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최모나,전수미,김윤주,조성혜 한국생활환경학회 2013 한국생활환경학회지 Vol.20 No.6
Background: The purpose of this study is to explore how people perceive neighborhood environment as facilitators and barriers for their physical activity through focus group interviews. Methods: Three focus group interviews were conducted using purposive sampling to explore different perspectives by sex, various ages, and employment status. Focus group participants engaged in physical activity in their neighborhood of Seoul metropolitan area were recruited. Focus groups were conducted until no new themes and categories emerged. Themes of the study were extracted with content analysis. Results: Twenty-one participants took part in the three focus groups with the mean age of 49.6 years. Content analysis identified two main themes, facilitators and barriers. Facilitators in the neighborhood included three sub-themes: free access, places to spend time with family, and open areas for physical activities. Barriers included four sub-themes: accessibility problems, dissatisfaction with facilities, feeling unsafe, and places built as bureaucratic displays. Conclusions: People recognize that various elements of their neighborhood environment play important roles in their desire to engage in physical activity. To promote people’s physical activity and health,nurses should actively participate in policymaking and intervention studies relating to the structuring of neighborhood environments. actions today affect both the present and future generations.
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최모나,김미희,김정아,장혜정 대한의료정보학회 2020 Healthcare Informatics Research Vol.26 No.3
Objectives: With growing attention on the healthcare industry as a potential market for big data and artificial intelligence inthe Fourth Industrial Revolution, countries around the world are introducing and developing various policies and projects relatedto health information technology (HIT). To assist prioritizing HIT topics in policy making, this study adopts the Delphitechnique to garner expert opinions from various fields of health informatics. Methods: Data were collected from November2019 to February 2020 using the Delphi technique through two rounds of surveys administered via email. The Delphi panelconsisted of 16 experts with a high level of experience in health informatics. They were from the Health Information PolicyAdvisory Committee of the Ministry of Health and Welfare of Korea, and the board of directors of the Korean Society ofMedical Informatics. The experts were asked to assess the importance, urgency, and difficulty of HIT topics in three domains:technology, application, and infrastructure. Results: Of the 40 topic items, a 100% agreement was reached for the importanceof 6 items, including 2 items in technology, 1 item in application, and 3 items in infrastructure domains. Especially, QuadrantI of a 2×2 matrix showing high importance and high urgency included 7 items in the technology domain, 2 items in the applicationdomain, and 13 items in the infrastructure domain. Conclusions: Most items with high importance and urgency belongedto the infrastructure domain. The findings indicated that fostering an infrastructural environment should be policeswith top priorities of HIT.
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최모나,Park, Chang Gi,홍수민 한국간호과학회 2022 Asian Nursing Research Vol.16 No.4
Purpose: To evaluate the psychometric properties of the Patient-Reported Outcomes Measurement Information System (PROMIS) self-efficacy for managing symptoms of the version 1.0 item bank in Korea. Methods: This study consisted of two phases: first, developing the Korean version of the item bank following the translation guidelines; and second, performing a cross-sectional study to evaluate its psychometric properties using the item response theory. This study enrolled 323 patients with type 2 diabetes mellitus between July and August 2020. Cronbach's a was used to assess the reliability of this item bank. Confirmatory factor analysis, using diagonally weighted least squares, was used to identify the assumptions of item response theory. Item parameter estimates including discrimination and thresholds were derived using the graded response model of the item response theory to reflect patient-reported outcomes as individualized responses. Results: The Korean version of the item bank demonstrated good reliability (Cronbach's a ¼ .98) and its discrimination ranged from 1.82 to 4.93. The thresholds resulted in the establishment of a category response curve for each item. However, no overlap was observed among the category curves. Moreover, the differential item functioning was not significant for age, gender, and income variables. Conclusion: The graded response model and differential item functioning provided qualitative evidence that demonstrated acceptable psychometric properties of symptom management self-efficacy among patients. This item bank is expected to provide adequate assessments of self-efficacy of symptom management for patients with a chronic disease, which can contribute to nursing research and intervention.
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Effectiveness of Nursing Management Information Systems: A Systematic Review
최모나,양유리,이선미 대한의료정보학회 2014 Healthcare Informatics Research Vol.20 No.4
Objectives: The purpose of this study was to review evaluation studies of nursing management information systems (NMISs) and their outcome measures to examine system effectiveness. Methods: For the systematic review, a literature search of the PubMed, CINAHL, Embase, and Cochrane Library databases was conducted to retrieve original articles published between 1970 and 2014. Medical Subject Headings (MeSH) terms included informatics, medical informatics, nursing informatics, medical informatics application, and management information systems for information systems and evaluation studies and nursing evaluation research for evaluation research. Additionally, manag* and admin*, and nurs* were combined. Title, abstract, and full-text reviews were completed by two reviewers. And then, year, author, type of management system, study purpose, study design, data source, system users, study subjects, and outcomes were extracted from the selected articles. The quality and risk of bias of the studies that were finally selected were assessed with the Risk of Bias Assessment Tool for Non-randomized Studies (RoBANS) criteria. Results: Out of the 2,257 retrieved articles, a total of six articles were selected. These included two scheduling programs, two nursing cost-related programs, and two patient care management programs. For the outcome measurements, usefulness, time saving, satisfaction, cost, attitude, usability, data quality/completeness/accuracy, and personnel work patterns were included. User satisfaction, time saving, and usefulness mostly showed positive findings. Conclusions: The study results suggest that NMISs were effective in time saving and useful in nursing care. Because there was a lack of quality in the reviewed studies, well-designed research, such as randomized controlled trials, should be conducted to more objectively evaluate the effectiveness of NMISs.
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Computer and Internet Interventions for Loneliness and Depression in Older Adults: A Meta-Analysis
최모나,공새롬,정덕유 대한의료정보학회 2012 Healthcare Informatics Research Vol.18 No.3
Objectives: This study conducted a meta-analysis to examine the effectiveness of computer and Internet training interventions intended to reduce loneliness and depression in older adults. Methods: Searches were performed to retrieve studies that had been published in peer-reviewed journals from January 2001 to July 2012 and written in English or Korean from PubMed, CINAHL, Scopus, the Cochrane Library, PsycINFO, KoreaMed, KMbase, KISS, MEDLIS, and RISS. We used combinations of the keywords for population, intervention, and psychosocial problems. A meta-analysis was employed to summarize the findings of studies on computer and Internet interventions for older adults. An overall mean weighted effect size for each outcome was calculated, and Q statistics were used to test the heterogeneity of variance in the effect sizes of the selected studies. Results: As the Q statistics revealed heterogeneity, random effects models were chosen for the meta-analysis. The overall mean weighted effect size for loneliness from five studies was statistically significant for decreased loneliness (Z = 2.085, p = 0.037). However, the overall mean weighted effect size for depression from five studies was not statistically significant (Z = 1.528, p = 0.126). Conclusions: These results suggest that computer and Internet programs were effective in managing loneliness among older adults. Therefore, further computer-mediated social support should be considered to help manage loneliness in this population.
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