• Title/Summary/Keyword: Support Decision Making

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Development and Evaluation of Shared Medical Decision-Making Scale for End-of-Life Patients in Korea (한국형 공유 의료적 의사 결정 측정도구 개발 및 평가)

  • Jo, Kae-Hwa
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.453-465
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    • 2012
  • Purpose: The study was done to develop a shared decision-making scale for end-of-life patients in Korea. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 388 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, or Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from July to October 2011. Results: Thirty-four items were selected for the final scale, and categorized into 7 factors explaining 61.9% of the total variance. The factors were labeled as sharing information (9 items), constructing system (7 items), explanation as a duty (5 items), autonomy (4 items), capturing time (3 items), participation of family (3 items), and human respect (3 items). The scores for the scale were significantly correlated among shared decision-making scale, terminating life support scale, and dignified dying scale. Cronbach's alpha coefficient for the 34 items was .94. Conclusion: The above findings indicate that the shared decision-making scale has a good validity and reliability when used for end-of-life patients in Korea.

Decision Making Experience on Breast Reconstruction for Women with Breast Cancer (한국 유방암 여성들의 유방재건술에 관한 의사결정 경험)

  • Yi, Myungsun;Joung, Woo Joung;Park, Eun Young;Kwon, Eun Jin;Kim, Haejin;Seo, Ji Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.894-904
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    • 2016
  • Purpose: The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy. Methods: Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction. Results: Five theme clusters emerged. First, "expected loss of sexuality and discovery of autonomy" illustrates various aims of breast reconstruction. Second, "holding tight to the reputation of doctors amid uncertainty" specifies the importance of a trust relationship with their physician despite a lack of information. Third, "family members to step back in position" describes support or opposition from family members in the decision making process. Fourth, "bewilderment due to the paradox of appearance-oriented views" illustrates paradoxical environment, resulting in confusion and anger. Lastly, "decision to be made quickly with limited time to oneself" describes the crazy whirling process of decision making. Conclusion: Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.

Make-or-buy Decision Framework for School Foodservice System Using Multi-attribute Analysis Method (다-속성분석방법을 이용한 학교급식의 교내/외주결정방법)

  • 황흥석;황현주
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2003.11a
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    • pp.148-151
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    • 2003
  • Recently school food service operations are confronted with the wide spread pressures for accountability and the need to increase productivity. This paper is concerned with the make-or-buy decision framework for school food service systems considering the multi-attributes in the decision making. For the purpose of considering the multi-attributes analysis method in decision making for the school foodservice, we developed a make-or-buy decision framework using the multi-attribute analysis method, analytic hierarchy process, AHP method for school food service system. Finally, we developed a systematic and practical solution builder for a three-step decision support system in the view of 1) brainstorming for the idea generation, 2) analytic hierarchy process, AHP as a multi-attribute structure ed analysis method, and 3) aggregation logic model to integrate the results of reviewers. We developed web based program and applied it to a school foodservice problem.

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A Strategy Evaluation Procedure using VDMP (VDMP를 이용한 전략대안 분석 및 평가절차)

  • 조용욱;박명규
    • Journal of the Korea Safety Management & Science
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    • v.3 no.2
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    • pp.133-144
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    • 2001
  • This article deals with the multiple alternative proposal of Strategy. when Decision makers meet a very complex and important problems to take a good choice. It might not be easy that we make a decision and accept the decision as an exact result of analysis at a complication and uncertain situation. Although the decision under unpredictable state is many existence and each field is classified to support it. he can not provide exact estimations and be able to specify a result and forecasting. This is the reason why the original research use Statistical Survey method and Visual Decision Making Process(VDMP) to improve decision analysis method. Therefore, Our research suggests that the VDMP utilized in the strategic decision making situation as a group decision adding tool, can be applied in the development of a process vision and implementation plan. as a result, researcher describe step by step the process of VDMP.

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The Effects of Career Identity and Social Support on the Career Decision-Making Self-Efficacy of Career Interrupted Women with Experienced on Beauty Education (미용교육을 받고 있는 경력단절여성의 진로정체성과 사회적지지가 진로결정자기효능감에 미치는 영향)

  • Shin, Su-Jeong;Lee, In-Hee
    • Journal of Fashion Business
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    • v.22 no.4
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    • pp.145-159
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    • 2018
  • The present study was carried out to investigate the effects of career identity and social support on the career decision-making self-efficacy of women who have experienced career interruption. Furthermore, the aim was to seek effective measures for making a career decision for the successful re-employment of women with a break in their career. From March $3^{rd}$ to April $2^{nd}$, 2018, a survey was conducted targeting 380 career-interrupted, married women with age between 30-50 years and with work experience of more than six months. The selected subjects had received 1-9 months of beauty education from various vocational training institutes, beauty academies, and women's center in Seoul and Gyeonggi region. A total of 361 questionnaires were used for final analysis. The SPSS Program for data analysis, Cronbach's ${\alpha}$, exploratory factor analysis, factor analysis, frequency analysis, correlation analysis, and multiple regression analysis were employed for the study. The results of this study are as follows. It was apparent that the establishment of a career identity and social support could play important roles in creating a relation with new career decisions for re-employment. Thus, this study aims to provide basic data necessary for the successful career preparation in women with career interruption.

Response Surface Approximation for Fatigue Life Prediction and Its Application to Multi-Criteria Optimization With a Priori Preference Information (피로수명예측을 위한 반응표면근사화와 순위선호정보를 가진 다기준최적설계에의 응용)

  • Baek, Seok-Heum;Cho, Seok-Swoo;Joo, Won-Sik
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.33 no.2
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    • pp.114-126
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    • 2009
  • In this paper, a versatile multi-criteria optimization concept for fatigue life prediction is introduced. Multi-criteria decision making in engineering design refers to obtaining a preferred optimal solution in the context of conflicting design objectives. Compromise decision support problems are used to model engineering decisions involving multiple trade-offs. These methods typically rely on a summation of weighted attributes to accomplish trade-offs among competing objectives. This paper gives an interpretation of the decision parameters as governing both the relative importance of the attributes and the degree of compensation between them. The approach utilizes a response surface model, the compromise decision support problem, which is a multi-objective formulation based on goal programming. Examples illustrate the concepts and demonstrate their applicability.

The design of Decision Support System for mid-and long-range investment planning (중장기 투자계획을 위한 의사결정지원 시스템의 설계)

  • 서의호;김원태;서창교;이석우
    • Korean Management Science Review
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    • v.9 no.1
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    • pp.53-65
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    • 1992
  • Decision Support System(DSS) is an advanced information system concept prevailing since 1980s. It supports managers' decision making activities by providing not only information but decision alternatives. It essentially consists of the components of database, modelbase and dialogue systems. With the development of its databases, POSCO needs a number of modelbases in establishing DSSs in various areas such as production planning and investment. This research particularly focuses on establishment of a mid-and long-range investment DSS and investigates the necessity and the problems of an investment DSS and the decision criteria for investment priority. We (1) propose a modelbase which uses the concepts of Analytic Hierarchy Process(AHP) and Zero-Base Budgeting(ZBB), along with an appropriate scoring method, database and dialogue system to support the investment manager in evaluating investment proposals ; (2) implement the system using relational database management system ; and (3) discuss the results of implementing the investment DSS.

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Decision support systems for the management of hazardous materials in aquatic ecosystems

  • Cho, Hee-Sun;Park, Young-Seuk
    • Journal of Ecology and Environment
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    • v.35 no.4
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    • pp.251-258
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    • 2012
  • Many aquatic ecosystems suffer from anthropogenic disturbances, including the introduction of damaging levels of toxic substances. The effects of disturbances include complex relations with various components involved in the systems, and can include physical, chemical, and hydrological disruption depending of the contaminant. Decision Support Systems (DSSs) are developed to help decision makers to deal with complex management crises, through the systematic structuring and evaluation of decisions, and through providing easy-to-use and integrated tools for information elaboration and display. We reviewed various DSSs developed for toxic substances in aquatic ecosystems, and suggested a conceptual framework which is best suited to the management of such issues within Korea. It may assist stakeholders with their decision making process, and in the achievement of a consensus on water management solutions.

The Impact of Croup Member Characteristics on the Use of GDSS (집단요인이 GDSS활용의 효과에 미치는 영향에 관한 연구)

  • Park, Moo-Jin
    • Journal of the Korean Operations Research and Management Science Society
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    • v.23 no.4
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    • pp.171-186
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    • 1998
  • While one main stream of research in GDSS (Group Decision Support System) is to investigate how GDSS affects decision-making performances of groups according to task types, support features, meeting facilitation modes and meeting environments. little study h3s been done about how group characteristics affect group decision processes and outcomes depending upon GDSS is provided or not. So far, most GDSS research has considered group characteristics (e.g. personality homogeneity) as given and did not include it as control variables in experiments. Therefore, the objective of this study is to investigate how members of two different groups perceive the use of GDSS in group meetings through lab experiments. The two groups are homogeneous and heterogeneous groups in terms of members' personality mix. This research found that the effect of GDSS is a function of groups' personality homogeneity in regards of the satisfaction on decision process and the communication thoroughness. The support of GDSS and the group homogeneity are proved to influence participant's perception about some dependent variables such as satisfaction on decision process.

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A Design Decision Support Framework for Evaluation of Design Options in Passenger Ship Engine Room (여객선 기관실의 설계 옵션 평가를 위한 결정 지원 프레임 워크)

  • Kim, Soo Woong
    • Journal of the Korean Society of Mechanical Technology
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    • v.13 no.2
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    • pp.9-19
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    • 2011
  • Most real world design evaluation and risk-based decision support combine quantitative and qualitative (linguistic) variables. Decision making based on conventional mathematics that combines qualitative and quantitative concepts always exhibit difficulty in modelling actual problems. The successful selection process for choosing a design/procurement proposal is based on a high degree of technical integrity, safety levels and low costs in construction, corrective measures, maintenance, operation, inspection and preventive measures. In this paper, a design decision support framework using a composite structure methodology grounded in approximate reasoning approach and evidential reasoning method is suggested for design evaluation of machinery space of a ship engine room at the initial stages. An illustrative example is used to demonstrate the application of the proposed framework.