• 간호행정학회지
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• 제18권1호
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• pp.106-117
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• 2012

Purpose: This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea. Methods: The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity. Results: The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators. Conclusion: This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.

• Geomechanics and Engineering
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• 제32권5호
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• pp.503-512
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• 2023

In tunneling projects, a significant part of the costs is spent on segment production. By more economically producing, the cost of tunnel construction can be greatly reduced, especially in long and large-diameter tunnels. In the present study, the effect of using the Carousel method in the improvement of the production system performance compared to the conventional Static system has been studied. To carry out the research, a quantitative comparison of cost and production time was carried out for two production methods using the available documentation. The opinions of experts have been obtained using questionnaires and qualitative comparison of cost, time and production quality was done by implementation of statistical analysis. The SPSS software and the univariate t-test were used to analyze the questionnaires. According to the results of statistical analysis with SPSS, the use of the Carousel method will reduce production time and costs along with increasing manufacturing quality. According to the documentation analysis, the Carousel method reduces the cost of production by almost 30% and leads to a reduction of the production time to approximately 40% of the Static moulds system. The Carousel method has a higher production rate, efficiency, and better performance. Research into quantifying the benefits of Carousel method in the production system performance is very limited. This comparison is based on real information from the under construction Tabriz Metro project. This article can be very helpful in choosing the best production method.

• 임상간호연구
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• 제22권2호
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• pp.161-172
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• 2016

Purpose: The purpose of this study was to develop a nursing protocol for care of hospitalized foreign patients based on necessary nursing care and to evaluate content validity and practical applicability. Methods: A survey was conducted to identify the need for protocol development and to prioritize necessary content to be included in the protocol (N=110). A draft protocol was developed, and 7 experts and 115 nurses evaluated content validity and practical applicability of the protocol. Results: Results of the needs survey showed that all participants agreed there is a need for a protocol. Based on the survey results, a protocol was developed which included: regional culture and healthcare, admission/discharge care, surgical care, pain management, care in diagnostic testing, medication administration, and blood transfusion. Score on the experts' evaluation of content validity of the protocol was $3.66{\pm}0.28$. Practical applicability score was $3.61{\pm}0.29$ in the experts' group and $3.16{\pm}0.11$ in the nurses' group. Total score for validity of the overall content was $29.46{\pm}5.62$. Conclusion: The nursing protocol developed in this study for care of hospitalized foreign patients can contribute to improvement in quality of nursing care for these patients and can also be used as a teaching guideline to educate nurses.

• Archives of Plastic Surgery
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• 제47권3호
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• pp.242-249
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• 2020

Background The Exoscope is a novel high-definition digital camera system. There is limited evidence signifying the use of exoscopic devices in microsurgery. This trial objectively assesses the effects of the use of the Exoscope as an alternative to the standard operating microscope (OM) on the performance of experts in a simulated microvascular anastomosis. Methods Modus V Exoscope and OM were used by expert microsurgeons to perform standardized tasks. Hand-motion analyzer measured the total pathlength (TP), total movements (TM), total time (TT), and quality of end-product anastomosis. A clinical margin of TT was performed to prove non-inferiority. An expert performed consecutive microvascular anastomoses to provide the exoscopic learning curve until reached plateau in TT. Results Ten micro sutures and 10 anastomoses were performed. Analysis demonstrated statistically significant differences in performing micro sutures for TP, TM, and TT. There was statistical significance in TM and TT, however, marginal non-significant difference in TP regarding microvascular anastomoses performance. The intimal suture line analysis demonstrated no statistically significant differences. Non-inferiority results based on clinical inferiority margin (Δ) of TT=10 minutes demonstrated an absolute difference of 0.07 minutes between OM and Exoscope cohorts. A 51%, 58%, and 46% improvement or reduction was achieved in TT, TM, TP, respectively, during the exoscopic microvascular anastomosis learning curve. Conclusions This study demonstrated that experts' Exoscope anastomoses appear non-inferior to the OM anastomoses. Exoscopic microvascular anastomosis was more time consuming but end-product (patency) in not clinically inferior. Experts' "warm-up" learning curve is steep but swift and may prove to reach clinical equality.

• 지역사회간호학회지
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• 제30권3호
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• pp.295-306
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• 2019

Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권3호
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• pp.35-42
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• 2011

Efficient space plans are built upon relations of both human and physical compositions, and the standard of the interaction is basically the human scale. Especially in medical areas, the character of the users within human scale design environment is quite significant. Unlike large hospitals with great plans and scalability performed by experts, mid-sized clinics tend to have limited space, designed by non-specialists who highlight aesthetics over functionality in floor plans which leads to poor quality in medical service. For this reason, this study will include the application of human scale based therapy rooms within the clinic from a physical standpoint and will further analyze and pinpoint any room for improvement to further enable more efficient ergonomic space planning. In this study, theoretically will contemplate over human scale, mid-sized clinic, therapies, and therapists, while the case study will include status of the recent human scale based mid-sized clinic from a physical viewpoint, classification and analysis amongst human and physical compositions chosen by discretion from either a newly opened or a newly re-modeled clinic within the last 2 years, which has 15 beds or more, minimum 3 physical therapists, with more than 5 different therapy facilities in the metropolitan area in order to measure the human scale of therapy rooms in a mid-sized clinic. As a result, the area where improvement can practically be applied is the physical composition, which does not include human scale like human composition factors as therapists and patients, and hence, I suggest the human scale applied efficient medical space plan become the base of this study and look forward to subsequent improvement in the quality of medical services.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.56-64
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• 2020

다양한 분야에서 고객 만족도 향상을 위해 서비스품질 연구가 활발히 이루어지고 있으나 국방분야의 소구경화기 서비스품질에 대한 연구는 이루어진 바 없었다. 본 연구는 소구경화기 사용자 만족도 및 품질향상을 위해 주요 품질속성을 도출하여 현재 만족수준을 파악하고 개선 필요 요소를 탐색하는 것을 목표로 하였다. 이를 위해 생산, 품질보증 및 운용에 관련된 전문가의 논의를 통해 식별된 서비스 품질요소에 대하여 Kano모델과 SERVQUAL모델에 기초한 설문조사를 수행하였다. 그 결과 소구경화기 서비스 품질속성 모두 일원적인 품질속성으로 분류되었으며, Kano-SERVQUAL 통합접근법 분석결과 사용자의 기대값과 불만족계수가 1% 유의한 수준에서 강한 양의 상관관계를, 사용자의 경험 값과 만족계수는 1% 유의수준의 음의 상관관계를 보였다. Kano-SERVQUAL 통합접근법을 통해 많은 서비스 품질요소 중 최우선적으로 개선이 필요한 소구경화기 서비스 품질을 파악할 수 있었다. 위의 결과로 군수품의 품질수준을 향상시키고 사용자 만족도를 충족시키기 위한 방법으로써 서비스 품질수준 측정이 유용하게 활용될 수 있을 것으로 기대된다.

• 지적과 국토정보
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• 제46권1호
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• pp.3-21
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• 2016

본 연구에서는 공중 및 지상장비에 따른 3차원 공간정보 구축의 핵심요인을 분석하고 선호도 조사를 통하여 품질 향상 방안을 도출하였다. 이는 3차원 공간정보 구축을 위한 개별 기술 요소에 대하여 품질에 영향을 미치는 요인을 조사하고, 개선이 요구되는 우선순위를 파악하여 이에 대한 요인 평가 및 대안기술 개발과 적용 등의 자료로 활용하기 위함이다. 이를 위해 3차원 공간정보를 바라보는 집단 간 견해차의 선호도 조사를 통하여 공간정보 및 측량에 종사하는 전문가 집단과 일반적으로 3차원 공간정보를 경험한 비전문가 집단을 대상으로 동일성 유무를 계량적 기법에 의해 판단하였다.

• 한국주거학회논문집
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• 제21권3호
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• pp.95-104
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• 2010

The purpose of this study was to found that the important design reform points for improvement of the public open space quality. For this purpose, surveyed the users of the public open space and the experts working for the public open space planning for the design elements of the public open spaces in terms of importance and satisfaction. The scope of the study was limited to Mapo-gu, Seoul and the buildings constructed since 1992 were sampled. the data collected were subject to Importance-Performance Analysis. As a result, 'waste boxes, vending machines and other amenities', 'characteristic floor and pedestrian environment', 'designs and their layout in harmony with the surrounding and landscape facilities', 'facilities checking and patrol for safety' and 'entire area of the public open space'. Based on the above findings, the following reform measures are put forwards for improvement of the public open space quality; First, the public open spaces should be equipped with sufficient amenities. Second, it is necessary to check the facilities regularly, while enhancing the safety through patrols. Third, it is essential to reflect user's needs in public open space planning, while applying the important design elements to the public facilities. Fourth, in order to create a comfortable pedestrian environment within the public open space, it is deemed necessary to divide the space into the passages for passers-by and the recesses for uses. Fifth, it is necessary to amend the Building Code to the effects that the radio of the landscaped area to the entire area can be readjusted together with the night lighting facilities. Sixth, it is desirable to give the weights to the important design elements for the public open spaces, so that the quality public open spaces can benefit from the incentives. In addition, regular maintenance and management should be ensured by policies.

• Spatial Information Research
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• 제4권2호
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• pp.121-130
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• 1996

현재 우리나라 도시의 주거환경 정비에 있어서 구체적인 구역지정 기준이 없으며 체계적인 정비방식 지정이 이루어지지 못하고 있다. 본 연구에서는 GIS를 이용하여 도시내 주거환경의 수준을 체계?으로 평가하고 정비가 요구되는 지구의 유형화를 시도했다. 이를 위해 종로구 창신동 지역을 사례대상으로 3단계의 GIS분석이 이루어졌다. 즉 도시주거환경의 4대 질적 목표 --안정성, 건강성, 편리성, 쾌적성--를 중심으로 대상지의 환경적 수준을 평가하고, 분석결과 주거환경의 질이 불량하다고 나타난 지역에 대해서는 주택수준, 기반시설, 건물밀도 측면에 대한 세부분 분석을 실시했다. 그리고 그 결과 나타난 유형별 정비지구에 대해 적절한 정비사업방식을 지정했다. 이같은 노력은 주로 전문가의 직관이나 단편적 판단에 의존하던 기존의 방법을 보다 체계적이고도 합리적인 방법으로 전환하려는 것으로서 유사 도시개발정책의 수립에도 유용할 것이다.