• Title/Summary/Keyword: long term variation

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간호등급제가 요양병원의 간호인력 확보수준에 미치는 영향 (Effects on Long-Term Care Hospital Staff Mixing Level after Implementing Differentiated Inpatient Nursing Fees by Staffing Grades)

  • 김동환;이한주
    • 간호행정학회지
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    • 제20권1호
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    • pp.95-105
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    • 2014
  • Purpose: The purpose of this study was to examine trends in number of nursing staff and skill mix. Methods: Nursing staff and skill mix were measured using the number of nursing staff including nurse aids and registered nurses per bed. Descriptive and panel data regression analyses were conducted using data on long-term care hospitals which included yearly series data from 2006 to 2010 for 119 hospitals. Results: The number of nursing staff per bed increased significantly but percentage of registered nurses decreased significantly from 2007 to 2010. The regression model explained this variation as much as 34.9% and 43.8%. Conclusion: The results showed that in long-term care hospitals there were more nurse aids employed instead of registered nurses after the implemention of differentiated inpatient nursing fees. Thus clarifying the job descriptions for nurses and nurse aids is needed and appropriate hospital incentive policies should be implemented.

Reliability and Validity of the Korean version of the Pain in Older Adults Knowledge Survey (K-POAKS) among Nurses Who Have Worked in Long-term Care Hospitals

  • Ryu, Young Seun;Park, Jeong Sook
    • 지역사회간호학회지
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    • 제31권2호
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    • pp.130-142
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    • 2020
  • Purpose: The purpose of this study was to verify the validity and reliability of the Korean version of the Pain in Older Adults Knowledge Survey (K-POAKS) to assess knowledge of pain in older adults including people with dementia for use in long-term care hospital nurses. Methods: Survey data were collected from a convenience sample of 179 nurses who have worked in long-term care hospitals in B, D and U cities. The Kuder-Richardson Formula 20 for internal consistency for test reliability was conducted. The content, criterion-related and construct validity were evaluated using SPSS/WIN 22.0. Results: The KR 20 was .75 and Content Validity Ratio (CVR) was a range of 0.84~1.00. The criterion-related validity was positively correlated with attitudes (r=.28, p<.001) and performance (r=.21, p=.004). The construct validity of K-POAKS was analyzed by conducting the principal component method using the exploratory factor analysis varimax rotation, and seven factors were derived above the eigenvalue of 1.0. The seven factors explained 58.5% of the total variation. Conclusion: The Korean version of the POAKS showed satisfactory internal reliability, content validity, criterion-related validity and construct validity. These results suggest that the K-POAKS could be used as a suitable tool to measure the knowledge of the aged people's pain, including that of dementia patients for long-term care hospital nurses.

요양병원 간호사의 장루관리에 관한 지식, 수행자신감 및 교육요구도 (The Knowledge and Performance Confidence of, and Educational Needs on Ostomy Care among Nurses in Long-Term Care Hospitals)

  • 양남영;이혜란
    • 근관절건강학회지
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    • 제26권3호
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    • pp.270-280
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    • 2019
  • Purpose: The purpose of this study was to identify the levels of knowledge and performance confidence of, and educational needs on ostomy care among nurses in long-term care hospitals. Methods: The participants were 97 nurses from D and C cities. Data were collected from September 6~26, 2019, with self-reported questionnaires including general characteristics, knowledge and performance confidence of, and educational needs on ostomy care. Data were analyzed by using descriptive statistics, t-tests, ANOVAs, Pearson correlation coefficients, and multiple regression analysis. Results: The correct rate of knowledge of ostomy care was 60.1%. In addition, performance confidence of ostomy care was low, while educational needs on ostomy care were high. The knowledge of ostomy care was identified as a factor influencing in educational needs on ostomy care (β=-0.69, p<.001). It explained 42.0% of the variation in educational needs on ostomy care. Conclusion: There are nursing needs about ostomy care for older cancer patients in long-term care hospitals. Thus educational programs of ostomy care that are suitable to apply to the long-term care hospitals are necessary to develop for enhancing nursing capacity.

Experimental investigation of long-term characteristics of greenschist

  • Zhang, Qing-Zhao;Shen, Ming-Rong;Ding, Wen-Qi;Jang, Hyun-Sic;Jang, Bo-An
    • Geomechanics and Engineering
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    • 제11권4호
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    • pp.531-552
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    • 2016
  • The greenschist in the Jinping II Hydropower Station in southwest China exhibits continuous creep behaviour because of the geological conditions in the region. This phenomenon illustrates the time-dependent deformation and progressive damage that occurs after excavation. In this study, the responses of greenschist to stress over time were determined in a series of laboratory tests on samples collected from the access tunnel walls at the construction site. The results showed that the greenschist presented time-dependent behaviour under long-term loading. The samples generally experienced two stages: transient creep and steady creep, but no accelerating creep. The periods of transient creep and steady creep increased with increasing stress levels. The long-term strength of the greenschist was identified based on the variation of creep strain and creep rate. The ratio of long-term strength to conventional strength was around 80% and did not vary much with confining pressures. A quantitative method for predicting the failure period of greenschist, based on analysis of the stress-strain curve, is presented and implemented. At a confining pressure of 40 MPa, greenschist was predicted to fail in 5000 days under a stress of 290 MPa and to fail in 85 days under the stress of 320 MPa, indicating that the long-term strength identified by the creep rate and creep strain is a reliable estimate.

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

  • 김다은;사공혜;윤주영
    • 지역사회간호학회지
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    • 제30권3호
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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.

Evidences of in Situ Remediation from Long Term Monitoring Data at a TCE-contaminated Site, Wonju, Korea

  • Lee, Seong-Sun;Kim, Hun-Mi;Lee, Seung Hyun;Yang, Jae-Ha;Koh, Youn Eun;Lee, Kang-Kun
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제18권6호
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    • pp.8-17
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    • 2013
  • The contamination of chlorinated ethenes at an industrial complex, Wonju, Korea, was examined based on sixteen rounds of groundwater quality data collected from 2009 to 2013. Remediation technologies such as soil vapor extraction, soil flushing, biostimulation, and pumping-and-treatment have been applied to eliminate the contaminant sources of trichloroethylene (TCE) and to prevent the migration of TCE plume from remediation target zones. At each remediation target zone, temporal monitoring data before and after the application of remediation techniques showed that the aqueous concentrations of TCE plume present at and around the main source areas decreased significantly as a result of remediation technologies. However, the TCE concentration of the plumes at the downstream area remained unchanged in response to the remediation action, but it showed a great fluctuation according to seasonal recharge variation during the monitoring period. Therefore, variations in the contaminant flux across three transects were analyzed. Prior to the remediation action, the concentration and mass discharges of TCE at the transects were affected by seasonal recharge variation and residual DNAPLs sources. After the remediation, the effect of remediation took place clearly at the transects. By tracing a time-series of plume evolution, a greater variation in the TCE concentrations was detected at the plumes near the source zones compared to the relatively stable plumes in the downstream. The difference in the temporal profiles of TCE concentrations between the plumes in the source zone and those in the downstream could have resulted from remedial actions taken at the source zones. This study demonstrates that long term monitoring data are useful in assessing the effectiveness of remediation practices.

나무나이테를 이용한 설악산 지역의 4월~8월 총강수량 복원 (Reconstruction of April-August Precipitation in Mt. Sorak Region from Tree Rings)

  • 박원규;서정욱;;김요정;한수원
    • 한국제4기학회지
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    • 제15권1호
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    • pp.47-52
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    • 2001
  • 설악산 백담산장 (해발고 400m) 지역에서 자라는 소나무를 이용하여 141년 (A.D. 1858∼1998)간의 나무나이테(연륜) 연대기를 작성하여 4월∼8월 총강수량을 복원하였다. 복원한 결과 1880∼1887년, 1893∼1901년, 1922∼1938년은 건조기로 나타났으며, 1906∼1918년은 습윤기로 나타났다. 장기간 변동으로 보았을 때, 19세기말과 20세기초는 20세기 후반기보다 건조하였다. 전기간에 걸친 가뭄주기는 4.14년과 3.16년으로 분석되어 장주기보다 단주기 변화가 우세하였다.

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독도 인근해역 동물플랑크톤 장기간 특성 (Long-term variation of zooplankton around Dokdo in the East Sea)

  • 강정훈;김웅서;권오윤;조규희
    • 한국산학기술학회논문지
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    • 제17권9호
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    • pp.422-430
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    • 2016
  • 2006년부터 2015년까지 동해 독도 인근해역에서 동물플랑크톤 군집의 변동특성을 조사하였다. 동물플랑크톤 시료는 고정정점의 수온약층 상부수층에서 표준네트로 수직예인하여 획득하였다. 평균수온과 염분은 장기적으로 뚜렷한 변화는 없었으나, 2013년과 2015년 여름철에 상대적으로 낮은 염분이 관측되었다. 동물플랑크톤 평균 개체수는 여름철 기준으로 $317inds./m^3$(2008년)부터 $10,242inds./m^3$(2015년)까지 증가추세를 나타냈고, 동물플랑크톤 장기간 증가는 먹이생물인 엽록소-a 농도 증가와 잠재적 포식자인 주요 어류(멸치, 꽁치, 오징어, 청어, 전갱이)의 어획생산량 감소와 같이 나타났다. 증가를 주도한 우점종은 점진적으로 증가하는 유형류(Oikopleura spp.), 여름철에 주로 출현하며 2012년 이후 급속히 증가한 야광충(Noctiluca scintillans)과 지각류(Penilia avirostris), 그리고 2010년 여름철에 출현하기 시작하여 빠른 속도로 증가한 요각류(Paracalanus parvus s.l.)로 구분되었다. 본 연구결과는 독도주변해역에서 장기간 증가한 동물플랑크톤 개체수가 먹이농도의 증가와 상위포식자의 포식압 감소와 관련있음을 시사하였다.

문산천의 유사특성 및 장기하상변동 예측 (Sediment Properties and Long-term Bed Change of Munsancheon)

  • 이재근;안재현
    • 한국습지학회지
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    • 제13권2호
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    • pp.329-341
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    • 2011
  • 본 연구는 경기도 파주시에 위치한 문산천의 유사량을 직접 실측하여 유사특성을 분석하고, 이를 수치모형에 적용하여 장기적인 하상변동을 예측하였다. 직접 실측된 유사랑을 이용하여 유량-총유사량 관계식을 유도하였으며, 기존의 추정공식을 통해 산정된 총유사량과의 비교를 통해 적절한 유사량 추정방법을 평가하였다. 실측에 의한 문산천의 연간 총유사량은 5,478ton/year, 비유사량은 29.23ton/$km^2$/year로 나타났으며, 기존의 공식과 비교한 결과 Ackers & White공식이 실측치와 매우 유사한 값을 산정하였다. 실측된 유사량 및 지형, 수문자료를 입력변수로 하여 HEC-6와 GSTARS 모형을 비교, 평가하였다. 이를 통해 HEC-6 모형이 문산천의 장기하상변동 예측에 적합한 모형으로 신뢰할 수 있는 결과를 도출할 수 있다고 판단하였으며, 본 연구의 장기하상변동 예측에 적용하였다. HEC-6 모형을 이용한 장기하상변동 예측결과 문산천의 경우 하류부에서는 지속적으로 퇴적이 나타나고 상류부에서는 전반적으로 침식이 발생하였으며, 향후 20년 후의 하상상태로 안정화 될 것으로 판단되었다. 하상 변동량은 20년동안 1m 이내로 유의한 수준에 있다. 그러나 감조부의 영향을 받는 하류부에서는 유출구로부터 2,000m~7,000m 사이의 구간에 퇴적이 지속적으로 증가하고 있어 향후 하천관리계획 수립시 고려해야 할 것으로 판단되었다.