• Title/Summary/Keyword: facilitators

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Analysis on the Current State of Batterer Intervention Programs (가정폭력 가해자 개입 프로그램 실태분석)

  • 김경신;김정란
    • Journal of the Korean Home Economics Association
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    • v.38 no.10
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    • pp.117-132
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    • 2000
  • The purpose of this study was to analysis on the current state of batterer intervention programs in South Korea. This study was composed of two parts. First, intervention programs for domestic violence batterer in foreign countries were reviewed. Second, bitterer programs in South Korea were explored. In order to expand these bitterer programs in South Korea, culturally appropriate intervention, more innovative research on comparison analysis of diverse intervention approaches, program impact, type of curriculum, and intervention protocol, evaluation criteria, requirements pertaining to program facilitators, political assistance, and coordinated community response and community service are strongly needed.

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A Study on Facilitators and Inhibitors to the Introduction of Outsourcing in the Hospital Information Systems in Korea (병원 정보시스템 아웃소싱 도입의 촉진 요인과 저해 요인에 관한 연구)

  • Choy, Soon;Shin, Hyeong-Sik;Choi, In-Young;Kim, Suk-Il
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.1
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    • pp.64-70
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    • 2007
  • Objectives : This study was conducted to investigate the current status of outsourcing in Korean hospital information systems and the factors influencing its introduction. Methods : The authors surveyed 136 hospitals located in Seoul and its surrounding vicinities from June 7 to June 23, 2006. The facilitators and inhibitors to outsourcing in hospital information systems were derived from literature and expert reviews. Multiple logistic regression analysis was applied to identify the major influencing factors on outsourcing in hospital information systems. Results : Eighty-six (63.2%) of the 136 hospitals surveyed, which were mainly tertiary hospitals, responded to using outsourcing for their hospital information systems. "Hardware and software maintenance and support," "application development," and "management of service and staff" were the major areas of outsourcing. Outsourcing had been employed for $4\sim7$ years by 45.5% of the hospitals and the proportion of the budget used for outsourcing was less than 20%. A need for an extension in outsourcing was agreed on by 76.5% of the hospitals. The multiple logistic regression analysis showed that both consumer satisfaction and security risk have an influence on hospital information system outsourcing. Conclusions : Outsourcing in hospital information systems is expected to increase just as in other industries. One primary facilitator to outsourcing in other industries is consumer satisfaction. We found that this was also a facilitator to outsourcing in hospital information systems. Security risk, which is usually considered an inhibitor to information technology outsourcing, was proven to be an inhibitor here as well. The results of this study may help hospital information systems establish a strategy and management plan for outsourcing.

Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review

  • Ock, Minsu;Lim, So Yun;Jo, Min-Woo;Lee, Sang-il
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.2
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    • pp.68-82
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    • 2017
  • Objectives: We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI). Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them. Results: There was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI. Conclusions: The reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.

Perception of Korean Hospital CEOs on Organizational Accountability : Findings from In-Depth Interviews (한국 병원 최고 경영자의 책무성 인식 : 심층 면접 결과를 중심으로)

  • You, Myoungsoon;Lee, Geunchan;Kwon, Soonman;Yoon, Hyejung
    • Health Policy and Management
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    • v.22 no.4
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    • pp.597-627
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    • 2012
  • As misalignments among images, identity, and legitimacy of health professionals and institutions have been on the rise, CEOs of health care organizations have been required to enhance organizational accountability. Despite the accumulation of literature on the conceptual discussions of accountability, only a few studies empirically investigated key barriers to accountability and its facilitators. To identify perception on accountability with key barriers and facilitators of organizational accountability, a semi-structured interview with 11 CEOs of Korean hospitals was conducted. A short survey was taken to get quantitative data on CEO's perception on organizational accountability. To CEOs, accountability was very complex and unfamiliar concept, but understood as physician's code of ethics by nature and basic principle of hospital management. CEOs thought accountability could be improved through ethical leadership, financial stability and learning climate of hospitals. Distrust of the government, which failed to provide economic incentives for hospitals to increase accountability activities, was emphasized as a serious barrier to hospital accountability. There was consensus among hospital CEOs as to the importance of accountability in management. However, there were concerns that, without policy instruments to motivate hospitals toward increasing community benefits as well as collective efforts among health professionals to rebuild moral climate for being accountable, greater accountability would not be achieved in hospitals.

Attitude Toward Mental Health Recovery, Meaning, Barriers and Facilitating Factors Among Nurses of National Forensic Psychiatric Hospital (국립법무병원 간호사의 정신건강 회복에 대한 태도와 지각된 회복의 의미, 장애요인 및 촉진 요인)

  • Moonhee Gang;Donghyeon Gwak
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.97-106
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    • 2022
  • The aim of this study was identify national forensic psychiatric hospital nurses' attitudes, perceived meaning, facilitators and barriers to the recovery of mental health. A descriptive study design was used. The participants were 100 nurses working in a national forensic psychiatric hospital. The collected data was analyzed by descriptive statistics, independent t-test, ANOVA, scheffe-test using SPSS 26.0 WIN program. Also, content analysis was used for the responses described by the participants. The participants attitude toward recovery from mental health was positive(3.90±0.41), attitude showed significant differences in certification of psychiatric mental health nurse practitioner(t=-2.06, p= 042), certification of addiction nurses(t=-2.36, p= 020). The meaning of recovery that participants perceived were symptom mitigation(42.0%), barriers were family indifference and prejudice(31.0%), facilitators were medication, psychiatric rehabilitation program and therapeutic interviews(33.0%). It is necessary to provide education to improve nurses' understand to mental health recovery, organizational efforts are needed to establish a family support system and therapeutic environments for the recovery of mentally disordered offenders.

A Peer-support Mini-counseling Model to Improve Treatment in HIV-positive Pregnant Women in Kupang City, East Nusa Tenggara, Indonesia

  • Artha Camellia;Plamularsih Swandari;Gusni Rahma;Tuti Parwati Merati;I Made Bakta;Dyah Pradnyaparamita Duarsa
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.3
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    • pp.238-247
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    • 2023
  • Objectives: Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers' knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services. Methods: This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants. Results: Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs' side effects; and the quality of health workers and HIV services. Conclusions: There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.

Factors Influencing the Use of Control Measures to Reduce Occupational Exposure to Welding Fume in Australia: A Qualitative Study

  • Renee N. Carey;Lin Fritschi;Ha Nguyen;Kamil Abdallah;Timothy R. Driscoll
    • Safety and Health at Work
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    • v.14 no.4
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    • pp.384-389
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    • 2023
  • Background: Exposure to welding fume is associated with adverse effects on worker health. The use of various control measures can reduce levels of exposure and the resulting health effects. However, little is known about the factors that may influence workers' use of control measures in the workplace and their perceived intervention needs. This study aimed to investigate workers' and other stakeholders' views on ways to improve the use of welding fume control measures in Australian workplaces. Methods: We conducted a series of online focus group discussions and individual interviews with participants who have some occupational involvement in welding, whether as workers, employers or industry representatives, union representatives, or regulators. A semi-structured question guide was used, and all discussions and interviews were recorded and transcribed for analysis. Results: Five focus group discussions and five individual interviews were conducted with a total of 21 participants. Three major themes emerged. The first addressed the current awareness of welding fume harms and concern about exposure; the second focussed on the current use of control measures, and barriers and facilitators to their use; and the last centred around intervention needs and the contents of a potential effective intervention. Conclusion: Improving the use of control measures to prevent exposure to welding fume requires knowledge around the barriers and facilitators of control, use, and the intervention needs of stakeholders. This study has provided such knowledge, which will facilitate the design and implementation of an intervention to reduce welding fume exposure and ultimately protect the health of workers.

Triple Helix and the Circle of Innovation

  • Phillips, Fred
    • Journal of Contemporary Eastern Asia
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    • v.13 no.1
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    • pp.57-68
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    • 2014
  • This paper positions the triple-Helix as a meso-level notion, an epicycle in a grander circle of technological change, institutional change, and psychological change. Because of the differing speeds of these several kinds of change, speed is proposed as a high-level system metric. This implies that what we commonly call bridging agencies or facilitators - lawyers, venture capitalists, incubators, etc. - are better called buffering agencies, as they help to engage entities changing at different speeds. They use human judgment as well as information technologies to choose feasible timing for these engagements. The paper highlights implications for thinking about innovation diffusion: The grand cycle of socio-technical change means we should, rather, think in terms of innovation reinforcement, or a circle of innovation.

A Study on Successful Community of Practice Strategy and Implementation : Case Study of 'S' Corporation's Knowledge Management (성공적 지식경영을 위한 CoP 운영전략 : S사의 지식경영구축 사례를 중심으로)

  • Bang, Yoo-Sung;Lee, Myung-Sung
    • Knowledge Management Research
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    • v.1 no.1
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    • pp.127-137
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    • 2000
  • Effective knowledge sharing and creating requires human networking as well as system. Corporation 'S' organized 'community of practice(CoP),' which is a virtual group based on work process, skill, and interest. The purpose of this study is to suggest effective CoP establishment and implementation methods, based upon 'S' experience. The effective methods this study suggests are : setting up clear CoP objectives by each CoP; dual CoP system with career centered and subject centered; alignment with business strategy; guide by knowledge integrator, and professional competence development as CoP purpose. Key success factors to CoP activities also include effective communication, facilitators' competency, and managers' support.

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Participation and Academic Achievement by Learning Styles in Problem Based Learning (문제중심학습 교육을 받고 있는 간호학생의 학습유형에 따른 참여도와 학업성취도)

  • Kim, Ji-Yun;Chai, Eun-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.2
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    • pp.200-206
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    • 2009
  • Purpose: The purpose of this study was to analyze nursing students' learning styles and relationship of learning style to participation and academic achievement. Method: The study participants were nursing students in C college learning through problem based learning (PBL). Data were collected using a questionnaire which included Kolb's learning styles. Performance evaluation and paper examination were used to evaluate academic achievement. Results: Most of the students had converger type learning style. Student with a tendency to abstract conceptualization, such as converger type and assimilator type, preferred discussion and presentation. The students with converger type learning style participated and achieved better than students with diverger style. Conclusion: The results indicate that learning style was related to participation and academic achievement. Therefore in order to use PBL effectively, facilitators should consider students' learning styles.

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