• 성인간호학회지
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• 제20권3호
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• pp.489-499
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• 2008

Purpose: The purpose of this study was to assess the importance and contribution of 9 nursing outcomes and their indicators that could be applied to cerebrovascular patients. Methods: Data were collected from 175 neurosurgical nurses working at two university affiliated hospitals and five secondary hospitals located in Gwang-ju. The Fehring method was used to estimate outcome content validity(OCV) and outcome sensitivity validity(OSV) of nursing outcomes and their indicators. Stepwise regression was used to evaluate relationship between outcome and its indicators. Results: The core outcomes identified by the OCV were Tissue Perfusion: Cerebral, Nutritional Status, Neurological Status, and Wound Healing: Primary Intention, whereas highly supportive outcomes identified by the OSV were Oral Health, Self-Care: ADL, and Nutritional Status. All the critical indicators selected for Fehring method were not included in stepwise regression model. By stepwise regression analysis, the indicators explained outcomes from 19% to 52% in importance and from 21% to 45% in contribution. Conclusion: This study identified core and supportive outcomes and their indicators which could be useful to assess the physical status of cerebrovascular patients. Further research is needed for the revision and development of nursing outcomes and their indicators at neurological nursing area.

• 대한간호학회지
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• 제40권1호
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• pp.110-118
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• 2010

Purpose: To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea. Methods: The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals. Results: The inter-rater reliability of items was high (Kappa range: 0.66- 0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month. Conclusion: This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.

• 대한간호학회지
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• 제28권1호
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• pp.17-25
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• 1998

This study was done to evaluate the quality of clinical nursing care using the variables of structure, process, and outcome and to analyze the relationship between the variables. This study also explored which variables are validating indicators to evaluate the quality of nursing care. The results analyzed by multiple regression showed that, generally structural variables did not contribute to the variance in outcome scores, but process variables of nursing care contributed significantly to the outcome variable of patient satisfaction. A combination of structure and process variables explained outcome variables more than structural variables alone. Also, patient satisfaction and hospital preference were significantly related to each other. Therefore, if nursing quality evaluation relies solely upon on structural variables such as number of available nurses and workload, it would be inaccurate because process variables of nursing care are strongly related to outcome variables and the two categories of structure and process variables helped to strengthen the relationships. Thus, it is important to focus on variables of structure, process, ant outcome together in evaluating nursing care quality.

• 보건행정학회지
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• 제25권1호
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• pp.31-39
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• 2015

Background: The purpose of this study is comparison of the results between regression and multi-level analysis to find out factors influencing outcome indicators (in-hospital death, length of stay, and medical charges) of stroke patients. Methods: By using patient sample data of Health Insurance Review & Assessment Service, patients admitted with stroke were selected as survey target and 15,864 patients and 762 hospitals were surveyed. Results: For the results of existing regression analysis and multi-level analysis, models were assessed through model suitability index value and as a result, the value of results of multi-level analysis decreased compared to the results of regression, showing it is a better model. Conclusion: Factors influencing in-hospital death of stroke patients were analyzed and as a result, intra-class correlation (ICC) was 13.6%. In factors influencing length of stay, ICC was 11.4%, and medical charges, ICC was 17.7%. It was found that factors influencing the outcome indicators of stroke patients may vary in every hospital. This study could carry out more accurate analysis than existing research findings through analysis of reflecting structure at patient level and hospital level factors and analysis on random effect.

• 한국도서관정보학회지
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• 제51권3호
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• pp.385-409
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• 2020

본 연구는 서울지역 공공도서관의 운영 분석을 통하여 서비스 성과관리 설계의 방향성을 제시하는데 목적이 있다. 이를 위하여 「제2차 서울시도서관발전종합계획(2018~2022)」과 「제3차 도서관발전종합계획(2019-2023)」에 따른 서울시의 시행계획을 연계하여 분석하고, 서울시민의 공공도서관 서비스에 대한 인식도 조사를 종합하여 정책개발 쟁점을 도출하였다. 이어 서울시 25개 자치구 173개 공공도서관의 투입지표와 자료서비스, 프로그램 이용실적, 웹이용, 상호대차 등 서비스 현황을 분석하였다. 이러한 분석 결과를 바탕으로 자치구별 도서관 서비스의 성과를 가시화 할 수 있는 성과관리 방향성을 제시하였다. 구체적으로 공공도서관 서비스 성과관리를 위하여 전략목표와 핵심과제의 선정에 내실화, 성과관리의 범주 설정, 이용자 중심의 성과지표 개발, 정성지표 한계점 개선 등의 방안을 제안하였다. 물리적인 투입지표의 부실로 인하여 산출지표로 표현되는 서비스의 질적 저하가 우려되는 개연성이 있기 때문에 투입을 강화하는 한편, 이들 지표 간의 관련성이나 인과관계를 논리적으로 설명하기 위한 성과관리체계의 구축을 통하여 서비스 격차의 해소를 독려할 필요성이 있다.

• 품질경영학회지
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• 제40권3호
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• pp.394-405
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• 2012

Purpose: In this study, we suggest the systematic and comprehensive model to develop PI(Performance Indicators) of the organization or the process. Methods: The model is developed theoretically by using SIPOC(Supplier, Input, Process, Output, Customer) approach which is a tool to analyze the process and is compared with existing models to develop PI or KPI(key performance indicators); financial indicators, BSC, IPOO(input, process, output, outcome), traditional QCD (quality, cost, delivery), and IOS(input, output system). Results: The model provides more systematic method to develop PI and more comprehensive set of PI pools for all kinds of hierarchical levels of process than any other models to develop PI or KPI. Conclusion: This model will provide useful tools for the managers and the organizations who wish to develop PI.

• 한국문헌정보학회지
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• 제42권4호
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• pp.329-354
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• 2008

지역주민의 문화적 요구가 높아짐에 따라 공공도서관에 대한 관심과 역할이 증대되고 있다. 이에 본 연구는 지역주민이 공공도서관을 얼마나 누리고 즐기는가를 파악하기 위한 향유지표개발을 목적으로 하였다. 향유지표는 향유기반지표, 향유실태지표, 향유결과지표, 향유기초지표라는 4개의 범주로 구성하여 향유를 위한 환경, 이용, 결과, 이용확대 측면을 모두 측정할 수 있는 통합지표로 개발하였다. 향유지표 항목들은 관련된 연구에서 추출되었고 4명으로 구성된 전문가회의를 통해 선정되었다. 또한 508명의 경기도 도민을 대상으로 한 설문조사 분석을 통해 지표의 수정 및 보완이 이루어져 최종 46개의 향유지표 항목을 제안하였다.

• 간호행정학회지
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• 제18권1호
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• pp.106-117
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• 2012

Purpose: This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea. Methods: The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity. Results: The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators. Conclusion: This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.

• Journal of Preventive Medicine and Public Health
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• 제29권4호
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• pp.815-829
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• 1996

A physician survey was done by mailing for the purpose of performing hospital services evaluation and ranking. A slightly over one thousand samples were drawn from the list of professional societies, and 324 physicians(about 32 percent) replied. This study has focused on developing easy and simple method to evaluate hospital services, and providing patients with useful information. Hospital service structure and process were evaluated without outcome evaluation, because it is difficult to obtain reliable data regarding health services outcome indicators. Clinical specialty was targeted to evaluate, and three specialties were chosen, that is obstetrics & gynecology, cardiology, and proctology. Among 16 structural indicators, four indicators were finally chosen in each specialty by respondent specialists. And then using these indicators, structural score was calculated for study hospitals. For process evaluation, physicians were requested to nominate five most famous hospitals. The nomination score and structural score were summed up to produce final score and hospital ranking. This method is very easy to conduct rather than other hospital services evaluation methods prevailing in Korea. And it is more useful for patients to choose hospitals, according to his/her own purpose, because it gives high ranking hospitals with specific clinical specialty.

• 한국환경복원기술학회지
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• 제14권1호
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• pp.105-119
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• 2011

In order to develop the indicators which evaluate the management effectiveness for the protected forest areas in Korea, candidate indicators were listed based on literature and experts interviews, then questionnaire survey on the experts were conducted. 5 elements of context, planning, input, process, output and outcome and 32 indicators were selected. Context element includes 6 indicators of 1) documentation and assessment of values; 2) documentation and assessment of threats, 3) influence of government policy, 4) related regulations, 5) community cooperation and 6) the structure of management organization. 6 indicators of Planning element were 1) the management objective, 2) protected area design, 3) protected area size and number, 4) representation, 5) standards and categories and 6) management planning. Input element of 3 indicators were 1) management staff, 2) funding, 3) establishment and application of information. Process element were consisted of 1) governance, 2) management guidelines, 3) human resource management, 4) law enforcement, 5) eco-management, 6) disaster management, 7) education program and 8) research and monitoring. The element of outputs and outcomes were 1) accomplishment of plan, 2) accomplishment of program, 3) private land management, 4) threats change, 5) biodiversity change, 6) ecosystem health and vitality, 7) impact on community, 8) international management level and 9) visitors' satisfaction and variation in civil compliant. It is recommended to have further research on evaluation methods development by applying those above developed indicators for the protected forest areas to ensure the practicality of the indicators.