• Title/Summary/Keyword: Program outcome

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Development and Application of a Computerized Nursing Process Program for Orthopedic Surgery Inpatients - NANDA, NOC, and NIC Linkages - (정형외과 입원환자를 위한 간호과정 전산프로그램 개발 및 적용 - 간호진단, 간호결과, 간호중재 연계 -)

  • Kim, Hye-Suk
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.979-990
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    • 2005
  • Purpose: The purpose of this study was to develop and to apply the NANDA, NOC, and NIC (NNN) linkages into a computerized nursing process program using the classification systems of nursing diagnoses, nursing outcomes and nursing interventions. Method: The program was developed with planning, analysis, design and performance stages. The program was applied to 117 patients who were admitted to orthopedic surgery nursing units from January to February, 2004. Results: Thirty-five of fifty-three nursing diagnoses were identified. Five nursing diagnoses in order of frequency were: Acute pain $(28.4\%)$, Impaired physical mobility $(15.6\%)$, Impaired walking $(8.7\%)$, Chronic pain $(5.5\%)$ and Risk for disuse syndrome $(5.0\%)$. The nursing outcomes of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management $(95.2\%)$, Comfort level $(35.5\%)$ and Pain level $(17.7\%)$. The nursing interventions of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management $(71.0\%)$, Splinting $(24.2\%)$ and Analgesic administration $(17.7\%)$. In comparison of outcome indicator scores between before and after the intervention according to the 61 nursing outcomes, the mean scores of 52 outcome indicators after the intervention were significantly higher than before the intervention. Conclusion: It is expected that this program will help nurses perform their nursing processes more efficiently.

Job Analysis of the CHP Program in the Kangwon Area (강원도 보건진료원의 업무분석)

  • Kim, Sung-Sil
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.376-384
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    • 2004
  • Purpose: The CHP program has been evaluated as one of the most successful program in the public health area in Korea. The objects of this study were as follows: 1) to evaluate the job activities of the CHP program, using service contents analysis. 2) to figure out personal factors and the outcome of CHP's activities. Method: Data were collected by sending questionnaires to 130 subjects through the mail from May to December 2003. The response rate was 48.0%. The Data were analyzed by the SPSS WIN program with t test and Pearson correlation coefficient. In using these methods. independent variables are CHP's personal factors (age, experience, certification of specialty) and regional factors (geographical classification, aged population, village workers, cooperation of community leaders, work-conditions), and a dependent variable is the outcome of CHP's job activities. Result: The results of t test analysis show that regional differences between factors are influential in the welfare service, the routine job, and the consultation. As a whole, this is shown that CHPs represent experience, the number of village workers and CHPs living condition of work and most of the categories of jobs that influenced over statistical meaning of differences (t=2.417, p=1.043, t=6.123, p=.004, t=4.309, p=.000). There is a significant positive relation between the routine job and the consultation(r=.455, p=.000), the consultation and the education(r=.461, p=.000). Conclusion: Finally, according to the results of this study, the CHP program should be developed and continue to meet the basic health care needs of the residents in accordance with the philosophy of their own primary health care.

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A Study Evaluating a Program for the Interaction between Children in Institutional Care and their Original Families (시설아동과 원가족 상호작용 프로그램 평가 연구)

  • Kim, Sung-Chun;Chang, Hae-Lim
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.91-96
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    • 2017
  • The purpose of this study is to evaluate the program for enhancing the interaction capacity between the child care institutions and the original family (associate) and propose a program suitable for the child care institutions. The program was conducted at two institution located in Seoul and Cheongju, and the process evaluation and outcome evaluation were conducted. First, the problems that appeared in the process evaluation were recruiting and maintaining participants. As a result of the satisfaction of each program, it was found that the satisfaction of the program sharing the various experiences or sharing the small daily life was high, and it was positive for the improvement of the relationship. Parents showed improvement in the post -test rather than the pre-test. Through qualitative assessment, positive evaluations were made in programs where the family participated in activities that could not be done together in the camp or everyday life, rather than just one-time activity programs.

A Study on the Evaluation of Program Outcomes(PO) for Mechanical Engineering Program at Chosun University (조선대학교 기계공학프로그램 학습성과 평가 사례 연구)

  • Go, Hyun-Sun;Oh, Jun-Seok;Choi, Keum-Jin;Park, Gil-Moon
    • Journal of Engineering Education Research
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    • v.16 no.6
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    • pp.65-77
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    • 2013
  • The purpose of this paper are to evaluate the program outcome(PO) for mechanical engineering program at Chosun University, In order to achieve the objectives of this study, we analyze the evaluation system on measuring and analyzed methods of PO. We expect that the evaluation system of PO will help program members to efficiently manage the engineering program accreditation evaluations. This paper were to improve PO evaluation system throughout assessment tools, measurements and analysis of PO between current students and faculty. This study would be confined measurements, analysis and improvement of PO for current students, and faculty in this program.

Information Security of Organization and Employees in Social Exchange Perspective : Using Structure-Conduct-Outcome Framework (SCO Framework을 적용한 조직과 조직원의 정보보안 준수 관계 연구)

  • Hwang, In-Ho;Kim, Sanghyun
    • The Journal of Information Systems
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    • v.28 no.4
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    • pp.105-129
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    • 2019
  • Purpose Issues related to information security have been a crucial topic of interest to researchers and practitioners in the IT/IS field. This study develops a research model based on a Structure-Conduct-Outcome (SCO) framework for the social exchange relationship between employees and organizations regarding information security. Design/methodology/approach In applying an SCO framework to information security, structure and conduct are activities imposed on employees within an organizational context; outcomes are activities that protect information security from an employee. Data were collected from 438 employees working in manufacturing and service firms currently implementing an information security policy in South Korea. Structural equation modeling (SEM) with AMOS 22.0 is used to test the validation of the measurement model and the proposed casual relationships in the research model. Findings The results demonstrate support for the relationships between predicting variables in organization structure (security policy and physical security system) and the outcome variables in organization conduct (top management support, security education program, and security visibility). Results confirm that the three variables in organization conduct had a positive effect on individual outcome (security knowledge and compliance intention).

Effectiveness of Gait Training Using an Electromechanical Gait Trainer Combined With Simultaneous Functional Electrical Stimulation in Chronic Stroke Patients (기능적 전기 자극을 적용한 전동식 보행 훈련이 편마비 환자의 보행에 미치는 영향)

  • An, Seung-Hun;Lee, Yun-Mi;Yang, Kyung-Hee
    • The Journal of Korean Physical Therapy
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    • v.20 no.1
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    • pp.41-47
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    • 2008
  • Purpose: This study aimed to assess the effectiveness of gait training with the use of an electromechanical gait trainer with functional electrical stimulation (FES) for patients that had undergone subacute stroke. Methods: The study subjects included nine subacute stroke patients of the Korea National Rehabilitation Center in Seoul, Korea. Outcome was measured using the timed Up and Go test, Fugl-Meyer-L/E assesment, with determination of the comfortable maximal gait speed, composite spasticity score, functional ambulatory category and Berg balance scale. All measured scores were recorded before, during, and after rehabilitation and at an eight-week follow-up. Results: Patients who received electromechanical-assisted gait training in combination with FES after subacute stroke were more likely to achieve independent walking, functional activities, balance and gait speed. Conclusion: The outcome of our gait-training program demonstrates that it may be practical to integrate FES into electromechanical gait training without any adverse effects. However, further randomized controlled studies are needed to evaluate if patient outcome after combined training is superior to outcome after the use of electromechanical gait trainer treatment alone or conventional gait training alone.

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The Effects of Combined Exercise Program for Patients with Chronic Neck Pain (만성 경부통 환자를 위한 복합운동프로그램의 효과)

  • Jang, Hyun-Jeong;Kim, Hyun-Hee;Song, Chang-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.1
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    • pp.81-92
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    • 2011
  • Purpose : The purpose of this study was to compare combined exercise program group to conventional physiotherapy for patients with chronic neck pain. Methods : Participants were randomly allocated to two groups by experimental(n=17) and control(n=17). Combined exercise program group involved stretching, stability, strengthening and endurance, proprioceptive exercises along with an educational programme. Patient attended for 60min, three times a weeks. Control group was treated as conventional physiotherapy on 40 min, three times a weeks. Outcome variables included pain, disability, range of motion, fatigability at 0 and 6 weeks. Results : Pain, Disability Index, Fatigability significantly decreased(p<.05) and Range of motion improved significantly after active exercise program(p<.05). In conclusion. Combined exercise program improves pain and disability, range of motion, fatigability. Conclusion : These results suggest that combined exercise program is suitable for chronic neck pain.

A Study on Learning Modules for Course Embedded Assessment of Soft Skills Program Outcomes (소프트스킬 프로그램 학습성과의 교과기반 평가(CEA)를 위한 학습모듈(안)에 관한 연구)

  • Kang, Sang Hee
    • Journal of Engineering Education Research
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    • v.23 no.6
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    • pp.40-50
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    • 2020
  • This paper proposes learning modules as a kind of integrated instruction model for soft skills program outcomes to enable CEA. Learning modules consist of course learning objectives(outcomes) described in detail, learning content(elements), learning activities(teaching learning methods), evaluation methods, evaluation rubrics so that they can be evaluated based on the performance criteria of the program learning outcomes. The unit of time for the learning module is 50 minutes. If this learning module is applied, it is expected that the soft skill program outcomes can be evaluated in the technical course. As a result of the expert feasibility study, the positive answers were much higher than the negative answers in most of the questions about the composition of the learning module or the method of managing the class.

Effects of the Progressive Exercise Program on Flexibility, Grip Strength, Pain, and Fatigue for Osteoarthritis Patients (점진적 운동강화 자조관리프로그램이 골관절염 환자의 유연성과 악력, 통증 및 피로에 미치는 효과)

  • Kim, Sam-Sook;Lee, Eun-Nam
    • Journal of muscle and joint health
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    • v.16 no.2
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    • pp.184-192
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of a progressive exercise program for osteoarthritis patients. Methods: This study was performed from 24th March. to 7th July. 2009. Thirty six osteoarthritis patients were participated in the progressive exercise program. Outcome measures were shoulder flexibility, knee flexibility, grip strength, pain intensity, number of pain site and fatigue. SPSS/WIN Version 14.0 was used for the data analysis. Results: At the completion of 6 weeks of progressive exercise program, there were statistically significant differences in shoulder flexibility and knee flexibility. But no significant differences were found in grip strength, pain, number of pain site and fatigue between pretest and posttest. Conclusion: Progressive exercise program was proved to be an effective nursing intervention for improving the shoulder and knee flexibility. However, progressive exercise program did not increase pain & fatigue.

Evolution of Process and Outcome Measures during an Enhanced Recovery after Thoracic Surgery Program

  • Lee, Alex;Seyednejad, Nazgol;Lawati, Yaseen Al;Mattice, Amanda;Anstee, Caitlin;Legacy, Mark;Gilbert, Sebastien;Maziak, Donna E.;Sundaresan, Ramanadhan S.;Villeneuve, Patrick J.;Thompson, Calvin;Seely, Andrew J.E.
    • Journal of Chest Surgery
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    • v.55 no.2
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    • pp.118-125
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    • 2022
  • Background: A time course analysis was undertaken to evaluate how perioperative process-of-care and outcome measures evolved after implementation of an enhanced recovery after thoracic surgery (ERATS) program. Methods: Outcome and process-of-care measures were compared between patients undergoing major elective thoracic surgery during a 9-month pre-ERATS implementation period to those at 1-3, 4-6, and 7-9 months post-ERATS implementation. Outcome measures included length of stay, the 30-day readmission rate, 30-day emergency department visits, and minor and major adverse events. Process measures included first time to activity, out-of-bed, ambulation, fluid diet, diet as tolerated, as well as removal of the first and last chest tube, epidural, patient-controlled analgesia, and Foley and intravenous catheters. Results: In total, 704 patients (352 pre-ERATS, 352 post-ERATS) were included. Mobilization-related process measures, including time to first activity (16.5 vs. 6.8 hours, p<0.001), out-of-bed (17.6 vs. 8.9 hours, p<0.001), and ambulation (32.4 vs. 25.4 hours, p=0.04) saw statistically significant improvements by 1-3 months post-ERATS implementation compared to pre-ERATS. Time to Foley removal improved by 4-6 months post-ERATS (19.5 vs. 18.2 hours, p=0.003). Outcome measures, including the 30-day readmission rate and emergency department visits, steadily decreased post-ERATS. By 7-9 months post-ERATS, both minor (18.2% vs. 7.9%, p=0.009) and major (13.6% vs. 4.4%, p=0.007) adverse events demonstrated statistically significant improvements. Length of stay trended towards improvement from 6.2 days pre-ERATS to 4.8 days by 7-9 months post-ERATS (p=0.06). Conclusion: The adoption of ERATS led to improvements in multiple process-of-care measures, which may collectively and gradually achieve optimization of clinical outcomes.