• Journal of Distribution Science
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• v.12 no.2
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• pp.81-93
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• 2014

Purpose - Recent rapid environmental changes in the hospital industry are accelerating the spread of customer satisfaction management. Customers' desires have become diversified and advanced; in the past, customers tended to preferred popularized and standardized care, whereas they now prefer individualized and differentiated care, based on an increase in income. Specifically, this study tries to analyze the mediating effects of factors that affect the configuration portion of customer value and relationship quality (customer trust and relationship commitment) by investigating the impacts and configuration factor of customer value on relationship quality and determining how these factors impact customer loyalty directly or indirectly. Research design, data, and methodology - This study aims to determine the customer value factors that impact the perceptions of dental hospital customers, how these factors impact relationship quality and customer loyalty, and the causal relationship of these factors, and to verify the research model based on previous research. To increase the validity and reliability of the questionnaire, the authors of this study constructed basic questions using measurement tools already verified for reliability and validity in existing studies. In this study, customer value is defined as customers' recognizing value by exchanging goods or services and is measured using a five-point Likert scale using 19 questions about the 4-Ds, such as convenience value, quick service, response value, and trustworthiness. For each question, "very low" was set at 1 point and "very high" at 5 points. Customer trust, relationship commitment, and customer loyalty are also measured using a five-point Likert 5-point scale (1 = very low, 5 = very high) based on previous studies. Results - For customer value, trustworthiness and quick service are shown to have direct significant positive impacts on customer loyalty. For customer value and quality of the relationship (customer confidence and commitment), trustworthiness, response value, confidence value, and quick service are shown to have a significant positive impact on customer truth, in order of impact. For the relationship between customer value and commitment, quick service and response value are shown to have significant positive impact. Customer confidence has a very high positive influence on commitment. For the relationship between the quality of the relationship (customer confidence and commitment) and customer loyalty, customer confidence is shown to have more of an impact than commitment, in terms of a direct influence of customer loyalty. Commitment showed a positive impact on customer loyalty. For the relationship between customer confidence and customer loyalty, commitment showed a mediating effect. Conclusions - Many additional variables could apply; this study focused on customer value, quality of the relationship, and customer loyalty. In particular, there will be significant value in identifying the relationships among customer value, relationship quality, and customer loyalty by using impact factors for customer value; ensuring external validity by expanding denotation and applying the findings to other service industries; and undertaking continuous research. This study has limited generalization potential because the target for this survey was located only in the Seoul area.

• Women's Health Nursing
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• v.22 no.4
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• pp.264-274
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• 2016

Purpose: The purpose of this study was to develop and evaluate breastfeeding effectiveness scale to measure effectiveness of breastfeeding for mothers in the early postpartum period. Methods: A conceptual framework was constructed from properties of effective breastfeeding (Yang and Seo, 2011), and item construction was derived from literature review and analysis of the data along with interviews with breastfeeding mothers. Content validity was tested by experts. Each item was scored on a five-point Likert scale. The preliminary questionnaire was administered to 248 breastfeeding mothers. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's ${\alpha}$. Results: From the factor analysis, 20 items in seven factors were derived. The factors were identified as mother's satisfaction, suckling, assurance of milk quantity, infant's satisfaction, latching on, infant's feeding desire, and breastfeeding positioning. The seven factors explained 65.1% of total variance, Cronbach's ${\alpha}$ of the total items was .83 and the factors ranged from .44 to .75. Conclusion: Results of this study suggest that breastfeeding effectiveness scale is a reliable and valid instrument to measure breastfeeding effectiveness of mothers in the early postpartum period.

• Journal of Korean Public Health Nursing
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• v.17 no.1
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• pp.113-121
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• 2003

Purpose : This study was performed to develop a scale of outdoor school safety behavior in Korean elementary students. Methods : A list of 40 items were selected by priori experiences of school health teachers and a literature review. For evaluation of the appropriateness of the 32 items, questionnaires were reviewed by an expert group which was consisted of 10 professionals. Validity of the 31 items was screened in this process with 4 point Likert scale. Using the preliminary tool. data were collected from 684 subjects for item analysis and factor analysis. A total of 26 items were remained, and items with the lower than 0.2 item-total correlation coefficient were removed. Factor analysis was done with these 26 items, and 26 items with factor loadings higher or equal to 0.4 were remained. Relsult : 1. Cronbach's alpha for the 26 items was 0.70 2. Five factors were identified with eigen value 1.0 These contributed $51.617\%$ of the variance in the total score. 3. Each factor was labled 'vonobserbance of safety rule', 'good habit for safety', 'careless action', 'lack of safety knowledge', 'injurious action to friend' It is suggested that this scale could be used to measure outdoor school safety behaviors among elementary students in Korea.

• Research in Mathematical Education
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• v.23 no.1
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• pp.23-45
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• 2020

Many researches proposed different models and concepts for the PCK. It is important to understand its composition. Most studies investigated the development of PCK and its influence on students' learning from the teachers' perspectives. We developed an instrument for assessing middle school students' perceptions of mathematics teachers' PCK (SPOMTPCK) to investigate the nature of PCK. Theoretical claims and empirical research in PCK were used to design questions and sub-scales for the SPOMTPCK. The face validity of the instrument was established by the expert mathematics teachers and students. A questionnaire consisting of 38 items on a five-point Likert-type scale was used for data collection from 799 middle school students. The exploratory factor analyses resulted in the development of a three-factor scale of 17 items that was proved valid and reliable, that is, pedagogical representation, understanding students and curriculum, and encouraging students' engagement. The Cronbach α coefficients of the scale was 0.935, and the Cronbach α coefficient of three factors were ranged from 0.721 to 0.912. The confirmatory factor analysis showed that the questionnaire has good construct validity and the fit indexes are good. MANOVA analysis of variance revealed that the differences in mathematics teachers' PCK identified by students of different school types and grades were statistically significant. It is a validate measurement to evaluate the perceived mathematics teachers' PCK for middle school students.

• Journal of Korean Medicine Rehabilitation
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• v.31 no.3
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• pp.85-93
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• 2021

Objectives This study aims to compare the effect of an ultrasound on a guided group and an unguided group on Soyeom pharmacopuncture therapy on the facet joint in patients with acute low back pain caused by traffic accidents. Methods 21 patients with acute low back pain caused by traffic accidents from March 1, 2021 to May 31, 2021 were included in this study. The study was conducted as a retrospective study which analyzes the patient's medical records. 11 patients (Group A) received ultrasound guided Soyeom pharmacopuncture therapy and 10 patients (Group B) received unguided Soyeom pharmacopuncture therapy on the facet joint. Visual analogue scale (VAS) and Oswestry disability index (ODI) was used to evaluate improvements in functions and pain, and five point Likert scale to evaluate patient's satisfaction. Results Both groups showed a statistically significant decrease in the VAS and ODI on the 5th day of hospitalization. However, there was no statistically significant difference between the groups. Difference in the Likert scale between the groups was not statistically significant either. Conclusions We found that ultrasound guided Soyeom pharmacopuncture therapy on the facet joint showed similar efficacy compared with unguided Soyeom pharmacopuncture therapy at facet joint on acute low back pain patients caused by traffic accidents.

• The Korean Journal of Emergency Medical Services
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• v.26 no.3
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• pp.185-199
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• 2022

Purpose: Prompt arrival of emergency vehicles at the scene is important. Therefore, special cases for emergency vehicles are being applied. However, there remain obstacles that obstruct the prompt arrival during dispatch. Methods: First, a literature review revealed five categories of problems with the emergency vehicle priority signal system. Then, the first Delphi survey was conducted to confirm the validity of the five categories. Further, a second Delphi survey was conducted to identify additional problems, and we used a 5-point Likert scale for a third Delphi survey. Results: A total of 92 items were extracted from preceding studies. The validity of the five categories was confirmed in the first Delphi survey. Then, 123 additional items were derived from the second Delphi survey, and the final 50 items were selected from 93 items obtained from the third Delphi survey. Conclusion: This study revealed problems and improvement measures for improving the operation of the emergency vehicle priority signal system that were not proposed in previous studies.

• Journal of Korean Academy of Nursing
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• v.35 no.1
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• pp.95-103
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• 2005

Purpose: The purpose of this study was to develop an instrument of task performance evaluation for clinical nurses, thus testing the validity and the reliability of the scale. Method: Data was collected from 84 Head Nurses and 255 General Nurses. A conceptual framework, composed of 4 factors of meaning in task performance evaluation, was identified through review of the relevant literature. A total of 78 items were developed and were used on a five-point likert scale. Through factor analysis, items whose factor loading was below 0.50 were deleted, thus 35 items remained. To test the validity and reliability of the instrument, the SPSS 11.0 windows program was used. Result: The results of the factor analysis indicated that 4 factors were classified and the cumulative percent of variance was 67.54%. The results of the reliability test indicated that Cronbach's coefficient of the total 35 items was over 0.9176. The results of the factor analysis indicated that factor loadings of all items was over 0.50. Conclusively, the validity and the reliability of the scale were proven. Conclusion: This study was identified as a tool with a high degree of reliability and validity.

• Journal of the Korean Home Economics Association
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• v.33 no.1
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• pp.211-222
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• 1995

The purpose of this study was to investigate(1) the effects of clothing cues of 20s young man in business suits on the perception of occupational suitability in an office setting and (2) the effect of Perceiver's self-monitoring and sex on the perception of occupational suitability formed by the function of clothing cues. The experimental design of this study was between-subjects 23 factorial design. The experimental materials developed for the study were a set of stimuli and a response scale. The stimuli consisted of 8 color photographs of a young man wearing business suits which were manipulated at two levels for each of three clothing cues (suit color, suit style, necktie color). Each one of eight sub-samples included 14 subjects from 2 perceiver groups by sex. The questionaires used to measure perceivers' responses to the stimuli were constructed in 12 five-point likert scale representing occupational suitability and self-Monitoring was measured by the self-Monitoring Scale by Gangestad adn Snyder. The subjects consisted of 224 male and female college students in Seoul. The data was processed by ANOVA and MCA(Multiple Classification Analysis). The result were as follows: (1) The Clothing cues of young man in business suits(suit color, suit style) partially influenced the occupational suitability. (2) The perception of occupational suitability formed by the clothing cues of a young man in business suits was partially influenced by the perceiver's self-monitoring and sex. Female high self-monitoring group were more affected by the clothing cues than any other groups.

• Journal of Korean Academy of Nursing
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• v.37 no.3
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• pp.324-333
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• 2007

Purpose: The purpose of this study was to develop and evaluate a quality of life scale for Korean patients with cancer (C-QOL). Methods: The C-QOL was developed and validated as follows, item generation, pilot study, and psychometric tests. A total of 337 patients diagnosed with stomach, liver, lung, colon, breast, or cervix cancer were recruited. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, the SF-36, and the ECOG performance status. The obtained data was analyzed using descriptive statistics, factor analysis, multidimensional scaling (MDS), multitrait/multi-item matrix, ANOVA, t-test, and Cronbach's alpha. Results: Preliminarily twenty-six items were generated through content validity and a pilot study. Factor analysis and MDS extracted a total of 21 items with a 5-point Likert-type scale (C-QOL). The C-QOL included five subscales: physical status (6 items), emotional status (6 items), social function (3 items), concern status (2 items), and coping function (4 items). The C-QOL established content validity, construct validity, item convergent and discriminant validity, known-groups validity, reliability, and sensitivity. Conclusion: The Newly developed C-QOL is an easily applicable instrument which established psychometric properties and reflected Korean culture. It is recommended for further study to examine the responsiveness of the C-QOL using a longitudinal research design.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.2
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• pp.215-226
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• 2015

Purpose: This study aimed to develop a self-assessment tool to evaluate program outcomes of nursing students in Korean nursing undergraduate education. Methods: The instrument development process consisted of literature review, focus group interviews, and item validation. A total of 117 items were analyzed through content validity testing. Data was gathered from 302 nursing students in Korea and analyzed using SPSS 21.0. Results: To construct validity, principal component analysis and Varimax rotation were used, and 12 factors, with a cumulative explanatory variance of 69.16%, were determined from 79 items. For internal consistency and reliability, Cronbach's ${\alpha}$ was .91. The half-split reliability results were .84 and .85, and the ROC curve showed an optimal cutpoint at 227. A five-point Likert scale was used for scoring. Conclusion: This instrument was found to have fair validity and reliability as a self-assessment tool for nursing student learning outcomes. Therefore, it can be used to evaluate program outcomes indirectly in nursing schools.