• Title/Summary/Keyword: a conceptual model

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A RURAL HEALTH SERVICE MODEL FOR KOREA BASED OH A PRIMARY CARE NURSING SERVICE SYSTEM

  • Hong, Yeo-Shin
    • Journal of Korean Academy of Nursing
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    • v.11 no.2
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    • pp.5-8
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    • 1981
  • This study concerns itself with the development of a new model of comprehensive health service for rural communities of Korea. The study was conceived to resolve the problems of both underservice in rural communities and underutilization of valuable health manpower, namely the nurses, the disenchanted elite health personnel in Korea. On review of the current situation, the greatest deficiencies in the Korean health care system were found in the availability of primary care at the peripheries of md communities, in the dissemination of knowledge of disease prevention and health care, and in the induction of and guidance for active participation by the clientele in health maintenance at the personal, family and community level Abundant untapped health resources were identified that could be brough to bear upon the national effort to extend health services to every member of the Korean Population. Therefore, it was Postulated that the problem of underservice in rural communities of Korea can be structurcturally resolved by the effective mobilization and organization of untapped health resources, and that. a primary care Nursing Service System offers the best possibility for fulfillment of rural health service goals within the current health man-power situation. In order to identify appropriate strategies to combat the present difficulties in Korean rural health services and to utilize nurses and other health personnel in community-centered health programs, a search was made for examples of innovative service models throughout the world. An extensive literature survey and field visits to project sites both in Korea and in the United States were made. Experts in the field of world health, health service, planners, administrators, and medical and nursing practitioners in Korea, in the United States as well as visitors from other Asian countries were widely consulted. On the basis of information and inputs from these experts a new rural health service model has been constructed within the conceptual framework of community development, especially of the innovation diffusion Model. It is considered especially important that citizens in each community develop capacities for self-care with assistance and supports from available health professionals and participate in health service-related decisions that affect their own well-being. The proposed model is based upon the regionalization of health care planning utilizing a comprehensive Nursing Service System at the immediate delivery level The model features: (1) a health administration unit at each administrative level; (2) mechanisms for community participation; (3) a continuous source of primary health care at the local community level; (4) relative centralization of specialty care and provision of tertiary or super-specialty care only at major national metropolitan centers; and (5) a system for patient referral to the appropriate level of care. This model has been built around professional nurses as the key community health workers because their training is particularly suited and because large numbers of well-trained nurses are currently available and being trained. The special element in this model is a professional nurse-guided, self-care facilitating primary care Community Nursing Service System. This is supported by a Nursing Extension Service as a new training and support structure. (See attached diagrams). A broad spectrum of programs was proposed for the Community Nursing Service System. These were designed to establish a balance of activities between the clinic-centered individual care component and the field activity-centered educational and supportive component of health care services. Examples of possible program alternatives and proposed guidelines for health care in specific situations were presented, as well as the roles and functions of the key health personnel within the Community Nursing Service System. This Rural Health Service Model was proposed as a real alternative to the maldistributed, inequitable, uncoordinated solo-practice, physician-centered fee-for-service health care available to Koreans today.

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The Impact of Servicescape on Purchasing Behavior : A Case of Baby Goods Exhibition (유아용품 전시박람회의 서비스스케이프가 구매행동에 미치는 영향)

  • Lee, Byeong-Cheol
    • Journal of Distribution Science
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    • v.16 no.6
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    • pp.65-75
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    • 2018
  • Purpose - The exhibition is one of the critical distribution channels that leads to mass sales of products. Servicescape is considered as an effective means facilitating consumers' purchasing behavior. The objective of this research is to examine the effects of servicescape of the exhibition on consumer's purchasing behavior measured by time spent, the number of consultations, the number of items purchased, and amount of money spent. Research design, data, and methodology - Servicescape was divided into four main components: 'spatial layout/functionality', 'ambient condition', 'design/artifacts', and 'human factor'. Based on previous studies, this study hypothesized that servicescape dimensions first influence consumer's shopping duration and the number of consultations which in turn, affects consumer's actual purchase. A total of 407 samples were collected from attendees in Baby Expo taken place in Kyunggido, South Korea. The data were used to assess overall fit of the proposed model and test hypotheses using structural equation modeling. All the constructs had acceptable levels of composite reliability and convergent and discriminant validity. Results - The results showed that except for 'spatial layout/functionality', all components of servicescape had a significant influence on consumer's shopping duration in the exhibition. Except for 'design/artifacts', other factors of servicescape did not show a significant effect on 'the number of consultations'. Interestingly, 'design/artifacts' exerted a significant negative effect on 'the number of consultations'. As expected, 'time spent' and 'number of consultations' showed significant effects on both 'the number of items purchased' and 'amount of money spent'. Conclusions - The results offer some insights into the effect of servicescape on facilitating consumers' purchasing behavior in the context of the exhibition. Theoretically, this study provides a new type of conceptual framework that verifies the relationships between not only servicescape and purchasing behavior, but also purchasing behavior-related variables. In addition, this study supports the concept of a dark side of servicescape. With regards to practical implications, this study suggests that exhibition organizers should put more efforts in facilitating consumer's desire to stay. More importantly, organizers need to keep in mind that excessive emphasis on 'design/artifacts' to increase consumers' shopping duration can cause a side effect that reduces opportunities for interactions with customers.

Embarrassment; a concept analysis (당혹감(embarrassment); 개념분석)

  • Cho, Eun-Jung;Chung, Bok-Yae
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.276-286
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    • 2002
  • Purpose: The concept of embarrassment as an unpleasant emotion is important in caring for those who are in the continuum of illness and health requiring body care and facing sexual problems. In spite of its nursing implication, embarrassment has not been focused in nursing research. Therefore, the purpose of this paper is to develope a conceptual analysis of embarrassment. This analysis would help to understand comprehensively an embarrassing situation in which an intimate relationship between nurse and patient regarding body care of the patient could develope. Futhermore, it would be a basis for developing strategies for prevention of embarrassment which could lead for both patient and nurse to emotionally vulnerable situation because of their failure of self-presentation (impression management). Method: The concept analysis model suggested by Walker and Avant (1988) is used to clarify what is meant by the term 'embarrassment'. Result: This analysis defines the attributes of embarrassment such as follows. First, embarrassment is often attributed to situational factors interrupting a smooth interaction such as intimacy, confusion, vulnerability, exposure of interaction and characteristics of audience. Second, embarrassment is closely related with cognitive factor such as fear of losing face resulted from a behaviour being out of line. Third, embarrassment is closely associated with dispositional factor such as embarrassability. Fourth, embarrassment is an unpleasant and unwanted emotion arising reactively after an interaction had occurred. Fifth, embarrassment encloses physical, physiological and behavioral aspects such as a variety of unique and easily noticeable reactions and a pattern of verbal and non-verbal behaviour for coping in an embarrassing situation. The antecedents were normally socialized adolescents with normal cognitive ability, concern of losing face, embarrassability, embarrassing events related with situational intimacy, confusion, vulnerability, exposure of interaction and characteristics of audience, physical, behavioral blunders resulting in a failure of impression management. The consequences were an emotional coping behaviour, audience's embarrassment responses, and verbal and non-verbal coping strategies of interactional participants. Conclusion: It is hoped that this analysis will stimulate further exploration of this concept and study for developing systematic assessment and nursing practice that diminishes embarrassment of interactional participants.

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A Numerical Simulation Study Using WRF of a Heavy Snowfall Event in the Yeongdong Coastal Area in Relation to the Northeasterly (북동 기류와 관련된 영동해안 지역의 대설 사례에 대한 WRF수치모의 연구)

  • Lee, Jae Gyoo;Kim, Yu Jin
    • Atmosphere
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    • v.18 no.4
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    • pp.339-354
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    • 2008
  • A numerical simulation of a heavy snowfall event that occurred 13 January 2008 along the Yeongdong coastal area, was performed using WRF (Weather Research and Forecasting) in order to reveal mesoscale structures and to construct a conceptual model showing the meteorological background that caused the large difference in snowfall amounts between the Yeongdong mountain area and the Yeongdong coastal area. The simulation results matched well with various observations such as corresponding 12h-accumulated observed precipitation, surface wind obscrvation, radar echoes, and satellite infrared images. The simulation and the observations showed that the scale of the event was of meso - $\beta$ and meso - $\gamma$ scale. The simulation represented well the mesoscale process causing the large difference in snowfall amounts in the two areas. First, wind flow was kept, to a certain extent, from crossing the mountains due to the blocking effect of the low Froude number (~1). The northeast flow over the adjaccnt sea tumcd northwest as it approachcd the mountains, where it was trapped, allowing so-called cold air damming. Second, a strong convergence area formed where the cold northwest flow along the Yeongdong coastal area and the relatively warm and moist northeast flow advecting toward the coast met, supporting the fonllation of a coastal front. Thus, the vertical motion was strongest over the front located near the coast, leading to the heavy snowfall there rather than in the remote mountain area.

Temporality and Modernity: A Reading of William Carlos Williams's Spring and All (시간성과 모더니티 -윌리암스의 『봄과 모든 것』을 중심으로)

  • Son, Hyesook
    • Journal of English Language & Literature
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    • v.55 no.1
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    • pp.83-105
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    • 2009
  • Modern poetry begins as criticism of modernity and, by so doing, rejects its idea of time. Modernity emphasizes sequential, linear, and irreversible time and progress. Williams rejects the modern view of time, and attempts to substitute literature for history assuming that literature can take us into the immediacy of time. His poetry asserts the true moment of experience as an immediacy, of words co-existent with things. He suggests that modernity and its idea of time already led to World War I and could clearly lead to an actual, manmade apocalypse with continued technological progress. Already in the 1920s, Williams sensed that he was living in a world where such an end could come all true, which is why Spring and All, his greatest early achievement, begins with a parody of the modern apocalypse. Throughout the work, Williams criticizes "crude symbolism" and expresses his longing to annihilate "strained associations," for he believes that the metaphoric or symbolic association is related to order, the center, and the traditional concept of time itself. The metonymic model of Spring and All substitutes a self-reflexive, open-ended, and indeterminate structure of time for the linear and closed one. Instead of supplying an end, Williams only asserts the rebirth of time and attempts to arrive at immediacy while attacking the mediacy of traditional art. His characteristic use of fragmentation and abrupt juxtapositions disrupts the reader's generic, conceptual, syntactic, and grammatical expectations. His radical poetic experiments, such as the isolation of words and the disruption of syntax, produce a sense of immediacy and force the reader to confront the presence of the poem. His destruction of traditional forms, of the tyrannous designs of history and time, opens up rather than closes the possibility of signification, and takes us into a moment of beginning while disallowing temporal distancing. Spring and All, as a criticism of the modern idea of time, asks us to view Williams's work not as an ahistorical text but as a cultural subversion of modernity.

A Structural Model for Quality of Life in Women Having Hysterectomies (여성의 자궁절제술후 삶의 질 구조모형)

  • 김숙남
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.161-173
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    • 1999
  • The purpose of this study was to develope and test the structural model for quality of life in women having hysterectomies. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around eight constructs. Exogenous variables included in this model were marital intimacy, importance of uterus, professional support, positive coping behavior and pre-operative symptoms. Endogenous variables were spouse's support, sense of loss and quality of life. Empirical data for testing the hypothetical model was collected using a self-report questionnare from 203 women having hysterectomies at the outpatient clinics of four general hospitals and a mail survey in Pusan City. The Data was collected from December, 1997 to January, 1998. Reliability of the eight instruments was tested with Cronbach's alpha which ranged from 0.639-0.915. For the data analysis, SPSS 7.5 WIN Program and LISREL 8.12 WIN Program were used for descriptive statistics and covariance structural analysis. The results of covariance structure analysis were as follows : 1. Hypothetical model showed a good fit with the empirical data. [$\chi$$^2$=6.93(df=5, P=.23), GFI=.99, AGFI=.94, RMSR=.019, NNFI=.97, NFI=.98, CN=440, standardized residuals(-2.14-2.10)] 2. For the parsimony of model, a modified model was constructed by deleting 3 paths and adding 1 path according to the criteria of statistical significance and meaning. 3. The modified model also showed a good fit with the data. [$\chi$$^2$=5.26(df=7, P=.63), GFI=.99, AGFI=.97, RMSR=.014, NNFI=1.02, NFI=.99, CN=710, standardized residuals(-1.46-1.70)] Results of the testing of the hypothesis were as follows : 1. Marital intimacy(${\gamma}$11=.78, t=14.37) and professional support(${\gamma}$13=.12, t=2.12) had a significant direct effect on the spouse's support. 2. Pre-operative symptoms(${\gamma}$25=.32, t=3.12), importance of uterus(${\gamma}$22=.20, t=2.61) and spouse's support($\beta$2l=-.19, t=-2.43) had a significant direct effect on the sense of loss. 3. Sense of loss($\beta$32=-.66, t=-9.83) had a direct effect on the quality of life. Marital intimacy had a direct(${\gamma}$31=.19, t=3.33), indirect(${\gamma}$31=.14, t=2.52) and total effect(${\gamma}$31=.25, t=4.41) on the quality of life. Professional support had a direct effect(${\gamma}$33=.11, t=2.07) and total effect(${\gamma}$33=.13, t=2.31) on the quality of life. The direct effect of pre-operative symptoms(${\gamma}$35=-.36, t=4.02) and positive coping behavior(${\gamma}$34=.15, t=2.06) had the insignificant effect on the quality of life while, due to the idirect effect these variables had overall significant effect on the quality of life. The results of this study showed that the sense of loss had the most significant direct effect on the quality of life. Marital intimacy, pre -operative symptoms and spouse's support had a significant direct effect on this sense of loss. These four variables, the sense of loss, marital intimacy, pre-operative symptoms and spouse's support, were identified as relatively important variables. The results of this study suggested that there is needed to determine if nursing intervention would alleviate this sense of loss and promote a greater quality of life in women who have had hysterectomies.

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The case study of the current senior shift in fashion and beauty brand (패션뷰티 산업분야의 시니어 시프트 현황분석)

  • Baek, Kyoungjin;Seo, Inkyung
    • The Research Journal of the Costume Culture
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    • v.26 no.1
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    • pp.56-72
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    • 2018
  • In recent years, there has been increasing interest in the senior people in our aging society. This paper will give an account of the current cases of senior shift. The first section of this paper will examine a conceptual approach based on a literature review and analyze case studies of senior shifts by national fashion and beauty brands. It will be helpful for the 'New Senior' consumer group, which in emerging in an aging society. The research methods applied were a literature review and a case study, and a database search was conducted to determine the current situation of global brands. The results of the literature review showed that seniors can be classified into four types based on their physical aging condition and emotional tendency: Prime Senior, Smart Senior, Rational Senior, and Slump Senior. The first thing that needs to be said is that the Prime Senior type is found commonly in as a way to appoint a senior model in order to switch brand image. Cases of the Smart Senior type appeared only in the beauty field, which attempted multilateral approaches such as launching products exclusively for seniors and offering make-up services after improving the usability and functionality in response to senior consumers'needs. However, as no cases of senior shift were found for the Rational Senior and Slump Senior types in either the fashion or beauty field, future studies should explore the market approaches used in those categories.

Optimization of the Television Packing System Using Equivalent Static Loads (등가정하중법을 이용한 텔레비전 포장재의 구조최적설계)

  • Lee, Youngmyung;Jung, Ui-Jin;Park, Gyung-Jin;Han, In-Sik;Kim, Tai-Kyung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.39 no.3
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    • pp.311-318
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    • 2015
  • A nonlinear dynamic response structural optimization process is proposed for the television (TV) packing system that protects the damage from a drop situation using the equivalent static loads (ESLs). Topology optimization using ESLs is carried out for conceptual design, and shape optimization using stress ESLs for a virtual model is performed for detailed design. Stress ESLs are static loads that generate the same displacement as well as the stress fields of linear static analysis as those of nonlinear dynamic analysis. Thus, the response of nonlinear dynamic analysis can be utilized as a constraint in the linear static structural optimization. An actual example is solved to validate the process. The drop test of a television packaging system is analyzed by LS-DYNA, and NASTRAN is used for optimization.

Management of Knowledge Abstraction Hierarchy (지식 추상화 계층의 구축과 관리)

  • 허순영;문개현
    • Journal of the Korean Operations Research and Management Science Society
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    • v.23 no.2
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    • pp.131-156
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    • 1998
  • Cooperative query answering is a research effort to develop a fault-tolerant and intelligent database system using the semantic knowledge base constructed from the underlying database. Such knowledge base has two aspects of usage. One is supporting the cooperative query answering Process for providing both an exact answer and neighborhood information relevant to a query. The other is supporting ongoing maintenance of the knowledge base for accommodating the changes in the knowledge content and database usage purpose. Existing studies have mostly focused on the cooperative query answering process but paid little attention on the dynamic knowledge base maintenance. This paper proposes a multi-level knowledge representation framework called Knowledge Abstraction Hierarchy (KAH) that can not only support cooperative query answering but also permit dynamic knowledge maintenance. The KAH consists of two types of knowledge abstraction hierarchies. The value abstraction hierarchy is constructed by abstract values that are hierarchically derived from specific data values in the underlying database on the basis of generalization and specialization relationships. The domain abstraction hierarchy is built on the various domains of the data values and incorporates the classification relationship between super-domains and sub-domains. On the basis of the KAH, a knowledge abstraction database is constructed on the relational data model and accommodates diverse knowledge maintenance needs and flexibly facilitates cooperative query answering. In terms of the knowledge maintenance, database operations are discussed for the cases where either the internal contents for a given KAH change or the structures of the KAH itself change. In terms of cooperative query answering, database operations are discussed for both the generalization and specialization Processes, and the conceptual query handling. A prototype system has been implemented at KAIST that demonstrates the usefulness of KAH in ordinary database application systems.

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A Meta-analysis and Review of Influencing on Purchase Intention in Social Network Service : Utilizing Big Data Analysis (소셜 네트워크 서비스 환경에서 구매의도에 관한 문헌적 고찰 및 메타분석 : 빅 데이터 분석을 활용하여)

  • Jin, Chan-Yong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.127-129
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    • 2015
  • A meta-analysis is a statistical integration method that delivers an opportunity to overview the entire result of integrating and analyzing many quantitative research results. This study will find meaningful independent variables for criterion variables that affect influencing on purchase intention in social network service, on the basis of the results of a meta-analysis. We reviewed a total of 29 studies related on purchase intention in social network service published in Korean journals between 2000 and 2015, where a cause and effect relationship is established between variables that are specified in the conceptual model of this study. Thus, we present the theoretical and practical implications of these results and discuss the differences between these results through a comparative analysis with previous studies.

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