• 한국산학기술학회논문지
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• 제14권11호
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• pp.5785-5791
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• 2013

본 연구는 노인전문병원 간호사의 노인에 대한 지식, 태도 및 간호실천과의 관계를 확인하고 간호실천에 미치는 영향요인을 파악하기 위하여 시도되었다. 자료수집은 2013년 3월 17일부터 4월 20일까지 D시와 K도 노인전문병원 간호사 188명을 대상으로 하였다. 연구도구는 노인에 대한 지식, 태도 및 간호실천을 이용하였다. 자료분석은 SPSS와 Amos 프로그램을 이용하여 빈도분석, 평균과 표준편차, t-test, One-way ANOVA, Pearson's correlation coefficients, multiple regression analysis, 최대우도법을 이용해 분석하였다. 대상자의 노인에 대한 지식은 1점 만점에 0.49점, 태도는 7점 만점에 3.72점, 간호실천은 4점 만점에 3.54점으로 나타났다. 대상자의 연령, 총 임상경력, 최근 노인관련 교육 경험, 노인과 동거 경험에서 간호실천 차이가 있었다. 대상자의 노인에 대한 지식, 태도 및 간호실천은 정적 상관관계가 있었다. 노인간호 실천에 영향을 미치는 요인은 노인에 대한 지식, 태도, 최근 노인관련 교육 경험으로 나타났다.

• 대한영양사협회학술지
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• 제20권3호
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• pp.199-211
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• 2014

The increasing elderly population has created an urgent need for well-managed convalescent hospitals, which should provide appropriate clinical nutrition services. The new accreditation policy requiring participation of all convalescent hospitals since 2013 may promote improvement of clinical nutrition services. This study examined whether or not the accreditation policy has increased practice level and dietitians' perception of the importance of clinical nutrition management. Of the 177 convalescent hospitals accredited by January 30, 2014, dietitians from 73 hospitals (41.2%) completed the survey questionnaire. The pre-tested questionnaire surveyed general characteristics of the hospital and dietitians, current status of clinical nutrition management, and changes in the perception and practice levels of various aspects of food and clinical nutrition management. In average, dietitians with more than 5 years of work experience (68.1%) provided food and clinical nutrition services (71.2%). After accreditation, dietitians' perception of the importance and practice level of clinical nutrition service increased (P<0.001). Level of perception, however, was significantly (P<0.001) higher than practice level before and after accreditation. During perception and practice level of initial nutrition assessment, a compulsory accreditation item, notably and significantly (P<0.001) improved after accreditation. The significant difference between perception and practice level disappeared after accreditation. In conclusion, the accreditation process had positive effects on clinical nutrition management in terms of dietitians' perception and practice levels. Making more accreditation items compulsory and providing motivation and professional education to dietitians in convalescent hospitals could lead to additional improvements.

• Journal of Korean Neurosurgical Society
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• 제65권2호
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• pp.255-268
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• 2022

Objective : Chronic subdural hematoma (CSDH) is a common disease in neurosurgical departments, but optimal perioperative management guidelines have not yet been established. We aimed to assess the current clinical management and outcomes for CSDH patients and identify prognostic factors for CSDH recurrence. Methods : We enrolled a total of 293 consecutive patients with CSDH who underwent burr hole craniostomy at seven institutions in 2018. Clinical and surgery-related characteristics and surgical outcomes were analyzed. The cohort included 208 men and 85 women. Results : The median patient age was 75 years. Antithrombotic agents were prescribed to 105 patients. History of head trauma was identified in 59% of patients. Two hundred twenty-seven of 293 patients (77.5%) had unilateral hematoma and 46.1% had a homogenous hematoma type. About 70% of patients underwent surgery under general anesthesia, and 74.7% underwent a single burr hole craniostomy surgery. Recurrence requiring surgery was observed in 17 of 293 patients (5.8%), with a median of 32 days to recurrence. The postoperative complication rate was 4.1%. In multivariate analysis, factors associated with CSDH recurrence were separated hematoma type (odds ratio, 3.906; p=0.017) and patient who underwent surgery under general anesthesia had less recurrence (odds ratio, 0.277; p=0.017). Conclusion : This is the first retrospective multicenter generalized cohort pilot study in the Republic of Korea as a first step towards the development of Korean clinical practice guidelines for CSDH. The type of hematoma and anesthesia was associated with CSDH recurrence. Although the detailed surgical method differs depending on the institution, the surgical treatment of CSDH was effective. Further studies may establish appropriate management guidelines to minimize CSDH recurrence.

• 한국치위생학회지
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• 제18권3호
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• pp.399-410
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• 2018

Objectives: The purpose of this study was to examine the current status of the relationship between clinical practice stress, satisfaction and self-concept of dental hygiene department students in order to effectively implement the clinical practice, which is a necessary course for professional dental hygienists. Methods: The subjects in this study were 299 dental hygiene department students who participated in clinical practice. The survey was conducted from November 1, 2017 to December 31, using self-filling questionnaire (INJE 2017-08-004-002). Statistical analysis was conducted to identify the clinical practice characteristics, clinical practice stress, satisfaction and self-concept and the results according to clinical practice characteristics were compared through t-test and ANOVA. The regression analysis was conducted to identify the effects on self concept. Results: Clinical practice stress, satisfaction and self concept were identified to be significant(p<0.01). Multiple regression analysis results of the factors affecting self concept of study subjects showed that self concept was statistically significant in grade, education programs and satisfaction. Conclusions: Self-concept, clinical practice stress and satisfaction were significantly correlated. In order to raise the quality of clinical practice and to become a professional dental hygienist, it is necessary to continue research on the measures to improve the stress management and satisfaction in clinical practice for establishing self-concept.

• 한국수학교육학회지시리즈D:수학교육연구
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• 제6권1호
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• pp.65-80
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• 2002

The current reform recommendations in the United States have been widely recognized but the outcomes with regard to the teaching practice in the classroom were evaluated as ineffective to faster students' mathematical learning. Given this, this paper reviews the current mathematics education reform in terms of the typical and the recommended teaching practices. An analysis of influences of theoretical perspectives is then provided as an attempt to explore the underpinnings that implicitly motivate the current reform movement. This paper then identifies the difficulties in implementing reform ideals. Building on the review and the analysis, this paper finally provides implications of re-conceptualizing mathematics instruction in the current reform era.

• Wind and Structures
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• 제3권3호
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• pp.143-158
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• 2000

This report presents the findings of a one-year monitoring effort to empirically characterize and evaluate the nature of near-ground winds for structural engineering purposes. The current wind engineering practice in the United States does not explicitly consider certain important near-ground wind characteristics in typical rough terrain conditions and the possible effect on efficient design of low-rise structures, such as homes and other light-frame buildings that comprise most of the building population. Therefore, near ground wind data was collected for the purpose of comparing actual near-ground wind characteristics to the current U.S. wind engineering practice. The study provides data depicting variability of wind speeds, wind velocity profiles for a major thunderstorm event and a northeaster, and the influence of thunderstorms on annual extreme wind speeds at various heights above ground in a typical rough environment. Data showing the decrease in the power law exponent with increasing wind speed is also presented. It is demonstrated that near-ground wind speeds (i.e., less than 10 m above ground) are likely to be over-estimated in the current design practice by as much as 20 percent which may result in wind load over-estimate of about 50% for low-rise buildings in typical rough terrain. The importance of thunderstorm wind profiles on determination of design wind speeds and building loads (particularly for buildings substantially taller than 10 m) is also discussed. Recommendations are given for possible improvements to the current design practice in the United States with respect to low-rise buildings in rough terrain and for the need to study the impact of thunderstorm gust profile shapes on extreme value wind speed estimates and building loads.

• Toxicological Research
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• 제20권1호
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• pp.1-11
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• 2004

Evaluation of toxicological pathology is to some extend subjective judgments by pathologist and the accuracy of pathologist's works is based on the individual training and experiences. It has been required to establish a peer review system for toxicologic pathology and these review system has been employed by various practice of toxicological pathology. It would be pointed out that the possible causes of drifts in pathology are due to 1) lack of knowledge or experience of individual pathologists, 2) poorly maintained consistence of grading among animals in study, 3) different interpretation of findings between pathologists, or 4) pathology data processing. Example cases of diagnostic errors and current practice of peer review including tissue selection criteria, documentation and problem resolution for short-term and carcinogenicity studies were introduced. For sound regulatory system and high integrity of practice in toxicological pathology, current approaches of peer review system were reviewed.

• 한국과학교육학회지
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• 제16권4호
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• pp.417-428
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• 1996

The purposes of this study were to investigate what kinds of idea the children have after formal instruction in school, and to investigate what is the children's conceptual change on electric current after implementation of drill and practice type CAI program about electric circuit. The CAI program was developed by KEDI research project team the author of this article was joined. The subjects were 20 eleven yaers old(elementary fifth year) children sampled from a elementary school in Seoul, Korea. They had already learnt about electric circuits for two years before implementing this CAI program according to the formal science curriculum. The pretest were accomplished before implementing the CAI program, and posttest were accomplished a week after implementation of the CAI program. The results of this study are as follows: Even though they had studied electric circuits, only 5% of the students had scientific ideas before pretest, and even after drill and practice type CAI program only 30% of the students have changed their misconceptions into scientific conceptions.

• 한국간호교육학회지
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• 제29권4호
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• pp.395-404
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• 2023

Purpose: The purpose of this study was to identify the factors influencing the nursing practice readiness of newly graduated nurses. Methods: The participants were 120 new nurses with 1 to 12 months of work experience at two tertiary hospitals in Seoul and Gyeonggi Province. The data were collected through an online questionnaire from February 6 to April 30, 2023. The collected data were analyzed using the IBM SPSS 25 program, and the independent t-test, Mann-Whitney U-test, ANOVA, Pearson's correlation coefficient, and a multiple regression analysis were performed. Results: The participants' nursing practice readiness was found to be positively correlated with their confidence in core nursing skill performance, satisfaction with clinical practice, satisfaction concerning simulation education, satisfaction regarding preceptorship, length of preceptorship and length of current unit placement. The regression analysis showed that the significant variables affecting nursing practice readiness were confidence in core nursing skill performance and satisfaction with clinical practice, and the explanatory power of the variables on nursing practice readiness was 36.0%. Conclusion: In order for newly graduated nurses to achieve nursing practice readiness, it is necessary to develop a nursing education program that can improve their confidence in core nursing skills performance and satisfaction with clinical practice in the nursing college curriculum and further research on the factors affecting nursing practice readiness is needed.

• Perspectives in Nursing Science
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• 제14권1호
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• pp.37-44
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• 2017

Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.