• 제목/요약/키워드: Design practice

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친환경 공급사슬관리의 영향요인, 실행수준, 그리고 기업성과간의 구조적 인과관계 (An Empirical Study on Influencing Factors, Practice Level, and Performance of Green Supply Chain Management)

  • 이영찬;오형진
    • 한국정보시스템학회지:정보시스템연구
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    • 제21권1호
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    • pp.173-203
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    • 2012
  • In this paper, we arrange the concept of 'Green' in SCM after literature study of Green SCM and investigate causal relationships between influencing factors, practice level and environmental performance focused on Korean firms empirically and conduct path analysis for hypothesis test using partial least squares regression with bootstrap. Firstly, we divide influencing factors of Green SCM into environmental and organizational factors through the previous studies of innovation diffusion theory and environmental management theory, and then we selected 'uncertainty', 'competitiveness' as the environmental factors and 'top management support', 'perceived benefit', 'training' as the organizational factors. Secondly, we classify practice level of Green SCM into 'internal environmental management', 'green purchasing', 'eco-design'. Finally, we selected 'financial performance', 'environmental performance' as the organizational performance. We conducted a survey on the middle manager of manufacturing companies implementing SCM and an empirical analysis. The results of analysis show that there exist causal relationships between influencing factors, practice level, and environmental performance of Green SCM. We expect that the result of this study will suggest useful information to managers who are responsible for SCM to design and execute Green SCM in strategic perspectives.

완전학습모델기반 간호 미생물학 이론 및 실습프로그램의 개발과 효과평가 (The Development and Evaluation of a Clinical Practice Nursing Students' Microbiology Program Based on the Mastery Learning Model)

  • 김보환;장선주;최정실
    • Journal of Korean Biological Nursing Science
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    • 제15권2호
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    • pp.90-98
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    • 2013
  • Purpose: The purpose of this study was to develop a clinical practice nursing students' microbiology program based on the mastery learning model, and to evaluate the effects of the program on nursing students' knowledge, self-efficacy, performance, and satisfaction related to the nursing students' microbiology program. Methods: The program was developed by using the processes of the mastery learning model. The pre-experimental research design involved a one group pretest-posttest design. The setting was a university located in Incheon, Korea. A total of 130 nursing students participated in the program including a theoretical lecture, clinical practice, and formative and summative evaluation. Results: Using the program that was designed and developed, results for the total score of self-efficacy, knowledge, and performance in the post-test application were significantly higher than in the pre-test application (p<.05). The satisfaction of hand hygiene and disinfection/contaminated hand microbial culture and disinfection test received the highest ratings. Conclusion: The application of a clinical practice nursing students' microbiology program was effective, and can be expanded to other nursing students. Future research with other study designs was warranted in order to prove the effect of a microbiology program based on the mastery learning model.

Development of a protocol for guidance in the pediatric nursing practicum in South Korea: a methodology study

  • Koo, Hyun Young;Lee, Bo Ryeong
    • Child Health Nursing Research
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    • 제28권1호
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    • pp.51-61
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    • 2022
  • Purpose: Practical training in pediatric nursing gives students the opportunity to apply nursing knowledge to children in a realistic clinical context. Clinical practice faculty (CPF) and clinical nursing instructor (CNI) have played important roles in the pediatric nursing practicum. This study was conducted to develop a protocol to guide clinical practicum in pediatric nursing. Methods: A service design methodology was employed between August 2020 and May 2021 at four universities and four hospitals in South Korea. The participants were five CPFs, five CNIs, five nursing college graduates, and 60 nursing students. The service design process had four phases: discovery, definition, development, and delivery. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results: The participants reported needs for providing concrete guidance and explanation, nursing practice experience, and a link between school and the clinical field. A protocol was developed to fulfill the participants' needs. The protocol comprised detailed information, teaching methodology, and partnership to guide students in the pediatric nursing practicum. Conclusion: The protocol developed in this study can be used to provide guidance for students' clinical practice in the field of pediatric nursing.

임상진료지침 개발과정의 장애요인 - 심폐소생술을 중심으로 - (Barriers on Development of Clinical Practice Guidelines for Cardiopulmonary Resuscitation)

  • 박성희
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.46-58
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    • 2000
  • Background : Despite favorable effects of guidelines on patient care, guidelines often fail to achieve their objectives. Poorly implemented medical practice guidelines can produce only weak effects on the process of health care delivery. Therefore, we performed this study to investigate barriers related development of clinical practice guidelines. Methods : Cardiopulmonary resuscitation was selected as a target problem. Self questionnaires about management of cardiopulmonary resuscitation were developed by a researcher with advisory 8 experts. The questionnaires were designed as a unstructured methods. The data were collected from March 1 to May 31, 1999. A total 50 death case admitted inpatient to Inha University Hospital were subjected to evaluate the development and application of clinical practice guidelines for cardiopulmonary resuscitation. The data were examined by frequency, t-test with SPSS. Result : The article reviewed several common barriers that might limit successful implementation of guidelines in clinical practice, as illustrated by evaluating recommendations for cardiopulmonary resuscitation clinical practice guidelines. Some major problems with guidelines were characterized as follows (1) ethical problem : euthanasia, (2) occurrence on various emergency event and setting, (3) non-medical problems (4) unreliable of medical record etc. Conclusion : Careful analysis of guideline attributes, anticipated effect on medical care, and organizational factors revealed several barriers to successful guideline implementation that should be addressed in the design of future guideline-based interventions.

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간호사의 수분 섭취배설량 측정에 대한 인식도와 수행도 (Nurses' Perception and Practice of Fluid Intake and Output Measurement)

  • 강남이;안숙희
    • 근관절건강학회지
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    • 제23권2호
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    • pp.84-94
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    • 2016
  • Purpose: This research aimed to identify levels of nurses' perception and practice of fluid intake and output (I & O) measurement and to explore the relationship between perception and practice of it. Methods: Using a cross-sectional survey design, 195 nurses who practiced fluid I & O measurement were recruited from a general hospital. Nurses who agreed to participate in this study completed a structured study questionnaire to assess their levels of perception and practice of fluid I & O measurement. Results: A level of perception of I & O measurement was high (3.46 points out of 5), and scores for 3 subdomains of I & O (importance, accuracy, and efficacy) were evenly high. The level of practice of I & O was fairly high (3.76 points out of 5). Perception and practice of I & O were highly correlated (r=.73, p<.001). Conclusion: Nurses seem to have higher levels of perception and do practice fluid I & O measurement correctly. In order to have reliable and valid I & O measures, nurses need to have continuous education on I & O measurement based on clinical guideline to utilize it as an invaluable clinical instrument.

입원 아동 보호자의 병원감염예방 지식과 실천 (Knowledge and Practice on Infection Prevention of Caregivers of Hospitalized Children)

  • 권인수;서영미
    • 부모자녀건강학회지
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    • 제13권2호
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    • pp.102-109
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    • 2010
  • Purpose: The purpose of this study was to identify the knowledge and practice on hospital infection prevention of caregivers of hospitalized children. The results will be the basic data of future policy and education program for hospital infection prevention. Methods: A descriptive survey design was utilized, The subjects included 151 caregivers from a university hospital in Gyeongnam Province, Korea. The data was collected using a self-reported questionnaire which included 17 items for knowledge, 18 items for practice, developed by researchers from March 2005 to January 2006. The collected data was analyzed with descriptive statistics, t-test, and ANOVA using SPSS program. Results: The mean score of knowledge on infection prevention was .87 of 1 (especially low in method of hand washing item), and practice, 2.60 of 3 (especially low in protection from other people items). There were differences in practice by admission frequency (F=2.83, p = .04), but there were no differences in knowledge by any general characteristics. Conclusion: The degree of knowledge and practice on caregiver's infection prevention was not enough to prevent hospital infection of hospitalized children. Therefore, effective strategies should be developed to prevent hospital infection of hospitalized children.

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항암제 안전관리 교육이 간호사의 안전관리 수칙 지식 및 실천에 미치는 효과 (Effects of Education for Safe Handling of Cytotoxic Drugs on Knowledge and Practice in Oncology Nurses)

  • 홍수연;조은정;유양숙
    • 종양간호연구
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    • 제6권1호
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    • pp.47-53
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    • 2006
  • Purpose: The present study explored the effects of education for safe handling of cytotoxic drugs on knowledge and practice in nurses. Method: Data were collected using a single group with pre and posttest design from 59 nurses at medical and surgical wards in C university hospital from April to June 2005. Questionnaires on the knowledge and practice of the guidelines for safe handling of cytotoxic drugs were asked to complete before and after the education. Result: The education improved nurses' knowledge and practice of the guidelines for safe handling of cytotoxic drugs. The knowledge and practice had a significant positive correlation. Conclusion: These findings show that the education for safe handling of cytotoxic drugs improved the knowledge and practice of nurses. As the knowledge of the guidelines for safe handling of cytotoxic drugs makes a positive association with the practice, it is thought to be required to enhance the education program for nurses.

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수술 후 재활 사례에 적용한 임상 판단력 평가도구의 신뢰도 및 타당도 (Reliability and Validity of the Clinical Judgment Rubric on Simulation Practice with a Post-operative Rehabilitation Case)

  • 오혜경
    • 재활간호학회지
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    • 제18권2호
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    • pp.145-152
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    • 2015
  • Purpose: The purpose of this study was to evaluate the reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. Methods: Methodological study design was used to evaluate the reliability and validity of the clinical judgement rubric on simulation practice. The participants were 35 students in a college of nursing. Results: There were showed reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. In terms of internal consistency, the Cronbach's ${\alpha}$ for all columns was .821. Factor analysis showed that planning, intervention and evaluation domains with Eigen values of 69.87% were bound, unlike the original tool where four factors including noticing, interpretation, responding and reflecting domains were bound. Convergent validity was established by the correlation between the total clinical judgement score and critical thinking disposition before and after simulation practice. Discriminative validity was established by the correlation between the total clinical judgement score and simulation effectiveness score. Conclusion: The findings of this study suggested that clinical judgement rubric on simulation practice is reliable. Repeated studies are needed to objectively evaluate the clinical judgement rubric of simulation practice for applying various clinical situations.

참여학습과 관찰학습의 실습만족도 및 임상수기술 (Satisfaction of Practice and Clinical Skill in Participation Learning and Observation Learning)

  • 신은주
    • 동의신경정신과학회지
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    • 제19권2호
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    • pp.195-207
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    • 2008
  • Objective: The purpose of this study was to compare satisfaction of practice and clinical skill in different participation learning and observation learning, and to offer the basic data to promote quality of nursing education. Method: The study used a quasi-experimental, nonequivalent control group post-test design. The subjects were 62 nursing students of K college in Jeonbuk, and the period of data gathering was limited from 19 Nov. 2006 to 30 Nov. 2006. Experience group was taught by hand-on education and control group was taught by conventional education. The instrument tools included self-efficacy, satisfaction of practice and clinical skill. The collected data were analyzed by SPSS-PC programme. Result: The results of this study were as follows: There was statistically a significance difference between the two group about satisfaction of practice(t=2.011 p=.043), and clinical skill(t=11.997, p=.000). Self-efficacy showed a significantly positive correlation with satisfaction of practice(r=.476, p=.000) and clinical skill(r=.178, p=.014). Also, satisfaction of practice showed a significantly positive correlation with clinical skill(r=.l82, p=.000). Conclusion: In conclusion, this study suggests that hand-on education is an effective learning method to nursing students. By utilizing hand-on education, makes nursing students plan self-directed nursing performance and improve their clinical skills.

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시뮬레이션을 활용한 실습교육이 간호학생의 간호수행능력과 문제해결 과정에 미치는 효과 (Effect of Simulation-based Practice on Clinical Performance and Problem Solving Process for Nursing Students)

  • 이명선;한숙원
    • 한국간호교육학회지
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    • 제17권2호
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    • pp.226-234
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    • 2011
  • Purpose: The purpose of this study was to identify the effect of a simulation-based practice on clinical performance and problem solving processes for nursing students. Method: The study used a one group pre-post test design. Students experienced a simulation-based practice that included team base learning, skill training, taking a high-fidelity simulation with SimMan 3G, and also being debriefed for 12 weeks (August 2010 to December 2010). The pre-test and post-test were conducted to compare the differences in knowledge, clinical nursing skills, and problem solving processes. Result: After students had received the simulation-based practice, they showed statistically significant higher knowledge (t=14.73, p<.001) and clinical nursing skills (t=15.47, p<.001) than before. However, there was no significant difference in the problem solving process score (t=1.53, p=.127). Conclusion: This study showed that knowledge and clinical nursing skills were significantly improved by the simulation-based practice. Further research would be required to identify how the problem solving process that uses simulation-based practice could be developed further.