-Oak
    • Child Health Nursing Research
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    • v.25 no.1
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    • pp.74-84
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    • 2019
  • Purpose: The purpose of this study was to develop content for safety education to prevent hospital safety accidents among hospitalized children and to investigate the status of safety education performed by nurses. Methods: First, the Delphi method was used, with 18 experts, to develop educational contents for preventing safety accidents. Second, an exploratory survey was performed of the actual status of safety education for preventing safety accidents among hospitalized children using a questionnaire developed based on the Delphi method. The participants of this study were 159 nurses with at least 6 months of work experience. Results: The educational content developed through the Delphi method for preventing safety accidents among hospitalized children contained seven domains (falls, injury, electric shocks/burns, suffocation/aspiration, poisoning/abuse, kidnapping, medical devices) with 44 topics. The item mean of nurses'perceptions of the importance of child safety education was 4.18, and the actual performance score was 3.72, which was a statistically significant difference (t=11.58, p<.001). Conclusion: These seven comprehensive domains of accident prevention education for hospitalized children are expected to be useful for interventions to support the safety of hospitalized children.

A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities (장기요양시설 인간중심 치매케어 온라인 교육 프로그램 개발을 위한 델파이 조사연구)

  • Kim, Da Eun;SaGong, Hae;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.30 no.3
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    • pp.295-306
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    • 2019
  • Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

Classifying Rural Landscape Types and Developing Rural Landscape Evaluation Indicators Using Expert Delphi Survey Method (전문가 델파이 설문 조사를 통한 농촌경관 유형분류 및 평가지표 개발)

  • Ban, Yong-Un;Baek, Jong-In;Kim, Min-Ah;Yoon, Jin-Ok
    • Journal of Korean Society of Rural Planning
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    • v.14 no.3
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    • pp.53-61
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    • 2008
  • This study has intended to elicit the definition of rural landscape, to classify rural landscape type, and to develop the evaluation indicators of rural landscape, meeting the definition through delphi expert survey method. The survey was performed five times for 80 days by 20 experts. The delphi expert survey asked experts as follows: 1) to fill out open-ended questions regarding the definition of rural landscape, and classification of rural landscape types, and evaluation indicators; 2) to provide their own feasibility evaluation regarding the results of the previous answer; and 3) to reevaluate the feasibility of the definition, types, and indicators. Based on the survey results, this study has found the appropriate definition of rural landscape like the comprehensive complex of physical (objective) and nonphysical (subjective) factors characterizing natural and/or artificial scenary of rural village itself Also, this study has developed the evaluation indicators of rural landscape in accordance with space types and landscape units classified. The developed indicators included areal ratio, the degree of green naturality, the building coverage ratio for physical landscape field, and skyline, landscape adjectives, color landscape, semantic scale.

Case Study on ATM Equipments by Delphi Methods (델파이 방법 적용 사례 연구 - 초고속망 장비 관련 시장 예측과 관련하여 -)

  • 김범환;박종봉;김기영
    • Journal of Korea Technology Innovation Society
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    • v.3 no.3
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    • pp.102-112
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    • 2000
  • The authors of this paper chose the delphi methods to investigate into several areas to understand where the pressures for ATM equipments will emerge in the prescribed time horizon of 1999 to 2010- a period just beyond the current manufacturing and deployment schedules of most companies. The areas studied are the office buildings and interoffice connectivity as well as switches, and finally transmission facilities. This paper is matched into these areas with the results of a Delphi study of 14 respondents from the common carriers like Korea Telecom and national institutions like ETRI. The investigators calculated the average answer for each question and presents the questionnaires for a second round to individuals who had responded to the first round of questioning. As a result of this paper, the authors reached some conclusions regarding what item will be predominant in each of the areas studied as well as the promoters and barriers for ATM deployment and some suggestions are provided for corporate managers and policy makers. This Delphi study did not provide a strong and uniform forecast that ATM would dominate the marketplace in the early years of next millenium, as many had anticipated. Whether it is in he area of office connection, enterprise backbone, switches and transmission facilities, respondents predicted the patterns which indicate a movement toward higher-bandwidth connectivity, although not necessarily provided with ATM networks. A general pattern is that the predictions for ATM deployment in each of the areas were strong from the year 1999 to 2010.

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Delphi Study about Mathematics Gifted Education Based on STEAM Education (수학영재를 위한 STEAM교육 방안 마련을 위한 델파이 조사)

  • Paik, Heesu
    • School Mathematics
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    • v.15 no.4
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    • pp.867-888
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    • 2013
  • The purpose of this paper was to investigate mathematics gifted educational methods based on STEAM education by Delphi study. As a result by total 3 round Delphi method, the concept of STEAM education for mathematics gifted students was education of developing capacity of Holistic Growth that can communicate diverse people through self-monitoring study as they can find and solve problems with integrative thinking and creative thinking. Thus this elicited the consensual agreements of experts about mathematics gifted educational goals, methods, contents, and evaluations etc. As a follow-up research will be developed mathematics gifted educational model based on STEAM education.

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A Fundamental Study on Developing the Enrichment Curriculum for Gifted Children in Informatics Education Using Delphi Method (Delphi 기법을 적용한 심화형 정보 영재교육과정 개발의 기초연구)

  • Park, Jeong-Sun;Kim, Yung-Sik
    • The Journal of Korean Association of Computer Education
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    • v.13 no.4
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    • pp.13-26
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    • 2010
  • The purpose of this study is to develop the enrichment curriculum connected to a Revised Version of 7th National Informatics Curriculum in Middle School for gifted students in IT education. This study uses a Delphi Method to develop a curriculum which is comprised of educational objectives, educational contents, teaching-learning method and educational evaluation. This study carried out a three-round delphi survey in 'The problem-solving method and its procedure' field from grade 1 to grade 3. In this study, first, the responses of the experts about educational objectives, educational contents, teaching-learning method and educational evaluation of each grade were analyzed. Second, organized items were designed. Finally, important items were selected by statistics.

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Delphi Study about Science Gifted Education based on Creativity and Character (창의.인성 중심의 과학영재교육 방안 마련을 위한 델파이 조사)

  • Choi, Kyou-Lee
    • Journal of Gifted/Talented Education
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    • v.22 no.2
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    • pp.387-410
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    • 2012
  • The purpose of this paper was to investigate science gifted educational methods based on creativity and character by Delphi study. As a result by a total 3 round Delphi method, the concept of creativity and character education for science gifted students was to promote character development through the effectively interactive communications in the process of creative problem finding and solving. Thus this elicited the consensual agreements of experts about science gifted educational aims, methods, contents, and evaluations etc. As a follow-up research will be developed science gifted educational model based on creativity and character.

The Evaluation of Agricultural Functions for Public Benefits by Delphi Method (델파이기법을 통한 농촌의 공익적 기능 평가)

  • Kim, Eun-Ja;Lee, Han-Ki;Youn, Yeo-Chang
    • Journal of Korean Society of Rural Planning
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    • v.7 no.2 s.14
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    • pp.55-64
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    • 2001
  • The objectives of this study were 1) to evaluate the environmental and social cultural public benefits but a food supply, 2) to revalue the importance of rural and rural living, This study was carried out through review of literature, a delphi technique, a case study. It was mainly used the delphi technique by expert group. Major findings were as follows ; 1. The public benefits in rural were classified into three categories:(1) social culture (2) natural environment (3) economic & etc. 2. To evaluate the values for public benefits, questionaries were developed by expert group, and the total number of items were 30. 3. There were picked out 12 items on social culture, 10 items on natural environment, and 8 items on economic & etc of public benefits in rural. 4. In the public benefits, a food supply was highest in total 30 items, and water resources contain, emotional-psychological rest, place of environment education, beautiful view, etc were followed in order.

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