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Nursing Students' Awareness of Biomedical Ethics and Attitudes toward Death of Terminal Patients (간호대학생의 말기환자에 대한 생명의료윤리 인식과 죽음에 대한 태도)

  • Kim, Young-Hee;Yoo, Yang-Sook;Cho, Ok-Hee
    • Journal of Hospice and Palliative Care
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    • v.16 no.1
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    • pp.1-9
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    • 2013
  • Purpose: The aim of this study was to investigate nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. Methods: A structured questionnaire was developed to examine nursing students' biomedical ethics. Their attitudes toward terminal patients' death were measured by using the Collett-Lester Fear of Death Scale. Surveys were conducted with 660 nursing students enrolled at a three-year college located in Daejeon, Korea. Data were analyzed using descriptive statistics, Wilcoxon rank sum test and Kruskall Waills test. Results: Students who have experienced biomedical ethics conflicts, agreed to prohibition of cardiopulmonary resuscitation (CPR) and have no religion exhibited more negative attitudes toward death compared to students without the above characteristics. Of the participants, 81.2% answered that life sustaining treatment for terminal patients should be discontinued and 76.4% replied that CPR on terminal patients should be prohibited. The majority of the correspondents stated that the two measures above are necessary "for patients' peaceful and dignified death". Conclusion: Study results indicate the need to establish a firm biomedical ethics value to help nursing students form a positive attitude toward death. It also seems necessary to offer students related training before going into clinical practice, if possible. The training program should be developed by considering students' religion, school year, experience with biomedical ethics conflicts and opinion about CPR on terminal patients. The program should also include an opportunity for students to experience terminal patient care in advance via simulation practice on standardized patients.

Hospice-Palliative Care Nurses' Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium (호스피스완화 간호사의 섬망 관련 지식, 자기효능감 및 간호수행도의 관계)

  • Jang, Bo-Jung;Yeom, Hye-Ah
    • Journal of Hospice and Palliative Care
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    • v.21 no.2
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    • pp.65-74
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    • 2018
  • Purpose: The aim of this study is to examine the relationships among hospice-palliative care (HPC) nurses' knowledge of delirium, self-efficacy and nursing performance. Methods: This study was participated by 174 nurses working in the HPC unit. The nurses were asked to fill out a questionnaire that was structured to measure their knowledge of delirium, a self-efficacy in clinical performance scale (SECPS) and nursing performance. Results: The mean score for knowledge was 32.83 out of 45, with correction rate of 73%. The mean score for self-efficacy was 7.08 out of 10. The mean score of nursing performance was 2.95 out of 4. Significant correlation was observed among the variables of knowledge (r=0.28, P<0.001), self-efficacy (r=0.51, P<0.001) and nursing performance. Conclusion: Nurses with high level of knowledge of delirium showed high level of self-efficacy, and consequently better HPC nursing performance. It is necessary to develop a training program on delirium considering nurses' needs of knowledge of the condition. The effectiveness of the training program should be also examined in future.

A Scenario-based Goal-oriented Approach for Use Case Modeling (유즈케이스 모델링을 위한 시나리오 근간의 목표(Goal)지향 분석 방안)

  • Lee, Jae-Ho;Kim, Jae-Seon;Park, Soo-Yong
    • Journal of KIISE:Software and Applications
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    • v.29 no.4
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    • pp.211-224
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    • 2002
  • As system become larger and more complex, it is important to correctly analyze and specify user's requirements. Use case modeling is widely used in Object-Oriented Analysis and Design(OOAD) and Component-Based Development(CBD). It is useful to mitigate the complexity of the requirements analysis. However, use cases are difficult to be structured, to explicitly represent non-functional requirements, and to analyze what is affected by changes of use cases. To alleviate these problems, we propose scenario-based goal-oriented approach for use case modeling. The approach is to apply goal-oriented analysis method to use case model. Since goal-oriented analysis method is not systematic and heuristics is considerably involved, we adopted scenarios as the basis for the goal extraction. The proposed method is applied to City Bus Information Subsystem(CBIS) in Intelligent Transport Systems(ITS) domain. The proposed approach helps software engineer to analyze what is affected by use case's changes and represent non-functional requirements.

Measurement of Classes Complexity in the Object-Oriented Analysis Phase (객체지향 분석 단계에서의 클래스 복잡도 측정)

  • Kim, Yu-Kyung;Park, Jai-Nyun
    • Journal of KIISE:Software and Applications
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    • v.28 no.10
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    • pp.720-731
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    • 2001
  • Complexity metrics have been developed for the structured paradigm of software development are not suitable for use with the object-oriented(OO) paradigm, because they do not support key object-oriented concepts such as inheritance, polymorphism. message passing and encapsulation. There are many researches on OO software metrics such as program complexity or design metrics. But metrics measuring the complexity of classes at the OO analysis phase are needed because they provide earlier feedback to the development project. and earlier feedback means more effective developing and less costly maintenance. In this paper, we propose the new metrics to measure the complexity of analysis classes which draw out in the analysis based on RUP(Rational Unified Process). By the collaboration complexity, is denoted by CC, we mean the maximum number of the collaborations can be achieved with each of the collaborator and determine the potential complexity. And the interface complexity, is denoted by IC, shows the difficulty related to understand the interface of collaborators each other. We verify theoretically the suggested metrics for Weyuker's nine properties. Moreover, we show the computation results for analysis classes of the system which automatically respond to questions of the user using the text mining technique. As a result of the comparison of CC and CBO and WMC suggested by Chidamber and Kemerer, the class that have highly the proposed metric value maintain the high complexity at the design phase too. And the complexity can be represented by CC and IC more than CBO and WMC. We can expect that our metrics may provide us the earlier feedback and hence possible to predict the efforts, costs and time required to remainder processes. As a result, we expect to develop the cost-effective OO software by reviewing the complexity of analysis classes in the first stage of SDLC(Software Development Life Cycle).

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The Attitude of Patient Safety and Patient Safety Management Activity in Nursing Students (간호대학생의 환자안전에 대한 태도와 환자안전관리활동)

  • Huh, Seong-Soo;Kang, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5458-5467
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    • 2015
  • This study is descriptive research to investigate level of the attitude of patient safety and patient safety management activity(PSMA) and identify influencing factors of PSMA in nursing students. The participants were 241 4th grade nursing students who had clinical practice over a year from 3 nursing colleges in G city and J province. Data were collected with structured questionnaires from March 27th to April 17th, 2015 and analyzed using descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 program. As a result, the level of attitude of patient safety was 3.68 score and PSMA was 4.03 score. In PSMA, there were significant differences in practice period(p=.020) and practice satisfaction(p=.026). There was a positive correlation(p<.001) among attitude of patient safety and PSMA. The most effective factor on PSMA was practice satisfaction, followed by attitude of patient safety. Based on the findings of this study, suggest that to develop the systematic education program considering effective factors of PSMA for nursing students.

A Study on Wound Care Knowledge and Concerns of Patients at Discharge (퇴원하는 환자의 상처관리에 대한 지식과 염려에 관한 연구)

  • Han, Il-Kyoung;Lee, Myung-Seon;Kim, Jung-A;Ha, Won-Choon;Kim, Myung-Hee;Hwang, Sun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3434-3443
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    • 2009
  • This study was done to examine patients' wound care knowledge and concerns prior to discharge from a tertiary hospital. The participants in this descriptive survey were 112 patients having wounds. During interview, a structured self-administered questionnaire was filled out. The participants were 71 males and 41 females. Wound types were surgical incision (52.7%), percutaneous wound (26.8%), pressure ulcer (9.8%) and diabetic foot and arterial ulcers (5.4%). Their wound care knowledge was 52.0% of correct answer and the mean of concerns (range 1-7) was 2.79. There was no significant correlation between their knowledge and concerns of wound care. The factors influence on wound care concerns were fear of wound care, wound pain, length of hospital stays, and perceived health condition. This findings showed that discharge patients with a wound had some incorrect knowledge and various concerns about wound care. They may help to direct patient teaching in discharge plan.

Related factors of the Use Rate of Safe-Carseat among 5~6 years old Children's in a City (일개 시 5~6세 아동의 카시트 장착율 및 관련요인)

  • Jeong, Gi-Ok;Na, Bak-Ju;Lee, Moo-Sik;Lim, Jong-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.5
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    • pp.1891-1896
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    • 2010
  • This study aims at illuminating the state of car seat use and relevant factors and providing basic data to enhance the consciousness of children's safety with the target group of parents who have 5~6 year old kindergarten pupils in a specific city. The target group to study is 189 fathers and mothers who have 5~6 year old kindergarten pupils in five different kindergartens in a city. Structured questionnaires are used and the major research results are the followings: The use rate of children's car seat is the higher in the lower age (p=0.128), boys (p=0.474), mothers below the age of 30s(p=0.294). The use of children's car seat is significant in the mothers who graduated high school or lower (p=0.009), and fathers(p=0.010) who are working in offices or service occupations. The study on the recognition rate of the free lease of children's car seat conducted by Korea Children Safety Foundation shows parents who earned 3 million won or lower per month(p=0.009) significantly, and the major significant factors affecting the use of children's car seat are existence or nonexistence of car seat education and kinds of parent's occupation.

Cognition of dental caries prevention by the level of the social economic status in Korea: Based on Gallup survey (사회경제적 수준에 따른 치아우식증 예방과 관련 인식조사: 한국갤럽자료를 활용하여)

  • Jin, Hye-Jung;Jung, Eun-Kyung;Lee, Young-Eun;Song, Keun-Bae
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.39-46
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    • 2015
  • Objectives: The purpose of the study is to investigate the cognition of dental caries prevention by the level of socioeconomic status based on Gallup survey in Korea. Methods: This study was done by Korean Gallup survey in October, 2010. A trained researcher carried out the computer aided telephone interview(CATI) using a structured questionnaire. This study was based on the latest population statistics of resident registration and whole country's phone data base. This survey included 869 selected Korean adults over 19 years old, and they were asked to answer a CATI. The questionnaire consisted of general characteristics of the subjects and socioeconomic factors including age, gender, education level, monthly income, and residential area. Cognition of dental caries prevention was measured by Likert 4 scale including 'much', 'a little', 'rarely', and 'never'. The attitude toward dental caries prevention consisted of daily tooth brushing frequency, experience of oral health education, regular dental checkup, chewing gums(xylitol), regular scaling, and use of oral care devices. Data were analyzed using SPSS 20.0 for frequency analysis, t-test, chi-square test, and one way ANOVA. Cronbach's alpha was 0.462 in oral health concern and attitude. Results: Mean of the frequencies of daily tooth brushing in men was 2.54 times and 2.78 in women. By the comparison to age group, 35-44 years old group had 2.82 times, 19-37 years old group had 2.72 times, and 45-64 years old group had 2.51 times. The level of education and monthly income was proportional to the tooth brushing frequency. Highly educated and higher monthly income group received regular dental checkup within a year and used the auxiliary oral health care devices. Conclusions: This study suggested the relationship between dental caries prevention and socioeconomic status. It is important to provide the low socioeconomic group with the better oral health promotion services in the future.

Elementary school teachers' beliefs about science teaching, science learning and the nature of science (초등 교사의 과학 교수, 과학 학습, 과학의 본성에 대한 신념)

  • Kim, Jeong-In;Yoon, Hye-Gyoung
    • Journal of Science Education
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    • v.37 no.2
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    • pp.389-404
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    • 2013
  • This study aimed to explore elementary teachers' beliefs about science teaching, science learning and the nature of science and consistency among these beliefs. Data was collected by using an open questionnaire and semi-structured individual interview. Teachers' beliefs were classified as traditional beliefs and constructivist beliefs. Traditional beliefs were further divided into content knowledge-centered beliefs and procedural knowledge-centered beliefs. The result showed that a relatively large number of teachers among the total 30 teachers had traditional beliefs about science teaching, science learning, and the nature of science(respectively 60.0%, 66.7%, 83.3%). Most of traditional beliefs were identified as content knowledge-centered beliefs. The proportion of teachers with consistent beliefs for all three aspects was 40.0%, the proportion of those with consistent beliefs for two of them (those with related beliefs) was 53.3%, the proportion of those with different beliefs for them (those with divergent belief) was 6.7%. Most of the teachers with the consistent beliefs had the content knowledge-centered beliefs of traditional beliefs. Although constructivism has been widely emphasized in science education from the 1980's, the rate of the teachers with the consistent beliefs in constructivism was as low as 6.7%.

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Persuasion Effects of Imagery Information Processing caused by Brand in Advertisement Design (광고디자인에 있어서 브랜드명에 의해 유발된 심상정보처리의 설득효과에 관한 연구)

  • Lee Jin-Ryeol;You Si-Cheon
    • Science of Emotion and Sensibility
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    • v.8 no.3
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    • pp.177-187
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    • 2005
  • This article examined how the amount of information presented in ad design affect consumer's evaluation on the ad Existing researches have mainly considered external information presented in the ad from the resource principle perspective. This study investigated how internal information processing such as imagery information processing caused by brand names moderates persuasion effects according to the amount of external information through two experiments. The experiments leave us the conclusion that brand names presented in the ads stimulate imagery information processing when surplus cognitive resources do exist and they lead ad recipients' evaluation to positive direction in prestige brand condition and to the contrary to negative direction in non-prestige brand condition. The results contribute to the direction of ad design in that ad needs not contain as muck product-related information as needed in order to increase persuasion effects in prestige brand condition. Rather, it's necessary to leave the room for internal information processing such as imagery information processing by well structured brand equity. On the contrary, non-prestige brand needs to contain explicit product-relevant information to exert a potent influence on a4 persuasion. We hope this study result is helpful for design direction of advertisement in order to heighten persuasion effects toward ad recipients.

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