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Purpose: This study is performed to develop the contents of career ladder program for nurses in a hospital. And this study present the appropriate strategies of career ladder program using the clinical ladder in clinical nursing field in Korea. Methods: The method of the study were modified Delphi technique with professional group for identifying nursing domains, steps of career ladder system and managerial strategy. Result: We identified tool of the nursing domains; nursing patient, quality approvement and research, development of human resources, leadership and qualifications of promotion and contents of ladder of each level. We created expected role consisted of clinical ladder and classified 4 steps; novice, competent, proficient, expert. And finally managerial principles and application process are presented in this study. Conclusions: Development of career ladder program at a hospital was not need many time consumption but very important tool of nursing profession. And it is needed to validate and refine the tool developed continuously.
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Korea owns vast amount of apartment houses no less than those of world prominent countries, but did not pay enough efforts to maintain existing apartment houses and develop policies to reuse them due to growth driven policy of housing supply like construction of new houses. Korea constructed tremendous amount of houses in short period through government led forced house supplying policy, and resulted in excess houses such that present house supply rate happened to be reaching 110%. However, recently there are growing demand of change in housing policy due to social environmental changes like low birth rate and aging of society etc and nationals' demand for improvement of residential quality. When such social changes are demanded and 80% of apartment houses in Korea are less than 20 years old, renovations and remodeling of apartment houses are anticipated to emerge as important matter. In particular, the apartment houses in Seoul and the 1st generation new cities like Bundang and Ilsan etc have passed considerable period of time after construction and require safety measure, it is quite impending to loan programs for the maintenance of existing apartment houses. The objective of this study is to compare and analyze the system of loan programs about apartment houses of Japan, and then to propose to accelerate loan programs about maintenance for apartment houses in korea.
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Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.
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The purpose of this study is to analyse the effects of obesity management program in food attitude and food habit, body composition(body fat ratio, body fat weight, lean body mass, total body water), abdominal girth(waist, hip, thigh), and serum lipid level(cholesterol, low density lipoprotein, triglyceride, phospholipid, NE fatty acid, high density lipoprotein) of middle aged women. Data for the study were collected from July 4 to August 25, 2000. The study objects were 20 middle aged women(10 controls and 10 experimental objects) from 40 to 50 years old who had body fat ratio more than $30\%$ and waist girth more than 80cm. The results were as follows: 1. Similarity test between experimental group and control group processed by serum HDL level showed the significant difference(t=3.25, p=0.004), but that processed by age, body weight, body fat ratio, body fat weight, lean body mass, total body water, waist girth, hip girth, thigh girth, cholesterol level, LDL level, triglyceride level, NE fatty acid level, food attitude and food habit score showed no significant difference(p>0.05). These findings imply that the two groups are similar in the sample distribution. 2. The effects of the abdominal obesity management program The obtained results indicate that the abdominal obesity management program in middle aged women changes the food attitude & the food habit. decreases the body fat ratio & the body fat weight and increases the lean body mass, and decreases the girth of waist & hip and the serum level of cholesterol & LDL. Therefore, it is concluded that the abdominal obesity management program can be applied for nursing intervention to decrease the body fat weight and abdominal obesity.
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The purpose of this study is to investigate the effects of follow-up support in the adolescent smoking cessation program. In this study, a model for an effective adolescent anti-smoking program, which includes follow-up support, is based on the method of cognitive-behavioral therapy. The study lasted for 7 weeks, while information on smoking including materials to be analyzed, were provided to the subjects. Meanwhile, the state of the smokers was studied while consultations on anti-smoking was also carried out in the 7th week. At first, the quantity of cigarettes smoked between groups made no difference, but there was an obvious difference in the rate of people who stopped smoking and in the quantity of cigarettes smoked between group I(managed for 7 weeks) ,group II (managed for only 4 weeks) and group III (not managed at all after anti-smoking class). According to the results of the study, we can conclude that the follow-up support plays a big role not only in raising the rate of success in the level of reformed smokers, but also in lowering the quantity of cigarettes smoked.
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Purpose: The purpose of this study was to examine the effects of integrated menopause management program derived theoretical framework of King (1981)'s goal attainment theory model for middle aged women. Methods: This research was a nonequivalent control group non-synchronized design. The subjects of this study were 37 middle aged women in Busan and experiencing menopause; 17 for the experimental group and 20 for the control group. Experimental group was educated for 1 hour group interchange activity and five minutes individual interchange activity, once a week during 8 weeks. Measurement for comparison were taken two times, at baseline, 8wks. The effects were evaluated with menopause symptom, menopause knowledge, menopause attitude and menopause management. Results: The experimental group was significantly lower than control group on menopause symptom (F=5.936, p=.010) and higher than control group on menopause knowledge (F=12.031, p=.001) and menopause management (F=5.861, p=.010) after integrated menopause management program. However integrated menopause management program did not make significant differences on menopause attitude (F=0.105, p=.374). Conclusion: Results indicate that integrated menopause management program could be an effective intervention decreasing menopause symptom and for increasing menopause knowledge, menopause management in middle aged women.
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