• Title/Summary/Keyword: practice model

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The Study on the Experience of Clinical Nursing Practice among Nursing Students using Grounded Theory Approach. (근거이론적 접근방법을 적용한 간호학생들의 임상실습 경험)

  • Suh Moon-Sook;Kim Myoung-Hee;Chon Mi-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.1
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    • pp.128-140
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    • 1996
  • This study is to understand and to explain how nursing students experience in the clinical nursing practice using grounded theory approach. Ten nursing students were participated in the study. Seven of them were junior students at the junior college of nursing, and the rest were the senior students at the university. The data were collected by in-depth individual interviews by investigators during May and June in 1995. The results of the study were as follows ; Twenty-eight concepts and 9 categories were emerged by the constant comparative analysis. The 9 categories include 'the need of role model', 'non-educational practical setting', 'knowledge deficit', 'emotional changes', 'the attitudes of clinical practice', 'fatigue', 'skepticism', 'pride', and 'the product of clinical practice'. The core category which encompasses all 9 categories was emerged as 'the process of formulating the nursing view'. Five hypotheses were derived from the analysis. 1) The desirable role model would enhance to pride of nursing in students. 2) Non-educational practical setting would increase skepticism of nursing in students. 3) Knowledge deficit would negatively affect on experience of clinical practice. 4) The pride of clinical practice would formulate a positive nursing view. 5) The skepticism of clinical practice would formulate a negative nursing view. The results of this study are to use as basic data for students attending clinical experience.

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A Practice Model for Strengthening Resilience among Remarried Families (재혼가족의 레질리언스 강화를 위한 실천모형 기초연구)

  • Kim, Yoo-Jung
    • Journal of Families and Better Life
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    • v.30 no.4
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    • pp.147-161
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    • 2012
  • Remarriage has been prevalent in Korea since the mid-1990s. Remarried families have reported that they face many challenges and difficulties. Life for those who remarry can worsen when the children from a previous marriage live together with new family members. It is interesting that some remarried families adjust well while others do not. This study focuses on developing a practice model for strengthening the resilience of remarried families with children based on a literature review. To understand and support remarried families, the resilience perspective was chosen, focusing on a strengths perspective with developmental, ecological, and preventative perspectives. In terms of resilience, the proposed practice model was developed on the basis of three concepts: belief systems, organizational patterns, and communication. The model can be used to help remarried families accomplish adequate integration by growing as a new family and can prevent another divorce. Moreover, it can assist practitioners and policy-makers develop programs and policies with a strengths perspective rather than a deficit or problem-oriented perspective. Based on the model, various programs need to be developed to strengthen the resilience of remarried families. The development of supportive programs is suggested. These can include remarriage preparation programs, remarriage life education programs, interactive web-based programs, and family camps. For a long time, remarried families have been labeled as abnormal and atypical owing to the normal family myth. This negative perception of remarried families must be altered so that they are accepted with a positive outlook in a society. For further studies, the development of diverse supportive adaptation programs for various types of remarried families and active research on them are recommended. The practice model can assist with the adaptation and growth of remarried families by strengthening their resilience.

Survey on practice behavior and model acceptance of traditional Korean medicine(TKM) doctors in order to develop health insurance payment model related with TKM clinical practice guidelines(CPGs). (한의임상진료지침 연계 건강보험 지불모형 개발을 위한 한의사 진료행태 및 모형 수용도 조사)

  • Kim, Dongsu;Lim, Byungmook;Han, Dongwoon;Park, Ji-eun;Jung, Hyoung-Sun
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.3
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    • pp.1-10
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    • 2017
  • Objectives : The purpose of this study is to investigate the practice patterns of traditional Korean medicine (TKM) doctors and the acceptance of payment model in order to develop a new TKM health insurance payment model linked with TKM clinical practice guidelines (CPGs). Methods : Lumbar herniated intervertebral disc (HIVD) and idiopathic facial palsy (IFP) were selected as a test diseases to develop a new TKM payment model. The level of benefit coverage in the National Health Insurance (NHI) was designed. The survey asked 228 TKM doctors about their practice patterns in HIVD and IFP patients and acceptance of new payment model. Results : Mean of medical cost for treatment of HIVD was 441,000 KW, mean of treatment period ranged from 4.9 to 17.5 weeks, and mean of number of treatment ranged from 14.6 to 50.4 HIVD patients. In the case of IFP, mean of medical cost for treatment of IFP was 468,000 KW, mean of treatment period was at least 4.2 and up to 15.9 weeks and mean of number of treatment ranged from 14.2 to 52 IFP patients. Conclusions : Current study suggests that mixed payment model of per-visit and episode-based model seem to be proper. The model 1 bundles both items which were covered and not covered by NHI in a rational way. The model 2 is based on the development and application of critical pathway. Lastly, model 3 suggests bundling of items covered by current NHI. Acceptance of TKM doctors is expected to be highest in the model 3.

Applying ICF model into practice in PNF (ICF 모형의 고유수용성신경근촉진법 실기 적용)

  • Lee, Moon-kyu;Kim, Tae-yoon
    • PNF and Movement
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    • v.7 no.1
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    • pp.17-23
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    • 2009
  • Purpose : To provide a convenient framework for PNF practice, we reviewed the relationship between ICF framework and PNF framework. Methods : We reviewed literatures related with ICF and PNF. Results : ICF model is useful tool for physical therapist who is working in PNF to identify the interactions the components of individual's health, especially the relationship between functioning and disability. A framework for PNF is philosophy which included the concept, functional approach. It is essential to identify primary activity limitation and causal impairment in PNF field and evaluate the their relationship. The ICF model can be used to classify the examination information. Next step is to prioritize the activity limitation and then evaluate the interrelationships among each components of the ICF framework. Conclusions : ICF model guides physical therapist in PNF practice to identify patient problems and evaluate the interrelationship of components of their health. This model is logical framework to directs functional approach as PNF philosophy to be approached the goal.

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Structural Model of Evidence-Based Practice Implementation among Clinical Nurses (임상간호사의 근거기반실무 실행 구조모형)

  • Park, Hyunyoung;Jang, Keum Seong
    • Journal of Korean Academy of Nursing
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    • v.46 no.5
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    • pp.697-709
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    • 2016
  • Purpose: This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory. Methods: Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program. Results: The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses. Conclusion: The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.

Strategy Practice in the 21st Century Digital Organization: -An Analysis from the Ecological Perspective- (21세기 디지털 조직 전략실천에 대한 생태론적 고찰)

  • Juhn, Sung Hyun;Park, Dong Joon
    • Knowledge Management Research
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    • v.18 no.3
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    • pp.201-230
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    • 2017
  • It is argued that the strategy practice in the 21st digital organization is limited and constrained in that it is being laregy driven by a traditional positivistic strategic management thinking. This article, drawing upon the models and concepts developed in the field of general ecology, proposes a resilient ecological view of strategy, as an alternative strategy frame of reference for overcoming some of the pitfalls and shortcomings of the current digital strategy practice in the organization. The implications of this new ecological perspective on strategy practice are discussed in detail. The article concludes with discussions and directions for implanting the perspective in the organization.

Franchising Practices in Selected Markets around the World: A Review

  • ADEIZA, Adams
    • The Korean Journal of Franchise Management
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    • v.10 no.2
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    • pp.7-18
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    • 2019
  • Purpose - This paper attempts to provide an understanding of practice of franchising in eight countries - USA, UK, Australia, Brazil, China, Malaysia, South Africa and Nigeria. The bases of the review are: number of systems and outlets, employment generation, annual turnover, GDP contribution, legal and regulatory frameworks and country-specific franchise business practice nuances. Research design, data and methodology - the paper is descriptive, highlighting elements of the business practice that distinguish one country from another. Documentary data - mainly industry publications supplemented by empirical literature - was used for the review. Result - Although there are commonalities in the technical design and implementation of franchise business practice - especially the business model type - differences exist in terms of legal and regulatory frameworks guiding the industry across the eight countries studied. Conclusion - There are no two countries that have the same franchise practices. Franchise markets in the developed, and to some extent, the emerging economies have saturated. Franchise markets in African countries are at infant stage and thus, these countries are strategizing to attract foreign brands into their domains.

Development of a Family Pattern Appraisal to Guide a Rogerian Nursing Practice (Rogers 이론에 근거한 가족양상 사정지침개발)

  • 이광옥;한영란;김희정
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.751-773
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    • 1995
  • We, clinical nurse specialists practising and guiding student practice in a Community health nursing clinic, wanted to develop a family pattern appraisal consistent with Rogers' conceptual system, the nursing model guiding our practice. We use Rogers' model because it is harmonious with the traditional Korean view of the one human, natural and cosmic world. The purpose of our research was to contribute to science - based nursing practice, not only, one helpful model, but also a model of how to use, in guiding practice, a conceptual system which reflects nurse practitioners' philosophy of nursing, is intellectually satisfying, and enriches meaning in daily nursing life. The research objectives were to review the literature on Rogers' model and analyse it according to Kim's five - level analytical framework, to explore Rogers' definition of family, to review appraisals based on Rogers' model, and to develop a family appraisal which is culturally appropriate for use in our community. This work including the use of the appraisal and its refinement with families in our practice which was done during 1994 and 1995, in Seoul, in the Capital of the Republic of Korea. At the highest level of analysis, Rogers conceptual system emphasizes acausality and multidimentional meaning ; the world view is characterized by process, movement and wholeness. The epistemology Is one of holism and the knowledge base includes all forms of experience, from sensory to mystical, objective, and subjective. At the metaparadigm level, nursing focuses on the unitary human being and the environment. At the level of nursing philosophy, the model identifies human being, nursing, nurse, and illness and health. At the paradigm level the model assumes the irriducibility of the human to parts, noncausality and continual change. Rogers' practice methodology consists of pattern manifestation appraisal and deliberative mutual patterning. Under-standing patterns and patterning of people is the key to helping them achieve their potential. At the theory level, the basic assumptions, key concepts, and homeodynamic principles were identified. Rogers states the family energy field is an undividable, four-dimensional negentropic energy field which is in a larger envircinmental field show-ing such characteristics as cannot be predicted by knowledge of individual family members. Based on the word of Rogers scholars, we chose Rogers' correlates of patterning to understand the family unit as a whole-frequency, rhythms, motion, time perception, sleeping-waking beyond waking, pragmatic -imaginative-visionary to develop the appraisal. We, also used some of Barrel's (1988) criteria including interpersonal network and professional health care access and use, and Cordon's (1982) criteria including self perception - self concept modified to fit the family. Our family Pattern appraisal included 1. Influencirg data, 2. Professional health care access and use, 3. Family self perception-self concept, 4. Family interpersonal network, 5. Sleep-wake-be-yond waking, 6. Pragmatic-imaginary-visionary, 7. Family frequency and rhythm, 8. Family motion, 9. Family time perception. The appraisal was used with four families and modified to eliminate overlap and to make it possible for the family member to express themselves more easily. We plan to gain more experience with the appraisal toward further development of the tool.

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A Study on the Analysis of Variables Affecting Teacher Librarians' Practice Teaching in Korea (사서교사 교유실습의 영향요인에 관한 연구)

  • Kim, Sung-Jun
    • Journal of Korean Library and Information Science Society
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    • v.42 no.1
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    • pp.183-203
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    • 2011
  • The purpose of this study is to propose an effective development of teacher librarians' practice teaching and to identify how much teacher librarians' practice teaching affects their expertise in Korea. For this, two research models are constructed. The first model is to analyze the relationship of variables between the effect of practice teaching and the following variables: pretraining, practice program, advisory teacher, training condition and organizational atmosphere. The second model is to analyze how much the practice teaching affects their role perception and expertise compared with training courses and field experiences. The result is as follow: It is the training program that greatly affects teacher librarians' practice teaching among those variables. And the practice teaching has a positive effect on the ability of role performance. According to the above result, the practice teaching is effective in developing teacher librarians' expertise. And more systematic practice teaching program, enough pretraining and the efforts of advisory teacher are necessary to enhance the effect of teacher librarians' practice teaching.

The Perceived Causal Structure Model on Stress Experienced by Nursing Students during Clinical Practice (간호학생의 임상실습스트레스에 관한 인지적 인과구조모형)

  • Park, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.54-63
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    • 2004
  • The purpose of this study is to identify the factors that influence stress experienced by nursing students and to provide a perceived causal structure model among these variables. The ultimate goal of this study is to develop efficient guidance to clinical nursing education in this population. This study intends to apply perceived causal structure: network analysis method which was developed by Kelly(1983), and has been applied in nursing research. This method is selected to show dynamic relationship of stressor using network method. Data was collected from convenient sample of 186 junior college nursing students who had the clinical practice experience during 10 weeks. Data collection and analysis was conducted in 2 steps from December, 9, 2002 to February, 8, 2003. Step 1.: Data was collected using literature review(10 articles) to identify the causes of stress. Nine causes of stress were extracted. Step 2.: As perceived casual structure network study, data was collected using questionnaires which included 9 extracted cause and stress. The questionnaire contained a 10 X 10 grid table with 10 causes and effects printed. In network analysis, 'Yes' was scored as 1, 'No' was scored as 0, and the mean(maximum 1, minimum 0) was calculated. Construction of the network under inductive eliminative analysis which stopped the construction of the network when the consensual agreement level dropped near 50% was proceeded by adding causes in order of the mean rating level. In this study, construction of the final network was stopped by consensual agreement level of 52% of the total subjects. The results are summarized as follows : Step 1: Investigation of the causes of stress ; The extracted causes of stress from quality data was identified 9 categories ; negative nurse, lack of clinical practice opportunity, ambiguous role, negative patient, lack of nursing knowledge and skill, difficult of personal relations, inefficient clinical practice guidance, gap of theory and practice, lack of support. Step 2 : Construction of the perceived causal structure model ; 1) The most central cause of stress is ambiguous role in the systems of causation. 2) The distal cause of stress is inefficient clinical practice guidance 3) The causes that have a number of outgoing link are negative nurse, ambiguous role. 4) The causes that have a number of incoming link are ambiguous role, gap of theory- practice, lack of clinical practice opportunity, lack of nursing knowledge- skill. 5) There is a mutual relationship between stress and difficult of personal relations, stress and ambiguous role, ambiguous role and negative nurse, ambiguous role and lack of clinical practice opportunity, ambiguous role and lack of nursing knowledge-skill, lack of nursing knowledge-skill and gap of theory- practice. In conclusion, the network suggests that the first centre cause is related on ambiguous role and the second on negative nurse, inefficient clinical practice guidance in the systems of causation

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