• Title/Summary/Keyword: University Autonomy

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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.

Role·activity factors, ideal·value factors stress and stress amount relationship in clinical practice of dental hygiene students (치위생과 학생의 임상실습 기간 중 역할·활동요인, 이상·가치요인 스트레스, 스트레스 량의 관련성)

  • Ryu, Hae-Gyum
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.685-695
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    • 2020
  • Objectives: The purpose of this study was to investigate role·activity factors, ideal·value factors stress and stress amount relationship in clinical practice of dental hygiene students. Methods: The participate in this study were 231 dental hygiene department students. the survey was conducted from August 24 to September 30, 2018, using a structured questionnaire(1040460-A-2018-036). The collected data were compared and analyzed using a ANOVA and multiple regression. Results: The factors affecting the amount of stress were investigated. Role and activity factors stress in case of too much assignment, repeat simple and funtional work, ideal and value factors stress in case of utilized as a subsidiary work practice institution rather than clinical practice, lake of awareness that the training institution is a trainee. Conclusions: School institution and departments form organic relationships with industries. Uniform training guidance for each training institution does not help with diversity or creativity and problem-solving skills. It gives some autonomy to the training guidance of training institutions, also a clear standard for the contents of the training. we need a system that can provide and evaluate basic guidelines for what students can do in clinical practice.

A Study on the Definition of Team Creativity upon the Design Paradigm and Their Sub-domains and Element Extraction (공학 설계 패러다임 변화에 따른 팀 창의성의 정의 및 하위 영역과 요소 도출)

  • Kim, Taehoon
    • Journal of Engineering Education Research
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    • v.18 no.3
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    • pp.13-23
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    • 2015
  • This paper attempts to take an in-depth study of the importance of teams and their creativity according to changes of recent design paradigm in engineering and to draw conclusions of the sub-domains and their element extraction. For this purpose, theoretical consideration was reviewed to present the definition of creativity and its sub-domains and elements. Besides, the two steps of expert validation test were conducted to extract the definition of creativity and its sub-domains and elements. The team creativity is defined as a team ability to come up with fresh and useful ideas and to lead them to get meaningful results through cooperative interactions among team members to solve problems given to them based on each member's creativity. Totally, 4 subs -domains and 16 sub-elements were extracted to get to know their influence on the team creativity. This includes a team size, characteristics of team members, and a team structure in team organization domain. To evaluate team atmosphere, elements such as sensibility, fellowship, teamwork, reliability, autonomy and open minded feature are included. In the team activity domain, strategies for solving problems, activities for divergent thinking, activities for convergence thinking and team interaction are included. Also, the sub-domain for team management includes a task, process and conflict management.

Impact of Job Characteristics of Employees on Quality of Work Life in Hospital Contract Foodservice - Focus on Mediating Effect of Operating Types - (병원 위탁급식 종사원의 직무특성이 일-가정 갈등과 삶의 질에 미치는 영향 - 운영형태의 조절효과 -)

  • Hong, Ki Oak
    • Journal of the Korean Society of Food Culture
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    • v.33 no.1
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    • pp.26-35
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    • 2018
  • This study conducted an empirical analysis of the effects of job characteristics on work-family conflict relation and quality of life, as well as moderating effects in accordance with operation type, by targeting 245 dietitian/cooks working for contract foodservice companies. The results of this study are as follows. First, the autonomy and feedback had negative (-) effects on work-family conflict while functional diversity had positive (+) effects on work-family conflict. Job identity and job importance had no relation with work-family conflict. Second, work-family conflict had negative (-) effects on job satisfaction, work-family relation, job support, general happiness, and job environment while having positive (+) effects on job stress. Third, in all paths except for the path with effects of work-family conflict on job stress, there were no differences between the group of shops operating 365 days and the group of shops operating 5 days a week. It would be helpful to the effective operation of human resources by emphasizing the necessity of differentiated management for companies with shops operating 365 days and shops operating 5 days a week, as well as managing employees' job characteristic factors, work-family conflict, and even quality of life.

Roles of Authentic Leadership, Psychological Empowerment and Intrinsic Motivation on Workers' Creativity in e-business

  • Hahm, Sang-Woo
    • Journal of Internet Computing and Services
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    • v.19 no.1
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    • pp.113-122
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    • 2018
  • In today's rapidly changing environment, companies need to have proper strategies in place to meet the challenges that constant change presents. Being flexible, responding and adapting to changes can be valuable. However, they are essentially passive ways of dealing with situations. Creating new values and innovation are more active and effective strategies fora constantly changing environment. As such, most companies in e-business should focus on developing creativity across the board. Employees' creativity has become a critical factor in e-business. This paper explains how to increase workers' creativity through authentic leadership and psychological empowerment. As it is not machines or computers, but people, that are ultimately still responsible for creating novel outcomes, this study emphasizes the overriding importance of members' ability and leader's roles, which greatly influence followers' levels of motivation. Authentic leadership encourages members to reach and display their potential, and enhances their intrinsic motivation. Moreover, members' psychological empowerment is directly associated with both intrinsic motivation and autonomy, preconditions for creativity. Hence, these two dimensions- leadership and an individual's psychological state- will increase workers' creativity, which works to increase performance and create more opportunities not only at the individual level, but also at the team or organization level. The purpose of this paper is to explain the effects of authentic leadership on creativity and the moderating effects of psychological empowerment between authentic leadership and creativity in the e-business environment.

The Decision-Making Types, Public Entrepreneurship and Performance Management of Local Public Hospital Directors (지방의료원장의 의사결정 유형, 공공 기업가정신 및 경영성과)

  • Lee, Jung-Woo;Kim, No-Sa
    • The Korean Journal of Health Service Management
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    • v.12 no.1
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    • pp.1-11
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    • 2018
  • Objectives : The purpose of this study was to identify the relationship between decision-making types, public entrepreneurship, and performance management of local public hospital directors. Methods : A questionnaire survey was carried out to assess the dependent variables of directors' decision-making types and public entrepreneurship. The analysis of management performance was carried out through a comparison between 2016 results of, data of variation rate on medical revenue and change rate on medical profit and results in 2015. Results : Results indicated that local public hospital directors who used rational decision-making showed better performance management. The analysis showed that enterprise had a greater positive effect (+) on variation rate of medical revenue than that of innovation. However, innovation had a higher positive effect (+) on change rate of medical profit than that of enterprise. These results suggest that innovation and enterprise have a major influence on performance management. Conclusions : The survey used for this study suggests that an education and training program is needed to improve public hospital directors' ability for rational decision-making, public entrepreneurship and performance management. Additionally, the policy change guaranteeing autonomy within the proper range is demanded that Local Public Hospital Director having spirit of innovation and enterprise achieves peak capacity and have responsibility for management.

The Effect of Intervention Program for Motor Control Ability in Hemiplegic Patients (편마비 환자의 운동조절 능력 향상을 위한 중재 프로그램의 효과)

  • Shin, Hong-Cheul;Kim, Woong-Gak;Kang, Jeong-Il
    • The Journal of Korean Physical Therapy
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    • v.17 no.3
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    • pp.377-390
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    • 2005
  • The purpose of this study is to investigate the effect of neuromuscular re-education program and general intervention program. It is focused on difference between changes of experimental before and after on 20 stroke patient's motor control ability. The obtained results are as follows; In change in motor control ability, neuromuscular re-education program group about the motor control ability was a significant difference(p<.01). And traditional intervention program group, the motor control ability was a significant difference in all of items (p<.01; p<.05) but, were not a significant difference in bladder management, social interaction, problem solving and memory. And also comparison of change in motor control ability between the experimental group and control group, the between-subjects factors were a significant difference. Most of the functional items on the functional items on the functional measurement and neuromuscular function measurement are concerned with the physical autonomy of the hemiplegic patients. More in depth knowledge may be acquired about the distribution of physical and motor control patterns with respect to the degree of neurologic deficit for the enhencement of residual motor control function in hemiplegia. In conclusion, the neuromuscular re-education program was more effect then traditional intervention program in motor control ability.

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A Structural Equation Model on Health Behavior Adherence for Elders with Prehypertension: Based on Self-Determination Theory (자기결정성 이론에 근거한 고혈압 전단계 노인의 건강행위이행 구조 모형)

  • Lee, Eun-Ha;Park, Jee-Won
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.3
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    • pp.343-352
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    • 2012
  • Purpose: The purpose of this study was to develop and test a hypothetical model which explains health behavior adherence in elderly people with prehypertension. The model was based on self-determination theory (SDT). Methods: Data were collected from June 21 to July 15, 2010, using self-report questionnaires. The participants were 140 elders with prehypertension who lived in D Metropolitan City. Collected data were analyzed using PASW 18.0 for descriptive statistics and correlation analysis and AMOS 5.0 for covariance structure analysis. Results: It appeared that the overall fit index was good with a ${\chi}^2$ score of 13.23 (p<0.05), GFI of 0.97, AGFI of 0.79 and RMR of 0.28 in the modified model. The results revealed that significant main effects of both health provider's autonomy support and autonomous motivations were found on the measure of health behavior adherence. These factors explained 72% of variance in the participants, health behavior adherence. Conclusion: The overall findings may provide useful assistance in developing effective motivation-enhanced programs for health behavior adherence.

An Analysis on the Research Method of Elderly Residents' Opinion towards the Physical Environments of the Facilities for the Elderly : Focusing on Foreign Academic Journal Articles since 1990 (노인시설의 물리적 환경에 대한 거주노인 의견 조사방법의 분석 : 1990년 이후 해외 학술논문자료를 중심으로)

  • Lee, Min-Ah
    • Journal of Families and Better Life
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    • v.33 no.2
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    • pp.35-51
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    • 2015
  • The purpose of this study was to provide information for research about residents' opinion toward the physical environments of elderly facilities, through the analysis and investigation on the research methodology of foreign academic journal articles from 1990 to 2014. The study results were as follows: Firstly, purposive sampling was a large majority of both facilities and elderly residents. In quantitative studies, many researchers have conducted simple random, cluster, or stratified sampling. Diverse facilities in area, size, location, and etc. should be considered for participation. The qualifications for residents' participation should be considered as well, so that they all could have autonomy for study participation. Secondly, questionnaire and semi-structured guide were likely to be used in independent and resident care facilities. On the other hand in assisted living and long-term care facilities, open questions and visual material were used as well. A compatible scale should be developed so that elderly having variable functional level could participate independently in the study. Thirdly, in data collection process, compliance with research ethics and well trained interviewer's skill were important for residents' active responses and minimization of response errors. Enough research period of time and mixed study in data collection will decrease the response error.

Multi-agent based value net design (멀티에이전트 기반 가치넷 설계)

  • Kim, Taewoon
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2002.05a
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    • pp.222-229
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    • 2002
  • A value net is a business design that uses digital supply chain concepts to achieve both superior customer satisfaction and company profitability. In order to implement the value net model, information processing and distribution needs to occur in real time. Software agent technology is becoming popular due to the inherent characteristics of autonomy, distributedness and modularity. In this paper, we adopt agent technology to handle all real time decision process, making the value net model a complex multi-agent network of decision makers. For the agents to properly coordinate their respective activities we develop MAVN model, a Web-based multi-agent language grounded in the XML and Java.

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