• 제목/요약/키워드: Instrument for assessment

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말기 암환자의 변비 사정도구 개발 및 적용 (Development and Application of the Constipation Assessment Tool for Patients with Terminal Cancers)

  • 김명옥;박명희;류민애
    • 임상간호연구
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    • 제18권2호
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    • pp.205-214
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    • 2012
  • Purpose: The purposes of this study were to develop the constipation assessment tool for identifying their bowel movement patterns, and to provide basic information for the assessment and intervention protocol on constipation for patients with terminal cancers. Methods: The study followed the steps: the first step was to build a conceptual framework based on literature review; the second step was to develop a tentative instrument by analyzing the conceptual framework and existing instruments; the third step was to test content validity and reliability; and the final step was to apply the tool to patients with terminal cancers (N=112). Results: The constipation assessment tool was consisted of total nine items; under the categories of subjective and objective data for diagnosis had 4 items, and under the initial assessment category which includes stool type, physical examination, and abdomen X-ray had 5 items. Conclusion: The constipation assessment tool developed in this study is very easy to use and useful in nursing practice, especially in hospice and palliative care setting. Particularly this tool has items on patient assessment which would be considered as an evidence for choosing nursing interventions. Based on the constipation assessment tool, the development and application of intervention protocol on constipation for patients with terminal cancers is warranted in future research.

기능성 소화불량증의 침치료 연구 동향 : Pubmed를 중심으로 (Trend of Acupuncture Treatment Study for Functional Dyspepsia)

  • 오지석;양수영;변준섭;조정효;이용구;박양춘
    • 혜화의학회지
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    • 제18권1호
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    • pp.19-28
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    • 2009
  • Objectives: This study was conducted to help clinical studies for treating Functional Dyspepsia with acupuncture. We inspected tendency of studies of acupuncture treatment for functional dyspepsia and analyzed the assessing instrument for it by scrutinizing Pubmed recent publications. Materials and Methods: We inspected 8 theses and scrutinized their objectives, periods, participants, materials and methods, the instrument of assessment for the studies, and criteria and symptom score for questionaire, results and JADAD score. Results: 1. Most studies were published by oriental doctors except one which was published by an American doctor. More and more studies are being published in America and written in English recently. So it is considered that western doctors think that the acupuncture treatment is useful as unorthodox medicine for functional dyspepsia. 2. Among the 4 clinical studies, 2 studies were RCT and 1 study was not RCT and 1 study with vagueness. All 4 clinical studies were not double-blinded because they were about comparison between acupuncture treatment and medicine. 3. ST36, PC6, CV12, BL21 were chiefly used, and auricular point, ST40, SP6 were also used. Manual acupuncture were used in 2 studies, and low frequency pulse and electroacupuncture were used in other studies respectively. 4. 4 clinical studies used 0~3 points symptom score as the instrument of assessment. Additional assessments were on gastric emptying time, EGG and plasma level of motilin. All thesis were not verified of validity and reliability. 5. Among the 4 reviewed thesis, 2 theses were about acupuncture as one of the various treatment of functional dyspepsia, and the other 2 theses were about efficacy of acupuncture treatment. And the result generally showed effectivity of acupuncture treatment. Conclusion: Acupuncture treatment for functional dyspepsia is considered useful as in unorthodox medicine by western doctors, and it is necessary to provide objective instrument for assessing acupuncture treatment for functional dyspepsia.

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한국형 주 보호자용 노인우울 간이척도(KGDSI-15)의 신뢰도와 타당도 분석 (Validation of the Korean Version of the General Practitioner Assessment of Cognition)

  • 김용순;박지원
    • 가정∙방문간호학회지
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    • 제17권1호
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    • pp.5-11
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    • 2010
  • Purpose: The study examined the psychometric properties of the Korean Geriatric Depression Scale Informant-15 (KGDSI-15), an instrument measuring geriatric depression through their primary caregivers. Methods: The participants were 370 Korean older adults $\geqq$65-years-of-age registered in a visiting health center in S city. The Korean version of Geriatric Depression Scale-Short Form (GDSSF-K) was used for comparison. Internal consistency measured tool reliability and Pearson correlation coefficient measured validity. One-way ANOVA was used to determine the clinical usability of the instrument: depression levels were classified as normal, mild depression, and severe using GDSSF-K, and the depression scores of these three groups were comparatively measured by KGDSI-15. Results: The Cronbach's alpha coefficient was .831. The correlation coefficient with GDSSF-K was r=.616 (p<.001). KGDSI-15 results showed the depression level of older adults with severe depression was highest followed by those with mild depression and normal. The group differences were also statistically significant, which indicated the clinical usability of the instrument. Conclusion: KGDSI-15 is suggested to be reliable and valid to measure the geriatric depression through the primary caregivers of older adult.

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아동학회지에 게재된 측정도구 개발 및 타당화 연구 고찰: 1984-2016년 (A Review of Published Instruments for Children and their Families in the Korean Journal of Child Studies)

  • 김경은;박주희;임지영
    • 아동학회지
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    • 제38권3호
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    • pp.91-111
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    • 2017
  • Objective: This study aimed to review scales and tests developed for or validated with children and their families that were published in the Korean Journal of Child Studies from 1984 to 2016. Specifically, the purpose of the present study was to analyze the contents and format of the selected instruments, as well as to evaluate their psychometric properties. Methods: Using several databases and journal archives from the Korean Journal of Child Studies, searches were implemented using the key terms: instrument, scale, development, and validation. Instruments from 76 selected studies were reviewed based on several characteristics, such as assessment areas, contents, respondents, responding types, and psychometric properties. Results and Conclusion: First, a majority of the reviewed instruments were developed for infants and children, whereas only one was developed for adolescents. With regard to their specific measurement domains, many instruments focused on social emotional development among children. Second, with a few exceptions, the selected studies provided appropriate evidence for the reliability of the instrument, including its internal consistency, inter-rater reliability, and spilt-half reliability. Many studies also reported on the criterion-related or construct validity of the instrument to establish its validity. Future studies need to develop instruments across diverse developmental areas that collect information from multiple sources and raters. In addition, more evidence on the reliability and validity of the reviewed instruments should be provided to demonstrate their psychometric qualities.

가정간호 교육요구도 조사 연구 (Education Needs for Home Care Nurse)

  • 김조자;강규숙;백희정
    • 기본간호학회지
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    • 제6권2호
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    • pp.228-239
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    • 1999
  • In 1990 Home Care Education Programs started when legislation established certification for Home Care Nurses. The Ministry of Health and Welfare proposed a home care education curriculum which has 352 class hours and 248 hours of 'family nursing and practice'. Though Home Care Education Programs have been offered in 11 home care educational institutes, there has been no formal revision for the home care education programs. Also a first and second home care demonstration projects have been carried out, but there has been no research on outcomes for home care education as applied in home care practice. The purposes of this study were to identify the important content areas for home care nursing as perceived by home care nurses, and to identify their clinical competence in each of these areas, and from these to identify the education needs. The sample was 107 home care nurses who were working in home care demonstration hospitals and community-based institutions which have been offering home care services. Responses were received from 88 nurses, comprising a 82.2% return rate, and 86 were included in the final analysis. The instrument used was a modification of the instrument developed by Caie-Lawrence et(1995) and Moon's(1991) instrument on home care knowledge. The instrument's Cronbach's coefficient was 0.982. Among the respondents, 64% were working at home care demonstration hospitals and 36% were working at community-based institutions. Their home care experiences were from one month to six years, with a mean of 20.6 months. The importance rating for home care education content was 3.42 0.325, which means importance was rated relatively high. Technical aspects of home care were identified the most important. Five items 'education skill', 'counseling skill', 'interview skill', 'wound care skill', 'bed sore care skill' received 100% importance ratings. The competency rating was 2.87 0.367 and 'technical aspects of home care' was the highest, and 'application to home care skill' was the lowest. Home care nurses' education needs were identified and compared to the importance ratings and competency ratings. Eleven items were identified as the highest in the importance areas and eleven items were in the lowest competency areas. High importance ratings matched with low competency ratings determined training needs, but there was no matching items in this study. In the lowest competency areas four items were excluded, because of not being applicable in current home care practice. Therefore total eighteen items were identified as home care education needs. These items are 'bed sore care skill', 'malpractice', 'wound care skill', 'general infection control', 'change and management of tracheostomy tubes', 'CVA patient care', 'Hospice care', 'pain management', 'urinary catheterization and management', 'L-tube insertion and managements', 'Respirator use and management skill', 'infant care', 'prevention to burnout', 'child assessment', 'CAPD', 'infant assessment', 'computer literacy', and 'psychiatry patient care'.

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Development of a Breast Cancer Awareness Scale for Thai Women: Moving towards a Validated Measure

  • Rakkapao, Nitchamon;Promthet, Supannee;Moore, Malcolm A;Hurst, Cameron P
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.851-856
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    • 2016
  • Background: Breast cancer is a major health problem among women around the world. Recent developments in screening and treatment have greatly improved the prognosis of patients with breast cancer in developed countries. However, in developing countries breast cancer mortality remains high.Breast cancer awareness is a first and important step in reducing breast cancer mortality. The development of a validated instrument to measure breast cancer awareness is crucial for the understanding and implementation of suitable health education programs to facilitate early deletion and minimize mortality. Objective: The objective of this study was to develop an instrument for the assessment of breast cancer awareness in Thai women. Materials and Methods: This methodological study was conducted in two stages: (1) literature searches and semi-structured interviews were conducted to generate items of the breast cancer awareness scale (B-CAS) which were subsequently examined for content and face validity, and (2) an exploration of the factor structure of the resulting instrument and an examination of its reliability. Data were collected using a self-administered questionnaire in Thai women aged 20-64 in August, 2015. Results: A total of 219 women (response rate 97.4 %) participated in this validation study. The B-CAS contains five domains with 53 items on breast cancer awareness: 1) knowledge of risk factors, 2) knowledge of signs and symptoms, 3) attitude to breast cancer prevention, 4) barriers of breast screening, and 5) health behavior related to breast cancer awareness. Items with a content validity index < 0.80 were excluded, and factor structure for the remaining items reflected the hypothesized five factor model. The scales based on all retained items was shown to have strongly internal consistency reliability (Cronbach's ${\alpha}=0.86$). Conclusions: The B-CAS provides good psychometric properties to assess breast cancer awareness in women. It can be used to examine breast cancer awareness in Thai women and it could lead to the development and evaluation of suitable educational interventions for raising breast cancer awareness. Future research should focus on further validating the B-CAS including an assessment of construct and criterion-based validity.

국악관악기 품질평가를 위한 음고특성분석 (Frequency Characteristics Analysis for Quality Assessment on Korean Traditional Wind Instruments)

  • 박수홍;옥승호;서인화;김소리;정환희
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2011년도 춘계학술대회 논문집
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    • pp.302-307
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    • 2011
  • In this study, peak frequencies of korean traditional wind instruments according to instruments were measured for introducing quality certification system. Also major dimensions of instruments were measured too, for analysis on manufacturing precesion.

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중학교 과학과 서술형 평가의 문항 특성 및 요인 분석 (An Analysis of Characteristic and Factor about Middle School Science Descriptive Assessment Items)

  • 김성기;최은주;백성혜
    • 대한화학회지
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    • 제59권5호
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    • pp.445-453
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    • 2015
  • 문제해결력 및 창의력 등과 같은 고등정신능력 배양을 위한 평가체제 구축의 일환으로 2005년 도입된 서술형 평가는 매년 평가비율이 증가하면서 단순 지식을 요구하는 선다형 평가의 대안적 평가로 떠오르고 있다. 정부의 서술형 평가 비율 확대로 학교현장에서 표면적으로는 어느 정도 정착이 되어 운영되고 있으나 실제 서술형 평가가 의도한 목적을 달성했다고 확언할 수 없다. 그래서 본 연구에서는 경기도 5개 중학교에서 실시된 과학과 서술형 평가 문항을 대상으로 서술형 평가 문항의 특성을 분석하였으며, 이러한 특성을 갖는 요인을 분석하고자 문항을 출제한 교사를 대상으로 심층면접을 실시하였다. 연구결과 서술형 평가 문항들은 ① 출제되는 단원의 편중, ② 단원별 문제 형식의 차이, ③ ‘고등정신능력’ 측정의 미흡이라는 문항의 특성을 갖고 있었다. 이러한 문항의 특성을 갖는 요인은 교사들의 평가 문항 제작, 평가 도구의 이해 등에 대한 능력이 결여되었기 때문이었다. 이러한 요소들은 모두 평가 전문성의 결여로 설명될 수 있다. 이를 통해 교사들의 평가 전문성을 신장을 위한 방안이 요구됨을 알 수 있었다.

환경 소양 개념의 변천과 환경 소양 측정 연구 (A Study on the Conceptual Evolution of Environmental Literacy and Its Assessment)

  • 진옥화;최돈형
    • 한국환경교육학회지:환경교육
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    • 제18권2호
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    • pp.31-43
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    • 2005
  • In this study, after establishing assessment framework and reviewing the conceptual evolution and component of EL(Environmental Literacy) through literature review, through middle school students as population, the level of EL and relationship of its related variables were examined. The investigation was consisted of second and third grades of urban and rural middle schools in Choongbook. The used measurement methods were objective evaluation and Likert-type scale. The questionnaire instrument variables were consisted of 80 items on environmental literacy variables and six items on student gender, area of residence, environmental lesson, degree of environmental concern, environmental information, environmental activity as background variables. The major findings of this study were as follows: 1. Although the broad and obscure concept of EL has been evolved until 1992, it has been developed more systematic and precise after 1992. But there is not still an agreed concept. 2. The subordinate components of EL were consisted of cognitive, affective, and behavioral aspects. Both ecological knowledge(KEOC) and environmental skill(SKILL) were determined to serve as two powerful predictors of EL. 3. The level of EL of middle school student was showed statistically significant difference to some variables by student gender, residential area, environmental lesson, environmental concern, environmental information, and environmental activity variables. And the most influential variables of EL in middle school student were environmental skill(SKILL), and locus of control (LOC). Based on the findings of this study, the following suggestions are drawn: It should be established a precise concept on EL as the ultimate aim of environmental education both interdisciplinary cooperation and experts of environmental education and also performed further longitudinal study which assessed multidimensional variables which are able to exactly measure the EL of middle school student.

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초등 과학 학습지도에서 포트폴리오 평가의 효과 (Effect of Portfolio Assessment in Elementary Science Teaching)

  • 이민수;한안진
    • 한국초등과학교육학회지:초등과학교육
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    • 제20권1호
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    • pp.107-122
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    • 2001
  • The Purpose of this study is to find the effects of the portfolio assessment on elementary students' scientific knowledge, inquiry process skill, scientific attitudes in the teaching of science. And finally the parents' response to the portfolio assessment is also investigated. In order to reach the goal of this study, the investigator developed the evaluation instrument such as an experimental report and a cumulative observation sheet for the 4th-grade Unit-1 'Light Propagation' and Unit-3 'Separating Mixtures', and then these were administered to 42 4th-grade elementary students in Inchon. Based upon the findings and within the limitations of this study, several conclusions can be drawn regarding the problems investigated. First, as the portfolio assessment offers enough information about individual student's performance, it has a highly positive effect on evaluating the students' scientific knowledges. It can also make possible to grasp the several aspects of the student's progress. Second, the portfolio assessment can be implemented without giving students any psychological pressure from testing itself. Therefore, the portfolio assessment is an effective means of appraising inquiry process skills. Third, the portfolio assessment is effective to evaluate the students' attitude toward science by means of individual records which include such aspects that is hardly found by the teacher who teaches science in the class. Fourth, as most parents showed a positive response to this portfolio assessment, it is considered to be effective method of appraising the result of teaching science at elementary school. Accordingly, this study demonstrated that the portfolio assessment is an effective method that can assess students' scientific knowledges, inquiry process skills, and scientific attitudes gained from science teaching-learning. Therefore, it is necessary to implement the portfolio assessment to other grade students as well in the following study where teacher may give more encouragements and suggestions to sti dents for the better learning motives. Also teachers should suggest more definite evaluation criteria to students so that they may improve the students' self and peer evaluation skills.

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