• 간호행정학회지
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• 제7권2호
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• pp.265-284
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• 2001

The case management has been applied to improve the quality of care and the cost-effectiveness in the most health care institutions. In a way of case management, the critical pathway(CP) has been executed in many acute care settings, focused on the diagnoses with high cost, high volume, and high risk. This study was conducted to develop a case management program using CP as an intervention of patients with lumbar spinal stenosis for the surgery of posterolateral fusion, and to find out the effects of the critical pathway on the quality of nursing care, patient satisfaction as an outcome of care, length of stay and medical charge, and nurses' job satisfaction. At the same time, patients' functional states were checked with the Oswestry Low Back Pain Index, to show that the CP would not decrease the patients' function compared to the control group. The subjects were 25 control patients with a usual operation of lumbar fusion and 25 experimental patients with CP. They were all female, aged $50s{\sim}70s$, admitted in the Orthopedic surgery ward of a university hospital. Also nurses on the floor using CP were asked to respond to measurement tool of job satisfaction before and after the application of CP, and compared with other nurses on the different wards. Data were analyzed with t-test for continuous variables and chi-square for non-parametric variables in addition to the reliability test of the measurement tools. The results of this study were as followings: 1. Patients' functional states The differences in Oswestry scores of the experimental and control groups assessed at preoperation and at discharge were not statistically significant. The change in scores of the experimental group measured at preoperation and at discharge was larger than that of the control group, however the difference was not statistically significant. The results indicate that the CP did not decrease the patients' functional status. 2. The quality of nursing care The total of quality of nursing care given to the experimental group was better than that of the control group(P=.000). In addition, the experimental group showed better scores of quality of every item of care than the control group(P=.000 -.004). 3. Patient satisfaction Patients of the experimental group were not more satisfied with general care than the control group. But they were more satisfied with discharge care of 'explanation about medication, body posture, and brace application' and 'explanation about the adjustment of daily living and exercise during recovery'(P= .047, P=.028). 4. Nurses' job satisfaction Nurses working with the CP showed more job satisfaction than before the CP introduction(P=.048). But the control group of nurses on a different floor showed no change in job satisfaction at the same period of time. 5. Length of stay and medical charge The mean length of stay of the experimental group was shorter than that of the control group without statistical significance. The charge of medication and treatment of the experimental group were smaller than that of the control group(P=.011, P=.000). The results of the study support that the case management using critical pathway enables to improve the quality of care and job satisfaction, to reduce the medical charge, and consequently to increase satisfaction with care. However, the case management should be instituted focusing on the quality improvement of nursing and the client satisfaction, not just for the purpose of cost-effectiveness of health care facilities.

• 대한심미치과학회지
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• 제7권1호
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• pp.64-70
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• 1998

Recently as the interest on Esthetic Dental Prosthesis is arising, the domains of Esthetic Dentistry is being widely investigated. Esthetic Dental Prosthesis is influenced greatly by the shape, color, tooth arrangement of the teeth and the facial features(including the lips). So the degree to which these characters harmonize will be the professional esthetical standard while the satisfaction of the patient will be another esthetical measure. The reason for this is that each and every one of us has a different standard of what is considered beautiful. Of course it doesn't mean that every standard is correct. Then what does Esthetical Prosthesis mean and what should the standard be? This must be defined as a prosthesis that satisfies the basic requirements - margin, contour, occlusion, and at the same time it should restore the shape, color, and tooth arrangement which the client(patient) would love to have. As Esthetic Prosthesis contains its subjective meaning a great deal, it shouldn't be simply distinguished between the beauty of the teeth itself or ugliness. Also in some case, it needs surgical treatment to make it harmonious in the whole aspect so that one may keep the feeling of satisfaction and security. Then what is the shape, color, tooth arrangement that each individual wants? There is an indefinite variety. For example, considering arrangement both regular and irregular is considered beautiful by each different individual. Regular arrangement may be the standard of beauty for some, while irregular arrangement may be thought of as natural looking and beautiful. That is why there must be enough communication with the patient and an agreement be made at the clinic before a diagnostic plan and actual surgery. The treatment plan as mentioned above must be sent to the dental laboratory. In this research, by using case studies, I am going to the importance and appropriateness of the data and information for the dental technician's esthetic prosthesis.

• 한국멀티미디어학회논문지
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• 제8권10호
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• pp.1391-1402
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• 2005

많은 공급자가 다양한 수요를 충족시키기 위해 무한 경쟁 시대로 접어들었다. 이에 따라 제품의 품질을 포함한 생산을 신속하고 효율적인 방법으로 개발할 수 있는 민첩 생산이라는 새로운 패러다임이 등장하게 되었고 서비스 부분 또한 신속한 업무 처리로 외부 고객 및 내부 고객(서비스 요원)의 다양한 수요를 만족시켜 고객 만족을 지향하는 기업만이 생존할 수 있게 되었다. 본 논문에서는 모든 산업 제품에 RFID(radio frequency identification) Tag를 부착하고 PDA나 컴퓨터를 통하여 RFID Tag가 부착된 제품에 대 한 모든 정보를 X-Internet환경에서 운영되는 실시간 서비스 정보 시스템을 통하여 제품정보, 매뉴얼, CLAIM 및 서비스 업무를 신속하게 처리하여 고객 대응 시간을 단축시킨다. 또한 서비스 정보 시스템에서는 HAPPY CALLI, CLAIM, 출동 현황에 대한 추이 분석과 부품과 제품의 불량률을 분석하고 개선하여 동일 CLAIM이 발생하는 것을 억제하여 F-Cost를 줄여 기업 매출에 기여할 수 있는 유비쿼터스 환경에서 RFID와 X-Internet을 이용한 실시간 서비스 정보 시스템을 구현한다.

• 공학논문집
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• 제6권1호
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• pp.5-14
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• 2004

제약조건을 만족시키기 위한 문제에서 해를 얻는 일은 그 문제의 조건들을 만족시키기 위한 변수들의 값을 선정하는 것이다. 이것은 주어진 영역내의 다수의 불확정적인 변수들의 논리적 관계를 탐색하여 조건을 만족하는 최적의 해를 얻는 것이다. 그러나, 이러한 문제들의 해를 구하는 과정에는 두 가지 큰 문제를 내포한다. 즉, 다양한 형태와 다수의 속성을 지닌 제약 조건들을 시스템내부에 효율적으로 표현하는 방법이 어렵고, 탐색과정에서 기하급수적으로 발생하는 공간문제와 처리시간을 최소화 하기가 힘들다. 그 이유는, 적절한 제약 조건의 표현방법과 효율적인 알고리즘에 의해 스케줄링을 한다 해도 모든 조건들을 항상 다 만족시킬 수는 없기 때문이다. 즉, 제약 조건 내에 충돌의 요소가 있을 수도 있기 때문이다. 따라서 이 논문에서는, 스케줄링을 진행하는 과정에서 이러한 제약 조건위반(충돌)에 대한 정보 및 차선의 조건을 사용자에게 제시하여 사용자로 하여금 조건의 재조정이 가능하도록 하는 대화형 스케줄링시스템의 모델을 제시한다.

• 융합정보논문지
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• 제10권11호
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• pp.288-295
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• 2020

뷰티 계열 대학생의 재학 중 일 경험과 전공 만족도가 전공 일치 첫 일자리에 영향을 주는지 알아보고자 "대졸자 직업이동 경로 조사"(Graduates Occupational Mobility Survey : GOMS) 6개년도 (2012~2017년) 자료에서 뷰티 계열 취업자 168명을 선정하였다. 자료 및 통계분석은 Windows 기반 SPSS Client 프로그램을 이용하였다. 독립성 검증과 로지스틱 다중회귀 분석결과, 재학 중 일 경험 여부, 일 경험 기간, 일 경험 회수가 전공 일치 첫 일자리에 영향을 미치는 것으로 나타났다. 전공 불일치 일 경험이 있는 경우, 반면 전공 일치 일 경험이 있는 경우, 일 경험 기간이 1년 이상일 때 대비 6개월 이상~1년 미만일 때 높게 나타났다. 본 연구를 통하여 재학 중 일 경험에 대한 학점인정 제도의 교육 정책 지원과 뷰티 계열 졸업생의 취업 이행 행태를 파악하는 기초 자료가 되고자 한다.

• 지역사회간호학회지
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• 제15권4호
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• pp.539-550
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• 2004

Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

• 대한간호학회지
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• 제47권5호
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• pp.651-662
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• 2017

Purpose: The purpose of this study was to evaluate the effectiveness of a sleep improvement program combined with an aroma-necklace on sleep, depression, anxiety, and blood pressure in elderly women living at home. Methods: A program consisting of a four-week (one hour per week) sleep improvement intervention plus use of an aroma-necklace, was developed based on Cox's Interaction Model of Client Health Behavior. 70 elderly women were assigned to the experimental (n=35) or control group with no intervention (n=35). Data from 62 participants (32 in the experimental and 30 in the control) were analyzed using the SPSS 21.0 program. Women in the experimental group were instructed to constantly wear the aroma necklace filled with marjoram and orange oil until the program was completed. Sleep quality, sleep duration, sleep satisfaction, depression, anxiety, and blood pressure were measured to identify the effectiveness of the program. Results: Significant group differences were found in sleep quality (t=-5.10, p<.001), sleep duration (z=-3.10, p=.002), sleep satisfaction (z=-4.13, p=<.001), depression (t=2.53, p=.015), and anxiety (z=-2.47, p=.014). No differences were found in the systolic or diastolic blood pressure. Conclusion: The results indicate that a sleep improvement program combined with an aroma-necklace was effective in improving sleep disturbances in elderly women living at home. Nurses may contribute to improving sleep among elderly women by applying this program to aged women living in various environments.

• 대한간호학회지
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• 제40권6호
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• pp.872-881
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• 2010

Purpose: This study was done to evaluate the formal education program provided by the Korean government for care workers for frail elderly people. Methods: This study was a cross-sectional survey in which 438 certified care workers who had completed the education program participated. Data were collected from June to October 2009, using a self-report questionnaire consisting of satisfaction with, and understanding of the education program. Results: The participants had a mean age of 46.7 yr, 87.9% were female and 58.2% were high school graduates. For the theory part of the education, the highest score for understanding was for 'supporting household & activities of daily living' while the lowest score for understanding was for 'care for death and dying'. For the practical education, the highest score for understanding was for 'talking with the client' and the lowest score was for 'first aid & basic life support'. There was a significant difference in satisfaction and understanding of the theoretical and practical parts according to educational level. Conclusion: Continuing education programs are needed for care workers for elders, both in the theoretical and practical areas. Also the content of programs should address the weak points of this formal education program.

• 지역사회간호학회지
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• 제6권2호
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• pp.161-172
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• 1995

This study was conducted to have better understanding of the students' experience in field practice by school health practice experience. The study subjects were 40 nursing students working in department of nursing K Univ. in C city. This study was approached by phenomenological method. Collected data were analyzed by Colaizzi's method. The results were from the protocol 980 significant statements and organized into 240 formulated meanings. From formulated meaning 89 themes were identified, organized into 18 them clusters, and then into 16 categories. The nursing students took part in the practice with (expectation and readiness) different from those of the clinical practice, expressed wonder at the school which had progressed much more than their primary schools used to be. They said that they began to feel (Fatigue and stress), and that experienced tension for the lack of nursing knowledge and skill during the health education and clinical treatment activity. In addition, they experienced 'ambivalence of satisfaction and something wanted', that is to say, they could have done better by means of video education and health education. The 10-day-school health practice brought about the change in( the image of teacher) and (cognition about the nursing teacher's role), made the students have(love to the client) and (desire to be nursing teacher), and then turned out experience benefical enough to be expressed 'satisfaction' However, they pointed out many problems in (School Eniviroment), (Clinic), (Physical assessment), (Recording and reporting), so they had a chance to apply the school nursing process to the school. The professor should play the role of promoting the learning through the field practice and providing the stimulant of learning to help the learner get as much from the field situation as they could. Therefore, I suggest that the students always have a chance to exchange actual affairs and educational study, and that the concrete discussion and continuous cooperation be done. The professors should keep doing their best to find the way to professors should keep doing their best to find the way to promote the ability of thinking through the process the learners experienced themselves.

• 한국간호교육학회지
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• 제9권1호
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• pp.73-80
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• 2003

Purpose: The main purpose of this study was to compare the effects of OSCE method and traditional evaluation method on nursing skills performance of students for the fever client. Method: The study was designed as a quasi-experimental, nonequivalent control group post test design with two classes of sophomore students attending fundamentals of nursing courses at one baccaleureate nursing school located in a metropolitan Seoul area. Control group was evaluated by using a traditional method and the experimental group was evaluated by using the OSCE method. Data were collected from April, 2001 to November, 2002. There were 35 students in the OSCE method group, 39 students in the control group. Data analysis was done using SPSS WIN 11.0. Result: The results showed that the students in the OSCE method group did significantly better in clinical nursing skills performance than the students in the traditional method group. And the OSCE method group showed significantly higher satisfaction score in the evaluation method than the control group. Conclusion: The OSCE method is an effective in evaluating clinical nursing skills performance for student nurses. It is necessary to explore more reliable ways to compare the evaluation method by the same student. Also, it is recommended to replicate similar studies in nursing education.