• 제목/요약/키워드: Mixed Methods Research

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동기강화상담 교육훈련 프로그램이 가정방문간호사의 의사소통능력과 직무효능감에 미치는 효과 (The Effects of Motivational Interviewing Training Program on Communication Skills and Self-Efficacy of Home Visiting Nurses)

  • 김성재;양정운
    • 한국보건간호학회지
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    • 제30권2호
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    • pp.274-287
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of Motivational Interviewing(MI) training program on communication skill and self-efficacy of home visiting nurses(HVNs). Methods: This study has a mixed-methods design that includes a one-group pre-post test study and focus group interviews(N=23). From April 16th to June 11th in 2014, total six two-hour sessions of MI training program were provided to the participants. The quantitative outcomes were collected using Global Interpersonal Communication Competence Scale(GICC-15) and Self-efficacy Scale, and the qualitative data were obtained by 5 focus group interviews. Group pre-post changes were evaluated by paired t-tests and the qualitative data were analyzed by content analysis method. Results: MI training program led to significant enhancement in communication skills(Z=-3.62, p<.001) and self-efficacy(Z=-3.67, p<.001). The qualitative study revealed that the participants had positive experiences to express empathy, support self-efficacy, and respect autonomy for their clients applying reflective-listening and affirmation skill. Conclusion: The HVNs who participated in the MI training program showed improved communication skills and self-efficacy in the quantitative and qualitative studies. A randomized clinical trial is needed to confirm the value of MI training program for HVNs.

분산 컴퓨팅환경에서 하이퍼 프리젠테이션을 위한 통합 동기화 기법 (An Integrated Synchronization Method for a Hyperpresentation in a distributed Computing Environment)

  • 임영환;김두현;궁상환
    • 한국정보처리학회논문지
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    • 제5권6호
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    • pp.1441-1456
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    • 1998
  • 멀티미디어 연출을 순차적으로만 하는 것이 아니라 링크개념을 설정하여 특정지점에서 원하는 다음 정보를 보기 위하여 비순차적으로 연출할 수 있도록 하고 그 하위수준의 연출이 완료되면 다시 원래 프리젠테이션으로 되돌아 계속 연출하는 것이 하이퍼프리젠테이션의 개념이다. 이러한 순차적인 연출 시스템에 비순차적인 연출방법인 하이퍼 프리젠테이션 개념을 도입함에 있어서 하이퍼 프리젠테이션의 명시방법이나 연속미디어상의 하이퍼 링크를 위한 hot-spot 설정방법, 혼합된 프리젠테이션을 위한 새로운 동기화 명시방법과 하이퍼 링크 설정 방법을 제안하였다. 그리고 DCT변환방식을 이용하여 압축된 미디어에 하이퍼 링크를 실시간으로 설정하는 방법을 제안하였다. 또한 위에서 제시된 명시방법을 이용하여 나타낸 하이퍼 프리젠테이션 프로그램이 연출 가능한지 미리 검사할 수 있는 방법도 제안하였다. 마지막으로 지금까지 제안된 방법을 MuX(Multimedia Input/Output server)에 구현하여 실제 연출될 수 있는 시나리오를 대상으로 실험하였다.

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Strengthening Human Immunodeficiency Virus and Tuberculosis Prevention Capacity among South African Healthcare Workers: A Mixed Methods Study of a Collaborative Occupational Health Program

  • Liautaud, Alexandre;Adu, Prince A.;Yassi, Annalee;Zungu, Muzimkhulu;Spiegel, Jerry M.;Rawat, Angeli;Bryce, Elizabeth A.;Engelbrecht, Michelle C.
    • Safety and Health at Work
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    • 제9권2호
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    • pp.172-179
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    • 2018
  • Background: Insufficient training in infection control and occupational health among healthcare workers (HCWs) in countries with high human immunodeficiency virus (HIV) and tuberculosis (TB) burdens requires attention. We examined the effectiveness of a 1-year Certificate Program in Occupational Health and Infection Control conducted in Free State Province, South Africa in an international partnership to empower HCWs to become change agents to promote workplace-based HIV and TB prevention. Methods: Questionnaires assessing reactions to the program and Knowledge, Attitudes, Skills, and Practices were collected pre-, mid-, and postprogram. Individual interviews, group project evaluations, and participant observation were also conducted. Quantitative data were analyzed using Wilcoxon signed-rank test. Qualitative data were thematically coded and analyzed using the Kirkpatrick framework. Results: Participants recruited (n = 32) were mostly female (81%) and nurses (56%). Pre-to-post-program mean scores improved in knowledge (+12%, p = 0.002) and skills/practices (+14%, p = 0.002). Preprogram attitude scores were high but did not change. Participants felt empowered and demonstrated attitudinal improvements regarding HIV, TB, infection control, and occupational health. Successful projects were indeed implemented. However, participants encountered considerable difficulties in trying to sustain improvement, due largely to lack of pre-existing knowledge and experience, combined with inadequate staffing and insufficient management support. Conclusion: Training is essential to strengthen HCWs' occupational health and infection control knowledge, attitudes, skills, and practices, and workplace-based training programs such as this can yield impressive results. However, the considerable mentorship resources required for such programs and the substantial infrastructural supports needed for implementation and sustainability of improvements in settings without pre-existing experience in such endeavors should not be underestimated.

실버 패션 아이콘 Iris Apfel의 패션 스타일에 관한 연구 (The Study on the Silver Fashion Icon Iris Apfel's Fashion Style)

  • 김장현;김영삼
    • 패션비즈니스
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    • 제24권3호
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    • pp.101-113
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    • 2020
  • This study considers aesthetic characteristics by examining the fashion style of the silver fashion icon Iris Apfel. The research methods were a quantitative and qualitative analysis of Iris Apfel's images that were collected from 2015 to 2019 on various web-sites according to four criterions following advanced research analysis of fashion style. The results of the study are as follows. The analysis results on the fashion style of Iris Apfel, an icon of silver style, showed that cocoon, barrel and A-line silhouettes appeared most in terms of silhouettes. Second, in terms of colors, achromatic colors dominated among solid colors while one particular vivid color appeared most it came to mixed color. In terms of multi colors, these appeared according to the patterns applied to her clothing, in particular, colorful colors were used to emphasize splendor. Third, flower, bird and geometric patterns appeared most in terms of material patterns. Lastly, it was found that white short cut hair, large necklaces or bangle bracelets, over-sized black glasses and fur mufflers or canes were used in terms of hair and accessories. The features derived through analysis of the fashion style of Iris Apfel, an icon of silver style, are as follows. The first feature is exaggeration through splendid primary colors and over-sized silhouettes. The second feature is the hybrid of modern composition methods using natural images and exotic preferences. The third feature is her representation of identity using fixed items.

교통부문 탄소배출 저감을 위한 토지이용계획 기법 개발 및 탄소저감 효과검증 : 아산탕정지구를 대상으로 (A Study on the Development and Effectiveness of Land Use Planning Methods for Carbon Reduction of Transportation : A Case Study of Asan-Tangjeong District)

  • 이우민;박효숙;천춘근;이경환
    • 한국산학기술학회논문지
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    • 제17권1호
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    • pp.638-645
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    • 2016
  • 본 연구는 교통부문 탄소배출 저감을 위한 토지이용계획 기법을 개발하고 그 효과를 정량적으로 검증하는데 목적이 있다. 본 연구는 선행연구를 통해 토지이용계획 단계에서 적용할 수 있는 탄소저감 설계요소로 외곽고밀개발, 용도복합을 통한 차량 이동거리 최소화, 보행네트워크 구축, 커뮤니티 회랑을 도출하고 아산 탕정지구에 적용하여 탄소저감 측면에서 개선된 토지이용계획안을 제시하였다. 교통부문 탄소저감 효과를 추정하기 위해서는 VISUM 프로그램을 이용하였다. 분석결과 교통부문 탄소배출량은 약 17.7% 줄어드는 것으로 나타났으며, 탄소저감량은 약 450.7tCO2/yr로 나타났다.

전문직 정체성 형성 및 촉진을 위한 의학교육 현황과 고려점 (Current Status and Directions of Professional Identity Formation in Medical Education)

  • 한희영;서보영
    • 의학교육논단
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    • 제23권2호
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    • pp.80-89
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    • 2021
  • Professional identity formation (PIF) is an essential concept in professional education. Many scholars have explored conceptual frameworks of PIF and conducted empirical studies to advance an understanding of the construct in medical education. Despite its importance, it is unclear what educational approaches and assessment practices are actually implemented in medical education settings. Therefore, we conducted a literature review of empirical studies reporting educational practices for medical learners' PIF. We searched the Web of Science database using keywords and chose 37 papers for analysis based on inclusion and exclusion criteria. Thematic analysis was conducted. Most empirical papers (92%) were from North America and Western Europe and used qualitative research methods, including mixed methods (99%). The papers reported the use of reflection activities and elective courses for specific purposes, such as art as an educational activity. Patient and healthcare experiences were also found to be a central theme in medical learners' PIF. Through an iterative analysis of the key themes that emerged from the PIF studies, we derived the following key concepts and implications: (1) the importance of creating informal and incidental learning environments, (2) ordinary yet authentic patient experiences, (3) a climate of psychosocial safety in a learning environment embracing individual learners' background and emotional development, and (4) the reconceptualization of PIF education and assessment. In conclusion, research on PIF should be diversified to include various cultural and social contexts. Theoretical frameworks should also be diversified and developed beyond Kegan's developmental framework to accommodate the nonlinear and dynamic nature of PIF.

Effect of Training Types Using Recumbent Cycle Ergometer on Ankle Strength in Healthy Male Subjects

  • Ryu, Ho-Youl;Jeon, In-Cheol;Kim, Ki-Song
    • The Journal of Korean Physical Therapy
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    • 제33권6호
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    • pp.292-296
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    • 2021
  • Purpose: The purpose of this study was to investigate the exercise effect of two types of training with a recumbent cycle ergometer on ankle muscle strength (dorsiflexor strength, DFS; dorsiflexor strength/weight, DFS/kg; plantar flexor strength, PFS; and plantar flexor strength/weight, PFS/kg) in healthy male subjects. Methods: Twenty-three healthy males (27.91±8.66 yr) were randomly allocated into two groups (high-intensity interval training (HIIT), and aerobic exercise training (AET) after the first measurement. The subjects were trained for 24 sessions (40 min/rep, three times/week) and ankle strength was measured for a second time. Two-way mixed model analysis of variance (ANOVA) was used to identify significant differences between changes in ankle muscle strength between before and after training (within factors) in the HIIT and AET groups (between factors). The statistical significance level was set at α=0.05. Results: In both HIIT and AET groups, all variables of ankle muscle strength were significantly increased after training compared to before training (p=0.001). However, there were no differences in all variables of ankle strength between the HIIT and AET group (p>0.05). Conclusion: Both types (HIIT and AET) of recumbent cycle exercise training could be effective training methods to increase ankle muscle strength in healthy individuals, and the HIIT type with high intensity and low frequency pedaling could be recommended more to strengthen ankle muscles.

디자인 요소 분석을 통한 현대여자한복 디자인 개발 (Development of modern women's Hanbok design by analyzing design elements)

  • 박은주;이영주
    • 복식문화연구
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    • 제30권3호
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    • pp.348-365
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    • 2022
  • The purpose of this study is to develop Korean clothing designs that can satisfy future consumer's needs based on the elements extracted through the content analysis method in a study on the design elements expressed in traditional outfits in the 2010s. To this end, data analyzing Hanbok in wedding magazines were used, and after extracting design elements, research methods for empirical design development were used. After subclassifying the major design elements, factors with a steady increase in frequency and appearance rate were identified. Through this, five elements capable of aesthetic sampling were extracted by complex expression methods and expressed in a total of seven combinations. The types extracted from the design elements are items, silhouette, top shape, skirt shape, skirt length, mixed items with increasing frequency. In the element of color, the adjacent color harmony, which showed the highest frequency of color, and the white-blue harmony, which showed an increase among them, were extracted. When using materials, top and skirt have similar usage rates of the same and different materials, so both contents were extracted, and many patterns were arranged in the top and the whole, but these three were extracted because there were increasing cases where there were no patterns. In the case of decoration, embroidery, pintuck, sakdong, applique, lace, ribbon on the top, silver foil and print on the skirt were extracted. Through this study, it was possible to propose a future Korean costume design model.

Assessment of Masks Used by Healthcare Workers: Development and Validation of a Mask Qualitative Assessment Tool (MQAT)

  • Gharibi, Vahid;Cousins, Rosanna;Mokarami, Hamidreza;Jahangiri, Mehdi;Keshavarz, Mohammad A.;Shirmohammadi-Bahadoran, Mohammad M.
    • Safety and Health at Work
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    • 제13권3호
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    • pp.364-371
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    • 2022
  • Background: Respiratory masks can provide healthcare workers with protection from biological hazards when they have good performance. There is a direct relationship between the visual specifications of a mask and its efficacy; thus, the aim of this study was to develop tools for qualitative assessment of the performance of masks used by healthcare workers. Methods: A mixed-methods design was used to develop a qualitative assessment tool for medical face masks (MFM) and particle filtering half masks (PFHM). The development of domains and items was undertaken using observation and interviews, the opinions of an expert panel, and a review of texts and international standards. The second phase evaluated the psychometric properties of tools. Finally, the validated Mask Qualitative Assessment Tools (MQAT) were used to assess six samples from 10 brands of the two types of masks. Results: MQAT-MFM and MQAT-PHFM shared 42 items across seven domains: "cleanliness," "design," "marking, labeling and packaging," "mask layers," "mask strap," "materials and construction," and "nose clip." MQAT-MFM included one additional item. MQAT-PHFM included another nine items associated with an eighth "Practical Performance" domain, and the valve version had another additional "Exhalation Valve" domain and six items. The evaluation indicated 80% compliance for MFM and 71% compliance for PFHM. "Marking, labeling and packaging" and "Layers" were associated with the least compliance in both types of masks and should be checked carefully for defining mask quality. Conclusion: MQAT can be used for immediate screening and initial assessment of MFM and PHFM through appearance, simple tools, and visual inspection.

감염병 예방 및 관리를 위한 한의사의 역할과 정책적 과제: 혼합연구방법론을 적용하여 (The Role and Policy of Korean Medicine Doctor for the Prevention and Management of Infectious Diseases: A Mixed-Methods Approach)

  • 김주철;천혜선;이희정;임정태
    • 대한한의학회지
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    • 제44권2호
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    • pp.45-59
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    • 2023
  • Objectives: This study investigated the role of Korean medicine doctors in the national quarantine system and the status of their duties through questionnaire surveys and in-depth interviews with Korean medicine staff who participated in COVID-19 work. Methods: We developed a questionnaire survey to investigate the status and perception of Korean medicine doctors' participation in responding to infectious diseases, and the results were derived by conducting frequency analysis and T-test using SPSS program. The measurement variables of this study were the status of COVID-19 related work participation and perception of Korean medicine doctors' role in infectious diseases, and the maximum significance level was 0.05. Results: There were 300 respondents to the survey, and as for the COVID-19 related work, Korean medicine treatment for COVID-19 patients accounted for the most(52.7%), and various preventive and treatment tasks such as epidemiological investigations and specimen collection were conducted. Conclusion: According to this study, it was confirmed that there are sufficient legal and administrative grounds for Korean medicine doctors to perform specimen collection and epidemiological investigations. Therefore, it is necessary to prepare a policy framework to solidify the status of Korean medicine doctors in national infectious diseases in the future.