• Title/Summary/Keyword: Improving Compliance

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Nurse's Power and Tactics in Nursing Practice (간호사의 업무수행상의 권한과 행사전략)

  • Han, Hye-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.1
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    • pp.23-37
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    • 1999
  • This study is to understand and to describe the power that a nurse experiences on nursing practice and then. to present a basic data for nurse's power-development, power improving and empowering. Ethnography was used to understand and to describe experience on exercising various powers occurred on nursing practice. and to analyze and to understand the meaning of a nurse's power. The objects was nurses. Ten nurses who have more than three year's experience were selected as objects from Cuniversity's hospital in Seoul from May of 1996 to August of 1997 through in-depth interview. participant observation, and phone interview. Instruments werw a portable recorder and field notes. I described a case appeared in a data using Agar's 'Pencil and scissors' method right after collecting materials. Then, Idescribed a theme discovered commonly. Followings are the results of the study. 1. There were three categories of relationships with main objects when nurses exercised their power on their practices: a therapeutic caring relationship with patients, a relationship of companion, vertical cooperation, and a constituent person with a doctor, and a relationship of cooperation, and a constituent person with administrative workers and medical technicians. 2. There were many types of nurse's power, tactics and various patient's responses about them. 1) Types of nurse's power to patients were giving information, controling environment, helping for cure, emotional support, and performing discretion. 2) Nurse's tatics for performing power were positive tactics neutral tactics, and negative tactics. 3) Patient's responses were appeared as compliance and noncompliance. Compliance were agreeing. taking nurse's advice, trusting, understanding, being admitted, exposuring himself, and appreciating. 3. There were types of nurse's power and performing tactics. 1) Types of power to a doctor were advice, informing, demanding and mediation. 2) Performings of tactics to a doctor were positive tactics, neutral tactics, and negative tactics. 3) Doctor's responses were appeared as accepting and unaccepting. Acceptings were taking in and appreciating, and unacceptings were denying nurse's advice and authoritative. 4. There were types of nurse's power and tactics about administrative workers and medical technicians and responses about them. 1) Types of power about administrative workers and medical technicians were suggestions and demands. 2) Power performings tactics were positive tactics.neutral tactics, and negative tactics. 3) Responses of administrative workers and medical technicians about nurse's power performing were appeared appeared as accepting and unacce pting. Acceptings were taking in, and unacceptings were denying. Therefore, it can be said that types of nurse's power and performing tactics on nursing practice and nurse's power based on responses of a patient, a doctor, an administrative worker, and a medical technicians are power or influence for agreeing, taking advice, trusting, understanding, exposuring himself, appreciating, and taking in to objects. The results of this study helped to understand nurse's power. I expect that this study will improve nure's power by using expert power, referent power, and legitimate power effectively among powers acmpanied with the origin and that nurses make ef-ort to improve professional knowledge and human nature so that they use this study as a chance to develope expert nursing practice.

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Improvement and Estimation of Effect for Speed Limit Tolerance (속도위반 단속 허용범위 개선안 제시 및 효과 추정)

  • Su-hwan Jeong;Kyeung-hee Han;Min-ho Lee;Choul-ki Lee
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.22 no.2
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    • pp.164-181
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    • 2023
  • In a low speed limit environment, the speed limit tolerance of automated traffic enforcement devices is very high, which is one of the main factors for the low compliance rate. Therefore, in this study, we aimed to the improve the speed limit tolerance and to present a new standard. The effects of the operator and user errors that can cause speeding by drivers were analyzed. Based on the results of the analysis, an improvement of the tolerance was proposed by applying an error in the enforcement device and GPS speed. In addition, long-term expected safety effects such as the accident rate and severity were estimated from the operator's perspective when improving the tolerance. As a result of the estimation, the speed limit compliance rate, accident rate, and change rate of a number of severe accidents due to speed change, and pedestrian traffic accident mortality rate were all improved in all speed limit environments. The introduction of the proposed improvement is expected to improve road safety significantly.

A Study on Antecedence Factors and Supply Chain Capability for Improving Supply Chain Sustainability (공급사슬 지속가능성 제고를 위한 선행요인들과 공급사슬 역량에 대한 연구)

  • Park, Chan-Kwon;Park, Sung-Min;Kim, Chae Bogk
    • Korean small business review
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    • v.40 no.1
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    • pp.25-52
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    • 2018
  • The purpose of this study is to investigate the relationship between supply chain sustainability antecedent, supply chain competence, and supply chain sustainability. The relationship between supply chain sustainability antecedence factor and supply chain competence, supply chain competence and supply chain sustainability and to identify the differences between sustainability antecedence factors, capacity and sustainability depending on the size of the firm. To accomplish this, each research hypothesis was established and the results are as follows. First, compliance with environmental regulations, NGO response activities, CSR activities, and trade fairness were found to have a significant positive impact on manufacturing agility, environmental management, and social capital. And manufacturing agility, environmental management, and social capital has been confirmed that most of the economic, environmental and social sustainability have a significant positive influence. In addition, it has been confirmed that there are differences in the factors of supply chain sustainability, capacity, and sustainability depending on the size of the company. According to the results of the study, environmental regulation compliance, NGO response activities, CSR activities, and fairness factors selected as the leading factors of supply chain sustainability play a role as fundamental prerequisites for supply chain competence to achieve sustainability. Manufacturing agility, environmental management, and the formation of social capital have confirmed that they can raise the level of economic, environmental and social sustainability. Therefore, it was confirmed that the enhancement of supply chain sustainability precedence factors can lead to enhancement of supply chain competence, and furthermore, sustainability of supply chain. Compared with large corporations, SMEs' supply chain sustainability precedence factor, capacity and sustainability should be further improved.

Species Identification and Labeling Compliance Monitoring of Commercial Shrimp Products Sold in Online Markets of South Korea (국내 온라인 유통 새우 제품의 종판별 및 표시사항 모니터링 연구)

  • Kun Hee Kim;Ji Young Lee;Tae Sun Kang
    • Journal of Food Hygiene and Safety
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    • v.38 no.6
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    • pp.496-507
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    • 2023
  • This study investigated species identification and labeling compliance of 48 shrimp products sold in the Korean online markets. Species identification was conducted using the standard DNA barcoding method, using the cytochrome c oxidase subunit I gene. The obtained sequences were compared with those deposited in the NCBI GenBank and BOLD Systems databases. Additionally, phylogenetic analysis was performed to further verify the identified shrimp species. Consequently, 16 shrimp species were identified, including Penaeus vannamei, Pandalus borealis, Palaemon gravieri, Leptochela gracilis, Penaeus monodon, Pleoticus muelleri, Metapenaeopsis dalei, Euphausia pacifica, Lebbeus groenlandicus, Trachypenaeus curvirostris, Argis lar, Metanephrops thomsoni, Metapenaeopsis barbata, Alpheus japonicus, Penaeus chinensis, and Mierspenaeopsis hardwickii. The most prevalent species was Penaeus vannamei, found in 45.8% of the analyzed products. A significant mislabeling rate of 72.9% was found; however, upon excluding generic names such as shrimp, the mislabeling rate reduced to 10.4%. The mislabeling rate was higher in highly-processed products (89.3%) compared with that in minimally-processed products (50%). No correlation was found between the country of origin and mislabeling rate. The results of this study provide crucial data for future monitoring of shrimp products and improving the labeling of shrimp species in Korea.

Medico Legal Aspects of Clinical Practice Guideline (표준 치료 지침서(Clinical Practice Guideline)의 의료법학적 의의)

  • Bae, Hyun-A
    • The Korean Society of Law and Medicine
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    • v.9 no.2
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    • pp.181-207
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    • 2008
  • With recent emphasis on evidence based medicine, clinical practice guidelines are seen as a potential mechanism by which unify various managerial and professional approaches to improving the quality of care. The development process of guidelines has been the subject of much research. and it is need translating the medical evidence of research into a clinical practice guidelines. the gathered evidence needs to be interpreted into a clinical, public health, policy, or payment context. The term 'clinical practice guidelines' can evoke a diverse range of responses from healthcare personnel. Clinical practice guidelines are increasingly used in patient management but some clinicians are not familiar with their origin or appropriate applications. Understanding the limitations as well as benefits of CPG could enable clinicians to have clearer view of the place of guidelines in every practice. In the context of increasing complaints and litigation in healthcare, the legal implications of clinical practice guidelines are of increasing importance. Clinical practice guidelines could, in theory, influence the manner in which the courts establish negligence by suggesting the doctor breached the duty of care by failing to provide the required standard of medical care. In several studies, the CPGs were relevent to and played a pivotal role in the proof of negligence. Much depends on the quality of guidelines and the tools developed and the authoritativeness of a guideline. Recently, there are several opinions the court also should review the validity and reliability of expert testimony including medical evidence. and widespread use of guidelines in malpractice lawsuit could lead the physicians to greater compliance with guidelines in the long term. In conclusion, Health care reformers, physicians as well as guidelines developers should understand that guidelines have both medical and legal aspects as a double-edges sword. so clinicians, legal representatives and decision-makers should not defer unduly to guidelines.

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The Effects of Reinforced Walking Exercise on Dyspnea-fatigue Symptoms, Daily Activities, Walking Ability, and Health related Quality of Life in Heart Failure Patients (강화된 걷기운동 중재가 심부전 환자의 호흡곤란과 피로증상, 일상생활 기능상태, 보행능력 및 건강 관련 삶의 질에 미치는 효과)

  • Jin, Hyekyung;Lee, Haejung
    • Korean Journal of Adult Nursing
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    • v.28 no.3
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    • pp.266-278
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    • 2016
  • Purpose: The purpose of this study was to identify the effects of reinforced walking exercise on dyspnea-fatigue symptoms, daily activities, walking ability and health related quality of life (HRQoL) in heart failure patients. Methods: This study used a randomized controlled trial design. The participants (experimental group=16, control group=25) were recruited from a university hospital in Kyeong-nam area. Data were collected from March to September, 2015. The reinforced walking exercise included goal setting and feedback (telephone and text message) provided for 12 weeks. Dyspnea-Fatigue Index, Korean Activity Scale/Index (KASI), six-minute walking distance (6MWD) and HRQoL were measured. Data were analyzed using descriptive statistics, t-test, Fisher's exact test, $x^2$ test, and Kolmogrove-Smirnov test. Results: Prior to the intervention there were no differences in the research variables between two groups. The exercise compliance in the experimental group was 100% (walking for 50 minutes per day, 5 times per week). The experimental group had improved dyspnea-fatigue symptoms (t=8.63, p<.001), daily activities (t=-4.92, p<.001), longer 6MWD (t=-5.66, p<.001), and increased HRQoL (t=-9.05, p<.001) compared to the control group. Conclusion: The reinforced walking exercise could be a cost-effective intervention in heart failure patient, which could enhance patients' outcomes, such as improving dyspnea-fatigue symptoms, daily activities, walking ability, and quality of life.

Development of a Critical Pathway for the Chemotherapy of Non-small Cell Lung Cancer Patients and Its Effects (비소세포성 폐암 환자의 항암화학요법을 위한 Critical Pathway개발과 적용효과)

  • Choe, Ja-Yun;Jang, Geum-Seong;Choe, Eun-Yeong
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.1
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    • pp.85-95
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    • 2002
  • The purpose of this study was to develope a critical pathway for the chemotherapy of non-small cell lung cancer patients and to identify its effects after implementation. Critical pathway was developed through 5 steps including content and clinical validity tests with collaborative efforts of nurses, clinicians, and other allied healthcare professionals with the aim of improving the quality of patient care, while minimizing cost to the patients. This paper was described an evaluation of the impact of a developed critical pathway on complication rate, length of stay, costs, the interval of treatment and patient satisfaction by nonequivalent control group posttest-only non-synchronized research design.Results were compared between the two groups of patients. There were no significant differences in demographic variables and the occurrence of bone marrow suppression between experimental group and control group(t=-0.01, p=0.992). There were statistically significant decreases in the average length of stay(t=-10.45, p=0.000), in the average cost(t=-2.988, p=0.004), and in the interval of treatment(t=-6.75, p=0.000) after implementation of the critical pathway compared to control group. Also, there was a statistically significant improvement of the patient satisfaction after implementation of the critical pathway compared to control group(t=4.57, p=0.000). This paper concludes that critical pathway in chemotherapy for lung cancer, implemented in the context of an general hospital, is the useful tool to shorten the hospital stay, reduce treatment costs, and improve the quality of life in cancer patients. Further study needs to be conducted to identify other clinical outcomes including job satisfaction, collaboration among health professionals and potential for use in education. Also, it is recommended that nurses should revise continuously the developed critical pathway through clinical implementation and maintain their role of patient advocacy through monitoring pathway compliance.

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The Development of a Critical Pathway for Facial Bone Fractures and the Effect of its Clinical Implementation (안면골 골절 환자에 대한 표준진료지침 개발에 따른 환자의 인식도 증가와 만족도 개선 효과)

  • Choi, Woo Young;Park, Cheol Woo;Son, Kyung Min;Cheon, Ji Seon
    • Archives of Craniofacial Surgery
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    • v.14 no.2
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    • pp.89-95
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    • 2013
  • Background: If patients have a better understanding about their problem and treatment, compliance and satisfaction with treatment will increase. For this purpose, simple repeated explanations regarding a patients' problem and treatment are essential. Critical pathway (CP) has a very wide range in medicine with the exception of the plastic surgery field. The authors developed a CP for facial bone fractures and implemented it clinically. The aim of this study was to evaluate the effectiveness of the CP on the degree of recognition of the problem along with patient satisfaction with the treatment process. Methods: From May 2011 to October 2011, a total of 82 patients suffering from facial bone fractures were studied. The CP for facial bone fractures was developed by plastic surgeons, residents and nurses. Subsequently, the authors investigated the degree of recognition of the disease and patient satisfaction with the treatment through the use of a questionnaire. The authors compared the score of the questionnaires before and after implementation of the clinical pathway. Results: The degree of the recognition of the problem changed from 3.1 to 4.2 (p<0.001). Further, the degree of satisfaction with the treatment process changed from 3.6 to 4.3 (p<0.05). Overall, there was a two point increase in improvement. Conclusion: Implementation of the CP for facial bone fractures was effective in improving the degree of recognition and satisfaction. The authors expect that hereafter, the CP for facial bone fractures will be implemented actively in the plastic surgery field.

Development and Performance Estimation of Wide-ranged Fine Current Module for NPP Instrumentation (원전 계측용 광범위 미세전류모듈의 개발 및 성능평가)

  • Kim, Jong-ho;Chang, Hong-ki;Che, Gyu-shik
    • Journal of Advanced Navigation Technology
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    • v.20 no.5
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    • pp.482-489
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    • 2016
  • Detection of gamma ray can be available using optical fiber scintillator under radiation environment. It monitors the transfer energies of these ions by photodiodes and then convertes into currents. The module which converts those currents into voltages and processes signals is named fine current module TIA, and it is essentially important to convert currents into voltages with high linearity. We have studied and developed the TIA, improving converting linearity and minimizing noises and off-set voltages. Also, we have made efforts to develop precise and accurate current module in compliance with concerned requirements. First of all, we established developing theory, developed related circuits, and then made the current module. And, we confirmed its stability and linearity to be more excellent than any other equipment proposed by other references. We tested the developed fine current modules in the real radiation environment under authorized supervising, confirmed them to meet related requirements.

Abnormal Illness Behavior (비정상 질병 행동)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.138-145
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    • 1996
  • The behaviors associated with illness are different depend upon individuals even if Patients complaints same symptoms and have same disease. Understanding the patterns of those behaviors become one of the important elements in determining the diagnostic and treatment approaches and treatment compliance. The sick role plays a essencial part in abnormal illness behavior. The characteristics of abnormal illness behavior ran be applied to many parts in medicine. In case of the various kinds of functional disorders whose organic foundations are obscure and in applying the cognitive therapy, rehabilitation program and occupational therapy, the assessment and evaluation of the abnormal illness behvior is known to be beneficial. For improving the comprehensive psychiatric treatments which could be applied to the Koreans more effectively in patients with somatoform disorders and other various kinds of neurotic disorders further researches especially on the medico-historical and socio-cultural aspects of the illness behavior should be followed. And understanding the abnormal illness behavior would be helpful in enhancing the medical cost effectiveness.

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