• Title/Summary/Keyword: Decision-making

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Factors Influencing Nurses' Clinical Decision Making - Focusing on Critical Thinking Disposition - (간호사의 임상 의사결정능력 영향 요인 - 비판적 사고 성향을 중심으로 -)

  • Park, Seung-Mi;Kwon, In-Gak
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.863-871
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    • 2007
  • Purpose: The purpose of this study was to investigate the factors influencing nurses' clinical decision making focusing on critical thinking disposition. Methods: The subjects of this study consisted of 505 nurses working at one of the general hospitals located in Seoul. Data was collected by a self-administered questionnaire between December 2006 and January 2007. Data was analyzed by one way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS Win 14.0. Results: The mean scores of critical thinking disposition and clinical decision making were 99.10 and 134.32 respectively. Clinical decision making scores were significantly higher in groups under continuing education, with a master or higher degree, with clinical experience more than 5 years, or with experts. Critical thinking disposition and its subscales have a significant correlation with clinical decision making. Intellectual eagerness/curiosity, prudence, clinical experience, intellectual honesty, self-confidence, and healthy skepticism were important factors influencing clinical decision making(adjusted $R^2=33%$). Conclusion: Results of this study suggest that various strategies such as retaining experienced nurses, encouraging them to continue with education and enhancing critical thinking disposition are warranted for development of clinical decision making.

The Effect of Depression and Smartphone Dependency on Female College Students' Career Decision-making Self Efficacy (여대생의 우울 및 스마트폰 의존성이 진로결정 자기효능감에 미치는 영향)

  • Choi, Hee Jung;Yoo, Jang Hak
    • Research in Community and Public Health Nursing
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    • v.27 no.1
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    • pp.43-50
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    • 2016
  • Purpose: The purpose of this study was to investigate the relationship of depression and smartphone dependency with female college students' career decision-making self efficacy. Methods: This was a descriptive study. The survey participants were 497 female college students in M City and S City. Data were collected from November 16 to December 4, 2015 using self-report questionnaires including BDI (Beck Depression Inventory), Smartphone Dependency Scale, and CDMSES-SF (Career Decision-Making Self Efficacy Scale-Short Form). Data were analyzed through descriptive statistics, independent-samples t-test, ANOVA, and stepwise multiple regression. Results: Career decision-making self efficacy showed significant differences according to religion. Smartphone dependency was found to have a statistically significant negative correlation with career decision-making self efficacy and a positive correlation with depression. Depression was found to have a statistically significant negative correlation with career decision-making self efficacy. Stepwise multiple regression analysis revealed that the predictors of career decision-making self efficacy were depression (7.1%), religion (1.8%), and smartphone dependency (1.3%), accounting for a total of 10.6% of the variance. Conclusion: This study suggests that interventions to promote female college students' career decision-making self efficacy should consider their depression, religion, and smartphone dependency.

Family Decision-Making Process of wedding Process (결혼 과정에 대한 의사결정 유형에 영향을 미치는 요인 탐색)

  • Jang, Ju-Young;Ok, Sun-Wha
    • Journal of the Korean Home Economics Association
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    • v.46 no.4
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    • pp.1-13
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    • 2008
  • The purpose of this study is to identify variables that influence the family decision-making process when planning a wedding. In this case the planning refers to: the procedure of the wedding: yedan, which means presents for parents and relatives: and yemul, which means wedding gifts. Decision-making was categorized into four types: decisions led by the bride and groom, decisions led by the groom's parents, decisions led by the bride's parents, and co-decisions by the two families. Resource theory was used as a conceptual framework. Data for this study were collected from 305 adults who got married after 1977 and lived in Seoul. Multinomial logistic regression models were used to analyze the data. Variables determining the decision-making of wedding procedure were the groom's age at marriage, the level of familism, and the major source for the wedding expenses. When it came to decisions on yedan, gender, the bride's year of education, and the major source for wedding expenses had significant influence on the decision-making. Variables that affected decision-making on yemul were the bride's year of education, and the major source for wedding expenses. This study suggested the power structure among bride, groom, and their parents through variables which exert influence on family decision-making.

An Empirical Study on Joint Decision Making and Business Performance between Corporations (기업 간 의사결정 협력과 업무 성과에 관한 연구)

  • Ryoo, Sung-Yul;Suh, Woo-Jong;Koo, Chul-Mo
    • The Journal of Information Systems
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    • v.18 no.3
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    • pp.89-110
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    • 2009
  • In today's e-business environment, it is important to make decisions cooperatively between companies on a supply chain for their business success. This research analyzes empirically the influences of organizational factors on joint decision making and the ones of the joint decision making on business performance. We collected 188 corporate-level data through a Web survey and tested them statistically through PLS method based on a structured equation modeling. The results showed that (i) partner's knowledge creation capabilities, inter-organizational process modularity, and inter-organizational trust had direct effects on joint decision making, (ii) joint decision making and electronic business interfaces bad direct impacts on business performance. Contrary to our expectation, however, the moderating effects of electronic business interfaces between corporations on the relationship between joint decision making and business performance was not significant. On the basis of these results, we discussed theoretical and managerial implications of the findings. The results are expected to provide useful perspectives when companies establish strategies to improve capabilities of cooperative decision making and business performance.

A Study of Decision-Making Structure of Rural Couples (농가부부의 의사결정 구조 분석)

  • Cho, Young-Sook;Hwang, Dae-Yong;Lee, Han-Ki
    • Journal of Agricultural Extension & Community Development
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    • v.14 no.2
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    • pp.373-394
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    • 2007
  • The purposes of this study were to explore decision-making patterns of rural couples and to clarify the differences between socio-demographic variables related to the patterns. The data were gathered from 1,870 rural households through interviews with structured questionnaire in the 187 rural communities sampled by multi-staged cluster stratified sampling method in November 2005. A total of 1,106 farm households including householder and spouse participated in the interview. The results of this study were as follows: First, in general, mainly householder made decision-making in the areas of dealing with real estate and selling farm products, while spouse decided in the areas of choosing television channel and deciding living expenses. Second, there were no significant differences of patterns by age, education and income level. Third, decision-making patterns were significantly different by sex and family type. According to the results of the study, in farm household, 'pattern of mainly householder or husband decision-making' was high yet as regarding agricultural decision making. Therefore, researchers suggested that educational program could be helpful for rural couples to participate in practicing gender equity decision- making.

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Relations between Satisfaction in Major, Career Decision-making Self-efficacy and Career Identity of Nursing Students (간호대학생의 전공만족도, 진로결정 자기효능감과 진로정체감 관계)

  • Jung, Jeom Suk;Jeong, Mi Jo;Yoo, Il Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.1
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    • pp.27-36
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    • 2014
  • Purpose: The purpose of this study was to investigate the relation between satisfaction in major, career decision-making self-efficacy and career identity of nursing students. Methods: Data were collected from 543 students by means of self reported questionnaires about satisfaction in major, career decision-making self-efficacy and career identity from November 26 to 30, 2012. Results: The average score of satisfaction in major, career decision-making self-efficacy and career identity of nursing students was 3.56 on a 5 point-scale, 3.28 on a 5 point-scale, and 2.65 on a 4 point-scale respectively. There were significant correlation between satisfaction in major, career decision-making self-efficacy and career identity of nursing students. Career identity could be explained 26.2% by satisfaction in major, career decision-making self-efficacy, admission motivation, and school grade. Conclusion: Career identity was correlated with satisfaction in major and career decision-making self-efficacy in nursing students. Therefore, it is necessary to develop an effective intervention program to improve nursing students's satisfaction in major, career decision-making self-efficacy and career identity.

Maternal Nicotine Exposure During Late Gestation and Lactation Increases Anxiety-Like and Impulsive Decision-Making Behavior in Adolescent Offspring of Rat

  • Lee, Hyunchan;Chung, Sooyeon;Noh, Jihyun
    • Toxicological Research
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    • v.32 no.4
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    • pp.275-280
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    • 2016
  • Prenatal nicotine exposure over an entire pregnancy has been associated with an increased prevalence of hyperactivity, anxiety-like behavior and depression-like behavior in mature rats. However, the effects of maternal nicotine exposure in late gestation and lactation on the psychology and behavior of adolescent rat offspring are unclear. Thus, we investigated the effect of nicotine exposure during late gestation and lactation on anxiety-like and impulsive decision-making behavior in adolescent offspring of rat. Female rats were orally exposed to nicotine which is within range of plasma level of human chronic smokers during the period of third last period of gestation and lactation. When the offspring were weaned, we observed alterations in the anxiety-like behavior and decision-making ability of adolescent rat offspring using light/dark box test and T-maze delay-based cost-benefit decision-making task. The maternal consumption of nicotine reduced both the time spent in the light compartment and the number of transitions compared to nicotine-free rats. Moreover, such nicotine exposed adolescent offspring rats showed impulsive decision making which chose the instant reward in a decision-making situation. We found that nicotine exposure during late gestation and lactation induces an increase in anxiety-like and impulsive decision-making behavior at this developmental stage. These findings suggest that maternal nicotine-exposed offspring are at an increased risk of developing anxious and impulsive behavior.

Decision Making Experience of VIP Ward Nurses in the Clinical Practice Adjustment Process (특실병동 간호사의 실무적응과정에서의 의사결정 경험)

  • Kim, Chun-Mi;Kim, Jung-Soo;Kim, Duck-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.391-402
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    • 2009
  • Purpose: The purpose of this research was to describe the decision making experience of VIP ward nurses in the clinical practice adjustment process. The research question was about "how nurses adjust their clinical practice to nursing situations and develop decision making process in a VIP ward." Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin(1998). The data was collected through in-depth interviews with 10 nurses from July to November, 2007. Results: The core category of nursing care decision making process was named as "adjusting with flexibility and deepened insight." The clinical practice adjustment process in nursing care decision making has progressed through four preceding interlocking phases: 1) dependent phase, 2) defensive phase, 3) independent phase, 4) integrative phase. These phases were classified by the level of nurses' dependency, proactivity, presupposition and integration. Conclusion: The result of this study indicated that nurse's decision making depended on their experiences and the nature of social context in which nursing occurs. Therefore, it is important to elaborate an effective training program for nurses to develop the phases of nursing care decision making.

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Relationship between Critical Thinking Disposition and Clinical Decision-Making Abilities in Home Health Advanced Practice Nurses (가정전문간호사의 비판적 사고성향과 임상의사결정능력과의 관계)

  • Choi, Seong Mee;Lee, Mi Kyoung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.21 no.2
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    • pp.147-155
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    • 2014
  • Purpose: Clinical decision-making carried out by nurses is a complex process that influences the quality of care provided and various patient outcomes. This study examined the relationship between critical thinking disposition and clinical decision-making abilities in home health advanced practice nurses. Method: The study had a non-experimental correlational design. Data were collected from 100 home health advanced practice nurses in 20 hospitals. Results: The mean critical thinking disposition score was $3.69{\pm}.39$ out of 5 and the mean score for clinical decision-making abilities was $3.48{\pm}.22$ out of 5. In this correlation analysis, a significant positive correlation (r=.58, p<.001) was found between critical thinking disposition and clinical decision-making abilities of home health advanced practice nurses. Conclusion: In order to improve the clinical decision-making ability of home health advanced practice nurses, we need to improve their critical thinking disposition. In order to make this change, appropriate training program are needed to increase the critical thinking disposition and clinical decision-making abilities of home health advanced practice nurses.

Effecting the e-Self Directed Learning on Career Myths through Future Time Perspective and Decision Making (e-자기주도학습이 미래시간전망과 의사결정을 매개로 진로신화에 미치는 영향)

  • SO, Won-Guen;KIM, Ha-Kyun
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.4
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    • pp.901-911
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    • 2015
  • This article starts with a review of the e-self directed learning, future time perspective and decision making, especially in relation to the career myths. In particular, we empirically analyzed the factors affecting the future time perspective and the decision making on the characteristics of career myths(e.g. relatedness of the test myths, the supreme myth and the family myths). Hence the main purpose of this article is to suggest an empirical model explaining how these factors affect e-self directed learning to future time perspective and decision making. Furthermore, we suggested an expanded model about future time perspective, decision making and especially in relation to the career myths. We founded that the e-self directed learning significantly affect the future time perspective and the decision making, also the future time perspective affect the test myths and family myths except the supreme myths and the decision making significantly affect the career myths(i.e., the test myths, the supreme myth, the family myths).