• Title, Summary, Keyword: Noncompliance

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A Study of Low Flux Hemodialysis Noncompliance Indicators and Discriminant Standards, Development of Hemodialysis Noncompliance Measurement - Brief Form(HNCM-BF) (저효율 혈액투석 불이행 측정 도구 개발)

  • Hur, Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.4
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    • pp.462-472
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    • 2007
  • Purpose: Purpose of the this study is to define the hemodialysis noncompliance Indicators and discriminant standards levels for low Flux Hemodialysis patients and development of Hemodialysis noncompliance measurement - brief form. Method: Data was collected from 269 hemodialysis patients. To establish the hemodialysis noncompliance Indicators and to discriminate standards, 13 hemodialysis nurses and 2 nephrology doctors are participated in professional group. To verify the indicators and discriminant standards, data was ananlyzed by the canonical discriminant analysis method using by SAS 8.3 program. Result: 4 Indicators- interdialysis weight gain(IWG); average of recent 4weeks, serum phophate level, skipping of hemodialysis and hemodialysis time shortening without permission- of hemodialysis noncompliance are established and discriminant standards are developed. Discriminant ability of these 4 noncompliance indicators is 99.7%(p=.000). Hemodialysis noncompliance measurement - brief form has 96.3% discriminant accuracy. Conclusion: Hemodialysis noncompliant patients have high risks. It means that special intervention to noncompliance is needed. Also continuous and objective assessment and standards of noncompliance are needed.

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The Effects of Children's Temperament, Maternal Child-Rearing Behavior, and Child-Care on Children's Noncompliance (아동의 기질, 어머니의 양육행동 및 보육경험이 아동의 불순응 행동에 미치는 영향)

  • Ha, Ji Young;Park, Sung Yun
    • Korean Journal of Child Studies
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    • v.26 no.2
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    • pp.55-74
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    • 2005
  • This study investigated the effects of children's temperament and environmental factors on boys' and girls' noncompliance in ecological context. Observations were made of 62 children(34 boys and 28 girls, $\bar{x}$= 44 months) enrolled in child-care centers. Mothers and caregivers completed questionnaires. Data were analyzed by t-test, Pearson's Correlation, and three way ANOVA. Results showed no significant gender difference in noncompliance. There were correlations between children's activity level, maternal rejection and responsiveness, quantity of child-care and boys' noncompliance. For girls, only activity level and quantity of child-care were related to noncompliance. The effects of maternal child-rearing behavior and child-care variables on noncompliance varied by children's gender and temperament.

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ICU Nurses'Noncompliance of Critical Care Nursing Standards (중환자실 간호사의 중환자 간호실무표준 불이행에 대한 조사)

  • Kwon, Soon-Jung;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.36-47
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    • 2009
  • Purpose: This study was to determine ICU nurses noncompliance of critical care nursing standards in order to provide basic data for education aimed at improvement in practice and evaluation of quality of nursing care in ICU. Methods: Data was collected from 150 nurses who work for three educational hospitals which have more than 800 beds and located in Gyeonggi province using questionnaires from September 2007 to October 2007. Results: The highest categories of noncompliance of critical care nursing standards were admission care($2.71\pm.60$) and infection control($2.31\pm.70$). The main causes of noncompliance critical care nursing standards that nurses regarded as causes were lack of attention(80.7%). ICU nurses mainly reported their noncompliance to charge nurses(89.3%) within 30minutes (84.7%). The reasons they reported were to solve problems rapidly and correctly, to reduce a harm to patients, and to prevent making noncompliance again. The reasons they didn't report were that they thought it might be not a problem and there was no change of patients conditions. Conclusion: ICU nurses noncompliance of critical care nursing standards was determined, therefore it can be used for prevention of further noncompliance.

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Reciprocal Relations between Maternal Parenting Behavior and Preschoolers' Compliance/Noncompliance during Mother-child Interactions : A Short-term Longitudinal Study (모-자녀간 상호작용 시 어머니의 양육행동과 유아의 순응/불순응 행동 간의 상호적 관계 : 단기 종단 연구)

  • Shin, Nana;Park, Bokyung;Kim, Soyoung;Doh, Hyun-Sim
    • Korean Journal of Child Studies
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    • v.36 no.5
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    • pp.75-94
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    • 2015
  • This study examined short-term longitudinal reciprocal relationships between maternal parenting behavior and preschoolers' compliance/noncompliance, as well as stability in both maternal parenting behavior and preschoolers' compliance/noncompliance over time. The sample which was used for this study was taken from a two-wave (one year apart) longitudinal study of preschool-aged children and their mothers (N = 53 dyads). At both times, mothers and their children were invited to a laboratory and engaged in 25 minutes of play involving three episodes of mother-child interaction. Maternal parenting behavior and preschoolers' compliance/noncompliance during play were coded using the Dyadic Parent-Child Interaction Coding System-III (DPICS-III). Maternal codes included positive, neutral, and negative parenting behaviors and child codes were comprised of compliance and noncompliance. The results revealed that during the play session, maternal neutral and negative parenting behavior and preschoolers' compliance were stable over time. In addition, T1 maternal negative parenting behavior was significantly related to T2 child compliance/noncompliance. However, T1 child compliance/noncompliance were not significantly associated with T2 maternal parenting behavior. These findings suggest that during the preschool period, there are unidirectional effects from mothers to children.

The Mediating Effects of Maternal Control Strategies on the Relationship between Preschoolers' Temperament and Compliance/Noncompliance (유아의 기질과 순응/불순응 행동 간의 관계에서 어머니의 통제전략의 매개적 효과)

  • Shin, Nana;Doh, Hyun-Sim;Kim, Min-Jung;Song, Seung-Min;Kim, Soo Jee;Yun, Ki Bong;Doo, Jeong Il
    • Korean Journal of Child Studies
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    • v.35 no.6
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    • pp.135-152
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    • 2014
  • The main purpose of this study was to examine the mediating effects of maternal control strategies on the relationship between preschoolers' temperament and compliance/noncompliance. A total of 125 mothers with preschoolers aged 3 and 4 years participated in this study. Preschoolers' temperament was reported by mothers. Maternal control strategies and preschoolers' compliance/noncompliance were observed in the laboratory using a clean-up task. There were four major findings. First, preschoolers with higher levels of activity exhibited less compliance, and preschoolers with higher levels of adaptability and activity displayed more noncompliance. Second, preschoolers whose mothers used fewer commands and more compliments displayed more compliance and less noncompliance. Third, mothers who rated their children higher in activity level used more commands with their children. Finally, the use of maternal commands mediated the association between preschoolers' activity level and compliance/noncompliance. When preschoolers' activity level and maternal control strategies were considered together to predict preschoolers' compliance/noncompliance, the relationship between activity level and compliance/noncompliance became nonsignificant. These findings suggest that the effects of temperament on compliance/noncompliance are indirect through maternal control strategies.

Preschoolers' Compliance and Noncompliance : As a Function of Maternal Behavior, Child Gender and Age and Social Context (유아의 순응 및 불순응 행동 : 어머니의 양육행동, 아동의 성, 연령, 및 사회적 상황과의 관계)

  • Yong, Eui-Seon;Park, Seong-Yeon
    • Korean Journal of Child Studies
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    • v.32 no.3
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    • pp.43-57
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    • 2011
  • This study examined preschoolers' compliance and noncompliance as it related to maternal behavior, child gender and age, and social context. The subjects were 213 preschool children in Seoul. Data were collected via questionnaires reported by mothers and teachers. The results of correlation analysis and a series of repeated measures ANOVA revealed that mothers' coercive parenting was associated with lower committed compliance and ignorant noncompliance. It was also found that the 5-year-olds studies showed higher committed compliance in moral situations whereas the 6-year-olds showed higher situational compliance in conventional situations. Noncompliance was more common among the 5-year-olds than the 6-year-olds. It was also found that girls exhibited higher compliance than boys in both moral and conventional contexts. The results were discussed in terms of a developmental perspective.

Factors Affecting the Intention of Vaccination in Parents with Noncompliance of Vaccination (예방접종 불이행 부모의 예방접종 의도에 영향을 미치는 요인)

  • Cha, Hye-Gyeoung;Ryoo, Eon-Na;Park, Sung-Hee
    • Korean Journal of Health Education and Promotion
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    • v.29 no.1
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    • pp.89-96
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    • 2012
  • Objectives: The purpose of this study was to investigate factors affecting the intention of vaccination in parents with noncompliance of vaccination. Methods: The participants of this study were 296 parents with noncompliance of vaccination. Data were collected by self-report questionnaires consisted of questions about parents' characteristics, intention of vaccination, attitude toward vaccination, perceived benefit of vaccination and perceived barriers to vaccination. Results: Factors affecting the intention of vaccination were perceived benefit of vaccination, attitude toward vaccination and mothers' education level. Conclusion: The intention of vaccination in parents with noncompliance of vaccination was decreased by decreased perceived barriers of vaccination in due consideration of negative attitude toward vaccination and mothers' high education level.

Factors Related to Noncompliance in Screening and Tracking Mild Cognitive Impairment Patients in a Single Community

  • Park, Chanmin;Kang, Won Sub;Kim, Jong Woo;Paik, Jong-Woo;Kim, Young Jong;Jeon, Jun Hee;Lee, Mee Ae;Kim, Jae Gwang;Song, Ji Young
    • Psychiatry investigation
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    • v.14 no.2
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    • pp.111-117
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    • 2017
  • Objective We assessed the cumulative conversion rates (CCR) from minor cognitive impairment (MCI) to dementia among individuals who failed to participate in annual screening for dementia. Additionally, we analyzed the reasons for failing to receive follow-up screening in order to develop better strategies for improving follow-up screening rates. Methods We contacted MCI patients who had not visited the Dongdaemun-gu Center for Dementia for annual screening during the year following their registration. We compared the CCR from MCI to dementia in the following two groups: subjects registered as having MCI in the Dongdaemun-gu Center for Dementia database and subjects who failed to revisit the center, but who participated in a screening test for dementia after being contacted. The latter participants completed a questionnaire asking reasons for not previously visiting for follow-up screening. Results The final diagnoses of the 188 subjects who revisited the center only after contact were 19.1% normal, 64.9% MCI and 16.0% dementia. The final diagnoses of the 449 subjects in the Dongdaemun-gu Center for Dementia database were 25.6% normal, 46.1% MCI and 28.3% dementia. The CCR of the revisit-after-contact group was much lower than anticipated. The leading cause for noncompliance was "no need for tests" at 28.2%, followed by "other reasons" at 23.9%, and "I forgot the appointment date" at 19.7%. Conclusion Considering the low dementia detection rate of the group who revisited only after contact and the reasons they gave for noncompliance, there appears to be a need for ongoing outreach and education regarding the course and prognosis of MCI.

Proposal for an Evaluation Method for the Performance of Work Procedures

  • Mohammed, Mouda;Mebarek, Djebabra;Wafa, Boulagouas;Makhlouf, Chati
    • Safety and Health at Work
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    • v.7 no.4
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    • pp.299-306
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    • 2016
  • Background: Noncompliance of operators with work procedures is a recurrent problem. This human behavior has been said to be situational and studied by many different approaches (ergonomic and others), which consider the noncompliance with work procedures to be obvious and seek to analyze its causes as well as consequences. Methods: The object of the proposed method is to solve this problem by focusing on the performance of work procedures and ensuring improved performance on a continuous basis. Results: This study has multiple results: (1) assessment of the work procedures' performance by a multicriteria approach; (2) the use of a continuous improvement approach as a framework for the sustainability of the assessment method of work procedures' performance; and (3) adaptation of the Stop-Card as a facilitator support for continuous improvement of work procedures. Conclusion: The proposed method emphasizes to put in value the inputs of continuous improvement of the work procedures in relation with the conventional approaches which adopt the obvious evidence of the noncompliance to the working procedures and seek to analyze the cause-effect relationships related to this unacceptable phenomenon, especially in strategic industry.

Temporal Variation of Indoor Air Quality in Daycare Centers (어린이집에서 이산화탄소와 미세먼지의 장기간 시간적인 변이를 활용한 실내환경수준 평가)

  • Kim, Yoonjee;Lee, Sewon;Ban, Hyunkyung;Cha, Sangmin;Kim, Geunbae;Lee, Kiyoung
    • Journal of Environmental Health Sciences
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    • v.43 no.4
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    • pp.267-272
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    • 2017
  • Objectives: The purposes of the study were to analyze the temporal variation of carbon dioxide ($CO_2$) and particulate matter (PM) in daycare centers and evaluate the appropriateness of the official test method of one-time measurement. Methods: Indoor air quality in 46 daycare centers in the Seoul Metropolitan Area was measured as specified in the official test method of Indoor Air Quality Management law. In addition, indoor air quality in the 46 daycare centers was measured over 37 days using a real-time monitor (AirGuard K). Results: The daily means of $CO_2$ and PM in the 46 daycare centers were $1042.74{\pm}134.45ppm$ and $67.60{\pm}18.25{\mu}g/m^3$, respectively. Indoor air quality in the daycare centers showed significant temporal fluctuation. Measurements for single days were significantly different from the 37-day average exposure. Relative error of short term exposure decreased with an increase in the number of sampling days. The noncompliance rate for $CO_2$ using the official testing method was 2.17%, and none exceeded the $PM_{10}$ standard of $100{\mu}g/m^3$. With monitoring over 37 days, the daily noncompliance rate for $CO_2$ was 50.4% and the daily noncompliance rate for PM was 13.8%. Conclusions: When the official test method evaluates the indoor air at daycare centers one day per year, the results may not represent actual indoor air quality over a longer period of time. Real-time monitoring devices could be an alternative for managing indoor air quality.