• Title/Summary/Keyword: plans

Search Result 8,110, Processing Time 0.029 seconds

A Study on the Development of Standardized Nursing Care Plans for Computerized Nursing Service (간호업무 전산화를 위한 표준화된 간호계획의 개발에 관한 연구)

  • 김조자;전춘영;임영신;박지원
    • Journal of Korean Academy of Nursing
    • /
    • v.20 no.3
    • /
    • pp.368-380
    • /
    • 1990
  • A central issue in the development of nursing practice is to describe the phenomenon with which nursing is concerned. To identify the health problems which can be diagnosed and managed by the nurse is the first step to organize and ensure the development of nursing science. Therefore the academic world has been discussing the application of the nursing diagnosis in nursing practice as a means of improving quality of care. The objectives of this study were to develop a standardized nursing care plan for ten selected nursing diagnoses to form a database for computerized nursing service. The research approach used in the study was (1) the selection of the ten nursing diagnoses which occur most frequently on medical-surgical wards, (2) the development of a standardized nursing care plan for the ten selected nursing diagnoses, (3) application of the plan to hospitalize patients and evaluation of the content validity by the nurses, and (4) evaluation of the clinical effects after the use of the standardized nursing care plans. The subjects were 56 nurses and 395 hospitalized patients on two medical and two surgical unit. The results of this study were as follows ; 1) The ten selected nursing diagnoses for the development of the standardized nursing care plans were “PAIN, SLEEP DISTURBANCE, ALTERED HEALTH MAINTENANCE, ALTERATION IN NUTRITION, ANXIETY, CONSTIPATION, ALTERED PATTERNS OF URINARY ELIMINATION, DISTURBANCE IN BODY IMAGE, POTENTIAL FOR ACTIVITY INTOLERANCE AND ACTIVITY INTOLERANCE”. 2. The developed standardized nursing care plans included the nursing diagnosis, definition, defining characteristics, etiologic or related factors that contribute to the condition, recording pattern, desired outcomes and nursing orders (nursing interventions). 3. The plan was used with hospitalized patients on medical - surgical wards to test for content validity. The patient's satisfaction with the nursing care and nurses' job satisfaction were investigated to evaluate the clinical effects after the use of the standardized nursing care plans. A comparison of patient satisfaction with nursing care before and after the introduction of the standardized nursing care plans showed a statistically significant higher level of satisfaction with the standardized care plans. There was no difference in the level of job satisfaction expressed by the nursing staff before and after the standardized nursing care plans were introduced. However, when opinions about the use of the standardized nursing care plans were examined it was found that there was a positive effect on clarity in defining the nursing problems, determining nursing cost, more feasible goal setting, effective and systematic nursing records and indications for nursing research. The results of this study suggest that in order to increase the use of nursing diagnoses in the clinical area, it would be effective to select some wards as a pilot project, give the nurses training in the use of nursing diagnosis and develop and use the standardized nursing care plans. In addition to the ten diagnosis used in this study it is recommended that continual development of nursing diagnoses be done using diagnoses that are appropriate to Korea and testing them for validity through standardized care plans.

  • PDF

Planning Aspects of Volumetric Modulated Arc Therapy and Intensity Modulated Radio therapy in Carcinoma Left Breast - A Comparative Study

  • Ekambaram, Varadharajan;Velayudham, Ramasubramanian;Swaminathan, Shiyama;Loganathan, Padmanabhan;Swaminathan, Vijaya
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.4
    • /
    • pp.1633-1636
    • /
    • 2015
  • Background: The advantages of Rapid Arc plans versus Intensity modulated radiotherapy plans for Carcinoma left breast were analyzed. Materials and Methods: In this study 20 Post mastectomy carcinoma left breast patients were analyzed. Both Intensity modulated Radiotherapy and Rapid Arc plans were generated for these patients. IMRT plans with 7 beams in an arc fashion and VMAT plans with two semi arcs were made to achieve 95% dose coverage to 100% volume. The plans were evaluated using Dose volume Histograms. Results: The mean Conformity and Homogeneity index in VMAT is found to be 1.05 and 0.065 respectively whereas in IMRT it was 1.07 and 0.069. The 20% volume of Heart received a mean dose of 960cGy in VMAT and 1300cGy in IMRT. The mean dose was 1236cGy in VMAT and 1870cGy in IMRT. The ipsilateral Lung received 3395cGy to 5% volume and 1840cGy to 20% volume on an average and the mean dose was 1205cGy in VMAT, while the same were found to be 3525cGy, 2012cGy and 1435cGy respectively in IMRT. The Contralateral Lung received a mean dose of 505cGy in VMAT and 553cGy in IMRT. The mean Monitor units in VMAT were 512MU and 1170MU in IMRT. The NTID in VMAT is $108.8{\times}10^5Gycm^3$ and $110.1{\times}10^5Gycm^3$ in IMRT. Conclusions: The target coverage, homogeneity and Conformity index were better in VMAT plans. The Ipsilateral Lung and heart dose were very less in VMAT plans. The Contralateral Lung dose and the Normal Tissue Integral Dose were also lesser in VMAT plans however the difference is not very appreciable. The MU in VMAT plans is almost 50% that of the IMRT plans which results in the reduction of treatment time. On the whole VMAT proves to be a better modality for treating Ca. Left Breast Patients.

An Analysis on Rural Housing Standard Plans for the Elderly based on Case Studies of Elderly Housing in Rural Area (농촌 고령자주택 사례조사에 근거한 농어촌주택 표준설계도 분석)

  • Lee, Youn-Jae
    • Korean Institute of Interior Design Journal
    • /
    • v.23 no.5
    • /
    • pp.122-130
    • /
    • 2014
  • The objective of this paper is to investigate problems associated with Rural Housing Standard Plans for the Elderly based on the current status of 12 houses belonging to elderly people (60's and over) living in rural areas and engaged in farming activities, and to suggest improvements. The methods employed were a field survey with interviews and literature review. The results are as follows. First, the Plans were deemed inappropriate to prevent the possible accidents in entrance area such as slippiness and falls because the eaves are not long enough. Second, the area of foyer and the volume of foyer storage in the Plans are not enough to accommodate the subject's behaviors and their rural life. Third, rather than using the sink, many subjects preferred to wash simply in the shower while sitting, so the planning of a bathroom can't meet the subject's needs and behaviors. Fourth, the subjects prefer L + DK to LDK but the Plans were designed in the manner of LDK only. Fifth, the subjects have needs for bathrooms belong to the master bedrooms, but only one case of Plans satisfied their needs. Six, bedrooms with the exception of the master bedroom are used as storage in order to make up for a lack of storage space, but many storage space such as dressing rooms and pantries was not taken into consideration in the Plans. Lastly, the planning of storehouses does not meet the subjects' using behaviors for storehouses and the level of desirable capacity of goods.

Non-coplanar whole brain radiotherapy is an effective modality for parotid sparing

  • Park, Jaehyeon;Park, Jae Won;Yea, Ji Woon
    • Journal of Yeungnam Medical Science
    • /
    • v.36 no.1
    • /
    • pp.36-42
    • /
    • 2019
  • Background: The purpose of this study was to evaluate the efficacy and feasibility of non- coplanar whole brain radiotherapy (NC-WBRT) for parotid sparing. Methods: Fifteen cases, previously treated with WBRT were selected. NC-WBRT plans were generated. The beam arrangement for the non-coplanar plans consisted of superior anterior, right, and left beams. After generation of the non-coplanar plans a field-in-field technique was applied to the bilateral parallel opposed beams in order to reduce maximum dose and increase dose homogeneity. The NC-WBRT plans were subsequently compared with the previously generated bilateral WBRT (B-WBRT) plans. A field-in-field technique was also used with the B-WBRT plans according to our departmental protocol. As per our institutional practice a total dose of 30 Gy in 10 fractions of WBRT was administered 5 days a week. Results: The mean dose to the parotid gland for the two different plans were 16.2 Gy with B-WBRT and 13.7 Gy with NC-WBRT (p<0.05). In the NC-WBRT plan, the V5Gy, V10Gy, V15Gy, V20Gy, and V25Gy of the parotid were significantly lower (p<0.05) than those of the B-WBRT plan. The $D_{max}$ of the lens was also lower by 10% with NC-WBRT. Conclusion: The use of NC-WBRT plans could be a simple and effective method to reduce irradiated volumes and improve the dose-volume parameters of the parotid gland.

Bayesian Multiattribute Acceptance Sampling Plans under Curtailed Inspection (베이지안 다특성(多特性) 단축(短縮) 샘플링 검사 방식의 설계)

  • Lee, Jong Seong
    • Journal of Industrial Technology
    • /
    • v.9
    • /
    • pp.51-56
    • /
    • 1989
  • A methodology for determining optimal sampling plans for Bayesian multiattribute curtailed inspection models is proposed, whereby sampling inspection is terminated as soon as the disposition of the inspection lot is determined. An iterative solution procedure is developed for obtaining optimal multiattribute acceptance sampling plans under cuntailed sampling inspection.

  • PDF

Stochastically Dependent Sequential Acceptance Sampling Plans

  • Kim, Won-Kyung
    • Journal of Korean Society for Quality Management
    • /
    • v.25 no.3
    • /
    • pp.22-38
    • /
    • 1997
  • In a traditional sequential acceptance sampling plan, it is assumed that the sampled items are independent each other. In this paper, stochastically dependent sequential acceptance sampling plans are dealt when there exists dependency between sampled items. Monte-Calro algorithm is used to find the acceptance and rejection probabilities of a lot. The number of defectives for the test to be accepted and rejected in probability ratio sequential test can be found by using these probabilities. The formula for measures of performance of these sampling plans is developed. Type I and II error probabilities are estimated by simulation. This research can be a, pp.ied to sequential sampling procedures in place of control charts where there is a recognized and necessary dependency during the production processes. Also, dependent multiple acceptance sampling plans can be derived by extending this sequential sampling procedure. As a numerical example, a Markov dependent process model is given, and the characteristics of the sampling plans are examined according to the change of the dependency factor.

  • PDF

A Comparative Analysis on the Current Housing Unit Plans of Korea and China (${\cdot}$중 현대 집합주거 단위평면 비교연구)

  • Jung Byung-Moon;Kim Hyeon-Ji;Lee Sang-Hong
    • Journal of the Korean housing association
    • /
    • v.16 no.6
    • /
    • pp.65-72
    • /
    • 2005
  • The purpose of this study is to get preeminent data from comparative analysis of multi-family housing unit plans between Korea and China nowadays. Even though Korea and China belong to common cultured band in Asia, there are many different Housing aspects and unit plans. Through this study we want to grasp the characteristics of both nation's apartment unit plans and to contribute for advance into the China apartment market. Analysis target is constructing and lotting out apartment at South Korea and China in 2004, and the space syntax model is used as an analysis tool. First, analyze kind, number and special quality of each room by use area, and second, analyze area and scale of the rooms. Through the integration analysis we know the grade of rank and centrality of each rooms, and search difference of South Korean and Chinese apartment.

Optimal Design of Accelerated Life Tests with Different Censoring Times

  • Seo, Sun-Keun;Kim, Kab-Seok
    • Journal of Korean Society for Quality Management
    • /
    • v.24 no.4
    • /
    • pp.44-58
    • /
    • 1996
  • This paper presents optimal accelerated life test plans with different censoring times for exponential, Weibull, and lognormal lifetime distributions, respectively. For an optimal plan, low stress level, proportion of test units allocated and censoring time at each stress are determined such that the asymptotic variance of the maximum likelihood estimator of a certain quantile at use condition is minimized. The proposed plans are compared with the corresponding optimal plans with a common censoring time over range of parameter values. Computational results indicate that those plans are statistically optimal ones in terms of accuracy of estimator when total censoring times of two plans are equal.

  • PDF

A study on the simulator development for fire evacuation of office buildings (사무용 건물의 화재 대피 시뮬레이터 개발에 관한 연구)

  • Park, Yang-Soo;Lim, Dong-Jin
    • Proceedings of the KIEE Conference
    • /
    • 1999.11c
    • /
    • pp.543-545
    • /
    • 1999
  • In case of fire in the high-rise buildings, the appropriate and safe evacuation plans for the building residents are very important to minimize the number of casualties. Since the evacuation time usually depends on the floor plans of the buildings, the evacuation plans should be considered while the architectural design is done. Conventionally, the calculation of the evacuation time in the case of fire breakout is based on the approximate mathematical equations which are prone to error. In this study, the simulator model is developed to help the architectural designers to access the more accurate evacuation time and find out the floor plans which offers the most safe evacuation plans for the residents in case of fire.

  • PDF

A study on the planning for fire evacuation of the high-rise buildings using the fire evacuation simulator (화재 대피 시뮬레이터를 이용한 초대형 고층 건물의 화재 대피 계획에 관한 연구)

  • Park, Yang-Soo;Lim, Dong-Jin
    • Proceedings of the KIEE Conference
    • /
    • 2000.11d
    • /
    • pp.618-620
    • /
    • 2000
  • In case of fire in the high-rise buildings, the appropriate and safe evacuation plans for the building residents are very important to minimize the number of casualties. Since the evacuation time usually depends on the floor plans of the buildings, the evacuation plans should be considered while the architectural design is done. Conventionally, the calculation of the evacuation time in the case of fire breakout is based on the approximate mathematical equations which are prone to error. In this study, the simulator model is developed to help the architectural designers to access the more accurate evacuation time and find out the floor plans which offers the most safe evacuation plans for the residents in case of fire.

  • PDF