Objectives The aim of this study is to contribute to developing questionnaire for pattern identification of chronic low back pain using delphi method. Methods The questionnaire which includes symptoms and signs of chronic low back pain is studied by delphi method. Seven experts of Korean medicine, especially of rehabilitation medicine participated in delphi examination. Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results By the Delphi method and score evaluation, 20 items of the initial copy of questionnaire are chosen for pattern identification of chronic low back pain. Conclusions By the delphic method among experts, a reference questionnaire for pattern identification of chronic low back pain was suggested. Further research is necessary for modification of questionnaire by statistics and certification by clinical trial research.
Journal of Korean Academy of Fundamentals of Nursing
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v.14
no.2
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pp.157-165
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2007
Purpose: The purpose of this study was to investigate the plan to introduce a practical skills test as part of the national examination for nursing licensure. Method: The delphi method was used. The first set of data was collected by open questionnaire from universities and hospitals nationally. The second and third were collected by structured questionnaire. Results: The biggest problem for clinical Practice in nursing education was reported as the lack of opportunities for direct nursing practice. The biggest performance problem in job duties for novice nurses was reported as the lack of integrated problem solving skills in a clinical situation. The biggest problem with the current national examination was reported as the use memorizing solutions to test questions. It was suggested that the best plan to resolve problems with the national examination would be to develop test questions representative of the clinical setting and increase personnel in clinical education. About the introduction of a practical skills test as part of the national examination, 56.9% were in agreement and 38.5% disagreed. Conclusion: The current national examination has many problems when it comes to testing clinical competency. So, a practical skills test must be deferred to a future time. There are also many difficulties in presenting a real situation, therefore further research is needed in preparation for the introduction of a practical skills test.
Purpose : The National Registry Exam had some problems on validity of EMT evaluation and verification. The aim of this study was to propose a New EMT National Registry Exam. Methods : Conducted using the Delphi Method(lst meeting March 29 in 2008, 2nd meeting May 31 in 2008, 3rd meeting September 20 in 2008, 4th meeting January 16 in 2009) from questionnaire data(391 from Paramedic, 317 from Basic EMT) collected between June 16-30(lst questionnaire) and October 16-30(2nd questionnaire) in 2008 and a public hearing on February 5 in 2009. Results: The subjects proposed at the request of the National Health Personnel Licensing Examination Board were Introduction, Medical+Trauma Emergencies(Paramedic & Basic) for written examination and scenarios+protocols(Paramedic), protocols(Basic) for practical examination. Conclusion : To be able to response patients' problems in various emergencies, this integrated examination was selected and proposed.
Objectives: The aim of this study was to establish a clear diagnostic definition of Sanhupung using the Delphi method. Methods: This study used the Delphi technique. A panel consisting of 21 experts of Korean medicine, particularly in of gynecologic medicine, participated in the Delphi examination that included answering the 4th round survey. The Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results: Through the Delphi survey, we have reached on an agreement regarding the basic concepts, time, cause, essential symptoms, and accessory symptoms of Sanhupung. They are as follows: 1) Sanhupung is a culture bound syndrome reflecting Korea's cultural specificity. 2) Sanhupung can be diagnosed even after the miscarriage. 3) For the diagnosis of Sanhupung, the main cause of symptoms should not be classified as other disease. 4) Sanhupung can be diagnosed based on essential symptoms and accessory symptoms. 5) Essential symptoms include local symptoms such as joint pain at specific areas, partial sensory impairment and general symptoms including pain of all the joints, whole body sensory impairment, increased sweating, feeling of wind coming into the body, worsened symptoms with the cold, intolerance to cold, and pain of all the muscles. Conclusions: The basic concepts and diagnostic definition of Sanhupung were suggested based on the Delphi survey among experts in the field. Further research is necessary to improve reliability and validity of diagnostic definition of Sanhupung in clinical trials.
The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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v.33
no.2
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pp.43-54
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2020
Objectives : The goal of this study is developing standardized pattern identification of dizziness using delphi method. Methods : The pattern identification of dizziness which derived through literature review is studied by delphi method. A group of 9 experts of korean medicine participated in Delphi examination. Experts carried out evaluating and correcting the pattern identification and symptoms by e-mail. Results : Through 3 delphi examinations, final standardized pattern identification of dizziness was suggested. It consisted of 2 items of excess syndrome, 2 items of excess-deficiency combination syndrome, and 3 items of deficiency syndrome. Conclusions : By the delphi examinations among experts, a standardized pattern identification of dizziness was suggested. These pattern identification will contribute to research and treatment of korean medicine. Further study is necessary for modification of pattern identification by practical clinical use.
The purpose of this study focuses on developing the outplacement competency of special security government official for which precedent reference research, expert review, and expert Delphi analysis used according to three steps of study process. The final Delphi examination analysis resulted in outplacement competency into four groups of competency and twenty-two subcategories. Thus, it is very worthy to develop outplacement's competencies necessary for outplacement of special security government official through expert's Delphi examination in the first time, which have not being researched until now, and to present them theoretically through clarification and verification process accomplished by experts and staffs related to outplacement. Individual effort is essential to strengthen their capabilities based on accurate self evaluation, for which the awareness and concept need to be redefined to help them face up to the reality by readjusting career goal to a realistic level. Also, active career development plan to improve shortcoming in terms of outplacement competency is required. The result of this study, which ouplacement successors of special security government officials participated studying process, will be used as the basic data to establish an outplacement curriculum and an educational system for strengthening competency necessary for outplacement of special security government official.
Background: Guideline for practice is useful because it can be the standard for assessment and way to improve quality. We need to take account of expert opinion and consensus as well as scientific evidences to develope practice guideline because it should be practical. Delphi method has been developed to gather opinions from experts fairly. This study was designed to develop practice guideline and apply it to practices as a method to improve quality in primary medical care. Methods: Hypertension(in adults over 18 years old) was selected as a target problem. Self questionnaires about management of hypertensive patients were developed by a researcher with advice of 11 experts. The questionnaires were designed to response as a 5 pont scale. The results of previous questionary were given to respondents in second and third questionnaires. If needed, the questionnaires were changed on the previous responses. The items with medium greater than or equal to 4 point in 1st and 2nd responses were accepted in guideline. The items with medium lesser than or equal to 3 point were questioned again about whether they can be excluded or not. The criteria for assessment was made with reference to guideline and applied to 85 hypertensive patients of 9 family practitioners. At 3 months after practice guideline had been given to family practitioners, performance of same practitioners was assessed with 36 new hypertensive patients. Results: 23 professors in family medicine, 22 family practitioners and 6 cardiologists, responded among 50, 50, 15 respectively. Practice guideline with 33 items was developed as a result of 3 times questionaires. The difference of responses between professors in family medicine, family practitioners and cardiologists was not significant. Performance of practice was improved in diagnosis, history taking about 6 fields, laboratory examination and decision making about time of pharmaceutical prescription. It was not improved in physical examination, life style modification, method of pharmaceutical prescription, choice of initial antihypertensives and history taking about duration of disease and diet habit. It was decreased in history taking about psychosocial factors. The assessment scores were low in history taking, physical examination and life style modification before and after use of practice guideline. Conclusion: Practice guideline for hypertension could be developed by Delphi method. Performance of practice improved partially after use of guideline.
The improvement of safety and health education method in construction site was investigated through the survey for workers and delphi technique. The results of preliminary survey done for workers were analyzed using the multi variance analyses, and the questionnaires for delphi survey were composed based on the results of preliminary survey. Finally, the participatory safety and health education method was suggested. The result showed that most of workers were very interested in accident prevention and health. On the contrary, they did not actively participate in safety activities in sites including safety and health education. In order to improve workers' levels of safety consciousness and prevent the construction accident, the participatory safety and health education method that construction workers directly examine and give presentations about accident causes and measures was suggested and verified by tests. One-way instructor-led safety and health education used widely and participatory safety and health education with workers were carried out by dividing participants into two groups. After education, the examination is done for two groups. The test results found that the average score of safety consciousness of the worker group that received participatory safety education was higher than that of the work group that received instructor-led safety education. And the Delphi technique utilizing experts was analyzed that participatory safety education has a great effect on improvement of workers' level of safety consciousness.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.31
no.4
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pp.385-395
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2021
Objectives: This study aimed to select items for technical guidelines through the guidelines of the Korean Occupational Safety and Health Agency (KOSHA) for agricultural workplaces. Methods: All 1,308 guidelines provided by KOSHA were reviewed and categorized using a Delphi technique questionnaire on their compatibility and urgency. Results: Among all the KOSHA guidelines, 100 items related to agricultural workplaces were selected. After that, two Delphi questionnaires were conducted and 46 items were finally selected. The average compatibility was calculated as 4.26, and urgency was 2.39. As a result of measuring the content validity of 46 items, six items were identified that were not relevant to agriculture. The final selected items were classified into four categories: Health examination and management, machinery standards, safety and health standard guides, and workplace environment management. Conclusions: The various risk factors at agricultural workplaces should be prevented and managed. It was shown that related technical guidelines or work standard manuals should be prepared. The technical guidelines of KOSHA will be provided as basic categories in the agricultural sector.
Objective: The purpose of this study is to select a cognitive training game that can evaluate five cognitive domains and to study their validity with existing cognitive evaluation tools. Design: Methods: Delphi survey was conducted through the 2nd questionnaire for 30 experts to select games suitable for training 5 cognitive domains. Five cognitive training games and Mini Mental State Examination - Korea(MMSE-K), and cognitive impairment screening test(CIST) were conducted for 82 elderly in the community. Pearson correlation analysis was performed to find out the correlation of the three tests. The ROC curve was used to calculate the selection criteria for the game results for the screening evaluation of the presence or absence of mild cognitive impairment. Results: The coefficient of variation to evaluate the stability of the Delphi survey was less than 0.50 in most game items. The 'correct answers' and 'level' of the five final selected game items showed a statistically significant positive correlation with the CIST and MMSE-K scores. CIST score and 'time' of all game items except 'number making_time' showed a statistically significant negative correlation. Conclusions: The validity of the cognitive training program using smart devices was evaluated, and the criteria for classifying the cognitive domain and distinguishing the presence or absence of cognitive impairment were confirmed.
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