• Title/Summary/Keyword: Function Education

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A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns (제왕절개분만 산욕부와 신생아의 가정간호 사례분석)

  • 김혜숙;최연순;전은미
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.696-705
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    • 1994
  • This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.

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Study on the Determination of Nursing Hours by Self-Care Status of Patients (환자의 신체기능적 능력(Self-Care Status)별 소요되는 간호시간 결정에 관한 연구)

  • 박정숙;김주희
    • Journal of Korean Academy of Nursing
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    • v.12 no.2
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    • pp.57-66
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    • 1982
  • This study was undertaken to delineate the relationship between numerical score and the amount of nursing hours required in the nursing process. Score was a numerical description of the patients functional nursing needs. Therefore this study focused on standard nursing hours required by patient's self-care status. This study observed the 62 patients and 15 R.N. in H. university hospital from Aug. 7, 1982 to Aug. 13, 1982. 1. For the first time, each head nurse assessed self-care status by Schoening's self-care score-Minimal care patient (self-care score: 23, 24) was placed in Group Ⅰ, intermediate care patient (self-care score: 11∼22) was Group Ⅱ, and special care score: 0∼10) was Group Ⅲ. 2. We observed and recorded the nursing care received from nurses according to patient's group. (8AM∼4PM) 3. And, We observed and recorded the activities of nurses in order to determine standard nursing hours required. (8AM∼4PM) 4. If we apply the content of paragraph 3 to paragraph 2, we will predict the number of patient that nurse can care during day time by self-care status. The following results were obtained: 1) Patient's mean self-care score were Group I : 23.9 score Group Ⅱ:17.8 score Group Ⅲ : 1.6 score 2) Nursing hours required by patient's physical function(self-care status) status were Group I : 35 min. Group Ⅱ: 47.5 min. Group Ⅲ : 104.6 min. 3) Nurse's nursing time and distribution required in nursing activities during day duty were A.D.L. : 84.3min. (17.56%) Functional nursing activities : 279.9min. (58.31 %) Education & Emotional support : 11.3min. (2.35%) Task unrelated patients : 54min. (11.25%) Non Productive nursing care : 50. 5min. (10.52%) 4) Mean nursing hours required by each patient and the number of patient that nurse can rare during day duty by self-care status were Group I : 38.6min. 11.1 patients/1 nurse Group Ⅱ : 51.1min: 8.4 patients/1 nurse Group Ⅲ: 108.2min. 4 patients/1 nurse It seems reasonable that this could be done effectively as each-unit has an established standard for hours required, This not only allows time for planning of staff but helps to avoid the very human inclination to predict excessive staffing requirements by placing the majority of patients in high care group.

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The Effects of Nature-friendly Fingertips Play Program for the Development Small Muscle Functions and Creative Thinking Abilities of Young Children (자연친화적 손끝놀이프로그램이 유아의 소근육 운동기능 발달과 창의적 사고력에 미치는 효과)

  • Byun, Sang Woo;Seo, Hyun Ah;Han, Hee Jung
    • Korean Journal of Childcare and Education
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    • v.8 no.5
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    • pp.5-24
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    • 2012
  • The purpose of this study was how a nature-friendly fingertips play program with nature affected the development of small muscle functions and creative thinking abilities of young children. The subjects of this study were 28 five year old children. Fourteen of them were from H preschool and the other fourteen were from P preschool in the city of B. The research 'evaluation tool for small muscle motor function development' by Byung Dong Kang(2002) was used to measure the small muscle motor functions of preschool students. The Korean version standardized by Young Chae Kim(2004) was used to measure the development of creative thinking abilities. The study arrived at the following results. First, the nature-friendly fingertips play program affected positively to the development of entire small muscle functions, accuracy, rapidness, and stability for young children. Second, the nature-friendly fingertips play program affected positively to the entire creative thinking abilities, fluency, and resistance to the early conclusion. In conclusion, the nature- friendly fingertips play program affected positively to the development of small motor functions and creative thinking abilities.

A Convergence Study on Factors Influencing Health-related Quality of Life in Patients with Chronic Neck Pain (만성경부통증 환자의 건강관련 삶의 질 영향요인에 대한 융합연구)

  • Park, Hyun-Hyang;Song, In-Ja
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.299-310
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    • 2018
  • A Convergence study was conducted to investigate the factors influencing the health-related quality of life in patients with chronic neck pain and to present a strategy for effective program development. The participants of this study were 92 patients with chronic neck pain in a region and collected data by self-reported questionnaire. Data were analyzed using PASW 18.0 program, that descriptive statistics, t-test, ANOVA, correlation analysis and stepwise multiple regression analysis were performed. According to the results of stepwise multiple regression, the identified influencing factors were disability(${\beta}=-.403$, p<.001), depression(${\beta}=-.313$, p<.001), age(${\beta}=-.194$, p=.008), muscle disorder(${\beta}=-.176$, p=.009), education(${\beta}=-.151$, p=.043) with health-related quality of life in patients with chronic neck pain. The explanatory power($R^2$) by 5 variables was 67.1%(F=38.118, p<.001). It was found that it is important to consider the individual characteristics, physical function improvement and psychological support for improving the health-related quality of life in patients with chronic neck pain. Therefore, it is necessary to develop a health promotion program based on the factors influencing on the health-related quality of life and analyze its application effect.

Determinants of Accelerators' Investmen (액셀러레이터의 투자결정요인)

  • Han, Ju-Hyeung;Hwangbo, Yun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.1
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    • pp.31-44
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    • 2020
  • Accelerators that invest in early startups, as well as nursery and overall management, have recently emerged as "key players" in the startup ecosystem. This can be proved by the case where the number of domestic accelerators registered in the Korean Ministry of SMEs and Startups has recently reached 208. Accelerators provide the necessary education for early-stage companies, including guidance for a certain period of time, and support startups in ways such as demo days to attract subsequent investment after the seed investment. There is not much research in academia about what factors impact on these accelerators when making investment decisions at the time of seed investment. In this study, we checked the meaning and function of the accelerator and tried to analyze what factors affect on accelerators when making a decision to invest in startups. The research method is based on a literature survey of previous studies on investment decision-making factors of venture capital and angel investors, and a lens model and judgment analysis method through empirical research targeting 43 accelerator investment decision-makers. Empirical analysis shows that accelerators have three of the key factors to consider when choosing the first startup to invest and educate; entrepreneurs' entrepreneurial traits, their product and service expertise and a potential return on success. This will provide an opportunity for early startups to gain strategic access to accelerators when they need money or need a structured educational program. Also, the results obtained through this research will be a kind of guideline for startups to attract accelerators' investment. The significance of this study is that discriminatory evidence was presented on the accelerator determinants of investment, and it would be highly suggestive to startups and related public institutions.

Therapeutic Rationale for Music Therapy Interventions With Older Adults: An Analysis of the Literature (국내 노인 대상 음악중재연구 내 치료 논거 세부 분석)

  • Kim, Ji Hyun
    • Journal of Music and Human Behavior
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    • v.16 no.2
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    • pp.53-77
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    • 2019
  • The purpose of this study was to review the literature on music interventions with older adults and to analyze the rationale for the type of intervention and type of music selected. A search of KCI journals for research including older adults and music-based interventions identified 33 published articles, and 23 of these studies met the criteria for inclusion in this analysis. Included studies were analyzed in terms of the contents of the interventions and the appropriateness of the rationale reported for selecting the intervention and music. Each study was analyzed in terms of the relevance of the reported rationale to target goals and the characteristics of the study participants. The results showed that many of the included studies incorporated a variety of activities but failed to include a valid rationale for using those activities to achieve the target goals. Also, many of the studies tended to select music based on participants' preferences or perceived familiarity without thorough consideration of the therapeutic function of music in the given intervention. This study presents how music therapy interventions with older adults have been conducted without sufficient attention to the selection of the intervention and presented music. There remains a need to delineate which intervention and music characteristics should be utilized to obtain particular outcomes with specific populations.

Right Amygdalar Laterobasal Subregional Differences in Healthy Adults with Different Novelty Seeking Tendencies (정상 성인에서 자극추구 기질에 따른 우측 편도체의 측기저 세부구조의 차이)

  • Cho, Han-Byul;Kim, Bin-Na;Choi, Ji-Hye;Jeon, Yu-Jin;Kim, Ji-Hyun H.;Jung, Ji-Young J.;Im, Joo-Yeon Jamie;Lee, Sun-Hea
    • Korean Journal of Biological Psychiatry
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    • v.19 no.2
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    • pp.71-76
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    • 2012
  • Objectives : Novelty seeking (NS) represents a dopaminergically modulated tendency toward frequent exploratory activity. Considering the reports showing the relationship between exploratory activity and amygdalar function and structure, and the fact that amygdala is one of the key structures that constitute the dopaminergic pathway in the brain, amygdala might be closely related to NS tendencies. Amygdalar subregional analysis method, which has the enhanced sensitivity compared to the volumteric approach would be appropriate in investigating the subtle differences of amygdalar structures among healthy individuals. The aim of the current study was to examine whether amygdalar subregional morphometric characteristics are associated with the NS tendencies in healthy adults using the amygdalar subregional analysis method. Methods : Twenty-six healthy adults (12 males, 14 females ; mean age $29.8{\pm}6.2$ years) were screened for eligibility. All subjects completed the Korean version of the Temperament and Character Inventory (TCI) and underwent high-resolution brain magnetic resonance imaging. Individuals were divided into 2 groups according to NS scores of the TCI. Results : Individuals of the high NS group had significantly larger laterobasal subregions in right amygdala, after adjustment with the brain parenchymal volumes. Sensitivity analyses for each potential confounding factor such as age, education years and Hamilton Depression Rating Scale (HDRS) scores demonstrated consistent results. Conclusions : This study suggests that NS differences are associated with the laterobasal subregion of the amygdala.

Relationships among Eating Behavior, Dietary Self Efficacy and Nutrition Knowledge according to the Perceived Body Shape of Elementary School Students in Gangwon Province (강원지역 초등학생의 인식체형에 따른 영양지식, 식생활태도, 식이자기효능감과의 관련성)

  • Won, Hyang-Rye
    • The Korean Journal of Community Living Science
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    • v.19 no.4
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    • pp.707-719
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    • 2008
  • This study was carried out to find the relationship among dietary behavior, dietary self efficacy and nutrition knowledge according to the perceived body shape of the 5th and 6th grade elementary students in Gangwon Province and found out their relationships. The results are as follows; The factors that showed significant difference according to perceived body shape were gender, father's education level, the number of siblings, birth order, obesity of parents and siblings and ideal body shape. For the perceived body shape, the students answered generally normal(48.9%), slightly fat(27.9%), thin(16.5%) and very fat(6.7%). Out of total students 76.5% of them were not satisfied with their body shape such that satisfactory(23.5%), want to lose weight(61.4%) and want to increase weight(15.1%). The score of eating behavior showed significant difference between perceived body shape on such questions as eating speed(p<0.001), frequency of fatty food intake(p<0.001), adequate intake quantity(p<0.001), balanced diet(p<0.05), frequency of going out to eat(p<0.001). The score of diet self efficacy showed significant difference in the area of general habit on such questions as whether to eat slowly together with friends (p<0.001), whether to eat adequate quantity(p<0.001), whether not to have snacks after dinner(p<0.001). And in the area of food selection it showed significant difference on such questions as to select ice cream in stead of yoplait(p<0.001). In the area of social circumstance it showed significant difference on such questions as to reject the food(p<0.01) and to restrain food in birthday party or holiday(p<0.05). In the area of emotional status it showed significant difference on the question about food restrain when boring and depressed(p<0.05 respectively). The score of nutrition knowledge showed significant difference according to the perceived body shape on such questions as total score(p<0.01), five basic food group(p<0.05), snack and body weight(p<0.001), calcium function(p<0.01). It showed perceived body shape co-related with the nutrition knowledge(p<0.01). In summary, the perceived body shape for the highly eating behavior was generally normal, for the highly dietary self efficacy was slightly fat, and for the highly nutrition knowledge was also slightly fat.

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A Study on the Educational Training Evaluation Model - Focusing on Call Center (교육훈련 평가모형에 관한 연구 - 콜센터를 중심으로)

  • Kim, Eun-Hee;Park, Deuk
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.10
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    • pp.185-192
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    • 2012
  • Call Center requires an ability of agents a lot more than face-to-face contact due to being achieved communication by non face-to face channel for contact with customers. In order to improve the ability of agents, Call Center carries out various educational training according to their work experience and function and with the accomplishment of educational training, Call Center is going to fulfill to develop its quality of counseling and productivity. On the other hand, due to investment of a lot of time and budget to educational training, it is needed to grasp and manage about its effectiveness that how helpful the training is for performance of work-site operations through evaluation of educational training. Having Seen researches about evaluation of educational training until these days, most researches have mainstream to measure satisfaction and a level of learning or degree that how the learning transfers to actions. It is found that a research about an entire evaluation model should be required. This study aims to investigate effectiveness of Call Center educational training from the level of recognition by reflecting Kirkpatrick's the four levels of learning evaluation. By the four levels, reaction, learning, behavior and results, the study found out a connection with standards of evaluation about each levels. In addition, by using structural equation modeling, it was examined goodness of fit about the entire model. Furthermore, by an alternative model, considering a direct relation between a factor of reaction and behavior, it was compared and examined goodness of fit of overall model of the study model and the alternative one.

Fast Bayesian Inversion of Geophysical Data (지구물리 자료의 고속 베이지안 역산)

  • Oh, Seok-Hoon;Kwon, Byung-Doo;Nam, Jae-Cheol;Kee, Duk-Kee
    • Journal of the Korean Geophysical Society
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    • v.3 no.3
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    • pp.161-174
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    • 2000
  • Bayesian inversion is a stable approach to infer the subsurface structure with the limited data from geophysical explorations. In geophysical inverse process, due to the finite and discrete characteristics of field data and modeling process, some uncertainties are inherent and therefore probabilistic approach to the geophysical inversion is required. Bayesian framework provides theoretical base for the confidency and uncertainty analysis for the inference. However, most of the Bayesian inversion require the integration process of high dimension, so massive calculations like a Monte Carlo integration is demanded to solve it. This method, though, seemed suitable to apply to the geophysical problems which have the characteristics of highly non-linearity, we are faced to meet the promptness and convenience in field process. In this study, by the Gaussian approximation for the observed data and a priori information, fast Bayesian inversion scheme is developed and applied to the model problem with electric well logging and dipole-dipole resistivity data. Each covariance matrices are induced by geostatistical method and optimization technique resulted in maximum a posteriori information. Especially a priori information is evaluated by the cross-validation technique. And the uncertainty analysis was performed to interpret the resistivity structure by simulation of a posteriori covariance matrix.

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