• Title/Summary/Keyword: Management practice

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Effect of practice guideline reminder and flow-sheet for improvement of quality in management of hypercholesterolemia (고콜레스테롤혈증 환자 진료의 질 향상을 위한 임상 지침 리마인더(Reminder)와 추적 관리지의 효과)

  • Cho, Han Kyu;Park, Hye Soon;Cho, Hong-Jun
    • Quality Improvement in Health Care
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    • v.4 no.2
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    • pp.230-240
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    • 1997
  • Background : Hypercholesterolemia is a major independent risk factor of coronary heart disease. Practice guidelines for management of hypercholesterolemia had been made in several developed countries. This study was undertaken to assess the effect of practice guideline reminders and flow-sheets to improve the quality of management of hypercholesterolemia. Methods: Practice guideline reminders and flow-sheets based on National Cholesterol Education Program Adult Treatment Panel II guidelines, were placed on the office desks of outpatient department of family medicine at the Asan Medical Center. Before this intervention, we educated the doctors to use these reminders and flow-sheets. The charts of all patients who had cholesterol levels greater than or equal to 240 mg/dl during 4 months before and after introduction of reminders and flow-sheets, were reviewed retrospectively. We compared the performances of physicians about management of hypercholesterolemia between pre-intervention period and post-intervention period. Results: The detection rate of hypercholesterolemia in post-intervention period was increased to 83.2% compared by 71.5% in pre-intervention period. Risk factor analysis for coronary heart disease increased significantly from 16.9% to 68.7%. Adequacy of management was 19.2% in pre-intervention period and 78.0% in post-intervention period. It showed statistically significant improvement in management of hypercholesterolemia. Conclusion : This study suggested that practice guideline reminders and flow-sheets were the effective methods in improving the quality in management of hypercholesterolemia.

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Factors Influencing Performance about Practice of Infection Management by Child Care Center Teachers about Respiratory Tract Infections (호흡기감염에 대한 어린이집교사의 감염관리수행에 영향을 미치는 요인)

  • Kang, Kwang-Soon;Kim, Eun-Young
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.315-326
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    • 2017
  • This purpose of this study was to identify factors influencing performance about practice of infections management by child care center teachers about respiratory tract infection. The participant were 432 teachers working in child care center. Data were collected from July 2 to August 20, 2015 through a self-report questionnaire survey. The data was analyzed using the SPSS/WIN 18.0 program with descriptive analysis, t-test, one-way ANOVA, Pearson's correlation coefficient and Stepwise multiple regression analysis. Knowledge about causes and symptom of respiratory tract infections(${\beta}=.096$, p<.001),parenting experience(${\beta}=-1.993$, p<.001), and nursing knowledge(${\beta}=-.371$, p<.001) had significant positive effects on the practice of infection management. Explained variance for the practice of infection management was 43.4% and nursing knowledge was the most significant factor in the practice of infection management of child care center teachers.

A Study on Curriculum Development for CHPs (보건진료원 직무교육 교과과정개선을 위한 연구)

  • Kwon Myung-Soon
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.26-44
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    • 1999
  • The study was done to improve the job training course for Community Health Practioners (CHPs) by evaluating the level of help that the training provided to the CHPs in carrying out their work and to analyze the management activities of the CHPs in order to develop a more effective CHP training program. The methodologies used in the study were a questionnaire survey. The survey results were analyzed using SPSS Windows. The study results are as follows. 1. The total average level of help from the job training(Theory. Practice and Field Practice) for carrying out the CHP work was found to be $3.04\pm.53$ (of a possible 4), which indicates a high level of help. The average for clinical practices was $3.16\pm.60$. for theory. $3.11\pm.40$ and for field practice. $2.84\pm.60$. 2. For the theory content of the job training courses. the help level was low in the area of mother and child health management/family planning with an average of $2.65\pm.62$ and in the area of health information system development with an average of $2.62\pm.83$. The reason for these deficiencies were. in order of frequency. few opportunities to apply learning. training content that was inadequate. training methodologies which were incongruent with content. improper training items and insufficient class hours. For the practice. the clinical work in rehabilitation/orthopedics departments and in ENT/Opthalmology departments had averages of $2.96\pm.86$ and $2.97\pm.80$ respectively. This low level resulted from the lack of direct experience. lack of sincerity during the practice time. lack of practice guidance. insufficient time and lack of practice equipment. in that order. For the field practice. the delivery management averaged $2.06\pm.90$ as the lowest help level. In this case 68% of respondents replied that there were no relevant reasons for this deficiency. 21% responsed that there was a lack of direct experience, 7%, a lack of practice guidance and 4.8%, insufficient time. 3. There were significant differences for several demographic variables when comparing the help level of the clinical courses (practice and Field Practice). A higher help level was reported by older nurses as compared to younger ones, experienced nurses as compared to scholarship nurses, and married over single. Also for nurses who had finished more other programs and were qualified or licensed in several areas the level was high. Although it was not statistically significant the level was higher if the work area was in a rural county, not a city, and if one had more recently completed the job training(P<,05). 4. Of the respondents 58.6% replies stated the period of job training for the CHP was adequate, but 51.7% reported that the period for theory courses was too short while an other 48.3% responded that it was sufficient. For practice locations, 50% responsed that it was good to practice in medical institutions(primary, secondary and tertiary) at the same time. While 48.3% agreed that doing theory and practice simultaneously was good, and 56.9% agreed that field practice should be done after completing theory and practice training. Hence, the development of new field practice guidelines suitable for changing environments of health management are required in place of the existing ones which were considered low in help level to the practical work of the CHPs.

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Moderating Effect of Workforce Management on Quality Management Practice and Production Performance (품질경영 추진방식 요인과 생산성과에 대한 인력관리의 조정 효과)

  • Park, Jung-Su
    • Korean Business Review
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    • v.20 no.2
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    • pp.135-145
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    • 2007
  • We defined quality management practice factor and workforce management factor and confirm their conformance, and examine the former affect positively on production performance. Moreover, we examine whether workforce factor have an moderate effect on 'quality management practice facor - performance' relationship, using moderate regression. As the result of empirical study on nationwide manufacturing companies, workforce management factor have an moderate effect on the relationship which means need for investment on two factors.

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An Exploratory Analysis on Performance Measurement Framework of Organizational Communities of Practice (기업 실행공동체(Communities of Practice) 성과측정체계의 탐색적 분석)

  • Choi, In-Myung;Jeon, Su Hwan;Kim, Young Gul
    • Knowledge Management Research
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    • v.8 no.2
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    • pp.17-30
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    • 2007
  • Firm which implement knowledge management initiatives have found interest in nurturing voluntary knowledge sharing organizations, called communities of practice(CoP). One of the fundamental problems for adopting or implementing CoP is how the firms can measure the performance of CoP. Despite interest in CoP by firms, empirical studies on CoP performance measurement are rare. Thus, this study intends to help the organizations by introducing CoP performance measurement framework based on the previous researches. The framework is further validated by comparing with the eight actual cases. Finally, we propose three propositions regarding the CoP performance measurement.

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Usage of Foodservice Systems Management Competencies by Korean Dietitians

  • Jeong, Hee-Sun;Yoon, Ji-Young
    • Journal of Community Nutrition
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    • v.8 no.3
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    • pp.119-126
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    • 2006
  • The purpose of this study was: 1) to investigate whether Korean dietitians are engaged in Foodservice Systems Management (FSM) competencies in their current jobs, and 2) to identify the relationship between types of dietetic practice areas and Korean dietitians' usage of FSM competencies. Fifteen FSM competencies were widely used, 17 were somewhat used, 13 were seldom used and the remaining two competencies were little or not used by the dietitians. The most used competency was related to menu planning (98%). Whereas, the least used competency was related to marketing skills (17%). As a whole, the categories of 'technical and communication skills' (78%) and 'production and distribution management' (77%) were more widely used than other FSM categories. Of 47 competencies, 34 competencies were found to be significantly associated with the type of practice area. Considering the findings, the type of dietetic practice area was a strong factor of Korean dietitians' usages of FSM competencies. Of 34 competencies associated with the type of dietetic practice area, 25 FSM competencies were more likely to be used by the dietitians from health care facilities.

Investigation of Infection Control Management in Occupational Therapy and Clinical Practice Students (작업치료(학)과 임상실습 학생들의 감염관리 인식 및 실태조사)

  • Won, Junghee;Chang, Moonyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.95-107
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    • 2019
  • Objective : The aim of this study was to investigate the infection management awareness and infection prevention management status of students who participated in occupational therapy and clinical practice. Methods : The study was carried out from June 27th to August 4th, 2017, to survey the awareness and practice of infection control in 11 practice institutes among 193 students who had experience in 8 universities. Results : A total of 93.3 % of the respondents said that they needed education about infectious diseases, but 53.3 % of them did not receive infection prevention education at school or in clinical trial institutes. Hygienic practices for infection prevention and infection control practices related to handwashing were high, but the use of protective equipment was poor in the observation of swallowing disorder treatment. It is also important to educate students who have been trained in infection control. However, infection prevention training at universities and training centers is insufficient suggesting the importance of future infection education. Conclusion : Infection control education to prevent infection is necessary not only for clinicians but also for students participating in on-the-job training. Effective efforts are also needed in universities and clinical practice institutes so that infectious disease prevention education can be implemented. This study provides basic data for infection control education in universities and practice educational institute that perform clinical training and occupational therapy.

Effects of Nursing Simulation-Based Practice Education on Learning Outcome and Classes Experience in Nursing Students (간호시뮬레이션 실습교육이 간호대학생의 학습성과와 수업경험에 미치는 효과)

  • Han, Young-In
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.135-150
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    • 2014
  • The purpose of this study was to identify the effects of nursing simulation-based practice education on learning outcome and teaching experience in nursing students. Pretest-posttest design with nonequivalent control group was utilized to analyze the effects of nursing simulation-based practice education. The subjects were 96 students of a nursing college. All subjects participated in 6 week. The data were analyzed by the SPSS win 17.0 program. The results were as follows; There were statistically significant differences in learning outcome and teaching experience effects of nursing simulation-based practice education in nursing students. In conclusion, we required nursing simulation-based practice education and small group discussion analysis of factors are associated with goal-setting skills and self-presentation skills, goal setting skills. We required nursing simulation-based practice education training to strengthen the ability of self-directed learning program utilizing the repeated study.

An Empirical Study on the Influencing Factors, Practice Level, and Performanc of Green Supply Chain Management From the Innovation Diffusion Theory Perspective (혁신확산이론 관점에서의 Green SCM 도입 및 영향요인과 성과에 관한 실증연구)

  • Lee, Young-Chan;Oh, Hyung-Jin
    • Knowledge Management Research
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    • v.11 no.5
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    • pp.59-78
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    • 2010
  • In this paper, we arrange the concept of 'Green' in SCM after literature study of Green SCM and investigate causal relationships between influencing factors, practice level and environmental performance focused on Korean firms empirically and conduct path analysis for hypothesis test using partial least squares regression with bootstrap. Firstly, we divide influencing factors of Green SCM into environmental and organizational factors through the previous studies of innovation diffusion theory and environmental management theory, and then we selected 'uncertainty', 'competitiveness' as the environmental factors and 'top management support', 'perceived benefit', 'training' as the organizational factors. Secondly, we classify practice level of Green SCM into 'internal environmental management', 'green purchasing', 'eco-design'. Finally, we selected 'financial performance', 'environmental performance' as the organizational performance. We conducted a survey on the middle manager of manufacturing companies implementing SCM and an empirical analysis. The results of analysis show that there exist causal relationships between influencing factors, practice level, and environmental performance of Green SCM. We expect that the result of this study will suggest useful information to managers who are responsible for SCM to design and execute Green SCM in strategic perspectives.

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The Analysis of Item Management on Foreign Pharmacists Examination (외국 약사 국가시험 문항관리 분석연구)

  • Kwon, Kyenghee;Lim, Sung Cil;Sohn, Uy Dong
    • YAKHAK HOEJI
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    • v.59 no.5
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    • pp.235-244
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    • 2015
  • The goal of this study is to help for the utilization the national pharmacists test through the analysis of item development management to the foreign pharmacists examination. The United States is going to NABP (National Association of Boards of Pharmacy) initiative under the curriculum in question on the basis of this assessment and develop standards and unified, systematic system to conduct tests pharmacist. Practice oriented (patient scenario, the participation of a pharmacist or perform work, clinical practice) examination is doing in Canada, The UK is asking the for more than 70 percent and the prescription needed for actual calculation in practice prior to testing program, and by the including that allows references use. Our country may introduce the job as a clinical pharmacist, positively. Item management system is integrated into four regions based on the six-year curriculum should be done in harmony proportion of each region. Integration of fusion of each region in accordance with the duties should be come out. It has gradually been able to item management system developed by the United States or Canada. This item notice pharmacist judging the results of the work must be carried out for management upgrading to a form of management with an emphasis on clinical practice in developed countries. Foundation design, development, production and management and test after actively reviewing ways to improve management system for to management systems, a pharmacist to improve the quality of the national examination could be contributing are involved.