• 한국간호교육학회지
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• 제29권3호
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• pp.203-224
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• 2023

Purpose: This study aimed to evaluate the effectiveness of simulation-based education on communication and clinical judgment in nursing students and nurses. Methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. Seven databases were searched to obtain articles published in Korean or English. Of 12,864 articles reviewed, 36 were included in a systematic review and 23 in a meta-analysis. To estimate the size of the effects of simulation-based education, a meta-analysis was performed using the R package meta program. The risk of bias was assessed using RoB 2.0 and ROBINS-I. Results: The effect sizes (ES) of simulation-based education on communication and clinical judgment were ES=0.77, 95% confidence interval (95% CI)=0.43 to 1.12 on communication-related variables and ES=1.84, 95% CI=1.03 to 2.65 on clinical judgment. Conclusion: Simulation-based education for nursing students and nurses is useful for improving their communication and clinical judgment. Thus, it is necessary to develop and apply simulation-based education programs for nursing students and nurses to improve their abilities in communications and clinical judgment.

• 성인간호학회지
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• 제21권2호
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• pp.245-256
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• 2009

Purpose: To describe the lived experience of nursing students when faced with clinical judgment in a nursing practicum at the hospital. Methods: A descriptive research design was utilized. Participants were 79 students in the clinical practicum. Participant consent was obtained for ethical protection. Data were collected from August to December 2007 using a semi-structured questionnaire. Content analysis was utilized for data analysis. Results: Two categories and 5 themes were extracted from the data for 'difficult' and 'easy' clinical judgments. For the student category, the two themes were 'knowledge' and 'skill', while the three themes for the clinical education environment category were, 'judgment of clinical symptoms and signs', 'differences between theory and practice' and 'human relationships'. For coping, 2 categories and 5 themes were extracted for the difficult clinical judgment situation, while one category and one theme were found for the easy clinical judgment situation. Conclusion: To develop students' clinical judgment, there is need to develop the method of clinical skills using simulation in clinical teaching. For future research, a study on factors affecting clinical judgment of nursing students in hospitals is needed.

• 한국의류학회지
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• 제35권10호
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• pp.1139-1149
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• 2011

This study tested the validity of a three-factor model of the centrality of visual product aesthetics developed by Bloch, Brunel, and Arnold (2003) and explored the relationships between the centrality of visual product aesthetics and the relevant constructs. It was hypothesized that the path relationships including innovativeness and consumer independent judgment making are relevant constructs of the centrality of visual product aesthetics. Data were gathered by surveying university students in the Seoul metropolitan area (using convenience sampling) and 322 questionnaires were used in the statistical analysis. Correlation analysis, factor analysis, and regression analysis were conducted to analyze the data. The findings show the validity of the three factors (value, acumen, and response intensity) of the centrality of visual product aesthetics. Tests of the hypothesized path show that innovativeness influences the centrality of visual product aesthetics both directly and indirectly through consumer independent judgment making. Innovativeness positively influenced consumer independent judgment making and the three factors of the centrality of visual product aesthetics, whereas consumer independent judgment negatively influences the response intensity factor of the centrality of visual product aesthetics. The implications of these findings and suggestions for future study are also discussed.

• 복식문화연구
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• 제17권6호
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• pp.1141-1154
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• 2009

As a preliminary research of body characteristics analysis of Korean obese woman, this study aims to select optimal obesity judgment tools for reliable sampling of obese subjects from 2,425 female measurement data out of 2004 Size Korea project's raw data. From previous researches related to obesity, 7 obesity judgment tools were chosen. 2007 obesity rate(26.3%) of Korean female adults was refered in selecting optimal obesity judgment criteria in the study. The results are as follows. Firstly, it was verified that BMI was the most suitable in judging and sampling the obese subjects by the percentile analysis. R$\ddot{o}$hrer index was also reliable in grouping the obese subjects from a population. Secondly, it was concluded that the obesity ratios of relative weight 120 and higher group, R$\ddot{o}$hrer index 1.6 and higher group and waist girth 80cm and higher group were the most similar to obesity rate of Korean female adults by 2007 National Health & Nutrition Survey. Thirdly, 30 direct measurements, age, 2 drop values and 6 ratios of 7 groups by the obesity judgment tools showed the significance each other at p<0.001 level. On the other hand, "bust point to bust point" and "waist to hip length" measurements didn't show the significant differences among 7 groups. Conclusively, 4 to 5 satisfactions out of 7 obesity judgment criteria were adequate and sufficient in sampling the obese subjects. If it is needed the strict criteria for judging the obesity, 5 satisfactions and higher group will be the best choice as the obese subjects. However 4 satisfactions and higher group generally, will be adequate for sampling of the obese subjects.

• 벤처혁신연구
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• 제2권2호
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• pp.65-78
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• 2019

윤리적 경영을 하는 기업은 구성원의 윤리적 판단력에 따라서 조직의 성과에 영향을 미친다고 할 수 있다. 본 연구에서는 윤리적 판단력(ethical judgement)을 주체로, 윤리판단력을 기업, 조직구성원인 상사와 동료를 윤리적 판단력의 요인으로 설정하였다. 연구에서는 윤리적 판단력이 직무만족과 조직시민행동에 미치는 영향을 살펴보고, 윤리판단력이 조직신뢰에 미치는 영향을 살펴보고자 하였으며, 윤리적 판단력과 직무만족과 조직시민행동의 관계에서 조직신뢰의 매개효과를 분석하였다. 본 연구의 대상은 2019년 10월 7일 부터 11월 2일 까지 서울, 경기, 충남지역 근로자 450명을 설문조사하여 실증분석 자료로 이용하였다. 자료의 분석은 SPSS 24.0 통계분석 프로그램을 사용하였다. 연구를 통하여 확인한 결과, 윤리적 판단력은 직무만족과 조직시민행동, 조직신뢰에 영향을 미치고 있음을 알 수 있으며, 조직신뢰와 같은 매개변수는 개인이 조직을 어떻게 인지하는지에 따라서 직무만족과 조직시민행동에 영향을 있음을 알 수 있었다. 윤리적인 판단력은 조직시민행동과 직무만족에 높은 영향을 미치고 있으며, 조직시민행동과 직무만족도를 높이기 위해서는 윤리적인 판단력을 향상시키는 방법의 윤리경영이 절대적으로 필요하며 조직과 일체감을 느낄 수 있도록 하는 다양한 프로그램을 개발하고 시행하는 것이 필요하다고 할 수 있다.

• 대한인간공학회지
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• 제31권1호
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• pp.77-83
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• 2012

Objective: The aim of this paper is to introduce a method that can measure and analyze the judgment gaps between service providers and customers. Background: It is important to understand the good service that service providers and customers are thinking. If there is judgment gap between service providers and customers, it would cause an unsatisfactory service. The judgment gap should be thoroughly investigated for a good service design. Method: Lens model is a human decision making model that was proposed by Brunswick(1952). This study indicates whether the Lens model can be applied to analyze judgment gaps between service providers and customers. As a case study, a library lending service was selected. 5 librarians and 15 customers participated in the experiment that investigates their judgments on a good service. The obtained data were analyzed by a modified lens model. Results: Cue weighting policies of consumers and service providers were similar, except that consumers gave higher weight on tangibility than service providers. Service providers and consumers had a good knowledge on the service quality, but they could not well apply the knowledge to judge it. Conclusion: The lens model may be used to analyze judgment gaps between service providers and consumers in the other service areas. The decision cues that were used in this study can be changed, depending on the characteristics of the target service. Application: The method that is proposed in this study may help to investigate and analyze both consumers' and service providers' judgments on a variety of services.

• 중환자간호학회지
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• 제16권2호
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• pp.42-53
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• 2023

Purpose : This retrospective mixed-methods study aimed to explore key considerations for designing effective simulated education in nursing, focusing specifically on the recognition and response to deteriorating patients. Methods : Quantitative and qualitative data were analyzed to assess the clinical judgment and performance of the nursing students. Descriptive statistics were used to analyze quantitative data related to prior knowledge, simulation satisfaction, clinical judgment, and nursing performance during deteriorating patient simulations. Qualitative content analysis was conducted for the reflective journal entries of the participants. Results : Quantitative analysis showed that most participants demonstrated a "being skillful" level of clinical judgment (33.1%) in effective response. At the beginner level, clinical judgment varied across effective noticing(39.7-82.8%), effective interpretating(77.6-82.8%), effective responding(3.4-86.2%), and effective reflecting(90.0-95.4%). Nursing performance in assessing patient respiration or SpO2 after request from a physician ranged from 46.6-48.3%. Qualitative analysis indicated that 48.5% of the participants anticipated a deteriorating condition and initiated appropriate actions, while 70% noticed patient unresponsiveness for the first time. Conclusion : To design an effective simulation program for identifying and addressing deteriorating patient care, a framework for observation and interpretation is essential, along with regular simulated training. It is important to design and assess simulation programs and to conduct thorough interviews with nursing students to gain insight into their clinical decision-making.

• 대한간호학회지
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• 제53권6호
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• pp.652-665
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• 2023

Purpose: This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses. Methods: A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a literature review and an in-depth/focus interview with 12 clinical nurses. The preliminary tool was finalized after 7 experts conducted a content validity test based on a data from a preliminary survey of 30 hospital nurses in Korea. Data were collected from 443 ward, intensive care unit, emergency room nurses who voluntarily participated in the survey through offline and online for the verification of the construct validity and reliability of the scale. Results: The final scale comprised 23 items scored on a 5-point Likert scale. Six factors - integrated data analysis, evaluation and reflection on interventions, evidence on interventions, collaboration among health professionals, patient-centered nursing, and collaboration among nurse colleagues - accounted for 64.9% of the total variance. Confirmatory factor analysis supported the fit of the measurement model, comprising six factors (root mean square error of approximation = .07, standardized root mean square residual = .04, comparative fit index = .90). Cronbach's α for all the items was .92. Conclusion: The NCJS is a valid and reliable tool that fully reflects the characteristics of clinical practice, and it can be used effectively to evaluate the clinical judgment of Korean nurses. Future research should reflect the variables influencing clinical judgment and develop an action plan to improve it.

• 윤리연구
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• 제94호
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• pp.249-275
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• 2014

본 연구는 도덕판단력 측정도구인 MJT를 한국상황에 맞게 표준화하는 것을 목표로 한다. MJT는 '근로자의 고민'과 '의사의 고민' 두 가지의 딜레마 이야기로 구성되어 있다. 표준화의 절차는 우선 번역을 하고, 수차례의 예비조사를 거쳐 질문지를 안착하고, 실제 조사를 통해 창안자가 제시한 기준에 부합되는지를 검증하고 질문지의 신뢰도를 검증하는 방식으로 진행되었다. 이 연구 결과 문항의 신뢰도는 .669로 양호한 편이었고, 도덕발달단계별 선호 위계 검증, 단계별 준단방향구조 검증, 인지-정서적 평행 검증 등의 측면에서 타당도도 유효한 것으로 입증되었다.

• Child Health Nursing Research
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• 제21권2호
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• pp.160-167
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• 2015

Purpose: This study was done to evaluate the Lasater Clinical Judgement Rubric for use with Korean nursing students. Methods: A methodological study was used to validate the rubric developed by Lasater to assess clinical judgment during nursing simulation. Participants were 34 nursing students at K University in Seoul. Between February and May, 2012, analysis was done of 91 video clips recording performance during simulation. Results: Findings showed reliability and validity of the rubric. For internal consistency, Cronbach's ${\alpha}$ score was .884 and intraclass correlation coefficient was .839, which established reliability. The rubric was validated using the exploratory factor analysis and content validity. The content validity score was 83%, establishing the appropriateness and readiness of the tool. Factor analysis showed that noticing, responding, and reflecting domains had Eigen values of 2.669, 1.991, and 2.912, respectively and were bound, but unlike the original tool in which four factors noticing, interpretation, responding, and reflecting domains were bound. Conclusion: Results of the study indicate that the rubric shows acceptable reliability and validity in Korean nursing students. This evaluation tool for nursing simulation allows nursing faculty to objectively evaluate students' clinical judgment as well as students to reflect on their clinical judgment process during simulation.