• Title/Summary/Keyword: center-based day care

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The Effects of Community-Based Self-Help Management Program by Strengthening Self-Efficacy of Post Stroke Elderly Patients (재가 뇌졸중 노인환자에서 자기효능증진 전략을 이용한 자조관리프로그램의 효과)

  • Yu, Su-Jeong;Kim, Hyun-Sook;Kim, Keum-Soon;Baik, Hwan-Gum
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.187-197
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    • 2001
  • The purpose of this study was to determine the effects of self-help management program which strengthens self-efficacy for post stroke elders who attend day care center in Chongju. One group pretest-posttest design was used, and the subjects were 7 post stroke elders with hemiparesis. The self-help management program consisted of 5 sessions and each session included group education on stroke, ROM exercise, recreation and self-care strategies. Those strategies for encouraging and reinforcing self-efficacy provided verbal persuasion, performance accomplishment and vicarious experience. All subjects were questioned before and after the program about ADLs, IADLs, self-efficacy, self-care behavior and depression. The analysis of data revealed that the program was effective to increase the IADLs, self-efficacy and self-care behavior. However, there was no significant difference between pre and post ADLs and depression. The results indicated that this program may be adopted to improve the physical and psychological function of post stroke elderly patients in community settings.

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Effects of 3S-BIS (3S Business Intelligence Systems) for Nurses (간호사를 위한 3S-BIS (Business Intelligence Systems) 교육 프로그램 효과)

  • Lim, Ji Young;Kim, Juhang;Kim, Seulki
    • Journal of Home Health Care Nursing
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    • v.30 no.3
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    • pp.287-297
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    • 2023
  • Purpose: This study aimed to investigate the impact of the 3S-Smart, Simple & Speed Business Intelligence Systems(3S-BIS) program on various aspects including simulation design assessment, simulation education assessment, satisfaction among education participants, academic self-efficacy, entrepreneurship, and entrepreneurial competency for nurses. Method: This research was a non-equivalent control trial design study using two groups. 23 participants in experimental group, and 22 in the control group. Data were collected three intervals: before program, immediately after the program, four weeks later. Results: The experimental group showed significantly higher values across parameters, including simulation design assessment, simulation education assessment, satisfaction among education participants, academic self-efficacy, entrepreneurship, and entrepreneurial competency. Conclusion: The 3S-BIS program has shown a positive impact on improving nursing start-up competency. Applying 3S-BIS can be effectively used across all ranges of nurses and is recommended.

The Effects of Multicultural Education Based on 'World Cultures' Project Activities on Young Children's Multicultural Acceptability and Caring Thinking (세계 여러나라 프로젝트 활동이 유아의 다문화 수용성과 배려적 사고에 미치는 영향)

  • Kim, Su Young;Kim, Sung Won
    • Korean Journal of Child Education & Care
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    • v.17 no.1
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    • pp.29-50
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    • 2017
  • The purpose of this study is to investigate the effects of multicultural education based on 'World Cultures' project activities on young children's multicultural acceptability and caring thinking. This study's research questions are: 1) How do 'World Cultures' project activities affect young children's multicultural acceptability?; 2) How do 'World Cultures' project activities affect young children's caring thinking? The participants were thirty-five five year olds in a day care center in Y city, Gyounggi-do and were divided into two groups. The experimental group participated in a 'World Cultures' project, whereas the control group performed activities of 'Fall' and 'World Cultures' themes of Nuri Curriculum. The measurement of multicultural acceptability was developed by Kim and Jung (2010) for elementary school students, and revised and supplemented for young children by Bak (2013). The instrument of caring thinking originated with Lipman (2003) and was translated and modified by Lee (2007). Data was analyzed using the SPSS Win 18.0, and t-tests were performed to compare the means of the two groups. Results of this study are: first, there were statistical differences in multicultural openness and multicultural relationship skills between the groups. The experimental group scores were higher than those of the control group. However, there were no significant differences in multicultural awareness and multicultural empathy. Second, there was a statistically significant difference in care thinking between the experimental group and the control group. The score for the experimental group was higher than the score for the comparative group. This result verified that "World Cultures" project activities show a positive impact on multicultural acceptability-the proper understanding and acceptance of foreign cultures. In addition, the project activities have a positive impact on caring thinking, which was related, not only to understanding and accepting other races, but also to respecting and understanding others' emotions.

Practical Communication Strategies to Improve the Surgical Outcomes in a Pediatric Cardiac Intensive Care Unit (소아심장외과 중환자실에서의 실무의사소통 프로토콜이 수술 후 성과에 미치는 영향)

  • Uhm, Ju-Yeon;Lee, Worlsook
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.243-253
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    • 2015
  • Purpose: The purpose of this study was to identify the impact of practical communication strategies (PCS) on the reduction of AEs (Adverse Events) in pediatric cardiac ICU (PCICU). Methods: Intra-operative findings and care plans were documented and shared between staff members on a daily basis from the day of operation to the day of general ward transfer. Incidence of AEs was investigated in all patients who were admitted to the PCICU and was compared with incidence of AEs one year after establishment of PCS. Results: The study population consisted of 216 patients in pre-PCS group and 156 patients in post-PCS group. Incidence of readmission decreased from 6.0% (13/216) in pre-PCS group to 0.6% (1/156) in post-PCS group (${\chi}^2=7.23$, p=.010). Incidence of other major complications decreased from 4.2% (9/216) to 0.6% (${\chi}^2=6.66$, p=.012). Minor AEs such as intervention omission, order error, and protocol misunderstanding were reduced from 23.3 cases per 100 patient-days to 7.5 cases per 100 patient-days (${\chi}^2=20.31$, p<.001). Conclusion: Handover protocol is an effective strategy to reduce AEs for critically ill patients after pediatric cardiac surgery. Efforts to develop effective communication strategies should be continued and outcome research about communication strategies for patient safety should be further studied.

A Study on the Recognition and Demand of Teachers and Parents of Using IoT Health-Care Devices in Day-Care Centers (어린이집에서의 IoT 헬스케어 디바이스 활용에 대한 교사와 부모의 인식 및 요구)

  • Kwon, Hye-Jin
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.71-79
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    • 2019
  • This study was conducted to examine the awareness and demands of parents and teachers on the use of IoT healthcare devices at daycare centers. A survey was conducted on 200 teachers and 200 parents. Collected data were analyzed by Frequency analysis, t-test, 𝑥2, using the SPSS WIN 22.0. The results of this study are as follows. First, teachers showed a higher level of preference for using IoT healthcare devices as they showed positive perception and support compared to parents, and showed higher recognition of information leakage than parents. Second, teachers and parents were most hoping to use IoT healthcare devices at emergency response in daycare-centers and had the highest demands for wearable devices. As a result of the both parents and teachers demand cost-sharing. Based on the results of this study, the possibility of utilizing IoT healthcare devices in daycare centers were discussed.

Effects of a Brain Fitness Exercise on Cognitive Function in patients with dementia

  • Koo, Jung-Wan;Ryu, Jeon-Nam;Oh, Yong-Seop
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.13-20
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    • 2018
  • Objective: To investigate the effects of a brain fitness exercise on the cognitive function of patients with dementia. Method: Forty-six elderly adults diagnosed with dementia were randomly allocated to the study or control group (n=23 per group). The study and control groups performed a brain fitness and regular exercise, respectively, for 40 minutes a day, three times a week for four weeks. We examined cognitive capacity using MMSE-K, cognitive strength, judgment time, and mental workload scores before and after intervention. Results: The study group showed significant improvements in all variables. In addition, the control group showed a significant improvement in brain stress. We found that there was a significant improvement in the study group when compared with the control group in all variables. Conclusion: Based on these results, we suggest that brain fitness exercise would be effective in improving cognitive functions of dementia patients.

Analysis of Structure and Process of Childcare for One Year Olds (만 1세 영아를 위한 보육의 구조와 과정 분석)

  • Min, Hae-Jung;Rha, Jong-Hay
    • Korean Journal of Human Ecology
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    • v.19 no.1
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    • pp.63-74
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    • 2010
  • The purpose of the study was to examine the actual conditions of caregiver-infant ratios, group-room activity areas, evaluations of infant programs and caregiver-infant interactions based on structural and process indicators which are major factors of infant care. The subjects were 20 caregivers and 91 infants from 14 infant classes of 13 day care centers in Daejeon. An actual survey was conducted on caregiver-infant ratios and group-room activity areas, and teaching-learning plans for infants and daily schedules were gathered for the evaluation of infant programs. The caregiver-infant interactions were observed every one minute for a total of 20 minutes using Lee Wan Jeong's "Evaluation Measure of Caregiver-infant Interactions"(1999). The results of this study were as follows: First, caregiver-infant ratios ranged from 2.5 to 7 infants per caregiver, resulting in the difference of the number of infants. Second, the 14 classes for one-year-old infants were arranged in three different ways; 5 classrooms with distinctive activity areas, 2 without any divided areas and 7 containing a mix of partial activity areas. Third, in teaching-learning plans for infants, there were a large number of topics related to seasonal features and experiences while the fewest were about basic life habits. Fourth, in the caregiver-infant interactions, caregivers used more positive interactions and linguistic modeling than sensitive responses to infants and social interactions.

The Effects of Neurofeedback Training on Brain Function Quotient of Elderly with Long-term Care Insurance Service (뉴로피드백 훈련이 장기요양시설노인의 뇌기능지수에 미치는 효과)

  • Youn, Mee Kyung;Hyun, Kyung Sun;Park, Pyung Woon;Lee, Kuang Shim;Jeong, Dong Lye;Lee, Jung Eun
    • Journal of East-West Nursing Research
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    • v.18 no.2
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    • pp.111-119
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    • 2012
  • Purpose: Recently, Neurofeedback training system that based on biofeedback of brain wave was introduced. This study was performed to identify the effects of the improvement of brain function by Neurofeedback training on elders(the 2nd or 3rd grade of long-term care insurance services). Methods: A quasi-experimental design using a nonequivalent control group, pre-post test was used. Total 11 elderly were enrolled in this study (experimental group 5, control group 6). The intervention was conducted 3 times a week for 30 minutes from January to June, 2012 (total 60 times). Chi-square test and Mann-Whitney U-test were used to analyze the data. Results: After the Neurofeedback intervention, attention quotient (AQ), anti-stress quotient (ASQ), emotion quotient (EQ) and brain quotient (BQ) of the experimental group were significantly better than those of the control group. Conclusion: The findings indicate that the Neurofeedback training program was effective in reducing fatigue by AQ, increasing the physical and mental stress resistance by ASQ, emotional balance by EQ and improving of total brain function by BQ. Therefore Neurofeedback training be used as an effective training intervention for the health of elderly in geriatric facility.

Rates of Recovery of Enterobacter sakazakii (Cronobacter spp.) from Powdered Infant Formula Using Both a Chromogenic Agar and Real-Time PCR : A Preliminary Study

  • Song, Kwang-Young;Seo, Kun-Ho;Chon, Jung-Whan
    • Journal of Dairy Science and Biotechnology
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    • v.39 no.3
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    • pp.113-120
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    • 2021
  • Although the number of incidences of illness caused by ingestion of the bacterial pathogen Enterobacter sakazakii (Cronobacter spp.) has dramatically declined, there remains a need for a robust isolation method to recover this microbe from powdered infant formula (PIF). The current method described in the FDA's Bacteriological Analytical Manual requires multiple steps, and 3-4+ days for complete analysis of PIF isolated E. sakazakii (Cronobacter spp.). We describe a bacteriological method including a one-step enrichment followed by plating on chromogenic agar for presumptive identification of E. sakazakii (Cronobacter spp.). Suspected colonies are confirmed by either biochemical analyses, or a Real-Time PCR-based assay. Using this method, E. sakazakii (Cronobacter spp.) in PIF can be isolated and identified within one day (24 hours).

Real Time Versus Photographic Assessment of Stool Consistency Using the Brussels Infant and Toddler Stool Scale: Are They Telling Us the Same?

  • Aman, Berthold Albert;Levy, Elvira Ingrid;Hofman, Benjamine;Vandenplas, Yvan;Huysentruyt, Koen
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.1
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    • pp.38-44
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    • 2021
  • Purpose: Digital communication is becoming increasingly important in clinical practice and research. The finding that stool consistency can be evaluated similarly using either "in vivo" or photographic material by health care professionals will decrease subjective interpretation by parents. The primary outcome of this study was the reliability of stool consistency scoring using the Brussels Infant and Toddler Stool Scale (BITSS) between fresh stools and their photos; the secondary outcome was the inter-rater reliability based on the fresh stools. Methods: Fresh stool samples from healthy children were collected in a day care center. These stools, and one month later the corresponding photos presented in a random order, were presented to 14 observers. Reliabilities were analyzed using absolute agreements and weighted and unweighted Cohen's κ. Results: In total, 202 samples were rated 576 times. Absolute agreement between photographic and real time assessment ranged between 71.1% and 83.3% among observers. This corresponded with substantial agreement (unweighted κ=0.70 [95% CI, 0.61-0.78]; weighted κ=0.86 [95% CI, 0.78-0.88]). The inter-observer agreement showed similar percentages of absolute agreement (81.4-82.0%) and κ-values corresponding with fair-to-moderate agreement. Conclusion: Our findings suggest that the assessment of fresh stool consistency can also reliably be done on photographic material when using the BITSS. This opens opportunities in scientific surroundings and in our daily life communication with parents and caretakers.