• Title/Summary/Keyword: Local Practice

검색결과 703건 처리시간 0.025초

Applying Theory Informed Global Trends in a Collaborative Model for Organizational Evidence-based Healthcare

  • Lockwood, Craig
    • 간호행정학회지
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    • 제23권2호
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    • pp.111-117
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    • 2017
  • Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

한방간호중재에 관한 필요성, 지식 및 실천에 관한 연구 (A Study on Oriental Nursing Intervention of Necessity, Knowledge and Practice)

  • 문희자;김광주;박신애;김일원
    • 동서간호학연구지
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    • 제8권1호
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    • pp.73-80
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    • 2003
  • Purpose: The purpose of the study is to analyse the current situation of oriental nursing intervention in local university oriental medicine hospital to provide qualified oriental nursing. Its specific purposes are as follows. 1) To analyse the objective's necessity to the oriental nursing intervention, knowledge and practice. 2) To analyse the correlation between the oriental nursing intervention, knowledge and practice. Method: The design of the study is a narrative investigation-research. The objectives of the study composed of 288 RNs having more than a three-year-experience, working for the university oriental medicine hospital. The tool of the study comprised of 194 questionnaires with the reliability of Cronbach's ${\alpha}=.95$. The data were collected from Dec. 11. 2002 to Feb. 20, 2003 and computerized by SPSS program. Result: The necessity of oriental nursing intervention of nurses working in the oriental hospital showed 3.60 measured by 5-scale-measurement, 2.69 in knowledge and .24 in practice measured by 1-scale-measurement. Conclusion: The oriental nursing intervention on site showed high necessity, moderate knowledge and low practice recommending a continuous education comprised of regular nursing education and in-service program.

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우수 낙농목장 실무를 위한 가이드 (Guide to Good Dairy Farming Practice)

  • 김민경;정석근;오미화;김동훈;손용석;함준상
    • Journal of Dairy Science and Biotechnology
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    • 제29권2호
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    • pp.75-80
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    • 2011
  • IDF/FAO Guide to Good Dairy Farming Practice (the second edition) was published last September this year. The objective of the guide for good dairy farming practice is that safe, quality milk should be produced from healthy animals using management practices that are sustainable from an animal welfare, social, economic and environmental perspective. To achieve this objective, dairy farmers should apply good practice in the following areas: animal health, milking hygiene, nutrition (feed and water), animal welfare, environment, and socio-economic management. Although HACCP system has been introduced to some of Korean dairy farms since 2007, the IDF/FAO guide details GAP (Good Agricultural Practice) for dairy farmers emphasizing the production of safe, quality-assured dairy products in a sustainable manner that underpins the future of dairy farming on a local, national and international scale. This paper is to state what good dairy farming practices should be and suggest Korean dairy farmers measures to achieve goals.

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지방자치단체의 보건재정역량과 지역주민의 건강행태 간 관련성에 대한 단면조사연구 (Association between health financial capacity of local governments and health behaviors of local residents: a cross-sectional study)

  • 연미영
    • 대한지역사회영양학회지
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    • 제28권2호
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    • pp.95-103
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    • 2023
  • Objectives: The budget gap in the health sector of local governments affects the supply of health services, which can cause the health gap. This study classified local governments according to their financial characteristics, such as local financial independence and health budget level. It analyzed the health behaviors and disease prevalence of local residents to examine the effect of local government financial investment on the health of local residents. Methods: To classify types according to the financial characteristics of local governments, financial independence and the health budget data for 17 local governments were collected from the local fiscal yearbook of the Ministry of Public Administration and Security. The prevalence of chronic diseases and healthy behavior was compared using the 16,333 data of adults between the ages of 30 and 65 years among the original data of the National Health and Nutrition Examination Survey (2016-2020). Results: Cluster analysis was used to classify local governments into five clusters according to the health financial capacity type. A comparison of the prevalence of local residents by cluster revealed a similar prevalence of hypertension, diabetes, and hypercholesterolemia. On the other hand, the obesity rate (P < 0.01), high-risk drinking rate (P < 0.01), aerobic physical activity rate (P < 0.001), and healthy eating practice rate (P < 0.001) were significantly different. In addition, an analysis of the odds ratio based on the Seoul area revealed a higher risk of health behavior of non-Seoul residents. Conclusions: It is necessary to review the universal health promotion project budget considering the degree of regional financial vulnerability from the viewpoint of health equity to narrow the health gap among regions.

지역아동센터 종사자가 인지한 전문적 능력이 사례관리자 역할 수행에 미치는 영향 - 사회복지 가치의 조절효과 (Impact of Professional Competency on Case Management Performance for Local Children's Centers' Workers - The Moderating effect of Social Work Values)

  • 박선숙
    • 한국콘텐츠학회논문지
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    • 제16권1호
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    • pp.82-93
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    • 2016
  • 본 연구는 지역아동센터 종사자가 인지하는 전문적 능력이 사례관리자 역할수행에 미치는 영향을 살펴본 것으로, 지역아동센터에서 사례관리자의 전문적 능력을 향상시키고, 사례관리자의 역할을 원활히 수행할 수 있는 방안을 도출하고자 함에 그 목적이 있다. 이러한 연구 목적을 달성하기 위하여 부산과 경남에 위치하고 있는 지역아동센터 중에서 2년 이상 경력자 189명을 대상으로 조사 분석하였다. 연구결과, 사례관리자의 전문기술과 능력이 사례관리 역할 수행에 영향을 미치고 있으며 특히 종사자의 전문지식이 사례관리자 역할 수행에 미치는 영향에서 사회복지 가치가 조절효과가 있는 것으로 나타났다. 따라서 지역아동센터 종사자의 전문기술과 능력을 향상시킬 수 있는 차별화된 교육과, 전문적 능력 및 가치를 고려한 사례관리 매뉴얼 개발이 필요함을 제언하였다.

지방자치단체에서의 GIS 활용에 대한 제언 - 한국과 호주에서의 사례연구를 중심으로 - (Lessons from the Application of GIS for Local Government - Some Examples from Korea and Australia -)

  • 짐 피터슨;김창환;유재용
    • 한국지리정보학회지
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    • 제5권3호
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    • pp.107-117
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    • 2002
  • 디지털/정보 혁명과 지역경제개혁(micro-economic reforms)을 바탕으로 한 공공정책의 성과는 자산, 환경, 시설물, 주소관리 및 도시계획 등과 관련된 공간정보의 수치공간자료처리(digital spatial data handling, DSDH)에 대한 지방자치단체에서의 적용 가능성 타진을 위한 노력을 촉진시켰다. 이러한 노력의 결과는 지방정부가 DSDH와 관련된 공공정책을 수행할 수 있는 충분한 근거 및 가치를 부여한다. 그러나 실험연구에 의해 나타난 접근방식과 확산율은 지역의 제도적 문화적 여건 즉, 지리적 다양성에 따라 다르게 나타날 수 있다. 따라서 지역의 지리적 다양성은 지방자치단체가 수치공간자료처리의 채택 유무를 결정할 수 있는 중요한 요소가 될 수 있다. 이들의 중요성은 부분적으로 사례연구의 평가를 통해서 예견할 수 있다. 이러한 결론은 한국과 호주 지방자치단체의 DSDH 적용에 관한 연구 사례를 참조함으로써 도출되었다.

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일본 인지증 정책 종합 추진전략의 실천 사례: 쿠마모토현의 쿠마모토 모델 (Practical Examples of the Comprehensive Strategy of Japanese Dementia Policy: Kumamoto Model by Kumamoto Province)

  • 주정민;권용진
    • 보건행정학회지
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    • 제29권1호
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    • pp.11-18
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    • 2019
  • The purpose of this research is to introduce the best practice of the Japanese national dementia strategy and explore implications to the Korean national dementia strategy. Interview was conducted among professions those who is in charge of Kumamoto dementia care practice in Kumamoto province, upon review of related literature and public documents. The Kumamoto model is implemented by the department of neuropsychiatry in public university hospitals, which can offer dementia-specialized medical services. Medical centers for dementia in public university hospitals play a leading role for managing practice and training local dementia centers specialist, coordinating medical services among medical institutions and community welfare facilities. In reference to the Kumamoto model, the Korean national dementia strategy can find implications in the direction of current system, specifically its approaches toward policy governance.

이산설계공간에서 직교배열표를 이용한 순차적 알고리듬의 국부해 (Local Solution of a Sequential Algorithm Using Orthogonal Arrays in a Discrete Design Space)

  • 이정욱;박경진
    • 대한기계학회논문집A
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    • 제28권9호
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    • pp.1399-1407
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    • 2004
  • Structural optimization has been carried out in continuous design space or in discrete design space. Generally, available designs are discrete in design practice. However, the methods for discrete variables are extremely expensive in computational cost. An iterative optimization algorithm is proposed for design in a discrete space, which is called a sequential algorithm using orthogonal arrays (SOA). We demonstrate verifying the fact that a local optimum solution can be obtained from the process with this algorithm. The local optimum solution is defined in a discrete design space. Then the search space, which is a set of candidate values of each design variables formed by the neighborhood of a current design point, is defined. It is verified that a local optimum solution can be found by sequentially moving the search space. The SOA algorithm has been applied to problems such as truss type structures. Then it is confirmed that a local solution can be obtained by using the SOA algorithm

이산설계공간에서 직교배열표를 이용한 순차적 알고리듬의 국부해 (Local Solution of Sequential Algorithm Using Orthogonal Arrays in Discrete Design Space)

  • 이정욱;박경진
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2004년도 춘계학술대회
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    • pp.1005-1010
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    • 2004
  • The structural optimization has been carried out in the continuous design space or in the discrete design space. Generally, available designs are discrete in design practice. But methods for discrete variables are extremely expensive in computational cost. In order to overcome this weakness, an iterative optimization algorithm was proposed for design in the discrete space, which is called as a sequential algorithm using orthogonal arrays (SOA). We focus to verify the fact that the local solution can be obtained throughout the optimization with this algorithm. The local solution is defined in discrete design space. Then the search space, which is the set of candidate values of each design variables formed by the neighborhood of current design point, is defined. It is verified that a local solution can be founded by moving sequentially the search space. The SOA algorithm has been applied to problems such as truss type structures. Then it is confirmed that a local solution can be obtained using the SOA algorithm

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지역환경문제 참여를 통한 환경의식 변화와 지역공동체 형성 (The Changes of Environmental Consciousness and the Formation of a Local Community through Participating in a Local Problem)

  • 이현애;김종욱
    • 한국환경교육학회지:환경교육
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    • 제17권2호
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    • pp.94-105
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    • 2004
  • The purpose of this study is to understand what kind of effects a local residents’ participation on a local environmental problem has on the Environmental consciousness of the resident, and on the local community. I (researcher) employed qualitative research methods on the residents' environmental movement, which claimed to preserve the Sung Mi Mountain from the Seoul City Hall's plan of the water reservoir construction. I tried to understand the participation motivation and participating actions, and also the changes and effects the participation brought at both a personal, and community level. The data were gathered by means of in-depth interview with the local residents and unstructured questionnaire. At first, through the residents' environmental movement, the participants acquired a growth in environmental consciousness. For example, they obtained better understanding of the environment, change of attitude to environment, and participation function. Secondly, it is meaningful that a local tie intervened by the environment, enforced self-governing, and shows how community sentiment plays an important role for local community organization. Moreover, the environmental movement contributed to developing a ‘culture for participation’. In conclusion, participating in a local environmental problem can be an integration of learning and practice and also leads to reflective thinking about the relationship not only between human beings and nature, but also among human beings. In addition, it can buildup a systemic cooperation for local problem-solving and the ability to make an alternative culture in the community. These are the significances of the local environmental problem-participation on the environmental education.

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