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Nursing Students' Awareness of Biomedical Ethics and Attitudes toward Death of Terminal Patients (간호대학생의 말기환자에 대한 생명의료윤리 인식과 죽음에 대한 태도)

  • Kim, Young-Hee;Yoo, Yang-Sook;Cho, Ok-Hee
    • Journal of Hospice and Palliative Care
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    • v.16 no.1
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    • pp.1-9
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    • 2013
  • Purpose: The aim of this study was to investigate nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. Methods: A structured questionnaire was developed to examine nursing students' biomedical ethics. Their attitudes toward terminal patients' death were measured by using the Collett-Lester Fear of Death Scale. Surveys were conducted with 660 nursing students enrolled at a three-year college located in Daejeon, Korea. Data were analyzed using descriptive statistics, Wilcoxon rank sum test and Kruskall Waills test. Results: Students who have experienced biomedical ethics conflicts, agreed to prohibition of cardiopulmonary resuscitation (CPR) and have no religion exhibited more negative attitudes toward death compared to students without the above characteristics. Of the participants, 81.2% answered that life sustaining treatment for terminal patients should be discontinued and 76.4% replied that CPR on terminal patients should be prohibited. The majority of the correspondents stated that the two measures above are necessary "for patients' peaceful and dignified death". Conclusion: Study results indicate the need to establish a firm biomedical ethics value to help nursing students form a positive attitude toward death. It also seems necessary to offer students related training before going into clinical practice, if possible. The training program should be developed by considering students' religion, school year, experience with biomedical ethics conflicts and opinion about CPR on terminal patients. The program should also include an opportunity for students to experience terminal patient care in advance via simulation practice on standardized patients.

The Impact of Offshoring on Korean Firms' Productivity (오프쇼어링이 한국 기업의 생산성에 주는 영향)

  • Park, Moon-Soo;Kim, Hwa-Nyeon;Lee, Kyung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.4784-4790
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    • 2013
  • As with fast growing globalization, Korean firms have increased their offshoring activities and more empirical research are needed to analyze the effect of offshoring on Korean firms' productivity. This study used "Survey of Business Activities", a firm-level panel data set surveyed by the Statistics Korea between 2006 and 2008, and estimated pooled OLS and Panel fixed effect model to examine the impact of offshoring on a firm's labor productivity. Unlike the previous studies on offshoring, we included in the analyses the firms in the service industry in addition to those in the manufacturing industry, and presented the comparative results. The results from pooled OLS model show that 1% increase in the share of offshoring output will lead to 0.03% increase in labor productivity. However, the results from Panel model show that the effects of offshoring on productivity is positive but statistically insignificant. Analyzing the manufacturing and the service sector separately, the main results based on Panel model can be summarized as follows: Offshoring has significant positive effects on firms' productivity in the manufacturing industry. Contrastingly, the impact of offshoring on firms' productivity in the service industry is estimated to be negative but statistically insignificant. Other than the share of offshoring output, most factors except headquarter location have positive effects on firms' productivity in both manufacturing and service industry.

A Development of Remote Bird Observation System Using FMCW RADAR (FMCW 레이더를 이용한 원격 조류(鳥類) 관측 시스템 개발)

  • Lee, Hee-Yong;Hwang, Hun-Gyu;Choi, Myung-Gil
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.17 no.3
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    • pp.247-256
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    • 2014
  • Recently, camera and RADAR are used for more effective and accurate observation of the bird migration. In recent years, many researches on the bird migration using RADAR are undertaking and in active, thus causes the advent of "RADAR ornithology" as a new academic field. Due to the lack of accessibility, economic feasibility and mobility of weather RADAR, airport searching RADAR and tracking RADAR, Nowadays, a marine RADAR is widely used for a bird observation. In this paper, we deals with a study on development of a remote bird observation system using marine FMCW RADAR, which monitors, records and analyzes bird movement by RADAR image processing and target recognition technology. Also, we conduct first test and second test for availability of the developed system, and verify the system to apply in bird observation domain. Consequently, we figured problems out, and correct the problems to improve the system. The developed system can apply in other domains such as environment evaluation. In the future, the system needs to improve accuracy of statistics and to track migration route of bird.

A Case Series of Survival Outcomes in Patients with Advanced-stage IIIb/IV Non-small-cell Lung Cancer Treated with HangAm-Plus

  • Bang, Sun-Hwi;Yoon, Jeung-Won;Cho, Chong-Kwan;Shin, Ji-Eun;Lee, Yeon-Weol;Yoo, Hwa-Seung
    • Journal of Pharmacopuncture
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    • v.15 no.2
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    • pp.31-35
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    • 2012
  • Background and Objectives: Non-small-cell lung cancer (NSCLC) represents approximately 80% of all lung cancers. Unfortunately, at their time of diagnosis, most patients have advanced to unresectable disease with a very poor prognosis. The oriental herbal medicine HangAm-Plus (HAP) has been developed for antitumor purposes, and several previous studies have reported its therapeutic effects. In this study, the efficacy of HAP was evaluated as a third-line treatment for advanced-stage IIIb/IV NSCLC. Methods: The study involved six patients treated at the East- West Cancer Center (EWCC) from April 2010 to October 2011. Inoperable advanced-stage IIIb/IV NSCLC patients received 3,000 or 6,000 mg of HAP on a daily basis over a 12-week period. Computed tomography (CT) scans were obtained from the patients at the time of the initial administration and after 12 weeks of treatment. We observed and analyzed the patients overall survival (OS) and progression-free survival (PFS). Results: Of the six patients, three expired during the study, and the three remaining patients were alive as of October 31, 2011. The OS ranged from 234 to 512 days, with a median survival of 397 days and a one-year survival rate of 66.7%. In the 12-week-interval chest CT assessment, three patients showed stable disease (SD), and the other three showed progressive disease (PD). The PFS of patients ranged from 88 to 512 days, the median PFS being 96 days. Longer OS and PFS were correlated with SD. Although not directly comparable, the OS and the PFS of this study were greater than those of the docetaxel or the best supportive care group in other studies. Conclusion: HAP may prolong the OS and the PFS of inoperable stage IIIb/IV NSCLC patients without significant adverse effects. In the future, more controlled clinical trials with larger samples from multi-centers should be conducted to evaluate the efficacy and the safety of HAP.

Subjective Health Status, Attitude toward Death and Spiritual Well-being of Nurses (간호사의 주관적 건강상태, 죽음에 대한 태도 및 영적 안녕)

  • Cho, Ok-Hee;Han, Jong-Sook;Hwang, Kyung-Hye
    • The Journal of the Korea Contents Association
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    • v.13 no.10
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    • pp.375-384
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    • 2013
  • The purpose of this study is to identify the level and correlation of subjective health status, attitude toward death and spiritual well-being of nurses. The subjects were 338 nurses in two university general hospitals located in Seoul and Gyeonggi area. Data were collected using a structuralize questionnaires regarding subjective health status, attitude toward death and spiritual well-being from March to May in 2013. Data were processed with SAS for Windows statistics program. For analysis, t-test, ANOVA, and Pearson's correlation coefficients were performed. Nurses had negative attitudes toward death according to age, marital status, years of employment and job title, while spiritual well-being was different according to age, marital status, religion, education, years of engagement in clinical works, department, and job title. The higher subjective health of nurses was, the more positive their attitudes toward death were. The higher subjective heath of nurses was and the more positive their attitudes toward death were, the higher their spiritual well-being was. This study identified the relationship between the attitudes toward death and spiritual well-being and the health status subjectively recognised by nurses, and it is meaningful in that this study prepared basic data for development of an education program for spiritual nursing care or terminal care.

Study on Validity of SDLRS Instrument for Evaluation of Life-Long Outcome (평생학습 학습성과 평가를 위한 자기주도학습 준비도 검사도구(SDLRS)의 타당성 연구)

  • Han, Ji-Young
    • Journal of Engineering Education Research
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    • v.11 no.4
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    • pp.64-75
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    • 2008
  • The purpose of the study was to verify reliability and validity of SDLRS instrument and to prove up possibility of usage as an evaluation method for evaluating life-long learning. Literature review and survey were used to accomplish objectives of the study. 218 students in department of mechanical engineering of A university at Gyunggi province were responded for SDLRS(Guglielmino, 1977) instrument. Data were analyzed using descriptive statistics, factor analysis, t-test, and ANOVA test. 58 items in original version instrument were converted to 23 items. There were 7 factors for assessing the self-directed learning readiness according to this measurement scale with a total variance of about 58%. The total reliability of the final 23 items was $\alpha$. The final 7 factors consisted of love for learning, openness for learning, self-perception, basic learning function and independence, acceptance of responsibility for learning, leadership and future directivity, and creativity and exploration. The result of SDLRS analysis according to individual background, there were significant statistically in the grade, period of employment in industry, entering graduate school or not, and GPA, but no significant statistically in sexual difference, employment in industry or not, final academic level of parent, and income level of the family. In the future, final instrument will be needed to check in the respect of correlation with another ability and skill influencing on life-long learning, and more study will be done for developing life-long learning.

The Effects of a Hospice Palliative Education Program on Perception of Hospice, Attitude to Death, and Meaning of Life in Adults (호스피스 완화 교육 프로그램이 일반 성인의 호스피스 인식, 죽음에 대한 태도 및 삶의 의미에 미치는 효과)

  • Choi, Gum-Hee;Kwon, Suhye
    • Journal of Hospice and Palliative Care
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    • v.21 no.1
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    • pp.14-22
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    • 2018
  • Purpose: This study examined the effects of a hospice palliative education program for adults on their perception of hospice, attitude towards death, and meaning of life. Methods: This study was a quasi-experimental study with a non-equivalent control group design. Among 43 participants, 22 were assigned to the non-equivalent experimental group and 21 to the control group. The hospice palliative education program comprised 10 three-hour sessions, each given once a week. Data were analyzed by descriptive statistics, t-test and ${\chi}^2-test$ using SPSS version 20.0. Results: Significant differences between the experimental and control groups were observed in their perception of hospice (t=6.63, P<0.001), attitude towards death (t=2.36, P=0.023), and meaning of life (t=5.06, P<0.001). Conclusion: The results indicate that this education program could positively affect the perception of hospice, attitude toward death, and meaning of life in adults. More studies are warranted to explore the effects of this education program for various age groups so that it may help more people get positive understanding of hospice palliative care. The results suggest this program could help improve the negative perception of hospice, negative attitude towards death and meaning of life that are generally held by the public.

Difference in Understanding of the Need for Using Radiation in Various Fields between Students Majoring in Radiation and Non-Radiation Related Studies (전공자와 비전공자 대학생 간의 방사선이용 분야별 필요성인식 수준 차이)

  • Han, Eun-Ok
    • Journal of Radiation Protection and Research
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    • v.36 no.4
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    • pp.230-236
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    • 2011
  • As a way of improving social receptivity of using radiation, this study looked into the difference of understanding the need of using radiation in various fields between students majoring in radiation and non-radiation related studies, who will influence public opinion in the long term. This study also provides data needed for developing efficient strategies for projects promoting the public's awareness of using radiation. Of the students in the 79 schools sampled, 24%(177) were in 4 year colleges and 146 were junior colleges in educational statistics service (http://cesi.kedi.re.kr) In November 2010 1,945 students were selected as a sample, and they were given surveys on the need of using radiation in different fields. As a result, both between students majoring in radiation and non-radiation related studies showed a high level of understanding the need for radiation in the medical field and showed a low level of understanding of the need for radiation in the agricultural field. In all 6 fields of radiation use, students majoring in radiation related studies showed higher levels of understanding for the need to use radiation than students majoring in radiation and non-radiation related studies. In each field, male students and those who have experience medical radiation and relevant education had higher level of understanding. This shows we need to improve the understanding of the cases of female students and those who have not had experiences with medical radiation and to provide relevant education through various kinds of information. The characteristics of the groups that are shown in the results of this study are considered to be helpful for efficiently for project promoting the public's awareness of using radiation.

Fever Phobia: A Survey of Children's Parents in a Pediatric Outpatient Clinic (소아청소년과 외래를 방문한 부모들의 발열공포와 관련 요인)

  • Choi, Ae-Ran;Kim, Jin Sun
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.113-122
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    • 2014
  • Purpose: Purposes of this study were to identify the level of parental fever phobia and to investigate the relationship between level of parental concern about fever and related variables. Methods: Participants were 151 parents of children who visited a pediatric outpatient clinic. A selfreported structured questionnaire was used for data collection and data were analyzed using descriptive statistics and ${\chi}^2$-test. Results: Almost half of participants defined a minimum temperature for fever as $37.8^{\circ}C$ and a minimum temperature for high fever as $38.9^{\circ}C$. About 75% of participants identified harmful effects of fever as seizure and brain damage, were 'very worried' about fever, measured their child's temperature every hour or less, provided tepid massage and woke children to give antipyretics during febrile illness. There were significant relationships between level of parental concerns about fever and prior experience of febrile seizures, and/or being parents of a single child. Conclusion: Results indicate that fever phobia is prevalent among parents. Further studies are needed to develop and evaluate childhood fever management educational programs for parents. Considering health care providers as a primary information resource about fever management, health care providers should play a vital role to reduce parental unrealistic concerns about fever.

Simulation comparison of standardization methods for interview scores (면접점수 표준화 방법 모의실험 비교)

  • Park, Cheol-Yong
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.2
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    • pp.189-196
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    • 2011
  • In this study, we perform a simulation study to compare frequently used standardization methods for interview scores based on trimmed mean, rank mean, and z-score mean. In this simulation study we assume that interviewer's score is influenced by a weighted average of true interviewee's true score and independent noise whose weight is determined by the professionality of the interviewer. In other words, as interviewer's professionality increases, the observed score becomes closer to the true score and if interviewer's professionality decreases, the observed score becomes closer to the noise instead of the true score. By adding interviewer's tendency bias to the weighed average, final interviewee's score is assumed to be observed. In this simulation, the interviewers's cores for each method are computed and then the method is considered best whose rank correlation between the method's scores and the true scores is highest. Simulation results show that when the true score is from normal distributions, z-score mean is best in general and when the true score is from Laplace distributions, z-score mean is better than rank mean in full interview system, where all interviewers meet all interviewees, and rank mean is better than z-score mean in half split interview system, where the interviewers meet only half of the interviewees. Trimmed mean is worst in general.