• 제목/요약/키워드: Item factor

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병원 의료종사자의 환자안전관리 중요성 인식 측정도구 개발 (Development of a Perception of Importance on Patient Safety Management Scale (PI-PSM)for Hospital Employee)

  • 박미정;김인숙;함영림
    • 한국콘텐츠학회논문지
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    • 제13권5호
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    • pp.332-341
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    • 2013
  • 복잡하고 긴박한 상황이 벌어지고 있는 병원 환경에서 환자에게 안전한 돌봄을 제공하기 위해서는 환자안전관리에 대한 병원 의료종사자들의 관심과 그 중요성에 대한 인식이 전제되어야 한다. 이에 본 연구는 병원에서 근무하는 다양한 의료종사자들을 대상으로 그들이 인식하는 환자안전관리 중요성을 측정하기 위한 도구를 개발하고 타당도와 신뢰도를 검정하고자 시도되었다. 환자안전관리 중요성 인식 측정도구는 기초문항 작성, 내용타당도 검정 및 사전조사의 과정을 통해 21문항이 구성되었다. 그리고 280명의 의료종사자를 대상으로 주성분 분석을 이용한 요인분석과 Cronbach's ${\alpha}$ 계수 산출을 통해 도구의 타당도와 신뢰도를 확인받았다. 전체 도구의 설명력은 60.4%였으며, '환자안전관리에 대한 관심(7문항)', '환자안전관리에 대한 자신감(5문항)', '환자안전관리를 위한 의지(5문항)', 그리고 '환자안전관리에 대한 인지(4문항)'의 4개 요인이 추출되었다. 측정도구 21문항의 신뢰계수는 Cronbach's ${\alpha}$=.86이었으며, 4개 요인의 신뢰계수는 .69-.87의 범위를 나타냈다. 추후 다양한 의료 영역에서 안전한 의료 및 간호 제공을 위해, 본 연구에서 개발되고 타당도와 신뢰도가 입증된 환자안전관리 중요성 인식 측정도구가 유용한 측정 지표로서 활용될 수 있기를 기대해 본다.

노인의 운동능력이 IADL에 미치는 영향 (The Influence of Motor Ability of Elderly on IADL)

  • 엄기매;양윤권
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.821-831
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    • 2001
  • Motor ability were hypothesized to be major factors that may have an influence on IADL(instrumental activities of daily living). The purpose of this study was to investi gate the effect of motor ability of elderly on IADL. This study consisted of forty eight elder male and ninety elder female. The subjects were selected from L, S, Y-institution in kyoung ki do. The average age of elder male and female was 73.81, 71.38 years. The data were analyzed with t-test, repeated measurement, correlation test, regression test, using SPSS PC+ and MINITAB program. The measurement item of motor ability was muscle strength(left, right- grip strength), flexibility(sitting trunk flexion, trunk extension, leg raising while in a standing position), agility(whole body reaction test, standing up), power(sargent jump), balance (stork stand). IADL was measured with Philadelphia Geriatric Center IADL. The result of this study were the following : 1. The factor of significant difference of between elder male and female was muscle strength, flexibility, power but no significant difference was agility, balance. 2. Between IADL of elder male and female was no significant difference. 3. Correlation of IADL and Motor ability of elder male had effect on muscle strength and power, agility. Correlation of Body composition and Motor ability of elder female had effect on muscle strength and power, agility. As a result of this study, optimal motor ability of elder male and female had improved IADL. In addition to, this result of this study, it can suggested the consideration of the Health promotion program for elderly.

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항암화학요법을 받는 암환자 간호핵심역량 측정도구 개발 및 타당화 (Development and Validation of a Tool for Evaluating Core Competencies in Nursing Cancer Patients on Chemotherapy)

  • 김성해;박재현
    • 대한간호학회지
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    • 제42권5호
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    • pp.632-643
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    • 2012
  • Purpose: This study was done to develop tool to evaluate the core competencies regarding nursing cancer patients on chemotherapy, and to verify the reliability and efficacy of the developed tool. Methods: A tool to evaluate the core competencies was developed from a preliminary tool consisting of 112 items verified by expert groups. The adequacy of the preliminary tool was analyzed and refined to the final evaluation tool containing 76 items in 8 core competencies and 18 specific competencies. The evaluation tool is in the form of a self-report, and each item is evaluated according to a 3-point scale. From September 22 to October 14, 2011, 349 survey responses were analyzed using SPSS 20.0 and the WINSTEPS program that employs the Rasch model. Results: Results indicated that there were no inappropriate items and the items had low levels of difficulty in comparison with the knowledge levels of the study participants. The results of factor analysis yielded 18 factors, and the reliability of the tools was very high with Cronbach's ${\alpha}$=.97. Conclusion: The results of this study can be used for training and evaluation of core competencies for nursing cancer patients, and for standardizing nursing practices associated with chemotherapy.

스트레스에 의한 구강안면증상의 발혀에 관한 역학적 연구 (An Epidemiologic Study on the Frequency of Stress Symptoms in the Orofacial Region)

  • 오민정;한경수
    • Journal of Oral Medicine and Pain
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    • 제22권2호
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    • pp.359-371
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    • 1997
  • Stress is recognized as a major predisposing and/ or precipitating factor in long-lastig intractable chronic pain, such as temporomandibular disorders, headache, and other psychophysiological disorders. So it is necessary to detect physical and psychological changes induced by stress as soon as possible for positive treatment outcome. This study was performed to investigate the occurrence rate of stress symptoms according to anatomic region, type of symptom, and other personal and social factors. 859 subjects from general population answered the stress symptom questionnaire devised by the author and composed of 50 items. Data from the questionnaire were analyzed statistically with SPSS program and the results obtained were as follows : 1. Oral symptom which showed the highest frequency rate of 38.8% was vesicular lesion of the lip and cheek. The other symptoms with more 20% occurrence rate were ulcerative leion of lip and cheek, toothache, paresthesia of teeth, eruption of tongue, tongue coating and taste change in descending order. 2. In extraoral symptoms, ?데 disturbance was the item which showed the highest frequency rate of 62.0%, and the items for stiffness of suboccipital region and neck, headache, facial swelling, furuncle of face were answered more than 45% of the subjects whereas only 14.0% of the subjucts complained jaw pain under stress. 3. The better one who thought his or her health status was, the fewer items were answered and the difference of symptom frequency by dwelling place and by having hobby were shown in extraoral symptoms only. 4. For relief of stress symptoms, 79.2% of the subjects replied only to take a rest whereas not more than 13, 5% of the subjects visited dental clinic. Correlationship between symptom sites were very high.

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정신보건시스템 내에서의 아동청소년 기능평가척도 개발을 위한 예비연구 (A Preliminary Study for Developing a Child and Adolescent Functional Assessment Scale in the Mental Health Service)

  • 노경란;서동수
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권3호
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    • pp.142-155
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    • 2014
  • Objectives : The aim of this study was to develop an assessment tool for measurement of children's functioning in the mental health service. We conducted a preliminary study to develop a sensitive and inclusive scale focused on the functional changes of children rather than just focusing on their symptoms or screening. Methods : The Child and Adolescent Functional Assessment Scale and the Korean-Child Behavior Checklist (K-CBCL) were both administered to 134 parents of children with emotional or behavioral problems who participated in the Aizone program and also to 186 parents of elementary school children in the Seoul metropolitan area as a control group. SPSS version 12.0 was used for statistical analysis. Results : Most of the reliability coefficients were over 0.70 except those of the conduct behavior items, which showed relatively high internal consistency. The corrected item-total correlations ranged from .411 to 758, except those of conduct behavior items and special measure items. In a concurrent validity test with K-CBCL, the total behavior problem score of K-CBCL was highly correlated with the total score of the Child and Adolescent Functional Assesment Scale (r=.610). For the construct validity, confirmatory factor analysis was performed for each of four areas, including behavior (at home/school), achievement, peer relationship, and emotion. Conclusion : The results showed that the scale was statistically reliable and valid, except for conduct behavior items. This study was conducted only for parents with elementary children. An adolescents group should be included in future studies.

Improving Accuracy and Completeness in the Collaborative Staging System for Stomach Cancer in South Korea

  • Lim, Hyun-Sook;Won, Young-Joo;Boo, Yoo-Kyung
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9529-9534
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    • 2014
  • Background: Cancer staging enables planning for the best treatments, evaluation of prognosis, and predictions for survival. The Collaborative Stage (CS) system makes it possible to significantly reduce the proportion of patients labeled at an "unknown" stage as well as discrepancies among different staging systems. This study aims to analyze the factors that influence the accuracy and validity of CS data. Materials and Methods: Data were randomly selected (233 cases) from stomach cancer cases enrolled for CS survey at the Korea Central Cancer Registry. Two questionnaires were used to assess CS values for each case and to review the cancer registration environment for each hospital. Data were analyzed in terms of the relationships between the time spent for acquisition and registration of CS information, environments relating to cancer registration in the hospitals, and document sources of CS information for each item. Results: The time for extracting and registering data was found to be shorter when the hospitals had prior experience gained from participating in a CS pilot study and when they were equipped with full-time cancer registrars. Evaluation of the CS information according to medical record sources found that the percentage of items missing for Site Specific Factor (SSF) was 30% higher than for other CS variables. Errors in CS coding were found in variables such as "CS Extension," "CS Lymph Nodes," "CS Metastasis at Diagnosis," and "SSF25 Involvement of Cardia and Distance from Esophagogastric Junction (EGJ)." Conclusions: To build CS system data that are reliable for cancer registration and clinical research, the following components are required: 1) training programs for medical records administrators; 2) supporting materials to promote active participation; and 3) format development to improve registration validity.

소비자관점의 패션브랜드 분류 기준에 관한 연구 (A Study on Criteria for Classifying Fashion Brands from the Viewpoint of Consumer)

  • 박송애
    • 한국의상디자인학회지
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    • 제11권3호
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    • pp.87-99
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    • 2009
  • The purpose of this study was to find out criteria for classifying fashion brand from the consumer point of view. This was compared with the viewpoint of fashion business practice in order to develop strategy of fashion brands and to manage brand effectively and systematically, and to suggest theoretical frame for application of these criteria. This study was researched as the succeeding study of a model of criteria for classifying fashion brands from the viewpoint of fashion business practice. Survey was used as a research method. The subjects were 422 women who were 20-30 years old and living in and near Seoul. Questionnaires were developed based on 37 fashion brands' classification criteria by means of pre-survey, and SPSS package and LISREL program were used to analyze the data. As a result of factor analysis considering 37 classification criteria, 8 factors were identified as classification criteria. They were as follows; the level of brand form, the level of product concept, the level of management item, the level of brand sales ability, the level of customer management, the level of brand advertising and awareness, the level of brand value, and the level of product lead ability. All of criteria were correlated to each other. The effective method to classify fashion brands was proposed by establishing the model of the relationship of the values of 7 criteria and by proving it with the structure equation model analysis. The model of criteria for classifying fashion brands that was suggested on this study was proved by the structure equation model analysis. In this study, from a consumer's point of view we suggested a theoretical framework describing which criteria would be selected to classify and utilize fashion brand market. This model can be used to select the most efficient classification criteria and classify them hierarchically instead of selecting only one among some factors that complex and interactional and classifying.

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산업간호교육과정이 간호학생의 산업간호사에 대한 역할인식에 미치는 영향 (Impact of the Independent Occupational Health Nursing Course to the Role Orientation of Baccalaureate Nursing Students)

  • 전경자;이꽃메
    • 한국간호교육학회지
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    • 제6권1호
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    • pp.92-102
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    • 2000
  • Social trends influence the need for inclusion of basic concepts of occupational health into generic nursing education. Several techniques have been used to incorporate occupational health into baccalaureate programme. These include clinical preceptorships in employee health services, lectures on occupational health issues into community health nursing courses and the integration of occupational health concepts throughout the nursing curriculum and organize an independent course of occupational health nursing for two semester hours. The purpose of this study was to examine the impact of this course to the role orientation of nursing students. In March 1998, pre-test was conducted with all 39 students. Post- test for the subjects and the survey for the other comparison group were conducted after the course in May. Structured questionnaires were distributed which were composed of 42 items related to the role of occupational health nurse and each item was measured on a scale of 1 to 5. Results are as follows: 1) The paired t-test supported the hypothesis that role orientation of students was improved through the occupational health nursing course (t=-3.93, p=.000), 2) As the result of t-test between the subject and the comparison group, the mean score of the role orientation in the case of subject was significantly higher than that of the comparison group(t=13.3449, p=.0005). The enlargement of occupational health nursing course must be a facilitating factor to the improvement of the role orientation of baccalaureate students. It is needed to measure occupational health nursing competence of them in the future.

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MMORPG의 게임 아이템 현금거래 유형과 한계점 연구 (A study on the types of real money trade of game items and limited point of MMORPG)

  • 임하나
    • 한국게임학회 논문지
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    • 제9권1호
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    • pp.33-41
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    • 2009
  • 본고에서는 MMORPG의 게임 재화 현금거래의 유형과 한계점 연구를 위해 먼저 완전경쟁시장 체제인 MMORPG의 레벨링시스템과 게임경제의 폐쇄구조가 어떻게 현금 거래를 발생시키는가를 살펴보았다. 완전 경쟁시장체제인 MMORPG의 레벨링시스템으로 인한 과잉 생산은 게임의 폐쇄적 경제구조로 인해 통화량의 증가로 이어지고 게임 내에서 머드플레이션이 발생하며 현금거래를 유발한다. 이러한 문제점을 개선하기 위한 방법은 세 가지로 분류할 수 있다. 첫째는 유저에 의한 자생적인 질서를 통해 게임 경제를 안정시켜 개선하는 방법이 있으며 인위적이 질서에 비해 국지적이고 오랜 시간이 소요되며 MMORPG의 경쟁이란 속성에 위배된다는 한계를 지닌다. 둘째는 정부의 법제도에 의한 규제를 통한 개선이 있으며 서비스나 정보의 생산을 비물질노동으로 인정하지 않음으로서 새로운 유형의 게임이 계속 나타나는 게임 산업의 발전 속도를 맞추지 못하고 있다는 한계를 지닌다. 마지막으로 게임 디자이너에 의한 개선은 아이템의 세부적인 조정과 귀속시스템, 아이템 공급량 조절등의 게임디자인을 통해 이루어지며 게임 디자이너에게 강제할 수 없으며 현금거래가 발생하는 원인인 통화량의 증가를 조절할 수 없다는 한계점을 지니고 있다.

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군 시설공사의 공사비지수 개발에 관한 연구 (A Study on Development of Cost Index Model for Military Facilities Construction)

  • 박종원;손보식;이현수
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2004년도 제5회 정기학술발표대회 논문집
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    • pp.256-260
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    • 2004
  • 군 시설공사비는 국방예산의 많은 부분을 차지하고 있으며, 사업예산의 합리적인 편성은 군 시설업무 관련자의 중요한 관심사이다. 그러나 시설예산 편성시 기준으로 제시되는 시설물 단가를 실제 공사의 집행금액과 비교하면 항상 부족예산이 발생되므로, 이를 보정하여 적정한 공사비를 산정하는데 어려움을 겪고 있다. 이러한 문제를 해결하기 위해 과거의 실적공사비를 현재의 가치로 환산할 수 있는 공사비지수를 개발하여 적용함으로써 예산편성 업무의 효율성을 높이고 합리적인 의사결정을 지원하고자 한다. 본 연구는 실적공사비를 분석하여 공사비 결정에 중요한 영향을 끼치는 요소들을 도출하였다. 도출된 영향요소를 재료비, 노무비, 경비의 비목으로 구분하고 각 요소들이 공사비에서 차지하는 영향도를 기준으로 가중치를 산정한 후, 가중평균산식에 의한 공사비지수를 개발하였다.

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