• Title/Summary/Keyword: 근거의 위계

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Concept Analysis of Tae-um in Nurses (간호사의 태움 개념분석)

  • Jeong, Sun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.482-491
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    • 2018
  • This study was conducted to identify the conceptual definition and attributes of nurses' Tae-um based on the conceptual analysis method of Walker and Avant. The attributes of nurses' Tae-um were derived from the organizational culture, inexperienced new nurses that are victims, senior nurses that are perpetrators, alteration of teaching, verbal and physical violence experiences, and psychological and physical symptoms. The antecedents were due to excessive work, high work intensity, job stress, lack of workforce, poor working environment, lack of job ability of new nurses, organizational hierarchy, and power imbalance. Moreover, the consequences were physical and psychological symptoms, decreased efficiency, increased distrust, increased turnover intention, and decreased quality of patient care. Improvements of working conditions and social supports for expanding nursing staff and building a culture in which communication and mutual cooperation are used to solve the antecedents of Tae-um among nurses is necessary. This study suggests the need for more qualitative research on Tae-um in nurses, the development of tools that reflect the attributes of Tae-um in nurses, and the development of a program to improve the culture of Tae-um in nurses. This study is significant in that it provides a rationale for development of an adaptation program for new nurses by suggesting the antecedents of Tae-um and solutions for it.

Factors Influencing on Health Promoting Behavior of Community-dwelling Older Adults (지역사회 거주 노인의 건강증진행위에 영향을 미치는 요인)

  • Jang, Ji-Hye;Shin, Yong Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.460-469
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    • 2020
  • The purpose of this study was to examine the predictive factors for health promotion behaviors of older adults in rural areas. A theoretical substruction was constructed to test hypothetical models based on Pender's health promotion model. The data was collected from 199 older adults aged 65 years or older, who resided in G city, by using a structured questionnaire. The questionnaires contained items on individual characteristics, health literacy, self efficacy and health promoting behavior. The data was analyzed with a t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior were the number of health information channels (β=.16, p=.031) and self efficacy (β=.53, p<.001). The total explanatory power of these factors was 30.8%. A nursing intervention plan for improving health promoting behaviors of older adults should be developed and applied, with a focus on self-efficacy and health information channels. Further longitudinal studies are needed to help confirm relevant measurement of the level of health promoting behaviors of older adults.

Relationship between Life Stress, Depression and Smartphone addiction in Nursing Students: Mediating Effects of Experiential Avoidance (간호대학생의 생활스트레스가 우울과 스마트폰 중독에 미치는 영향: 경험회피의 매개효과)

  • Bong, Eun-Ju;Kim, Yun-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.121-129
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    • 2017
  • The purpose of this study was to examine the mediating effects of experiential avoidance on the relationships between life stress, depression and smartphone addiction in nursing college students. This study was conducted using a descriptive survey design. Participants were 283 nursing college students attending freshmen and sophomore yearsat one university in Jeollanam-do. Data were collected from September 1 to 15, 2015 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. There were significant positive correlations between life stress, depression, smartphone addiction and experiential avoidance. Experiential avoidance partially mediated the relationship between life stress and depression of nursing students. Additionally, experiential avoidance partially mediated the relationship between their life stress and smartphone addiction. The results show that experiential avoidance plays a key role in psychopathology and grows with depression and smartphone addiction. Based on the present findings, nursing interventions should be developed to decrease experiential avoidance, with additional consideration towards the relationship between life stress and experiential avoidance, in order to prevent depression and smartphone addiction among nursing college students.

Factors that affect the frailty of the elderly people Over 70-Year-old in a Local Community (70세 이상 지역사회 거주노인의 허약 영향 요인)

  • Kim, Kyung-Hee;Yoon, Hee-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.2
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    • pp.313-323
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    • 2017
  • This study is a descriptive study that investigates the factors that affect the frailty of the elderly in the late period. The data were collected using a questionnaire during the period from 1 to 31 of December 2013. The subjects were 301 elderly people aged 70 years living in M city. The data were analyzed using a $x^2$ test, t-test, and ANOVA with the SPSS Statistics 18.0 program. Hierarchical regression analysis was performed to examine the factors that affect the weakness of elderly people. The results showed that 15.3% of the elderly living at home were frail. The factors that affect the frailty of the elderly were sex (p<0.01), nutritional status (p<0.01), cognition function (p<0.01), ADL (p<0.01), IADL (p<0.05), visual acuity (p<0.05), and chewing discomfort (p<0.05). A higher the degree of frailty was associated with women, poorer nutritional status, higher impairments to perform the daily activities (ADL and IADL), poorer hearing, and more feeling of chewing discomfort. These results can explain the frailty of elderly people over 70 years of age in a local community and the variables of health. The results suggest that the development of a comprehensive program for the elderly with weak physical, emotional, and functional health should be given priority.

The Moderating Effects of Emotional Intelligence in the Relation between Transformational Leadership and Organizational Citizenship Behavior (변혁적 리더십과 조직시민행동의 관계에서 감성적 지능의 조절효과 분석)

  • Jang, Chung-Seok
    • Korean Business Review
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    • v.22 no.2
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    • pp.111-137
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    • 2009
  • The purpose of this study is to examine the moderating effect of emotional intelligence in the relationship between transformational leadership and organizational citizenship behavior. To achieve this research purpose, theoretical and empirical studies related to transformational leadership, organizational citizenship behavior, and emotional intelligence were carried out simultaneously. A field survey was undertaken through questionnaire sampling a population of public organization in Chungchungnamdo. The established hypotheses related to transformational leadership, organizational citizenship behavior, and emotional intelligence were verified by the hierarchical regression analysis using SPSS. The result of this research are as followers : First, hypothesis1 proposed that emotional intelligence will be moderate the effect of charisma on organizational citizenship behavior. The hierarchical regression analysis revealed that moderation term was insignificant. The interaction term for charisma and emotional intelligence had a insignificant and positive relationship with organizational citizenship behavior. Therefore, hypothesis1 was not supported by the data. Second. hypothesis2 stated that emotional intelligence will be moderate the effects of inspirational motivation on organizational citizenship behavior. Hypothesis2 The result of the hierarchical regression analysis show a insignificant interaction between inspirational motivation and emotional intelligence on organizational citizenship behavior. Therefore, hypothesis2 was not supported by the data. Third, hypothesis3 stated that emotional intelligence will moderate the effect of intellectual stimulation on organizational citizenship behavior. The result of the hierarchical regression analysis show a significant interaction between intellectual stimulation and emotional intelligence on organizational citizenship behavior. Therefore, hypothesis3 was supported by the data. Fourth, hypothesis4 proposed that emotional intelligence will moderate effect of individualized consideration on organizational citizenship behavior. The hierarchical regression analysis revealed that the interaction term for individualized consideration and emotional intelligence had a significant and positive relationship with organizational citizenship behavior. Therefore, hypothesis4 was supported by the data. This study revealed that emotional intelligence moderate the relationship between intellectual stimulation, individualized consideration, and organizational citizenship behavior. It concludes that organizational citizenship behavior varies with coalignment of transformational leadership and emotional intelligence.

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Effects of Young Children's Temperament, Teacher Efficacy, and Teacher-child Interactions on Peer Play Interactions (유아의 기질과 교사효능감 및 교사-유아상호작용이 유아의 또래놀이상호작용에 미치는 영향)

  • Kim, Sang Lim;Park, Chang Hyun
    • Korean Journal of Childcare and Education
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    • v.11 no.6
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    • pp.37-58
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    • 2015
  • The purpose of the study was to analyze the effects of both young children's gender and temperament and their teachers' teaching efficacy and teacher-child interactions on peer play interactions. For this purpose, the data from the 2012 Panel Study on Korean Children were analyzed using analyses of variances and correlation co-efficiencies. In addition, analyses of hierarchical regression, with young children's temperament and teacher-related factors (teaching efficacy and teacher-child interactions) as the independent variables and three sub-factors of peer play interactions (play interaction, play disruption, play disconnection) as the dependent variables, were conducted. The results showed that young children's temperament, teacher efficacy, teacher-child interactions, and peer play interactions differed by gender and significantly correlated. Young children's temperament and teacher-child interactions significantly affected young children's peer play interactions, and the effect of teacher-child interactions was larger than the effect of temperament by 2~2.5 times. The results proved the importance of early childhood teachers' roles in the development of young children's peer interactions with consideration of differences based on children's gender and temperament. With the results given, implications and suggestions for further research were discussed.

'Development' and 'Relations', as the Core Concepts of Home Economics in 2015 Revised Middle School Curriculum in Korea (2015 개정 가정과의 핵심개념 '발달과 관계' - 중학교 교육과정을 중심으로 -)

  • Lim, JungHa;Jun, Mi-Kyung
    • Journal of Korean Home Economics Education Association
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    • v.28 no.1
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    • pp.1-17
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    • 2016
  • The purpose of this review was to introduce and examine 'development' and 'relations' as the core concepts of Home Economics in 2015 revised middle school curriculum in Korea. The 2009 and 2015 proclamation of the ministry of education on home economics curriculum and 26 published middle school textbooks were reviewed. The major findings were as follows. First, the components of human 'development' and family 'relations' were strongly associated with promoting four key competencies (i.e. the self-management competency, the communication competency, the aesthetic sensibility competency, the community competency) of 2015 revision. Also, four of cross-curricular learning topics (i.e. character education, multicultural education, safety and health education, human right education) in 2015 revision could be effectively discussed with human 'development' and family 'relations'. Second, when teaching and learning of the core concept, human 'development', continuous dynamic aspects of life-span development, the connectedness of different domains of development, systematic approach of various concepts in development, specificity and empirical evidence of information and variability of developmental patterns in adolescence should be considered. Third, when teaching and learning of the core concept, family 'relations', family trait such as generational relations, gender relations, role relations and power relations should be taken into account. In addition, exclusively focusing on normal family ideology or image of middle-class family and lecture-centered instruction methods should be changed for students to achieve the competencies relevant to family relations. The future directions for applying core concepts, 'development' and 'relations' in classroom will be discussed.

Does Process Quality of Inpatient Care Serve as a Guide to Reduce Potentially Preventable Readmission (PPR)? (의료서비스의 과정적 질과 잠재적으로 예방 가능한 재입원율과의 관계)

  • Choi, Jae-Young
    • Korea Journal of Hospital Management
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    • v.23 no.1
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    • pp.87-106
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    • 2018
  • Objective: The objective of this study is to examine the association between process quality of inpatient care and risk-adjusted, thirty-day potentially preventable hospital readmission (PPR) rates. Data Sources/Study Setting: This was an observational cross-sectional study of nonfederal acute-care hospitals located in two states California and Florida, discharging Medicare patients with a principal discharge diagnosis of heart failure, acute myocardial infarction, or pneumonia January through December 31, 2007. Data were obtained from the Healthcare Cost and Utilization Project State Inpatient Database of the Agency for Healthcare Research and Quality, Centers for Medicare and Medicaid Services Hospital Compare database, and the American Hospital Association Annual Survey of Hospitals. Study Design: The dependent variable of this study is condition-specific, risk-adjusted, thirty-day potentially preventable hospital readmission (PPR). 3M's PPR software was utilized to determine whether a readmission was potentially preventable. The independent variable of this study is hospital performance for process quality of inpatient care, measured by hospital adherence to recommended processes of care. We used multivariate hierarchical logistic models, clustered by hospitals, to examine the relationship between condition-specific, risk-adjusted, thirty-day PPR rates and process quality of inpatient care, after taking clinical and socio-demographic characteristics of patients and structural and operational characteristics of hospitals into account. Findings: Better performance on the process quality metrics was associated with better patient outcome (i.e., low thirty-day PPR rates) in pneumonia, but not generally in two cardiovascular conditions (i.e., heart failure and acute myocardial infarction). Practical Implication: Adherence to the process quality metrics currently in use by CMS is associated with risk-adjusted, thirty-day PPR rates for patients with pneumonia, but not with cardiovascular conditions. More evidence-based process quality metrics closely linked to 30-day PPR rates, particularly for cardiovascular conditions, need to be developed to serve as a guideline to reduce potentially preventable readmissions.

Factors that Influence Social Relations in Elderly People Participating in the Senior Employment Project: Focusing on the Job Satisfaction and Self-esteem (노인일자리 사업 참여노인의 사회적 관계에 영향을 미치는 요인: 자아존중감과 직무만족을 중심으로)

  • Yoo, Yong-Shik
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.231-241
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    • 2016
  • The purpose of this study is to examine factors influencing social relations in elderly people participating in the Senior Employment Project and explore ways to improve their life quality by promoting the enhancing social relations in old age based on that. To attain the study goal, this researcher conducted hierarchical multiple regression analysis on 272 elderly persons having experience to participate a senior employment project selected through random sampling. According to the findings, elderly people's internal factors, self-esteem and external factor, job satisfaction, influence social relations in elderly people participating in the Senior Employment Project significantly. In other words, if elderly people participating in the Senior Employment Project have higher self-esteem, and job satisfaction, their social relations are better. Based on the results, this author provides political suggestions as follows: first, it is needed to develop policies and programs that can enhance elderly people's self-esteem. Second, it is necessary to acknowledge their worker's status, diversify business types and areas for them, and improve their labor conditions so that elderly people can show higher job satisfaction. Third, it is needed to develop both official and non-official support systems and build networks to form new social relations.

Relationship between Latent Classes of Socioeconomic Status and Self-Esteem among Elderly Living Alone (사회경제적 지위 잠재유형이 독거노인의 자아존중감에 미치는 영향)

  • Kwag, Kyung Hwa
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.1-12
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    • 2016
  • The purpose of this study was to identify latent classes of socioeconomic status and to explore whether those of socioeconomic status influenced self-esteem among elderly living alone. From the data of 2009 National Elder Abuse Investigation, 1,333 older adults who were over 65 years and living alone were analyzed. Latent class analysis, one-way ANOVA, and hierarchical regression analysis were performed to test the purpose of this study. Results of this study found 5 latent classes of socioeconomic status, named as high education-low income group, low education-low income group, middle education-low income group, high education-high income group, and low education-high income group. Next, there were significant differences in self-esteem depending on 5 latent classes of socioeconomic status. Finally, compared to low education-low income group, high education-low income group, middle education-low income group, high education-high income group, and low education-high income group showed higher levels of self-esteem, even after adjusting for confounding factors. Findings from this study suggested fundamental characteristics and public policy for elderly living alone.