• 제목/요약/키워드: Practice guidelines

검색결과 998건 처리시간 0.027초

간호대학생의 지역사회간호학실습경험 (Learning Experience of Nursing Students on Community Health Nursing Clinical Placements)

  • 진영란;송연이;김영미
    • 한국농촌간호학회지
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    • 제13권2호
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    • pp.25-41
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    • 2018
  • Purpose: In this study undergraduate nursing students' experiences of learning in community health nursing clinical placements was explored on order to develop a more effective practice teaching method. Methods: Focus group interviews (FGI) were held with 11 nursing students in junior or senior year. The interviews were audio-taped semi-structured interviews and were analyzed using content analysis. Results: Nursing students felt that the education system for practice was incomplete in considering the nursing that was needed for their on-site practice. Also they were aware of the totality of the community and voluntarily tried to provide for the expansion of knowledge. Conclusion: Findings indicate a need to establish a cooperative plan between nursing schools and practice agencies and collaborative development in the community health nursing practice guidelines.

중환자실 간호사의 신체보호대 간호수행의 영향요인 (Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit)

  • 김다은;민혜숙
    • 중환자간호학회지
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    • 제15권3호
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    • pp.62-74
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    • 2022
  • Purpose : This study aimed to identify the factors influencing physical restraint-related practice among nurses working in the intensive care unit (ICU). Methods : The participants consisted of 169 ICU nurses in three general hospitals in B and U cities. Data were collected from December 2021 to January 2022 through a structured self-administered questionnaire. Demographic characteristics, physical restraint-related practice, Person-centered Critical Care Nursing (PCCN), work environment, and attitudes toward physical restraint use were measured. For data analyses, hierarchical multiple regressions were conducted using SPSS/WIN 25.0. Results : Clinical careers in the ICU, better work environments, higher PCCN levels, and more positive attitudes toward physical restraint use were associated with a better practice of physical restraints, which together explained 35.5% of the total variance of the outcome. Conclusion : Our findings suggest that to promote a safe physical restraint-related practice among ICU nurses, it is important to improve the nursing environment, prepare guidelines for applying PCCN, and provide education for endorsing positive attitudes toward the use of physical restraints.

자율신경실조증 한의표준임상진료지침 개발을 위한 한의임상 실태조사 (A Survey on Korean Medicine Treatment of Autonomic Dysfunction: Preliminary Research for Clinical Practice Guidelines)

  • 박희영;송금주;이현우;박찬;윤석인;박정환;정선용;김종우
    • 동의신경정신과학회지
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    • 제34권4호
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    • pp.335-347
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    • 2023
  • Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical practice guidelines for autonomic dysfunction in Korean medicine and are expected to catalyst promoting future clinical research on autonomic dysfunction.

지역아동센터 종사자의 사례관리 수행과 영향요인 (Case Management Performance of Community Child Center Workers' and Influential Factors)

  • 김현주
    • 가정과삶의질연구
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    • 제33권4호
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    • pp.51-65
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    • 2015
  • Case management is becoming increasingly more important in the field of social welfare. The purpose of this study was to examine the practice of case management at community child centers and to identify factors influencing their performance. In addition, this study also analysed the performance level of case management at each stage and the factors influencing the level at each stage. For the purpose of this study, data obtained from about 181 community child center workers in Busan, Ulsan and Gyeongsangnamdo were analyzed. According to the results of the analysis, in Model 1 which represents the category of socio-demographic and personal factors, three factors namely gender, experience in case management, and interpersonal skills were found to be significantly influential and they have an explanatory power of 21.5%. Under the category of organizational factors in Model 2, four factors were found to be influential: experience in case management, interpersonal skills, availability of case management guidelines, and holding case conferences. These factors account for 33% explanatory power, 11.5% higher than that of Model 1. In Model 3 which represents the third category of community network literacy, three factors namely interpersonal skills, availability of case management guidelines, and ability to utilize networks were found to influence case management at community child centers, and they have an explanatory power of 43.4%, 10.4% higher than that of Model 2. For the practice of social welfare, these findings have the implication that community child center workers need to improve their interpersonal skills by cultivating communication skills, collaborative problem-solving skills, conflict-management skills, and other relevant skills. Furthermore, it is necessary to provide specific guidelines for case management, to have regular case conferences, to establish a community network, and to reinforce cooperation and mutual support among institutions within the network.

철도 산업의 공기 질 데이터베이스 연합형 통합을 위한 지능형 데이터 거버넌스 (Intelligent Data Governance for the Federated Integration of Air Quality Databases in the Railway Industry)

  • 김민정;원종운;박상찬;박가영
    • 품질경영학회지
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    • 제50권4호
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    • pp.811-830
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    • 2022
  • Purpose: In this paper, we will discuss 1) prioritizing databases to be integrated; 2) which data elements should be emphasized in federated database integration; and 3) the degree of efficiency in the integration. This paper aims to lay the groundwork for building data governance by presenting guidelines for database integration using metrics to identify and evaluate the capabilities of the UK's air quality databases. Methods: This paper intends to perform relative efficiency analysis using Data Envelope Analysis among the multi-criteria decision-making methods. In federated database integration, it is important to identify databases with high integration efficiency when prioritizing databases to be integrated. Results: The outcome of this paper aims not to present performance indicators for the implementation and evaluation of data governance, but rather to discuss what criteria should be used when performing 'federated integration'. Using Data Envelope Analysis in the process of implementing intelligent data governance, authors will establish and present practical strategies to discover databases with high integration efficiency. Conclusion: Through this study, it was possible to establish internal guidelines from an integrated point of view of data governance. The flexiblity of the federated database integration under the practice of the data governance, makes it possible to integrate databases quickly, easily, and effectively. By utilizing the guidelines presented in this study, authors anticipate that the process of integrating multiple databases, including the air quality databases, will evolve into the intelligent data governance based on the federated database integration when establishing the data governance practice in the railway industry.

암성통증관리지침 적용 전후 긴급진료실 내원 환자의 통증관리 비교 (Comparison of Pain Management between before and after the Application of Guidelines in Cancer Emergency Room)

  • 원영화;김연희;박정윤
    • 종양간호연구
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    • 제12권3호
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    • pp.230-236
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    • 2012
  • Purpose: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. Methods: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. Results: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. Conclusion: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.

An Analytical Appraisal of Building Information Modelling (BIM) Guidelines to Identify Variations in the Procedures

  • Das, Dakshata;Moon, Sungkon
    • 한국BIM학회 논문집
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    • 제6권3호
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    • pp.1-14
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    • 2016
  • The usage of Building Information Modelling (BIM) in building projects has enabled improvement in project planning, implementation and collaboration process amongst various stakeholders within architecture, engineering and construction (AEC) industry. However, variations exist in the current practices of BIM implementation and coordination process in the industry. These variations result in inconsistent degree of BIM use across the construction industry. This inconsistency gives rise to several managerial and technological challenges such as data interoperability issues and purposeful integration and exchange of information within the BIM components. In order to tackle the issue, it is essential to analyse the different BIM approaches employed by the industry practitioners. BIM guidelines serve as a critical link between the BIM model, and its subsequent execution. They therefore provide the best reflection of BIM application and processes. This research paper aims to address the variations existing in BIM practices across the construction industry. It includes an extensive study of 21 existing, publicly available BIM-based guidelines in order to establish an understanding of the present state of practice and deduce issues and concerns related to them. All guidelines analysed in this paper are first categorised based on authorship and the release date for efficient comparison. The points of similarity and difference between them are thereby realized and outlined. In addition, the transition of project implementation process from traditional methods to BIM technology is also explained. The existence of inconsistencies in the BIM guidelines reviewed in this paper reflects the need of a BIM 'Code Compliance Check'. The Code Compliance Check will serve as a regulatory project guideline that will further improve the potential of BIM by incorporating a consistent BIM modelling methodology for the entire construction industry.

Korean Society of Heart Failure Guidelines for the Management of Heart Failure: Treatment

  • Jong-Chan Youn;Darae Kim;Jae Yeong Cho;Dong-Hyuk Cho;Sang Min Park;Mi-Hyang Jung;Junho Hyun;Hyun-Jai Cho;Seong-Mi Park;Jin-Oh Choi;Wook-Jin Chung;Byung-Su Yoo;Seok-Min Kang;Committee of Clinical Practice Guidelines, Korean Society of Heart Failure
    • Korean Circulation Journal
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    • 제53권4호
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    • pp.217-238
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    • 2023
  • The Korean Society of Heart Failure (KSHF) guidelines aim to provide physicians with evidence-based recommendations for the management of patients with heart failure (HF). After the first introduction of the KSHF guidelines in 2016, newer therapies for HF with reduced ejection fraction, HF with mildly reduced ejection fraction, and HF with preserved ejection fraction have since emerged. The current version has been updated based on international guidelines and research data on Korean patients with HF. Herein, we present Part II of these guidelines, which comprises treatment strategies to improve the outcomes of patients with HF.

Insights into the state of radiation protection among a subpopulation of Indian dental practitioners

  • Binnal, Almas;Rajesh, Gururaghavendran;Denny, Ceena;Ahmed, Junaid;Nayak, Vijayendra
    • Imaging Science in Dentistry
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    • 제43권4호
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    • pp.253-259
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    • 2013
  • Purpose: Radiographs is an integral part of patient management in dentistry, despite their detrimental effects. As the literature pertaining to radiation protection among Indian dental practitioners is sparse, exploring such protection is needed. Materials and Methods: All private dental practitioners in Mangalore, India were included in the study. A structured, pre-tested, self-administered questionnaire was employed to assess the knowledge, attitudes, practices, previous training, perceptions towards the need to spread awareness, and willingness to gain and implement knowledge about radiation hazards and protection. Information regarding each respondent's age, gender, education, and type and duration of practice was collected. Results: Overall, 87 out of 120 practitioners participated in the study. The mean knowledge, attitude, and practice scores were $9.54{\pm}2.54$, $59.39{\pm}7.01$, and $5.80{\pm}3.19$, respectively. Overall, 25.3% of the respondents had undergone training in radiation protection, 98.9% perceived a need to spread awareness, and 94.3% were willing to improve their knowledge. Previous training showed a significant correlation with age, sex, and duration of practice; attitude was significantly correlated with education and type of practice; and knowledge scores showed a significant correlation with type of practice. Conclusion: Although the knowledge and practices of respondents were poor, they had a positive attitude and were willing to improve their knowledge. Age, sex, and duration of practice were associated with previous training; education and type of practice with attitude scores; and type of practice with knowledge scores. The findings of this study suggest a policy is needed to ensure the adherence of dental practitioners to radiation protection guidelines.

중.고등학생의 '청소년을 위한 식생활 지침' 인지율과 실천율 (Awareness and Practice of Dietary Action Guide for Adolescence among Middle and High School Students in Korea)

  • 박소현;박혜련;전수빈;정소연;조나스트 세렌데지드;서정숙;이경혜;이연경
    • 대한지역사회영양학회지
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    • 제17권2호
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    • pp.133-145
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    • 2012
  • The purpose of the study was to examine the adolescents' awareness and practice of Dietary Action Guide for Adolescence, which was developed by the Ministry of Health & Welfare. Subjects were middle and high school students, selected one class each from all of the 16 provinces in Korea, which were 32 schools and 998 students all together. The subjects were asked to self-evaluate the degree of awareness and practice of Dietary Action Guide using the 5 point-Likert scale from July to September, 2010. On average, 55.1% of the students responded that they were aware of the Dietary Action Guide and 49.4% answered that they put Guidelines into practice. The average score of awareness and practice were $3.54{\pm}0.24$ and $3.42{\pm}0.33$, respectively. The awareness score was higher than those of practice score in all the questions in the 6 categories. Awareness score of female students was higher than those of male students but there was no difference by residence area. Awareness and practice of the nutrition education-experienced were higher than those of the inexperienced. Practice score was higher among middle school-students compared to high school students, which reflected the opportunity of taking nutrition related classes. This finding shows that nutrition education for adolescents is important to change their dietary behaviors regardless of gender, residence area and school level.