• Title/Summary/Keyword: self-determination

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The Relationship Between Knowledge of Patient Safety, Nursing Professionalism and Patient Safety Management Activities in Nursing Students (간호대학생의 환자안전에 대한 지식, 간호전문직관과 환자안전관리활동의 관련성)

  • Kim, Chul-Gyu;Yu, Ha-Min;Kim, Hye-Won;Nam, A-Yeon;Roh, Hee-Sung;Bang, Da-Sol;Sin, Jin-Ui;Lee, A-Hyun;Lee, Eun-Gyeong;Jeon, Han-yong;Jeong, Se-Lim;Jung, You-Jung
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.26-40
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    • 2018
  • Purpose: The objective of this study was to identify the relationship between knowledge of patient safety, nursing professionalism and patient safety management activities of nursing students with clinical practical experience. Methods: Self-administered questionnaires survey on knowledge of patient safety, nursing professionalism, and patient safety management activities were conducted for the $3^{rd}-year$ and $3^{th}-year$ nursing students. 139 questionnaires were distributed, of which, 131 were used for data analysis. Results: The scores of nursing students' knowledge of patient safety, nursing professionalism and patient safety management activities were $6.76{\pm}1.26$, $65.11{\pm}7.97$ and $67.99{\pm}7.26$, respectively. Knowledge of patient safety differed significantly according to the grade. Nursing professionalism had a difference with major satisfaction, clinical practical satisfaction, and experience of patient safety accident. Patient safety management activities were positively correlated (p<.01) with knowledge of patient safety and nursing professionalism. Patient safety management activities increased significantly with increase in the scores of knowledge of patient safety and nursing professionals. The factors that were related to patient safety management activities of nursing students were knowledge of patient safety and nursing professionalism. Knowledge of patient safety and nursing professionalism were selected as significant variables for explaining the patient safety management activities of nursing students, of which the coefficient of determination was 9.8%. Conclusion: To promote patient safety management activities of nursing students, training programs for patient safety management activities are required. Also, there is the need to increase the knowledge of patient safety and nursing professionalism of nursing students using various educational method.

On the Colonial History of African Continent : From France to China (아프리카 대륙의 식민 역사 : 프랑스부터 중국까지)

  • Kim, Tae-Hyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.541-551
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    • 2018
  • This paper is on the colonial history of the African continent. It was the origin of mankind, which was called "Hometown of humanity" or "Warm region" since ancient Greece and ancient Egypt. However, the place came to be the invasion target of Western powers. Western nations, based on strong military and economic power, slaughtered sturdy African men and stripped off major resources for their own interests, devastating many parts of the African continent since the 15th century. This unfortunate history seems to have met a happy ending in the mid-twentieth century, after the independence of many African nations that have been committed to national self-determination since World War II. However, African countries have not been recognized as equal partners in the international arena. They were only poor and powerless countries that could be maintained only through the aid of advanced nations like France, as before. Of course, in the 21st century, Africa has begun to be thought to be a new market with high potentiality for development. Various countries, including India, China, Russia and Brazil, as well as major European countries, which have traditionally maintained friendly relations with France, are making efforts to increase their influence in Africa. Therefore, to understand this new trend, it is necessary to give a top priority to grasp the colonial history surrounding African continent.

On the Audible Band Hearing Measurement of Both Ears Considering Age (연령이 고려된 양쪽 귀의 가청대역 청력측정에 관한 연구)

  • Kim, Bong-Young;Bae, Myung-Jin
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.1
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    • pp.570-575
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    • 2021
  • Since humans live while feeling rich in their five senses, care must be taken not to damage their hearing in order to lead a happy life. Hearing damage suffered in a living environment is common in a partial band where a specific frequency band is first damaged. However, since the initial pain of hearing damage does not appear much, it is difficult to determine the symptoms in the early stages. In this paper, we proposed a high-speed measurement method that can easily and quickly self-measure hearing damage through a simple app. In this method, 9 pure tones compensated for gain for each voice soub-band are alternately heard in both ears, so that one's own hearing damage can be detected at high speed. When 18 tone pulses were heard for 30 seconds per person, 1 out of 12 subjects was identified as suspected of partial hearing damage. And when the test subjects were informed of the hearing determination method for the number of hearings, the participants themselves immediately determined whether their hearing was damaged. This measurement method simply judges the hearing of both ears within 30 seconds with a smart phone, so that hearing measurements that took more than 10 minutes in hospitals are relatively accurate, and it was found that hearing health can be maintained while reducing time and costs.

The Effect of Cancer Patients' Knowledge of Advanced Directives and Perception of Good Death on Attitude toward Withdrawal of Life-Sustaining Treatment (암환자의 사전연명의료의향서 지식과 좋은 죽음 인식이 연명의료중단 태도에 미치는 영향)

  • Park, Sang-Un;Kang, Yong-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.539-547
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    • 2021
  • This study was conducted to identify the effects of knowledge of Advance Directives (AD) and the patient's perception of a peaceful death on their attitude toward the withdrawal of life-sustaining treatment and to provide basic data for the development of a nursing intervention program for activating self-determination in the withdrawal of life-sustaining support of patients. The subjects were 167 adult cancer patients who received outpatient or inpatient treatment, from September 15, 2019, to March 30, 2020. The data was analyzed by mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression by using SPSS 21.0. From the results, it was observed that the knowledge of AD was 8.87±2.46 out of 12, perception of a peaceful death was 2.87±0.42 out of 4, and attitude toward withdrawal of life-sustaining treatment was 3.46±0.49 out of 5. There was a positive correlation between knowledge of AD, perception of a peaceful death, and their attitude toward withdrawal of life-sustaining treatment. The influencing variables were the knowledge of AD, perception of a peaceful death, discussion with family on withdrawal of life-sustaining treatment, and explanation power was 16.0% (F=10.355, p<.001). Therefore, it is necessary to develop a program that would improve the perception of a peaceful death, increase the knowledge of AD to improve the patients' attitude toward the withdrawal of life-sustaining treatment. An intervention to assist a discussion between the patients and their families in advance would also be useful.

The Perception on Video Material Making and the Effect on Science Teaching Ability of Non-face-to-face Teaching Material Making Activity for Elementary Pre-service Teachers (비대면 수업 자료 만들기 활동이 초등 예비교사들의 영상 자료 제작에 대한 인식 및 과학 교수 능력에 미치는 효과)

  • Shin, Ae-Kyung
    • Journal of the Korean Society of Earth Science Education
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    • v.15 no.1
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    • pp.103-116
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    • 2022
  • The purpose of this study is to investigate the perception on video material making and the effect on science teaching ability after conducting non-face-to-face teaching material making activity for elementary pre-service teachers. This activity consisted two processes. One is that elementary pre-service teachers conduct inquiry, understand related science concepts, analyze science textbooks and then make video material. The other is that they watch video materials produced by colleagues. This study was conducted on 89 elementary pre-service teachers for 8 weeks. After this activity was completed, the perception on video material making and the effect on science teaching ability of elementary pre-service teachers were investigated, and the results were analyzed. In the process of making and watching non-face-to-face teaching materials, elementary pre-service teachers showed positive results in teaching-learning, video production, and emotion and attitude toward video material making. In addition, it was found that they improved their science teaching ability through this activity and were very satisfied with this activity. However, they also mentioned several disappointments such as exclusion of learners' right to self-determination, lack of various communication channels, and errors in content of materials. This suggests that if these problems are solved, non-face-to-face classes can also be a good form of class.

An exploratory study of financial abuse among older adults (노인 경제적 학대에 대한 탐색적 연구)

  • Lee, Hyunjoo;Kim, Hyojung
    • 한국노년학
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    • v.41 no.3
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    • pp.327-351
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    • 2021
  • This study was motivated by the awareness that little attention has been paid to this issue both theoretically and empirically, despite the fact that financial abuse causes serious problems which are difficult for the elderly to recover from. This study intends to explore what the patterns of financial abuse targeting the elderly are, what causes and sustains these abuses, and what makes it difficult to counter such financial abuses. Data analysis was based on individual and group interviews of ten professionals expected to encounter the most financially abused elderly in social welfare institutions. The thematic analysis shows that financial abuse is often caused and maintained in a trusting relationship through care and protection. Because financial abuse was inflicted on the vulnerable elderly in a state of reinforced psychological dependence based on a long and trusting relationship, it appears that it has been made with tacit acknowledgement and consent. Despite those complex dynamics, it is noted that financial abuse can be judged as such only when the elderly claim to suffer from harm. Rather, intervention without victims' acknowledgement tends to be perceived as violating their right to self-determination. This reality naturally leads to the termination of the necessary interventions with the victims in an abusive situation. Based on these results, discussion focused on more realistic and diverse approaches to the issue of financial abuse of older adults.

A Study on Aid in Dying (조력사망(Aid in Dying)에 대한 고찰)

  • Lee, Jieun
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.67-96
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    • 2022
  • "Aid in Dying" means that when a decision-making patient suffers from an incurable disease, a drug that can speed up death is prescribed by a doctor and used to lead to death. Since the suspension of life-sustaining treatment was institutionalized based on human dignity and patient autonomy, the question of whether assisted death can be legally justified in relation to the right to receive medical help to shorten one's life to die with dignity has recently been actively discussed. In Korea, since the suspension of life-sustaining treatment was institutionalized by the enactment of the Life-sustaining Treatment Decision Act in 2016, an amendment to the Life-sustaining Treatment Act was recently proposed to legalize Aid in Dying. The global trend is that human "Right to Die" is discussed in the division of life and death, from the suspension of life-sustaining treatment to assisted death, and again in the order of euthanasia. In this paper, we started discussing dignified death and institutionalized patients' right to self-determination, looked at the controversy in the United States, which legislated assisted death in many states since the 2000s, and analyzed the main contents of California's End of Life Option Act and the data after enforcement. The strict requirements for Aid in Dying, such as voluntary confirmation of patients' intentions and doctors' obligation to provide information, and the results of California's Aid in dying system, composed of relatively diverse races, were reviewed.

Review of 2022 Major Medicla Decisions (2022년 주요 의료판결 분석)

  • Lee Jeongmin;Yoo Hyunjung;Park Taeshin;Jeong Heyseung;Cho Woosun;Park Nohmin
    • The Korean Society of Law and Medicine
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    • v.24 no.2
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    • pp.79-117
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    • 2023
  • Among the healthcare-related judgments handed down in 2002, there was a significant ruling on the timing of the duty of explanation, stating that, in order to ensure the exercise of the patient's right to self-determination, the patient must be given time to consider and decide on the risks and side effects of a medical procedure in specific circumstances. In addition, in a case where an insurance company claimed unjust enrichment against a medical institution on behalf of its insureds, the court provided a clear standard by distinguishing between active and passive requirements regarding the need to preserve the right of subrogation of creditors. In the area of medical administration, there was a ruling that clarified that a medical institution's business suspension under the National Health Insurance Act is directed against the medical institution, a ruling that broadly recognized causation in a case of compensation for side effects of corona vaccination, and a ruling on the scope of a medical practitioner's license, such as the use of ultrasound devices by an oriental medicine practitioner. In a case involving a patient's claim for eviction from a medical institution, the court reviewed a ruling on just cause for termination of a hospitalization contract in relation to Article 15(1) of the Medical law.

A Study of the Giftedness Expression Mechanism of Young-sil Jang through Gagne's DMGT Model (Gagne의 DMGT 모형을 통한 장영실의 영재성 발현 기제 연구)

  • Ji-Young Choi;Dong-Hyun Chea
    • Journal of the Korean Society of Earth Science Education
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    • v.16 no.2
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    • pp.234-246
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    • 2023
  • This study uses Gagne's 'Differentiated Model of Giftedness and Talent (DMGT)' to collect and extract major life events of Jang Young-sil, and to investigate how giftedness was formed and developed in his life history, and what factors enabled him to demonstrate his talent in the field of science and technology. In addition, based on the framework of Gagne's Differentiation Model for Giftedness and Talent(DMGT), we analyzed the mechanism of giftedness manifestation of Jang Young-sil and sought to explore the direction of gifted education based on this. To sum up the results of the study, first, in Giftedness(G), it was found that Jang Young-sil had excellent scientific and technological skills. Second, motivation, determination, self-management, and personality factors that constitute the inner catalyst(IC) of the individual have had an impact on the development of giftedness. Third, it influenced the social environment and peer giftedness in environmental catalysis(EC). Fourth, the catalyst of chance or chance(C) was the factor that had the greatest influence on Jang Young-sil's manifestation of giftedness. Fifth, informal learning and non-institutional formal learning in the developmental process(LP) influenced the manifestation of giftedness. In this way, the talent development factors of people such as Jang Young-sil provide implications for the need to understand the manifestation mechanism of giftedness in the future, develop examination tools that can detect giftedness, and develop customized programs that can develop giftedness.

The Effect of Problem-Based Learning (PBL) on the Ability to Participate in Field-Education Classes and Improvement of Problem-Solving Skills (문제중심학습(PBL)이 현장실습수업 참여능력과 문제해결력 향상에 미치는 영향)

  • Jung Hyun Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.1-9
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    • 2023
  • This study aims to construct a basic PBL class research data model that can strengthen and improve technical college students' abilities to participate in field-education classes and problem-solving skills. A significant effect was found in PBL classes with regard to technical college students' problem-solving skills and abilities to participate in field-education classes, as posited by the hypothesis. The results of the PBL course, which is a hypothesis of research, have been confirmed to have a significant effect on the participation of college students in field practice and on the ability to solve problems. Seventy-one students from five departments (humanities, social studies, and arts) at D University in North GyeongSang Province were selected as final subjects. The study was conducted for seven weeks from October 10 to December 05, 2021, in three stages: pre-inspection, PBL operation, and post-inspection. In the college life experiences of students with disabilities who study late within the Department of Social Welfare, it was confirmed that the study participants independently changed toward their independent life satisfaction and positive perception of themselves as a process of change in which the self-determination rights and goals and hopes for their lives by seeking the role for the disabled who have not yet been encountered and in the process of positively recognizing themselves.