배경/목적: 한국의 내시경적 역행성 담췌관 조영술(ERCP)의 질을 평가한 전국적인 실태 조사 결과를 표준 질지표와 비교하여 기술하고자 한다.
방법: 건강보험심사평가원의 자료를 분석하였고, 이후에 무기명으로 전국적인 설문 조사를 시행하였다.
결과: ERCP 의사 157명 중에서 129명이 설문에 응답하여 82.2%의 회수율을 보였다. 한국에서 ERCP 시행률은 지속적으로 증가하였다. 약 반수의 의사는 1인당 ERCP 양이 연간 200예 이상으로 시술량이 많은 ERCP 의사에 속하였다. 대부분의 ERCP 의사들은 1단계의 ERCP 시술을 시행하였으나 담췌관 내압 측정, 담관-췌관경 및 췌장 시술은 많은 양의 시술을 하는 병원에서만 시행하였다. 대부분의 ERCP 의사들은 90% 이상의 성공률을 보였으나, 예비 괄약근 절개율이 약 25%로 표준 질지표보다 높았다. 12명의 ERCP 의사들이 최근 1년간 ERCP 후 환자가 사망하는 합병증을 경험하였다. 또한 ERCP 수련과 시술량이 낮거나 중등도인 병원의 방사선 차폐는 표준 질지표에 도달하지 못하였다.
결론: 한국의 ERCP 술기는 표준적인 질지표를 충족하였으나, ERCP 수련과 방사선 차폐 문제는 향후 개선이 필요하다.
This study focuses on the understanding of social workers’ needs for cultural competence and understanding its meaning. And furthermore, this study describes Korean cultural competence and how it is viewed in Korean reality where social workers are. Therefore, this study suggests this research idea based on previous researches data and discussed issues. Particularly considering the unique nature of Korean social welfare site involving multicultural, the role of advocacy is considered essential to Korea. Also, it is necessary and unavoidable part of the perspective of a social justice. Currently, with increasing international marriage, Korean society is rapidly moving toward a multicultural society. This means that we need to promote the ongoing multicultural understanding education to improve and enhance multicultural education system. But, the real effect of the multicultural understanding education in reality of the situation represent just other culture introduction, thus, most of the ongoing multicultural understanding education systems are insufficient to improve the multicultural competence. Korea still has a long way to go before becoming a full-fledged multicultural society. A multicultural society can bring diversity and rich life. Therefore, social workers with deep Korean multicultural competence should be increased in Korean changing multicultural society.
Purpose: The purpose of this research was to explore same-age-tutoring experiences for fundamental nursing practice in peer learners. Method: Content analysis was performed on the collected data. Participants were 14 nursing students. Data were collected from September 19, 2018 to November 2, 2018. Results: Three theme clusters were extracted as follows: 1) autonomous learning environment 2) meeting learning needs 3) motivation to learn. Conclusion: The results can contribute to understanding peer learners’ same-age-tutoring education experiences. Further, they can provide foundational data for establishing same-age tutoring education strategies to improve nursing skills and knowledge, helping nursing students adapt to clinical practice.
목적 : 본 연구는 신경발달 장애 아동들에게 작업기반(occupation-based) 중재를 그룹 프로그램으로 적용하여 작업 수행의 질, 수행도 및 만족도, 프로그램에 대한 만족도의 효과를 알아보고자 하였다.
연구방법 : 신경발달 장애 아동 10명을 대상으로, ADOC-S(Aid for Decision making in Occupation Choice-School) 및 COPM(Canadian Occupational Performance Measure)을 사용하여, 모든 클라이언트에게 의미 있고 공통된 작업 목표를 수립 하였다. ‘지하철 이용’ 작업수행 분석한 후에 PQRS(Performance Quality Rating Scale)를 사용하여 작업수행의 질 변화를 조사하였다. 작업기반 중재는 가장 자연스럽고 실제생활과 비슷한 상황에서 의미 있는 작업을 직접 수행하며 진행되었다. 실험은 사전평가 1회기, 중재기는 주 1회, 회기당 100분, 8주간, 총 8회기 진행되었고 사후 평가 1회기 실시되었다.
결과 : 작업수행의 질인 PQRS에서는 중재 전에 비해 중재 후 38.10의 증가를 보였다. 유지, 보상 및 적응 접근을 적용하여 초기 회기(1~4회기)에 큰 증가율이 나타났다. COPM의 수행도는 중재 전에 비해 5.80, 만족도는 7.00의 증가가 나타났다. 또한 보호자 인터뷰를 통한 프로그램 만족도에서 높은 점수가 나타났다.
결론 : 작업기반 중재는 신경발달장애 아동의 작업수행을 향상시킬 수 있는 중재방법이며, 수행도 및 만족도, 프로그램 만족도에 긍정적인 결과를 도출할 수 있었다.
The activities with animals in the fields of educational practice has been increasingly popular, The aim of this article is to provide a systematic review relating to animal-assisted interventions in the fields of school educational practices. Most studies reported significant benefits of animal-assisted interventions in the school setting. Furthermore, a worrying lack of reference to risk assessment and animal welfare must be highlighted. Taken together, the results of this review show promising findings and emerging evidence suggestive of potential benefits related to animals in school settings. The review also indicates the need for a larger and more robust evidence base driven by thorough and strict protocols. The review further emphasizes the need for safeguarding for all involved—-welfare and safety are paramount. Future research employing more rigorous designs and systematically building upon a clearly defined line of inquiry is needed to advance our knowledge on the potential beneficial effects of the animal-assisted interventions in the fields of school educational practices.
The domestic natural enemy industry was formed by public institutions before the natural enemy companies were formed. In 1995, during the decentralization period, the technololgy of natural enemy breeding developed by the Rural Development Administration and the Agricultural Research Institute of each province were spread to the Agricultural Technology Centers of each county, Agricultural Technology Centers has supplied a large number of natural enemies to farmers for free. Since the beginning of the 2000s, when the first natural enemy company called Korea-IPM was created in Korea, the natural enemy industry boomed with the birth of Cecil Co., Ltd., a large natural enemy company.
Prior to the birth of a natural enemy company, Domestic methods of using nautral enemies to release the natural enemies against the target pests and to test their effectiveness were similar to those of using chemicals. After then, the introduction of banker plant, a natural enemy protection plant, began to develop the concept of natural enemy protection limited to Aphidius colemani, and the effect was excellent. However, there were many cases where the success and failure of biological control were staggered because only the use value of the natural enemy for the target pest was dealt with.
Therefore, in our laboratory, we are exploring and developing of the using method of trap plant that can concentrate densities by attracting insect pests. Also, when using a variety of natural enemies in a single plant, we are studying strategies to increase the pest control efficiency by identifying the interraction between natural enemies and determining their amount of releasing.
본 연구의 목적은 치과종사자의 손씻기에 대한 건강신념과 손씻기 수행도 간의 관련성을 파악하여 평가하는 것이다. 본 연구는 치과의원, 치과대학병원에서 근무하는 140명의 치과종사자를 대상으로 구조화된 설문지를 사용하여 자가보고식으로 작성하도록 하였다. 모든 자료는 통계분석은 t검정, 일원분산 분석, Pearson 상관계수분석으로 통계처리 하였다. 손씻기 수행도는 손씻기에 대한 건강신념과 r=0.285로 양의 상관관계를 보였다(p<0.01). 치과의원, 치과대학병원에서 근무하는 치과종사자의 병원감염 예방을 실천하기 위해서는 감염관리 교육 시 지각된 민감성, 지각된 심각성, 지각된 유익성, 지각된 장애성, 수행을 위한 동기로 구성된 손씻기에 대한 건강신념을 고려하고, 지속적인 손씻기 교육을 시행한다면 치과종사자의 손씻기 수행도도 증가할 것으로 사료된다.
China emerges to be one of the largest wine importing and wine consumption countries in the world. With the rapid growth of Chinese wine market, it becomes an essential issue to understand the wine importing and distribution practices in Chinese wine market. This study was designated in the context of Australian wine trading to China to explore the characteristics of wine importing channels and wine retailing models in China. A semi-structured interview approach was adopted in this study to fulfil the research purposes. 15 Chinese wine industry practitioners were recruited through the 1st wine tourism trip fair in Ningxia, China, in May 2017. Interviews were transcribed and analysed using NVivo 11. The results revealed the features of 8 wine importing channels from Australia to China, and 4 distribution models in the wine retailing market in China. Regarding the wine importing channels, the 8 main importing channels were (1) retailers selected wines directly from Australian wineries; (2) retailers adopted the Original Equipment Manufacturer (OEM) mode to produce wines; (3) supply chain businesses imported wines through their business networks; (4) wine business companies invested in overseas wineries; (5) companies purchased wines from wine exhibitions and fairs; (6) companies purchased wines from Hong Kong and other neighbouring SAR districts; (7) companies imported wines from other wine business operators; (8) companies smuggled wines by transiting from Southeast Asian countries. In addition, 4 retailing models were identified through the interviews, including (1) complete control over the distribution channels; (2) brand franchising and wholesaling; (3) enterprise subscription; (4) retailing through e-commerce and supermarkets. The findings suggested that OEM mode represented the most popular importing channel in present Chinese wine market, whilst the vendor group purchasing was the most profitable distribution models in the retailing market. Implications for wineries and wine business companies were also provided in the paper.
The evolution of the internet led to a shift in the business operations environment, giving rise to a plethora of challenges and opportunities for companies. Social networks have become attractive to companies due to their interactive nature, not only facilitating conversations with consumers, but also increasing the possibility of enhancing the online consumer brand engagement. Additionally, social networks and online brand communities increased consumers’ possibility of developing an active role in companies’ decision-making process, through the creation of user generated content, together with the opinion sharing and directly information exchange with brands and other internet users. The main objective of this research is to ascertain whether the active listening practice can contribute, in some way, to the improvement of the relationship maintained between consumers and brands. The current study suggests the adaptation of the active listening practice on the online field, as an attempt to enhance the communication strategies held by brands. Hence, this research seeks to demonstrate that this practice can improve the consumer-brand relationship through the development of two qualitative studies, as main approach, where the findings extracted in the first study will be used as inputs to the second one.
Creativity and innovation are crucial components of new product development (NPD) and incorporating environmental sustainability adds an extra dimension to the creative process, particularly for the fashion industry, which is a key sector in the UK creative industries that form a significant part of the national economy. Fashion designers’ creativity during NPD can be facilitated by effective collaboration with roles such as product technologists and buyers. This paper discusses ways in which creative knowledge and processes can be applied to innovative sustainable product development, exploring barriers and enablers involved in widening the availability and adoption of environmentally sustainable fashion. NPD is one of the more tangible aspects of creativity that can be managed, whereas creative design thinking is less tangible and logical, thus making it potentially incompatible with managers who are often more business-orientated and risk-averse in their approach than designers (Puryear, 2014). This can create tension for teams when selecting the most appropriate products for production and sustainable product features have traditionally not been a priority for fashion companies. Making products more sustainable is one of the challenging constraints that designers increasingly need to address within NPD, due to the high sustainability impacts of clothing in both environmental and social terms (Hjelmgrem et al., 2015). This research will adopt a qualitative approach, involving semi-structured interviews with a sample of 20 product development professionals from retailers, brands and manufacturers in the UK fashion business, during August to October 2018. In conclusion, the study will build on the primary research results to develop an original conceptual framework in the form of a model to facilitate product developers’ awareness and understanding of sustainability issues within creative processes and to adopt a new vocabulary to elicit more effectual communication regarding sustainability between NPD actors.
Marketing academics and practitioners have discerned the evolution in the prominence of digital, social media and mobile marketing based on technological innovations. Digital marketing has evolved over time from a specific marketing of products and services using digital channels to activities, institutions and processes facilitated by digital technologies. From an inclusive perspective, digital marketing refers to an adaptive, technology-enabled process by which firms collaborate with customers and partners to jointly create, communicate, deliver and sustain value for all stakeholders. Digital technologies allow the new adaptive process, institution and processes in marketing communication. The adaptive process creates value in new ways in new digital environments. Institutions build foundational capabilities to create such value jointly for their customers and for themselves. Processes create value through new customer experiences and through interactions among customers. The purpose of the assessment is to establish the current status of research evaluating digital marketing communication and to show how digital technology has shaped marketing communication evaluations. This study provides a broad disciplinary review of key cited works in digital marketing communication research and examines the effectiveness of various evaluation approaches, including new directions designed to capture meaningful insights and marketing communication value in digital marketing communication.
The power of social media is colossal considering that the number of worldwide users is expected to grow even more in the future reaching 2.95 billion by 2020. Because of the apparent customer engagement in these platforms, companies spend on average 11% of marketing budgets on social media and this expenditure is expected to grow to 19% over the next five years (CMO Survey, 2017). However, the main challenge the companies are facing is how to convert the social media investments into effective marketing and contribution to company’s performance. The customer engagement (CE) in social media catches a strong attention from scholars (Brodie et al., 2013) as well as experts of online marketing (Dessart, Veloutsou, & Morgan-Thomas, 2016). Even though there is a significant progress in the conceptual (Van Doorn et al., 2010) and empirical (Brodie et al., 2013) analysis of CE, its clear understanding remains still insufficient. Customer engagement’s definition requires more attention as there is inconsistency in the terms because of a lack of agreement on the terminology (van Doorn et al., 2010). Noticeable differences exist concerning also the measurement of CE and what exactly this phenomenon encompasses (Dessart et al., 2016). Particularly, the empirical studies show incongruity in the number and the nature of the dimensions (Sprott et al., 2009; Brodie et al., 2013). To investigate the complex and emergent occurrence of CE in social media, this research endorses a managerial-oriented approach using rich qualitative data from three different sources covering a variety of views for different social media platforms (41 companies/24 advertising/communication agencies, and 10 research/consulting firms). The results illustrate the gaps among customer engagement’s conceptions, the customer engagement dimensionality, and the metrics of social media performance beyond customer engagement.
Marketing and market research are centered on the need to explore consumer experiences to inform management decisions. Heuristics and biases are of interest to marketing practitioners as these influences can impact data that is delivered to inform decisions. Existing research listing heuristics and biases alongside management strategies is limited to five reviews presenting frameworks and/or detailing heuristics and biases, none of which have been extended to a marketing context. This research 1) details the heuristics of interest to marketing practitioners by presenting n=7 core heuristics and the mechanisms of their operation and 2) examine solutions and proposed frameworks reported within the literature to avoid or acknowledge biases which may be present.
The practice of relationship marketing strategies is the core of the success of marketing for any kind of organizations. The study develops relevant research issues and propositions for empirical investigation based on the strategies of relationship marketing offered by Berry (1983) such as core service strategy, customization strategy, augmentation strategy, relationship pricing strategy, and internal marketing strategy. Relating to relationship marketing theory, agencies and clients are aware of in providing and taking core services, Agencies customize the relationship and augment the services to satisfy and retain their clients. Considering the account size and length of relationship agencies offer relationship pricing. All agencies maintain strong interaction among the employees and different departments as a part of their internal marketing practice.
본 연구는 건강신념모형을 적용하여 임상에서 근무하는 간호사의 손씻기 수행도를 분석하기 위한 서술적 조사연구이다. 본 연구의 대상은 G 광역시에 위치한 일개 병원에 근무하는 임상 간호사 162명이다. 자료수집은 2017년 9월 1일부터 2017년 10월 31일까지였다. 수집된 자료는 SPSS (SPSS Version 20.0, IBM, US)를 이용하여 빈도분석, 백분율, 일원분산분석, t-검정, pearson 상관계수분석 및 다중회귀 분석으로 통계처리 하였다. 일반적 특성에 따른 손씻기에 대한 수행도는 모든 영역에서 평균은 3.1점으로 높았으나 통계적으로 유의한 차이는 보이지 않았다. 일반적 특성에 따른 손씻기에 대한 건강신념은 연령에서는 지각된 유익성 영역에서 유의한 차이를 보였으며(p<0.05), 근무연수에서는 지각된 유익성, 지각된 장애성 영역에서 유의한 차이를 보였다(p<0.05). 다섯 개의 하위영역간의 상관관계를 분석한 결과는 지각된 유익성과 지각된 장애성은 부의 상관관계를 나타냈으며, 수행을 위한 동기는 정의 상관관계를 보였다. 본 연구의 결과를 통해 손씻기에 대한 건강신념을 고려한 지속적인 병원에서의 감염관리교육과 올바른 손씻기 교육을 진행한다면 손씻기 수행도가 높아질 것으로 판단된다.
Purpose: This study was tried to identify the effects of simulation practice education on the clinical competence, critical thinking disposition and self-confidence of nursing process in new graduated nurses. Methods: This study was one group pre-post test design, participants are 50 new graduated nurses with less than 3 month of working experience. The simulation practice education applied the first semester of the third grade, over 15 weeks with 1 credit per 2 hours per week by two instructors with four scenarios. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Result: There was a significant difference simulation practice education on the clinical competence and critical thinking disposition in the new graduated nurses. There was a correlation between clinical competence and critical thinking disposition. Conclusion: New nurses' capacity can be strengthened by applying simulation practice education that improve the clinical performance by enhance the critical thinking Disposition.
Purpose: This study aimed to clarify the effects of simulation-based practice using a standardized patient on nursing students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance. Methods: We adopted a one-group pretest–posttest experimental design. We examined changes in the students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance before and after simulation-based practice and after clinical practicum. Results: The scores for problem-solving capacity increased from 159.28 before simulation-based practice to 263.02 after it and 161.99 after clinical practicum, but there was no statistical significance(p=.775, p=.339). The scores for self-efficacy for therapeutic communications rose with statistical significance from 120.78 before simulation-based practice to 126.30 after it (p= .017), but fell to 120.52 after clinical practicum. The scores for confidence in clinical performance increased with statistical significance from 54.98 before simulation-based practice to 59.42 after it (p=.008) and 58.50 after clinical practicum (p<.001). Conclusion: We confirmed that simulation-based practice with a standardized patient offers students hands-on experience of a clinical situation and, thereby, enhances their problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance.