• 한국융합학회논문지
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• 제13권4호
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• pp.89-101
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• 2022

본 연구는 김수지의 사람 돌봄 이론을 기반으로 사람 돌봄 행위 측정도구의 신뢰도와 타당도 검증을 위해 시도되었다. 연구방법은 김수지의 사람 돌봄 이론을 통해 윤선희가 개발한 10개 개념에서 각 5문항씩 50문항으로 구성된 도구를 사용하였다. 대상자는 종합병원이상에서 근무하고 있는 간호사로서 본 연구 참여에 동의한 자로 하였다. 연구결과 탐색적, 확인적 요인분석을 통해 최초10개 개념의 50개 문항이 적극적 경청, 수용, 칭찬, 알아봄, 동행의 5개 개념, 32개 문항으로 도출되었고, 준거타당도, 신뢰도가 검증되었다. 이 도구는 대상자와 가족의 관점에서 돌봄 행위를 측정할 수 있으며, 이를 수량화함으로써 간호의 질적 향상을 가시화하는 지표로 활용할 수 있다는 점에 의의가 있다.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.508-517
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• 2016

본 연구는 한국어판 자살극복력 측정도구의 신뢰도와 타당도를 검증하고자 수행되었다. 연구방법은 방법론적 연구로 2012년 9월부터 12월까지 전북지역 266명의 대학생을 대상으로 자료수집을 실시하였다. 준거도구로 Osman 등(2004)의 Suicide Resilience Inventory-25를 이용하였고, 확인적 요인분석과 Cronbach's alpha 계수를 확인하였다. 확인적 요인분석결과 19문항의 요인적재량의 범위는 .442에서 .767, RMSEA<.08, $CFI{\geq}.9$로 타당도를 확보하여, 최종 19문항 3개의 하위 요인으로 이루어진 한국어판 자살극복력 측정도구(SRI-K)를 최종모형으로 선택하였다. SRI-K의 Cronbach's alpha 값은 .943이었다. SRI-K는 자살극복력을 측정하는데 신뢰도와 타당도가 있는 도구임이 검증되었다. 향후 자살극복력을 측정하는데 SRI-K가 보다 유용하게 활용될 수 있을 것을 기대한다.

• 한국노년학
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• 제30권1호
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• pp.81-91
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• 2010

본 연구는 노인의 인지능력을 기능적 관점에서 평가하기 위해 개발된 인지수행척도(Cognitive Performance Scale, CPS)가 우리나라 요양병원의 임상환경에 적합한지를 검증하기 위해 수행되었다. 이를 위해 CPS와 MMSE(Mini-Mental State Examination), GDS(Global Deterioration Scale)간의 수렴타당도, 조사자간 일치도, 내적 일관성을 측정하였다. 2개의 치매전문 요양병원 입원환자 393명을 대상으로 해당병원의 간호사가 표준화된 작성지침을 이용하여 CPS를 직접 측정하였고, 이 점수가 해당병원의 의사, 간호사가 측정한 GDS점수, 건강보험 청구 자료의 MMSE점수와 상관성이 있는지 분석하였다. 또한 동일 환자에 대해 또 한명의 간호사가 CPS를 한 번 더 측정하여 기존의 CPS점수와 비교하였다. 그 결과 CPS는 GDS와 중등도 이상의 상관관계(r=0.742, p<0.0001)를 보였고, MMSE와는 높은 상관관계(r=-0.794, p<0.0001)를 보였다. CPS의 Cronbach ${\alpha}$ 계수는 0.742로 높은 내적 일관성을 나타냈고 조사자간 일치도를 보기 위해 산출한 문항별 Kappa 계수는 0.772~1.000이었다. 우리나라 요양병원 환경에서도 노인의 인지능력을 기능적 관점에서 평가하기 위해 CPS를 사용하는 것이 타당하다고 판단된다.

• 한국의료질향상학회지
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• 제3권1호
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• pp.104-124
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• 1996

Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.

• Child Health Nursing Research
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• 제13권1호
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• pp.21-32
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• 2007

Purpose: The purpose of this study was to develop a tool to assess degree of health promotion behavior for infants & toddlers. Method: The research design was a methodological study. The tool was developed in 4 stages: first, preliminary items were developed based on a questionnaire that was given to 20 mothers of infants & toddlers second, a panel of specialists reduced the preliminary items using 3 validity tests; third, final items were selected from the results of a test with a sample of 262 families. Results: The final tool to measure the health promotion behavior consisted of 35 items and the Cronbach's alpha coefficient for internal consistency was .884. Using factor analysis, a 7 factor solution explained 45.6% of the total variance. Conclusion: This tool can be effectively utilized for child health care.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2731-2737
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• 2013

Background: This study evaluated the validity and reliability of applying the Katz's Activities of Daily Living (ADL) scale in an Iranian sample of elderly oncologic patients following initial cancer treatment. Materials and Methods: The scale was translated with the forward-backward procedure to give an Iranian version. The ADL scale was then applied in a random sample of 400 oncologic patients aged 60 and older following initial cancer treatment. Assessment of the scale stability was twice, with a 14-days (two weeks) interval, to 30 (of the 400) eligible elderly cancer patients in March 2012. To measure treatment effects, the index was run with 150 patients in a three month recall, following oncology processing. Exploratory and confirmatory factor analysis was performed for assessment of construct validity of the Katz's ADL. Reliability was measured with internal consistency (Cronbach's alpha co-efficient), and test/retest (Spearman's r value) of the instrument. Criterion validity was evaluated by comparing the Katz with Physical Function (PF) subscale of SF 36. Known-group validity was approved by comparing of Katz' ADL between quartile groups of PF subscale of SF 36. Results: In our study the ADL demonstrated a high degree of internal homogeneity (Cronbach's alpha 0.923). There was a high correlation between scores of two time measurement of Katz's ADL (p value of two- related- samples test was 0.3). Construct validity showed a correlation coefficient of 0.572 between the ADL and PF scores. In factor analysis, 2 factors were extracted. Evidence for the reliability of the questionnaire was good and known group validity was approved by significant differences of ADL score between quartiles of the PF subscale of SF36. Conclusions: The results suggest that the Iranian version of ADL applied for oncologic older adult patients following initial cancer treatment is a reliable and a valid clinical instrument and comparable to those reported in other studies.

• 한국융합학회논문지
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• 제8권12호
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• pp.189-197
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• 2017

본 연구는 한국 간호대학생의 임상실습 스트레스를 측정하는 자가평가도구를 개발하고 평가하기 위해 시행되었다. 문헌고찰을 바탕으로 예비문항을 작성하고 내용타당도 검증과 사전조사를 통하여 40문항의 초기도구를 개발하였다. 간호대학생 426명을 대상으로 초기도구의 타당도와 신뢰도 검증을 실시하였다. 탐색적 요인 분석한 결과 총 분산은 66.61%로 요인은 총 8개였으며, 최종 문항의 수는 37개였다. 확인적 요인분석을 실시한 결과 전반적인 부합도는 양호한 것으로 나타났다. 수렴타당도와 변별타당도 검증결과 척도 성공률은 100%였으며 내적일관성 신뢰도로 cronbach's는 .96로 분석되었다. 본 연구에서 개발된 도구는 향후 간호대학생의 임상실습 스트레스를 측정하는데 유용하게 활용될 수 있을 것이다.

• 한국지능시스템학회:학술대회논문집
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• 한국퍼지및지능시스템학회 2003년도 ISIS 2003
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• pp.28-31
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• 2003

In the present work, a main purpose is to propose a fuzzy integral-based aggregation framework to complementarily combine partial information due to lack of completeness. Based on Choquet integral (CI) viewed as monotone expectation, we take into account complementary, non-interactive, and substitutive aggregations of different sources of defective information. A CI-based system representing upper, conventional, and lower expectations is designed far handling three aggregation attitudes towards uncertain information. In particular, based on Choquet integrals for belief measure, probability measure, and plausibility measure, CI$\_$bi/-, CI$\_$pr/ and CI$\_$pl/-aggregator are constructed, respectively. To illustrate a validity of proposed aggregation framework, multiple matching systems are developed by combining three simple individual template-matching systems and tested under various image variations. Finally, compared to individual matchers as well as other traditional multiple matchers in terms of an accuracy rate, it is shown that a proposed CI-aggregator system, {CI$\_$bl/-aggregator, CI$\_$pl/-aggregator, Cl$\_$pl/-aggregator}, is likely to offer a potential framework for either enhancing completeness or for resolving conflict or for reducing uncertainty of partial information.

• Physical Therapy Rehabilitation Science
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• 제6권2호
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• pp.65-70
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• 2017

Objective: The purpose of this study was to examine the intertester reliability and validity of four nonradiologic measurements of thoracic spine rotation in healthy adults. Design: Descriptive laboratory study. Methods: This study was conducted on 20 male and 20 female university students aged between 19 and 26. To measure thoracic rotation, a goniometer, a bubble inclinometer, a dual inclinometer, and a smartphone application-clinometer were used. The measurement was performed twice for each device and the same measurement was performed by two examiners. The measurements were performed in the lumbar locked position. The arm in the direction of rotation was taken back and placed onto the back of the lumbar region. With right and left trunk rotation, the head was rotated together but remained in the center line so that the axial rotation was maintained. Both examiners performed the measuring procedures and directly handled the measuring instrument. All measurement results were recorded by the recorder. Results: The range of motion (ROM) of thoracic rotation in lumbar locked position for all four devices was 47 degrees. The intra-rater reliability estimates ranged from 0.738 to 0.906 (p<0.05). The inter-rater reliability estimates ranged from 0.736 to 0.853 (p<0.05). The goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer showed high validity (p<0.05). This result indicates that all four devices may be used by the same examiner and by other examiners obtaining follow-up measurement. Conclusions: The use of the goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer for measurements in the lumbar locked posture are reliable and valid nonradiologic measures of thoracic rotational ROM in healthy adults.

• 수산경영론집
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• 제38권2호
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• pp.103-129
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• 2007

Prior research on the fishery village tourism has mainly focused on the development and activities in the field, but lacking in strategic approaches. To overcome such a limitation, this study intends to measure visitors' authenticity on Gijang Anchovy Festival, test reliability and validity of the measurement items, and to identify the relationships among variables by a regression analysis of visitors' satisfaction. Authenticity means the value of existence. The types of tourism in fishing villages have been classified as fishery tourism, resource tourism and ecotourism and each of them has its own authenticity. Based on previous research, this study classified it into three factors such as objective authenticity, experiential authenticity and inauthenticity. To analyze the current situation of Daebyeon Anchovy Festival, measurement scales were developed and survey was conducted on the visitors for the three days from April 20 to 23, 2007. A total of 211 questionnaires were distributed and 208 were collected, The questionnaire contains 25 items on authenticity and 4 items on satisfaction and all the items were measured on the 7 Likert scale. It also has 8 items on demographic characteristics. On the test of reliability and validity of the authenticity, 24 items were used, Cronbach's was 0.7 and correlation was higher than 0.3. Factors of objective authenticity, experiential authenticity and inauthenticity were drawn from the factor analysis, which means that the 24 items may be used to measure authenticity of fishery festivals. The findings show that the evaluation score was 4.89 for objective authenticity, 4.36 for experiential authenticity, and 4.24 for inauthenticity. On the test of the hypotheses, the path coefficients were estimated 0.087 for objective authenticity, 0.202 for experiential authenticity and 0.503 for inauthenticity on the visitors' satisfaction. This suggests some meaningful marketing strategies for Gijang Anchovy Festival. First of all, the anchovy festival should focus on motivating visitors to revisit the festival by identifying individual traits, making a pleasant festival oriented toward family visitors, and providing more experience programs about anchovy.