• Title/Summary/Keyword: Appraisal Instrument

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Study on Factors Affecting Nurses' Experience of Non-Reporting Incidents (병원 간호사의 사건보고 불이행 경험여부에 영향을 미치는 요인)

  • Kim, Ki-Kyong;Song, Mal-Soon;Rhee, Kae-Sook;Hur, Hea-Kung
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.454-463
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    • 2006
  • Purpose: This study was designed to identify the factors affecting the nurses' experience of non-reporting adverse incidents in hospital. Methods: This study is a cross-sectional, descriptive survey design and nonrandom, convenience sampling. Study subjects were 392 clinical nurses, who have agreed to be the subject of this research. The measuring instrument of attitudes toward incident reporting was developed by the authors. The questionnaire which consisted of 17 items about worry about appraisal, the belief in improvement, the intention of reporting, and knowledge was measured by 5-point Likert-type scale. The estimate of internal consistency was alpha =.84. Analysis of data was done with use of mean, t-test, ANOVA, logistic regression with SPSS program. Results: Clinical nurses had experience of reporting incident (51.3%), non-reporting incident (76.5%). Statistically, significant differences were found between experiences group and non experience group in intention on reporting, belief on improvement, and worry about appraisal. Logistic regression analysis showed that the significant predictors were caused by report no-fault cases, belief on improvement, worry about appraisal. Conclusion: The result also indicated that, to improve the incident reporting and risk management, it might be necessary to give a belief that it results on improvement and remove concern about punishment through construction of no-blame system.

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Development and Evaluation of Nursing Practice Guidelines for Water Treatment System in Hemodialysis (혈액투석실 투석용수관리를 위한 간호실무가이드라인 개발 및 평가)

  • Kim, Su-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.4
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    • pp.463-471
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    • 2011
  • Purpose: The purpose of this study was to develop nursing practice guidelines for water treatment system used in hemodialysis and to evaluate the guidelines by applying them in practice. Method: The first draft for the guidelines was developed based on advice and recommendations obtained from procedure review of critical literature. The draft was modified through evaluation by an expert group and pilot application to practice. The final draft was evaluated by the expert group using the AGREE instrument (Appraisal of Guidelines for Research and Evaluation). Results: For the pilot test using the draft guidelines, 144 samples were collected from the water treatment system and hemodialysis machines. Results showed no bacteria. Endotoxin tests and chemical tests passed the criteria. After revision of the draft guidelines and additions to the draft guidelines, the final draft was confirmed. The quality of the final draft was evaluated by 4 experts using the AGREE instrument. The mean standard score was 76.9% for the 19 items. Conclusion: The clinical guidelines developed in this research can be utilized as systematic and scientific guidelines for water treatment systems used in hemodialysis. In addition, the results of the research can contribute to improving care services.

Development of Performance Evaluation Tool for Operating Room Nurses (수술실간호사 업무수행평가 도구개발)

  • Park, Sung Ae;Park, Kwang Ok;Kim, Myung Suk;Yoon, Gae Suk;Lee, Yoon Young
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.71-84
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    • 2008
  • Purpose: The purpose of this study was to develop a performance tool to evaluate operating room nurses. Method: In the first stage, 59 preliminary items were selected after two focus group meetings were carried out using as background a reference review. At this stage 59 items were developed. Next, the selected preliminary items were modified by an expert group of nurses with over 10 years experience, nurses holding doctoral degrees and professors in nursing. In the third and fourth stage, these items were analyzed by the expert group to determine validity and tested by hospital nurses with over 10 years experience to determine reliability Results: For the final tool, the 59 items, 47 items for the performance evaluation dimension and 12 items for the competence evaluation dimension were found to be valid and reliable. Cronbach's $\alpha$ was .9622, a promising alpha value for the total instrument. Conclusion: This tool is an efficient performance evaluation instrument providing meaningful feedback for operating room nurses.

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HIV/AIDS Related Knowledge and Attitude of Korean Childbearing Women (가임여성의 에이즈관련 지식과 태도)

  • Chang, Soon-Bok
    • The Korean Nurse
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    • v.33 no.5
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    • pp.46-62
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    • 1995
  • The purpose of this study was to identify the level of HIV/AIDS related knowledge and attitudes of Korean childbering women. The subject were 1152 Korean women who were living in the Seoul area and whose age was between 17-50 years. Data was collected by self reporting with a questionnaire of 57 items developed by the researcher. The reliability of the instrument for the HIV/AIDS related knowledge and attitudes were Cronbach's alpha. .6954 and .7987 respectively. The results were as follows: The mean age of the subjects was 26 years and 46.8% of them were married. The mean score for HIV/AIDS related knowledge was 14.7 out of a possible maximum score of 22. The correct answer rate for HIV/AIDS related knowledge was between 87.0-94.1% for the risk factors. and 36.4-54.8% for the transmission mode. Even though 87% of the subjects knew that homosexuals are risk group for HIV/AIDS. only half(55.8%) of the subjects answered that anal sex is the transmission mode. And only 57% of the subjects knew that HIV/AIDS transmission is possible through heterosexual contact. Their agreement level for attitudes was in order of communal coping (95%). pregnant women protection (94%). Problem appraisal (82%). patients isolation(68%). and disclosure of infection(67%). It was shown that the group who had a pregnancy (t=2.07, p=.039), used contraceptives (t=2.57, p=.OO1). and the group of college level graduates(t=3.61, p=.000) had a higher level of HIV/AIDS related knowledge. The agreement level of pregnant women protection. patient isolation. and problem appraisal were higher in the group of having had a pregnancy, having used contraceptives. and the group over 30 years of age. It was concluded that Korean childbearing women were quite knowledgeable about the risk factors but confused about the transmission mode. especially heterosexual contact. and they showed responsive attitudes to the HIV/AIDS issues considering the 339 infected cases in Korea. They preferred isolation of patients and communal coping as behavioral attitudes. Therefore it can be suggested that a HIV/AIDS prevention program should be focused on transmission mode.

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Maximum a posteriori estimation based wind fragility analysis with application to existing linear or hysteretic shear frames

  • Wang, Vincent Z.;Ginger, John D.
    • Structural Engineering and Mechanics
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    • v.50 no.5
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    • pp.653-664
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    • 2014
  • Wind fragility analysis provides a quantitative instrument for delineating the safety performance of civil structures under hazardous wind loading conditions such as cyclones and tornados. It has attracted and would be expected to continue to attract intensive research spotlight particularly in the nowadays worldwide context of adapting to the changing climate. One of the challenges encumbering efficacious assessment of the safety performance of existing civil structures is the possible incompleteness of the structural appraisal data. Addressing the issue of the data missingness, the study presented in this paper forms a first attempt to investigate the feasibility of using the expectation-maximization (EM) algorithm and Bayesian techniques to predict the wind fragilities of existing civil structures. Numerical examples of typical linear or hysteretic shear frames are introduced with the wind loads derived from a widely used power spectral density function. Specifically, the application of the maximum a posteriori estimates of the distribution parameters for the story stiffness is examined, and a surrogate model is developed and applied to facilitate the nonlinear response computation when studying the fragilities of the hysteretic shear frame involved.

Evaluation of Rotator Cuff Repair Using Korean Shoulder Scoring System

  • Shin, Sang-Jin;Lee, Juyeob;Ko, Young-Won;Park, Min-Gyue
    • Clinics in Shoulder and Elbow
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    • v.18 no.4
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    • pp.206-210
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    • 2015
  • Background: Assessment of the clinical outcomes after rotator cuff repair is essential for their effectiveness on treatment. The Korean Shoulder and Elbow Society devised the Korean Shoulder Scoring System (KSS) for patients with rotator cuff disorder. The purpose of this study was to evaluate the availability of the KSS for assessment of clinical outcomes in patients after arthroscopic rotator cuff repair, and for comparison with other appraisal scoring systems. Methods: A total of 130 patients with partial-thickness or full-thickness rotator cuff tear who underwent arthroscopic repair using a single row or double row suture bridge technique were enrolled. The average follow-up period was 25.9 months. All patients were classified according to various factors. Comparison within corresponding categories was performed, and the correlation between the KSS and other shoulder assessment methods including University of California Los Angeles (UCLA), Constant and American Shoulder and Elbow Surgeons (ASES) score was analyzed. Results: Total score of the KSS response had increased from 59.6 preoperatively to 88.96 at last follow-up. All KSS domains, including function, pain, satisfaction, range of motion, and muscle power had improved up to 24 months postoperatively. Statistical significance was observed mainly in preoperative measurements with number and size of torn tendons, and greater than or equal to grade 3 of fatty infiltration. The KSS was best correlated with the UCLA scoring system in both preoperative (r=0.785) and postoperative (r=0.951) measurements. Conclusions: The KSS was highly reliable and valid as a discriminative instrument, and it showed strong correlation with ASES and UCLA scoring systems.

Integrative literature review of nursing performance in Korea (간호 퍼포먼스에 관한 국내 연구의 통합적 고찰)

  • Cho, Sumi;Lee, Eunjoo
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.2
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    • pp.441-453
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    • 2015
  • This paper review nursing performance in Korea to suggest the direction of future research. A literature review of research nursing performance journal articles was performed. Thirty-three articles were analyzed research design, measurement tools, definition, and variables which with nursing performance. Most of the on nursing performance in Korea descriptive correlation study. There considerable confusion about Korean term and definitions nursing performance. used the instrument developed by Park (1989) to measure nursing performance. The variables with nursing performance leadership and empowerment. No agreement on definitions or concepts of nursing performance evident in Korea. Research on nursing performance that addresses all domains of nursing is needed to analyze the impact of nursing performance on patient and healthcare outcomes.

Clinical Practice Guideline for the Treatment of Traumatic Shock Patients from the Korean Society of Traumatology

  • Jung, Pil Young;Yu, Byungchul;Park, Chan-Yong;Chang, Sung Wook;Kim, O Hyun;Kim, Maru;Kwon, Junsik;Lee, Gil Jae;Korean Society of Traumatology (KST) Clinical Research Group
    • Journal of Trauma and Injury
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    • v.33 no.1
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    • pp.1-12
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    • 2020
  • Purpose: Despite recent developments in the management of trauma patients in South Korea, a standardized system and guideline for trauma treatment are absent. Methods: Five guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation II instrument. Results: Restrictive volume replacement must be used for patients experiencing shock from trauma until hemostasis is achieved (1B). The target systolic pressure for fluid resuscitation should be 80-90 mmHg in hypovolemic shock patients (1C). For patients with head trauma, the target pressure for fluid resuscitation should be 100-110 mmHg (2C). Isotonic crystalloid fluid is recommended for initially treating traumatic hypovolemic shock patients (1A). Hypothermia should be prevented in patients with severe trauma, and if hypothermia occurs, the body temperature should be increased without delay (1B). Acidemia must be corrected with an appropriate means of treatment for hypovolemic trauma patients (1B). When a large amount of transfusion is required for trauma patients in hypovolemic shock, a massive transfusion protocol (MTP) should be used (1B). The decision to implement MTP should be made based on hemodynamic status and initial responses to fluid resuscitation, not only the patient's initial condition (1B). The ratio of plasma to red blood cell concentration should be at least 1:2 for trauma patients requiring massive transfusion (1B). When a trauma patient is in life-threatening hypovolemic shock, vasopressors can be administered in addition to fluids and blood products (1B). Early administration of tranexamic acid is recommended in trauma patients who are actively bleeding or at high risk of hemorrhage (1B). For hypovolemic patients with coagulopathy non-responsive to primary therapy, the use of fibrinogen concentrate, cryoprecipitate, or recombinant factor VIIa can be considered (2C). Conclusions: This research presents Korea's first clinical practice guideline for patients with traumatic shock. This guideline will be revised with updated research every 5 years.

An Analytical Study of the Professional Self-Concept of Hospital Nurses in Korea (임상간호사의 전문직 자아개념에 관한 연구)

  • 송경애;노춘희
    • Journal of Korean Academy of Nursing
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    • v.26 no.1
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    • pp.94-106
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    • 1996
  • Nursing literature suggests that the self-concept of nurses gives an important implications to educators and administrators as well as clinicians for their professional development. With a view to exploring how nurses view themselves, the Professional Self-Concept of Nurses Instrument (PSCNI) using 27 Likert items was developed by Arthur in Australia in 1990. This study is an extension of the PSCNI using Korean samples with some modifications. A convenience sample was drawn from 800 nurses working in three university hospitals in Seoul ; three university hospitals in Kyonggi-do and a university hospital and a psychiatric hospital in Kangwon-do. Seven hundred questionnaires were analyzed using the statistical analysis system(SAS). The reliability of the scale was tested by test-retest and Cronbach's alpha. Differences in the PSCNI, which are closely related to demographic variables, were examined by t-test, ANOVA and the Duncan's multiple range test. Factor analysis was employed so as to examine component factors. The results are summarized as follows : 1. The test-retest reliability of the PSCNI was .79 and Cronbach's alpha was .85. Item correlations with total revealed consistent correlations and subscale reliability varied from .49 to .85. 2. The average score of PSCNI was 75.21 and average item score was 2.79. 3. Twenty four items were derived from the PSCNI 27 items and these items clustered in three component factors. The cumulative percent of variance was 38.12% and for factor 1 was 22.81%, for factor 2, 9.79% and for factor 3, 5.51% respectively 4. A comparison of the scores for the dimensions of the PSCNI shows a relative difference in terms of mean item scores and in descending order, professional practice(m=2.83), communication (m=2.82) and satisfaction(m=2.70). 5. Professional self-concept of nurses was found to vary significantly according to age(P=.0001), religion(P=.0001), academic background(P= .0109), marital status(P=.0001), career(P= .0001) and position(P=.0001). In conclusion, there was a correlation between professional self-concept of nurses, and life and work variables. This study provides an important message for administrators and nurse educators by highlighting factors which can be addressed by education programs, staff development and appraisal. While the test results largely confirm the Australian and Canadian tests, further research is necessary to improve the cumulative percent of variance instead of applying Arthur's PSCNI directly to Korean nurses.

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A Study on Teaching-Learning and Evaluation Methods of Environmental Studies in the Middle School (중학교 "환경" 교과의 교수.학습 및 평가 방법 연구)

  • 남상준
    • Hwankyungkyoyuk
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    • v.7 no.1
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    • pp.1-17
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    • 1994
  • This study was performed to determine appropriate teaching-learning and evaluation methods for Environmental Studies. To promote the relevance of our study to the needs of the schools and concerned educational communities of environmental education, we reviewed related literature, conducted questionnaire surveys, interviewed related teachers and administrator, held meetings with experts, and field-tested our findings. For selecting and developing teaching-learning methods of Environmental Studies, findings of educational research in general are considered. moreover, principles of environmental education, general aim of environmental education, orientations of environmental education, and developmental stages of middle school students in educational psychology were attended. In addition, relevance to the purpose of the Environmental Studies curriculum, appropriateness for value inquiry as well as knowledge inquiry, small group centered class organization, social interaction centered teaching-learning process, regional environmental situation, significance of personal environment, evaluation methods of Environmental Studies, multi- and inter-disciplinary contents of the Environmental Studies textbook, suitability to the evaluation methods of Environmental Studies, and emphasis on the social interaction in teaching-learning process were regarded. It was learned the Environmental Studies can be taught most effectively in via of holding discussion sessions, conducting actual investigation, doing experiment-practice, doing games and plate, role-playing and carrying out simulation activities, and doing inquiry. These teaching-learning methods were field-tested and proved appropriate methods for the subject. For selecting and developing evaluation method of Environmental Studies, such principles and characteristics of Environmental Studies as objective domains stated in the Environmental Studies curriculum, diversity of teaching-learning organization, were appreciated. We categorized nine evaluation methods: the teacher may conduct questionnaire surveys, testings, interviews, non-participatory observations; they may evaluate student's experiment-practice performances, reports preparation ability, ability to establish a research project, the teacher may ask the students to conduct a self-evaluation, or reciprocal evaluation. To maximize the effect of these methods, we further developed an application system. It considered three variables, that is, evaluates, evaluation objectives domains, and evaluation agent, and showed how to choose the most appropriate methods and, when necessary, how to combine uses of different methods depending on these variables. A sample evaluation instrument made on the basis of this application system was developed and tested in the classes. The system proved effective. Pilot applications of the teaching-learning methods and evaluation method were made simultaneously; and the results and their implications are as follows. Discussion program was applied in a lesson dealing with the problems of waste disposal, in which students showed active participation and creative thinking. The evaluation method used in this lesson was a multiple-choice written test for knowledge and skills. It was shown that this evaluation method and device are effective in helping students' revision of the lesson and in stimulating their creative interpretations and responces. Pupils showed great interests in the actual investigation program, and this programme was proved to be effective in enhancing students' participation. However, it was also turned out that there must be pre-arranged plans for the objects, contents and procedures of survey if this program is to effective. In this lesson, non-participatory observation methods were used with a focus on the attitudes of students. A scaled reported in general description rather than in grade. Experiment-practice programme was adopted in a lesson for purifying contaminated water and in this lesson, instruction objectives were properly established, the teaching-learning process was clearly specified and students were highly motivated. On the other hand, however, it was difficult to control the class when some groups of students require more times to complete their experiment, and sometimes different results. As regards to evaluation, performance observation test were used for assessing skills and attitudes. If teachers use well-prepared Likert scale, evaluation of all groups within a reasonablely short period of time will be possible. The most effective and successful programme in therms of students' participation and enjoyment, was the 'ah-nah-bah-dah-market' program, which is kind of game of the flea market. For better organized program of this kind, however, are essential, In this program, students appraise their own attitudes and behavior by responding to a written questionnaire. In addition, students were asked to record any anecdotes relating to self-appraisal of changes on one's own attitudes and behaviours. Even after the lesson, students keep recording those changes on letters to herself. Role-playing and simulation game programme was applied to a case of 'NIMBY', in which students should decide where to located a refuse dumping ground. For this kind of programme to e successful, concepts and words used in the script should be appropriate for students' intellectual levels, and students should by adequately introduced into the objective and the procedures of the lessons. Written questionnaire was used to assess individual students' attitudes after the lesson, but in order to acquire information on the changes of students' attitudes and skills, pre-test may have to be made. Doing inquiry programme, in which advantages in which students actually investigated the environmental influence of the areas where school os located, had advantages in developing students' ability to study the environmental problems and to present the results of their studies. For this programme to be more efficient, areas of investigation should be clearly divided and alloted to each group so that repetition or overlap in areas of study and presentation be avoided, and complementary wok between groups bee enhanced. In this programme, teacher assessed students' knowledge and attitudes on the basis of reports prepared by each group. However, there were found some difficults in assessing students' attitudes and behaviours solely on the grounds of written report. Perhaps, using a scaled checklist assessing students' attitudes while their presentation could help to relieve the difficulties.

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