• 제목/요약/키워드: intervening

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화병 진료지침 개발을 위한 한약 임상시험 방법론 연구 (The Systematic Review of Clincal Trial(s) Intervening Traditional Korean Herbal Medicine: Extension of Developing Clinical Guideline for Hwa-byung)

  • 김석환;박보라;최금애;임현주;이상룡;정대규;김락형;김태헌;김경옥;정인철
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.163-176
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    • 2009
  • Objectives : To address most probable and suitable method for designing clinical trial intervening Traditional Korean Herbal Medicine on hwa-byung. Study Design : A systematic review of research studies of complementary and/or alternative medical(CAM) treatment of depression, and of domestic clinical trials of Traditional Korean Medicine, and of Chinese clinical trials of Traditional Chinese Medicine. Methods : Randomized, controlled trials(RCTs) of treatment of depression intervening herbal medicine were searched through MEDLINE, Cochrane Library, and CNKI databases. Also, domestic RCTs intervening Traditional Korean Herbal Medicine were searched through Korean Traditional Knowledge Portal and Korean studies Information Service System(KISS). Studies were evaluated using Iadad scale and self-designed tool for this study. Results : Thirty four RCT studies( 10 from MEDLINE, 16 from CNKI, 8 domestic studies) of herbal medicine met inclusion criteria. Mean Jadad score of studies published in English was 2.8${\pm}$0.79, in Chinese 1.94${\pm}$0.77, and in Korean 2.75${\pm}$0.71. Twenty one percent of studies included pattern differentiation in their inclusion criteria. Twenty nine percent of studies used combined treatment of herbal and conventional medicine. Among studies on depression, 9% included Complementary Medical assessing tools. Conclusions : There is shortage of domestic clinical trial involving herbal medicine. In China, studies tend to focus on investigating effect of Combined treatment of herbal and conventional medicine on depression. Clinical trial(s) of hwa-byung should provide good internal validity by describing methodology for randomization, double-blinding, and attrition. Also, specific guideline for clinical trial, including Traditional Korean Medical aspects across inclusion criteria, and assessing tools is needed.

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요통을 가진 간호사의 근무 적응 경험 (Adaptation Experience to Work of Nurses with Low Back Pain)

  • 양진향
    • 성인간호학회지
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    • 제25권6호
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    • pp.597-609
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    • 2013
  • Purpose: This study was to explore work experience among nurses with low back pain. Specific aims were to identify problems nurses face as workers at a hospital and how they interact with other workers. Methods: Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 9 nurses with low back pain as key informants, and a head nurse and a charge nurse who had experiences working with nurses with low back pain as general informants. Results: Through constant comparative analysis, a core category emerged as "to make one's own ground". The process of "to make one's own ground" was identified as four categories: perception of limitations, intervening conditions, balancing limitations, and controlling limitations. Intervening conditions were identified as 'working conditions' and 'personal traits'. Conclusion: Findings of the study indicate that there is a need for health professionals and administrators to understand limitations to working experience among nurses with low back pain. In addition, institutional and psychological support program is needed to improve an adaptation to working environment among nurses with low back pain.

대학생소비자의 신용카드에 대한 태도 및 재무관리행동, 신용카드 사용행동의 합리성에 대한 인과분석 (A Path Analysis of Attitudes toward Credit Cards, Financial Management Practices, and Sound Credit Card Use among College Students)

  • 김영신
    • 가정과삶의질연구
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    • 제23권5호
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    • pp.15-26
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    • 2005
  • The purpose of this study was to investigate the factors affecting credit card attitudes, financial management practices, and sound credit card use among college students, and to conceptualize a theoretical model. Earlier studies identified a number of antecedent variables (such as gender, year in college, job experience, amount of allowance, family income, living with parents, having taken a personal financial management course) and intervening variables (such as attitudes towards credit cards and financial management practices) as useful predictors of sound credit card practices. Four hundred and thirty four undergraduate students in Daejeon participated in this study. Stepwise multiple regression and path analysis were conducted. The results of this study were as follows: 1. Students' attitudes towards credit cards were affected by their you in college, whether they were living with their parents, and the amount of their allowance. Similarly, students' financial management practices were affected by their year in college, whether they were living with their parents, the amount of their allowance, and whether and not they had taken a personal financial management course. 2. Sound credit card practices were influenced by students' gender, their year in college, the amount of their allowance, attitudes towards credit cards, and financial management practices. 3. The path-analysis model demonstrates the relationships among the antecedent variables, intervening variables (credit card attitude, financial management practices), and sound credit card use.

소비자의 에너지 소비 절약 행동 및 관련요인에 관한 연구 -서울시의 주부를 중심으 로- (A Study on Energy Conservation behaviors of Consumers and Related factors)

  • 백경미;이기춘
    • 가정과삶의질연구
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    • 제5권2호
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    • pp.29-44
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    • 1987
  • The objectives of this study were; (1)to determine if socio-demographic variables influence energy conservation attitude, energy conservation knowledge, energy conservation behavior of consumer, (2) to determine if energy conservation attitude and energy conservation knowledge influence energy conservation behavior of consumer, (3) to examine the causal relationships among variables which influence energy conservation behavior of consumer. The model for this study included following variables; (1) socio-demographic variables, which are the independent variables; (2) energy conservation behavior of consumer, which is a dependent variable; (3) energy conservation attitude of consumer, which is an intervening variable ;(4) energy conservation knowledge of consumer, which is an intervening variable. The data used in this study included 502 homemakers living in Seoul. Statistics used for data analysis were ANOVA, Pearson's Correlation and Path Analysis. The major findings were follows; (1) Energy conservation attitude and energy conservation behavior difference significantly according to the level of family income among socio-demographic variables such a age, educational level and family income. Energy conservation knowledge differenced significantly educational level, and family income. Energy conservation knowledge difference significantly educational level. (2) Energy conservation behavior differed significantly according to energy conservation attitude and energy conservation knowledge. (3) Energy conservation attitude and energy conservation knowledge had positive effects on energy conservation behavior directly and indirectly. (4) Family income had negative effects on energy conservation behavior directly and indirectly through energy conservation attitude. Education had positive effect on energy conservation behavior indirectly through energy conservation knowledge.

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리더십 ${\cdot}$ 임파워먼트 ${\cdot}$ 간호업무성과간의 관계 (The Relationship between Leadership, Empowerment, and Nursing Performance)

  • 박원숙
    • 간호행정학회지
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    • 제8권2호
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    • pp.335-346
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    • 2002
  • Purpose: This study is to analyze the relationship between leadership, empowerment, organizational commitment, and nursing performance. Method: The method of the study is the establishment of the analytical framework of the theoretical model and the hypotheses for the empirical survey, analysis of the data collected by the empirical survey, and the provision of a revised model explaining more clearly the causal relationship between variables. Result: Transformational leadership has greater influence on empowerment and nursing performance than transactional leadership. Self determination and impact of empowerment factors greatly influence on organizational commitment, competence and impact significantly influence on nursing performance, and organizational commitment is closely related to the general nursing affair, the human relationship, and the job as an organizational member. Transactional and transformational leadership, in provision of the revised model by verification of goodness-of-fit of the hypothetical model, affects all parts of nursing performance by intervening competence and self determination of empowerment factors. Especially, transactional leadership directly influences on nursing performance without intervening the empowerment factor. Conclusion: The conclusion of the study is transformational leadership exerts a more positive influence on empowerment, organizational commitment, and nursing performance than transactional leadership.

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NICU에 입원한 미숙아 어머니의 모성정체성 (Maternal Identity in Mothers of Premature Infants admitted in NICU)

  • 신희선
    • Child Health Nursing Research
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    • 제10권1호
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    • pp.117-125
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    • 2004
  • Purpose: The research was conducted to investigate the experience of maternal role attainment of mothers of premature infants admitted in NICU and to conceptualize the phenomena. Method: The grounded theory method was utilized for data collection and analysis. 8 mothers of premature infants were selected and in-depth interview was performed. Paradigm model was utilized for data analysis and presentation. Result: The central category was 'unstable maternal identity'. The properties of the core phenomena was 'ambivalent feeling to baby' 'negative emotion' 'commitment to baby'. The loss of control due to premature delivery was the causal condition. contextual condition was the 'perceived threats' due to severity of the premature infant and uncerainty of the baby's life. The mother's health status, economic status, and familial and social support was recognized as intervening conditions during the process of maternal role attainment. The strategic action/interactions were emotion-focused coping, reappraisal of the situation, problem-focused coping, and information seeking. The consequence was the maternal role attainment with competence and expectation. Conclusion: The process of maternal role attainment was affected by threats due to severity of the baby and intervening factors and interaction strategy. Further research is recommended to develop adequate intervention method during the process of maternal role attainment.

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만성 심혈관질환자의 삶의 질 의미 (Quality of Life in Patients with Chronic Cardiovascular Disease)

  • 이은현;문성미;탁승제;김선희
    • 성인간호학회지
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    • 제19권1호
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    • pp.12-23
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    • 2007
  • Purpose: The purpose of the present study was to explore the meaning of quality of life in patients with chronic cardiovascular disease. Methods: A grounded theory method guided data collection and analysis. A total of 16 adult outpatients with chronic cardiovascular disease was participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. A theoretical sampling technique was used to obtain diverse data from many relevant categories. Results: Seven categories were extracted, and they divided into constructing and intervening factors of quality of life. Constructing factors were uncertainty, recovery in the sense of control and maintaining social life. Intervening factors were symptom experiences, social support, taking care of themselves, and reflecting life. 'Keeping restrictive conditions under control' was emerged as a core category. The meaning of quality of life in patients with cardiovascular was explained according to the levels of keeping restrictive conditions under control. Conclusion: The result of this study may contribute for health professionals to understand the quality of life in patients with cardiovascular disease.

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만성 목 통증 환자에서 자가신장운동과 윗등뼈 관절가동술이 통증과 가동범위에 미치는 영향 (Effects of Self-stretching Exercise and Upper Thoracic Joint Mobilization on Range of Motion and Pain of the Patients with Chronic Neck Pain)

  • 황보각;김기철;박윤기
    • 대한물리의학회지
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    • 제7권4호
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    • pp.509-514
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    • 2012
  • PURPOSE: This study aims to compare the effects of upper backbone joint mobilization and self-stretching exercise in the patients with chronic neck pain. METHODS: Thirty seven patients with chronic neck pain were divides into self stretching group(SSG, n=18) and mobilization group(MG, n=19). To assess the degree of neck pain, the visual analog scale (VAS) was utilized, and to measure the joint range of motion at the flexion-extension, it was compared and analyzed by using the cervical range of motion (CROM) device. RESULTS: The joint range of motion and visual analog scale of SSG and MG showed significant effects on both groups. In the comparison of groups, there was no significant difference, but it indicated effects on improving the pain and the range of joint motion in MG. CONCLUSION: According to the analysis, not only self-stretching exercise intervening for direct treatment but also upper backbone joint mobilization intervening for indirect treatment are effective to improve the pain and the range of motion.

특실병동 간호사의 의사결정 경험에 관한 패러다임 모형 (The Paradigm Model of VIP Ward Nurses' Decision Making)

  • 박현정;김덕희;김춘미
    • 한국직업건강간호학회지
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    • 제18권2호
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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.

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Influence of e-HRM and Human Resources Service Quality on Employee Performance

  • NURLINA, N.;SITUMORANG, Jubair;AKOB, Muhammad;QUILIM, Cici Aryansi;ARFAH, Aryati
    • The Journal of Asian Finance, Economics and Business
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    • 제7권10호
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    • pp.391-399
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    • 2020
  • This study aims to analyze the relationship of e-HRM implementation to employee performance both directly and indirectly through the intervening of the Human Resource service Quality variable, both practically and theoretically. This study uses variance-based structural equation modeling (SEM) techniques with partial least square (PLS) statistical testing tools to test the direct relationship of e-HRM and the performance and relationship moderated by Human Resources service quality tested on 200 civil servants in five offices under the coordination of the Government of the South Sulawesi Province of Indonesia. The data collection model in this study uses an online survey. The data analysis stages through the explanatory concept consist of, first, the interpretation of the distribution of the average frequency of respondents' answers; second, outer-loading; third, determination of the validity and reliability; fourth, the coefficient of determination test and partial test; fifth, the GoF model; sixth, validity test; and seventh, hypothesis testing. This study explores four hypotheses in a comprehensive fashion; the results of this study show that all hypotheses have positive and significant effects both through direct and intervening relationships. Among the three direct relationships, the relationship of e-HRM variables on HR Service Quality is greatest and most dominant.