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Correlation among the Medication Error Risk of High-alert Medication, Attitudes to Single Checking Medication, and Medication Safety Activities of Nurses in the Intensive Care Unit (중환자실 간호사의 고위험약물에 대한 투약오류 위험과 약물단독확인 태도, 투약안전간호활동 간의 상관성)

  • Kim, Myoung Soo;Jung, Hyun Kyeong
    • Journal of Korean Critical Care Nursing
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    • v.8 no.1
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    • pp.1-10
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    • 2015
  • This study was conducted to examine the relationship among the error risk of high-alert medication, attitudes to single-person checking of medication, and medication safety activities. The participants were 60 nurses working in the intensive care unit. Data were analyzed using descriptive analysis, t-test, analysis of variance, and Pearson's correlation coefficient. The mean scores of the knowledge and certainty of high-alert medication were $0.71{\pm}0.11$ and $2.74{\pm}0.59$, respectively. The mean score of the error risk of high-alert medication was $1.63{\pm}0.24$ and that of attitudes to single checking medication was $3.32{\pm}0.49$. The error risk of high-alert medication had a positive correlation with nurses' attitudes to single checking medication (r = .258, p = .047), which is correlated with the scores for certainty of knowledge (r = .284, p = .028). Based on the results of this study, continuing education for high-alert medication and the development of an accurate protocol for single checking medication are needed to improve the stability of high-alert medication.

The Proposal for Residency Educational Programs (우리나라 전공의 수련교육 구성 및 운영에 대한 제안)

  • Huh, Jung-Sik
    • Korean Medical Education Review
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    • v.20 no.3
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    • pp.135-140
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    • 2018
  • In clinical clerkships, residents function as trainees, workers, and teachers for other medical students. Although residents care for patients in harsh environments and encounter precarious patient-safety situations, they are working towards becoming competent specialists. Residency education programs are very important in cultivating specialists able to adapt to the rapidly-changing medical environment, and are also necessary to improve the quality of specialist training. Competent specialists not only need clinical competency, but also a wide range of abilities including professionalism, leadership, effective communication, cooperation, and attention to continuous professional development/continuing medical education activities. Each Korean association of specialties has its own educational goals and standardized education programs to help residents learn specific techniques and competencies related to medical care for patients, though the training environment of each residency is different within each trainee hospital. Although it is also important to evaluate residency education programs, currently there is only an examination of knowledge and assessment of skills based on mini-clinical evaluation exercises or direct observation of procedural skills. In order to develop an objective and estimable evaluation tool that can assess the overall achievement level within each training course, it is necessary to evaluate the knowledge, skills, and attitudes of residents. Residency education programs need further attention and reform.

Perspectives of Medical Oncologists regarding Music Therapy for Patients with Cancer in Turkey - Can Musicology be Integrated into Psycho-oncology?

  • Tanriverdi, Ozgur;Aydemir, Nil Fatma
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6537-6540
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    • 2013
  • Background: Music therapy is a common complementary and alternative therapy in addition to medical treatment for patients with cancer. If music therapy, which is known has a positive effect on human emotions and behaviors, is a useful additional therapy, it should be more integrated into pyscho-oncology. In this study, we aimed to determine medical oncologist attitudes to music therapy for patients with cancer and knowledge about musicology and music therapy in Turkey. Materials and Methods: This survey study included questions about participant attitudes and knowledge regarding music therapy as well as demographic characteristics. The population of the study were 402 physicians working in medical oncology in Turkey and the sample covered 112 participants in the the survey. For statistical analyses the chi-square test, Fischer exact test, and Mann-Whitney U analysis are applied. Results: In our study the rate for medical oncologists who were interested in music therapy was 28% (n=112). Some 30% (n=34) of medical oncologists recommended music therapy for their patients and 55% (n=61) recommended music therapy to prevent anxiety in patients with cancer. Conclusions: In this study, for more harmony with patients and in order to ensure management of adverse effect, it was concluded that music therapy should be regrded as an additional therapy in oncology clinics.

Self-observation of the design process

  • Lee, Jung Soo
    • The Research Journal of the Costume Culture
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    • v.24 no.6
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    • pp.743-755
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    • 2016
  • This study aimed to reveal the designer's creative process in the development of clothing designs. The researcher has taken roles both as a design practitioner and an observer. The full process of design development was concurrently documented while working to solve a specific problem. This included noting down the concept, keywords, and detailed scratch ideas, as well as refining the design by collecting sketches and taking photos. Integrated data from the captured design process were analyzed based on Lamb and Kallal's apparel design framework, which included problem identification, construction of preliminary ideas, design refinement, prototype development, and evaluation. The functional, expressive, and aesthetic (FEA) criteria of the entire process were thus assessed. Additionally, five professional apparel reviewers evaluated the design project based on FEA criteria. The results showed the processes for identifying targets and intentions, extracting the main elements from sources, developing the major visual concepts, and making final adjustments. Ultimately, this study revealed how a designer manages each stage of the creative design process. Sharing such detailed observations of the design process can help refine the knowledge involved in each stage of the creative process, and provide guidance for instructors in design education.

Effects of Creative Nursing Practice on Hospital Nurses' Job Satisfaction and Organizational Commitment (간호사의 창의적 간호실무가 직무만족 및 조직몰입에 미치는 영향)

  • Kang, So-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.2
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    • pp.234-243
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    • 2012
  • Purpose: This study was done to: (a) examine relationships between creative nursing practice and job satisfaction, and organizational commitment that nurses perceive in a hospital, and (b) identify creative nursing practice factors affecting job satisfaction and organizational commitment. Method: Using self-report questionnaires including 25 items of the Creative Nursing Practice Index, a descriptive study was conducted with a sample of 387 nurses working in the nursing care units of a general hospital in Seoul, Korea. Data were analyzed, using independent t-test, ANOVA, Pearson correlation, and hierarchical multiple regression analysis. Result: The mean score for nurses performance of creative practice was $2.29{\pm}0.46$ (range 1 to 4). Creative nursing practice had positive correlation with nurses' job satisfaction (r=.427, p<.001) and organizational commitment (r=.433, p<.001). Creative nursing practice factors influencing job satisfaction were implementing customized care (${\beta}$=.158, p=.010), making new knowledge (${\beta}$=.257, p<.001), and searching ideas (${\beta}$=.209, p<.001). Nurses' organizational commitment was influenced by implementing customized care (${\beta}$=.192, p=.002), making new knowledge (${\beta}$=.158, p=.028), searching ideas (${\beta}$=.254, p<.001), sharing ideas (${\beta}$=.250, p=.003), and validating ideas (${\beta}$=.189, p=.036). Conclusions: The results indicate a need to develop nurses' creative competency to pursue quality care as well as increase nurses' job satisfaction and organizational commitment.

Competing Market, Bureaucratic and Professional Work Logics in the Design and Implementation of IT on Professional Work : The Case of Medicine

  • Chiasson, Mike;Kumar, Nanda
    • Journal of Information Technology Services
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    • v.15 no.1
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    • pp.39-66
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    • 2016
  • There is growing evidence that professional work is changing as a result of the application of information technology (IT). However, the impact of information technology on professional work has produced mixed results. Our paper considers the source of these mixed results through a greater analytical attention paid to the nature of professional work. Defined as work involving expertise expressed through abstract and formalized knowledge as well as extensive working knowledge, the professional work logic assumes the greatest autonomy and discretion for workers in collectively controlling work characteristics-division of labor and its permanence, control over education, and control over new entrants and the monitoring and disciplining of existing members. The impact of IT on professional work will be difficult to control and predict without considering the assumptions and tensions within and across the three major types of work logics (Professional, Market and Bureaucratic). Using healthcare as an example, the paper provides various propositions for researching the initiation and effects of ICT design through these three work logics. These propositions illustrate the active role that IS researchers can take in researching an important economic and work-related topic, professional work, and in understanding how ICT affects work-related expertise.

A Model of Mathematics Classroom for Gifted Students Applying Social Constructivism (수학 영재 수업에서 사회적 구성주의 적용 방안)

  • Seo, Dong-Yeop
    • School Mathematics
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    • v.7 no.3
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    • pp.237-252
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    • 2005
  • This study aims to present a model of mathematics classroom for gifted students by applying the social constructivism. An important function of good materials is promoting students' conjectures and discussions actively, and the model is appropriate to these kinds of materials. This model includes four stages, i. e. forming the subjective knowledge, objectifying, forming the objective knowledge, individual re-forming. And the four stages form a cycle working continuously on more progressive materials. This study presents an example of the classroom for fifteen students of grade 6 on the properties of multiples. Students performed so active investigations, and structured the con-tents learned effectively.

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Changes in HbA1c According to Education & Consultation Intervention of Type 2 Diabetes Workers (교육 및 상담 중재에 따른 제2형 당뇨병 근로자의 당화혈색소 변화)

  • Lee, Young Suk;Phee, Young Gyu;Lee, Sa-Woo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.4
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    • pp.380-389
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    • 2017
  • Objectives: The purpose of this study was to investigate changes in HbA1c through an education and consultation intervention with diabetic workers. Methods: The participants were 65 workers with Type 2 diabetes. The data were collected from May to October 2014 using questionnaires. The intervention program included six monthly sessions on exercise, dietary habits, stress management, and diabetes knowledge. Changes in HbA1c were evaluated. The data were analyzed using descriptive statistics and paired t-tests with SPSS WIN23.0. Results: The mean of HbA1c was 7.67% before intervention and 7.28% after intervention, and this difference was statistically significant (P<0.01).The mean level of HbA1c was significantly different depending on job position, working hours, work duration, and smoking habit. Conclusion: In conclusion, these findings support the usefulness of intervention programs in reducing HbA1c. Therefore, appropriate intervention programs involving exercise, dietary habits, stress management and diabetes knowledge should be developed and provided to diabetic workers.

The Use of Feed-forward and Feedback Learning in Firm-University Knowledge Development: The Case of Japan

  • Oh, In-Gyu
    • Asian Journal of Innovation and Policy
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    • v.1 no.1
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    • pp.92-115
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    • 2012
  • The problem Japanese universities face is exactly the same as that of German universities: no international recognition in world rankings of universities despite their high levels of postwar economic and technological developments. This was indeed one reason why world-class Japanese firms, such as Toyota and Sony, have avoided working closely with Japanese universities for R&D partnership and new technology commercialization. To resolve this problem, the Japanese government has continuously implemented aggressive policies of the internationalization, privatization, liberalization, and privatization of universities since the onset of the economic recession in 1989 in order to revitalize the Japanese economy through radical innovation projects between universities and firms. National projects of developing medical robots for Japan's ageing society are some of the ambitious examples that emphasize feed-forward learning in innovation. However, this paper argues that none of these programs of fostering university-firm alliances toward feed-forward learning has been successful in promoting the world ranking of Japanese universities, although they showed potentials of reinforcing their conventional strength of introducing $kaizen$ through feedback learning of tacit knowledge. It is therefore argued in this paper that Japanese universities and firms should focus on feedback learning as a way to motivate firm-university R&D alliances.

Nursing Informatics Competencies of Public Health Nurses in Chungcheongnam-do (충청남도 보건소 간호사의 간호정보역량 실태)

  • Kim, Hyun;Kim, Miyoung
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.20-28
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    • 2013
  • Purpose: The aim of the study was to identify nursing informatics competencies of nurses working for public health centers in Chungcheongnam-do. Methods: Data were collected from June 10 to July 25, 2012 using the Nursing Informatics Competencies Questionnaire (NICQ). Data were analyzed by descriptive statistics, t-test, $x^2$-test, ANOVA and Pearson's correlation coefficient. Results: Nursing informatics competencies of the subjects showed a mean score of $3.3{\pm}1.0$ out of 5. As for scores of individual categories, the score for computer skills competencies was $3.3{\pm}1.0$, informatics knowledge competencies $3.4{\pm}0.9$, and informatics skills competencies $3.0{\pm}0.9$. Nursing informatics competencies were positively correlated with the subjects' ages (r=.65, p<.001), computer usage hours (r=.23, p = .015), levels of demand for informatics knowledge (r=.51, p<.001), and informatics skills education (r=.78, p<.001). Conclusion: Nursing informatics is required to be connected with job training or in-service education on account of its growing necessity for public health nurses. It is also essential to develop programs for strengthening informatics competencies reflecting sub-categories of educational needs.