• 제목/요약/키워드: development tool

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투약과 수혈간호의 간호과정 적용 평가도구 개발 (Development of the Nursing Process Based Performance Measurement Tool for Medication Management and Blood Transfusion)

  • 김금순;김진아;권소희;송말순
    • 임상간호연구
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    • 제16권1호
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    • pp.177-196
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    • 2010
  • Purpose: This study was conducted to develop the nursing process based performance measurement tool and the evidence based care standards for nursing care in medication management and blood transfusion. Methods: The care standards and performance measurement tool were drafted through comprehensive review of relevant literature, national guidelines, hospital protocols, and standards of recognized international accrediting bodies. The proposed care standards and performance measurement tool were reviewed by the panel of experts and refined based on the panel's suggestions. Final care standards and performance measurement tool were validated by surveying the hospital nurses. Results: All items of the performance measurement tool for medication management and blood transfusion were evaluated appropriate. All contents of care standards and the measurable elements except the evaluation of discharge education were appropriate. The performance measurement tool developed in this study was found to be acceptable as a tool to evaluate quality of nursing care in medication management and blood transfusion. Conclusion: The outcomes of this study including the performance measurement tool and evidence based care standards would be the important indicators to monitor whether necessary nursing care is implemented and be the useful primary resources to improve quality of nursing care services.

공작기계 지능화를 위한 다중 감시 시스템의 개발-드릴가공에의 적용- (Development of a Multiple Monitioring System for Intelligence of a Machine Tool -Application to Drilling Process-)

  • 김화영;안중환
    • 한국정밀공학회지
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    • 제10권4호
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    • pp.142-151
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    • 1993
  • An intelligent mulitiple monitoring system to monitor tool/machining states synthetically was proposed and developed. It consists of 2 fundamental subsystems : the multiple sensor detection unit and the intellignet integrated diagnosis unit. Three signals, that is, spindle motor current, Z-axis motor current, and machining sound were adopted to detect tool/machining states more reliably. Based on the multiple sensor information, the diagnosis unit judges either tool breakage or degree of tool wear state using fuzzy reasoning. Tool breakage is diagnosed by the level of spindle/z-axis motor current. Tool wear is diagnosed by both the result of fuzzy pattern recognition for motor currents and the result of pattern matching for machining sound. Fuzzy c-means algorithm was used for fuzzy pattern recognition. Experiments carried out for drill operation in the machining center have shown that the developed system monitors abnormal drill/states drilling very reliably.

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위.장관계 수술 환자간호의 질평가를 위한 도구개발 (Development of an evaluation tool of quality of nursing care for gastrointestinal surgery patient)

  • 이병숙;박정호;조현
    • 한국의료질향상학회지
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    • 제4권2호
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    • pp.260-278
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    • 1997
  • Background : Quality of professional nursing care is the most essential factor for survival and growth of nursing profession. Then, nursing professionals have responsibility for the evaluation of quality of professional nursing care. The purpose of this study was to develope an evaluation tool of nursing care for patients received gastrointestinal surgery with general anesthesia. This study was a primary work for the developement of a computer program for the evaluation of nursing care. Methods : This study was done through some consecutive steps. They were (1) Developement of items for the tool (2) Developement of an evaluation tool of nursing care quality for the G-I surgery patient (3) Test of reliability and validity of the tool. Two groups of experts and expert pannels who had much experience of the QA and the care of G-I surgery patients participated for developement of the items. 85 nursing records were used for the test of reliability and validity of the developed tool. The evaluation tools were developed with two types of scoring, norm-referenced tool and criterion-referenced tool. Results The system of items for tool was evaluation area evaluation item-indicator. There were 7evaluation areas which contained 32evaluation items which contained 7lindicators. Evaluation areas 1, 2, 3, 4 were for the evaluation of process and 5, 6, 7 were for the evaluation of outcome of nursing care for G-I surgery patient. For the test of interrator reliability, correlation coefficients of each scores of items and intragroup correlation coefficients were calculated. The average correlation coefficients between two rators were 0.65, 0.54 and the intragroup correlation coefficient were 0.99 and 1.00 by the types of scoring. The Cronbach alpha coefficients of the tools were 0.54 and 0.46 by the types of scoring. The average content validity index of the items was 0.95 from 4 pairs of experts. Because there were significant differences between some scores of quality of nursing care of 3 general hospitals regardless of the types of scoring, the tools could be thought to have some construct validity. And also, there were significant correlations between some scores of quality of nursing care and admission days and admission days after surgery regardless of the types of scoring, the tools could be thought to have predictive validity. Conclusion In this study, the evaluation tool of nursing care was developed for the very specified group of patient, G-I surgery patient. And the items were developed and tested by the experts of nursing practice. Because of these reasons, it was supposed that the tool could be used effectively in nursing pratice. And the procedures for the development and the test of the evaluation tool of nursing care in this study were supposed to be used for the developement of other tools.

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Unity3D를 이용한 전래동화 게임 제작 툴 개발 (Educational Game Making-Tool Development using Unity3D Engine: Birth of Game)

  • 임창주;원대한;정윤근
    • 한국게임학회 논문지
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    • 제14권1호
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    • pp.29-38
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    • 2014
  • 본 논문에서는 교육용 게임을 제작할 수 있는 툴을 제안하여 제작 기술에 대한 전문적인 지식이 없는 사용자에게 자신들이 원하는 형태로 직접 교육용 게임을 제작 할 수 있는 방안을 모색하였다. 사용자가 자신이 원하는 게임을 직접 만든다는 취지에서 시작한 이 게임은 잊혀져가는 우리나라의 전래동화라는 콘텐츠를 만나게 되면서 전래동화 기반의 게임을 직접 디자인, 플레이, 친구들과 공유할 수 있는 새로운 게임 제작 툴로 진화하였다. 또한 아이들을 가르치는 교사도 직접 전래동화를 게임 제작 툴로 디자인하여 아이들에게 제공, 공유하면서 자신의 교육에 보다 쉽고 재미있게 아이들의 참여를 유도할 수 있게 제작하였다. 이 게임 제작 툴을 통해, 어린 학생들은 잊혀져가는 우리의 좋은 문화를 접할 수 있고, 그 안에 있는 지혜와 해학, 교훈을 얻을 수 있을 것이며, 성인들은 어린 시절 할머니의 무릎에서 들었던 이야기들을 떠올리며 과거에 대한 향수를 느낄 수 있을 것이라 생각한다.

프레임워크를 이용한 연료공급 및 냉각계통 예비설계 프로그램 개발 (A Development on Conceptual Design Tool of Fuel Supply and Cooling System for High-speed Vehicles using Fluid-thermal System Design Framework)

  • 최세영;박수용;현석호;최원;박정배
    • 항공우주시스템공학회지
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    • 제12권4호
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    • pp.90-97
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    • 2018
  • 고속 비행체의 연료공급 및 냉각계통의 통합설계를 위한 프로그램을 개발하고 이를 이용하여 예비설계 및 검증을 수행하였다. 개발된 설계 도구는 상용 열유체 시스템 설계 프로그램을 프레임워크로 이용하여 모듈 통합과 입출력 처리 등이 개선되었다. 모델의 형상 및 열환경 변수를 입력하여 구성품의 상태량을 계산하고 모사를 통하여 설계 요구조건 충족을 확인할 수 있다. 이 프로그램을 사용하여 시스템의 세부 구성품 규격 선정에 적절하게 사용할 수 있음을 나타내었다.

간호과정 적용 평가도구 개발 -수분섭취/배설간호와 튜브간호를 중심으로- (Development of Performance Measures Based on Nursing Process for Fluid Intake/Output and Tube Care)

  • 김금순;최윤경;최완희;안정원;김진아;박승미;최경옥;김을순
    • 임상간호연구
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    • 제18권1호
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    • pp.13-28
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    • 2012
  • Purpose: This study was conducted to develop standards ensuring nursing process-based fluid intake/output and tube care, and to develop a performance measurement tool evaluating the level of care according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel's suggestions. Validity of the standards and the tool were examined using a survey of 293 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 3.86 and 4.02, respectively, out of 5.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care for fluid intake/output and tubes. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for fluid intake/output and tube interventions, such as intravenous catheters, nasogastric tube and urinary catheters.

말기 암환자의 변비 사정도구 개발 및 적용 (Development and Application of the Constipation Assessment Tool for Patients with Terminal Cancers)

  • 김명옥;박명희;류민애
    • 임상간호연구
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    • 제18권2호
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    • pp.205-214
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    • 2012
  • Purpose: The purposes of this study were to develop the constipation assessment tool for identifying their bowel movement patterns, and to provide basic information for the assessment and intervention protocol on constipation for patients with terminal cancers. Methods: The study followed the steps: the first step was to build a conceptual framework based on literature review; the second step was to develop a tentative instrument by analyzing the conceptual framework and existing instruments; the third step was to test content validity and reliability; and the final step was to apply the tool to patients with terminal cancers (N=112). Results: The constipation assessment tool was consisted of total nine items; under the categories of subjective and objective data for diagnosis had 4 items, and under the initial assessment category which includes stool type, physical examination, and abdomen X-ray had 5 items. Conclusion: The constipation assessment tool developed in this study is very easy to use and useful in nursing practice, especially in hospice and palliative care setting. Particularly this tool has items on patient assessment which would be considered as an evidence for choosing nursing interventions. Based on the constipation assessment tool, the development and application of intervention protocol on constipation for patients with terminal cancers is warranted in future research.

초등학교 성교육 평가도구 개발 및 적용 (Development and Application of Evaluation Tool for Sexuality Education in Elementary School)

  • 양순옥;정금희;김신정;이규영;백성숙
    • Child Health Nursing Research
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    • 제8권3호
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    • pp.334-343
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    • 2002
  • This study was aimed at primarily to develop a tool to evaluate sexuality education and secondarily to test effectiveness through application of developed evaluation tools in elementary school. The results from this study were summarized below: 1. On the basis of targeting the lower grades (1st- 3th year) and the higher grades (4th-6th year) elementary school students' sexuality education guidebooks published by Korea Ministry of Education & Human Resources Development, 71 preliminary items targeting the lower grades, 90 preliminary items targeting the higher grades were developed. 2. Through the validity test about the contents of the preliminary items three times, the items were regulated to 65 items targeting the lower grads and 57 items targeting the higher grades. And then, the preliminary items were re-regulated to 40 items separately. Then, pre-test which targeting each 30 students was enforced. 3.Finally, the evaluation tools for sexuality education that consisted of 40 items targeting the lower grades and the higher grades were developed. 4. eliability test of the developed tools, sexuality education evaluation tools showed alpha coefficient of internal consistency were 0.8355 (for the use of the lower grades) and 0.8881 (for the use of the higher grades). 5. o apply the developed sexuality education evaluation tools, 10-times sexuality education were carried out class unit and pre-post test were done using same questionnaire, which contains developed tool, there were significant difference in low grade (t=16.548, p=0.000), high grade (t=14.773, p=0.000). The results of this study suggest that the evaluation tool for sexuality education in elementary school may be a useful tool with a high degree of reliability and validity. In this sense, the evaluation tool for sexuality education developed by this study can be effectively utilized in Korea elementary schools.

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농작업에서 발생하는 하지자세의 근골격계 질환 위험도 평가를 위한 인간공학적 평가도구 개발 (Development of an Ergonomic Checklist for the Investigation of Work-related Lower Limb Disorders in Farming - ALLA: Agricultural Lower-Limb Assessment)

  • 공용구;한준구;김대민
    • 대한인간공학회지
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    • 제29권6호
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    • pp.933-942
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    • 2010
  • Objective: To develop an ergonomic evaluation tool which can be apply to assess the lower-limb postures associated with farming tasks. Background: In general, most of existing ergonomic assessment tools was developed to investigate the work-related musculoskeletal disorders of the upper-limb postures in manufacturing industry. Methods: As the first step of development of the evaluation tool, 13 lower-limb postures that were commonly observed in farming task were investigated by the subjective discomfort ratings, heart rates, and muscle activities. And then, an ergonomic evaluation tool for the lower-limb postures was developed based on results of the first experiment. Lastly, the ergonomic checklist which was developed in the current study was compared with other existing ergonomic assessment tools. Results: Based on the results of comparisons between a newly developed assessment tool and other existing assessment tools, it was found that a newly developed tool can perceive more sensitively for the various lower-limb postures than other assessment tools. Conclusions: Lower-limb posture assessment tool which can evaluate and assess risks of lower-limb WMSDs which were prevalent in farming tasks more easily and accurately was developed in this study. The lower-limb assessment tool can also be utilized to prevent WMSDs related with lower-limbs as well as improve working environments.

단체급식의 HACCP 전산프로그램 및 위생관리 평가도구 개발 (Development of the Computer-Assisted HACCP System Program and Developing HACCP-Based Evaluation Tools of Sanitation for Institutional Foodservice Operations)

  • 이정숙;홍희정;곽동경
    • 대한지역사회영양학회지
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    • 제3권4호
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    • pp.655-667
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    • 1998
  • The Computer-assisted Hazard Analysis and Critical Control Point(HACCP) program has been developed for a systematic implementation of HACCP principles in identifying, assessing and controlling hazards in institutional foodservics operations. The HACCP-based sanitation evaluation tool has been developed, based on the results of the computerized assisted HACCP program in 4 service sites of C contracted foodservice company, including 2 general hospitals with 650-beds, one office operation of 400 meals per day, and one factory foodservice of 1,000 meals per day. All database files and processing programs were created by using Unify Vision tool with Windows 95 of user environments. The results of this study can be summarized as follows : 1. This program consists of the pre-stage for HACCP study and the implementation stage of the HACCP system. 1) The pre-stage for HACCP study includes the selection of menu items, the development of the HACCP recipe, the construction of product flow diagrams, and printing the HACCP recipes and product flow diagrams. 2) The implementation of the HACCP system includes the identification of microbiological hazards, the determination of critical control points based on the decision tree base files. 3) The HACCP-based sanitation evaluation tool consisted of 3 dimensions of time-temperature relationship, personal hygiene, and equipment-facility sanitation. The Cronbach's alphas calculation indicated that the tool was reliable. The results showed that the focus groups rated the mean of importance in time-temperature relationship, personal hygiene, and equipment-facility sanitation as 4.57, 4.59 and 4.55 respectively. Based on the results, this HACCP-based sanitation evaluation tool was considered as an effective tool for assuring product quality. This program will assist foodservice managers to encourage a standardized approach in the HACCP study and to maintain a systematic approach for ensuring that the HACCP principles are applied correctly.

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