• Title/Summary/Keyword: 통합병원

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Exploring Job Stress, Job Satisfaction, and Turnover Intention of Nurses in the Comprehensive Nursing Service (상급종합병원의 간호·간병통합서비스 병동에 근무하는 간호사의 직무스트레스, 직무만족 및 이직의도)

  • Kwak, Sook Hee;Hyun, Sookyung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.23-30
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    • 2019
  • The purpose of this study was to examine job stress, job satisfaction, and turnover intention of the nurses who work at the comprehensive nursing service units in two academic medical institutions that provide healthcare service at the tertiary care level in Korea. A descriptive study was conducted with the nurses by using self-reported questionnaires. We used descriptive statistics to summarize the data and Mann-Whitney U test for group comparison. The mean scores of job stress, job satisfaction, and turnover intention were $89.17{\pm}12.56$, $107.25{\pm}6.85$, $37.19{\pm}4.86$, respectively. Nurses with religion showed more job stress than those without. Nurses with their age below 30 years old had significantly less job satisfaction than those older than 30 years old. Monthly income was significantly associated with turnover intention in our data. The top three sub-category of the job stress were conflict with physicians, patients and their caregivers, and conflicts with others; and those of the job satisfaction were pay and promotion and task requirement. Job stress, job satisfaction, and turnover intention were significantly correlated. In order to reduce turnover intention of nursing professionals in the comprehensive nursing service, job stress related to issues on relationships with patients, their family, health care providers need to be taken into consideration. Policy and administrative support are needed to improve their work environment.

Design and Implementation of Message Format and Server for Interworking EMR System and Gateway of Medical Devices (의료기기 통합 게이트웨이와 EMR 시스템간의 연동을 위한 메시지 규격 설계 및 서버 구현)

  • Im, Seokjin;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.6
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    • pp.255-262
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    • 2013
  • Medical Gateway(MG), that integrates medical devices with its unique data format in various hospital information systems, provides effectiveness in the cost of the management unlike existing systems that uses PC as a gateway to hospital information systems because MG enables to interface medical devices with itself. However, in spite of using MG for integrating medical devices, we need additional programs or systems to interwork with EMR system of each hospital in accordance with the configuration of DB. In this paper, we design and implement the format of medical information and server system for interworking MG with EMR system. The proposed system makes easy exchanging medical data between MG and EMR system. Thus, the proposed system can contribute to a national project to export abroad advanced hospital setup converged with IT.

A Case Report of Surgical Site Infection after Breast Cancer Surgery that Improved with Taglisodog-eum Treatment Alone (탁리소독음 단독치료로 호전된 유방암 수술부위감염 1례)

  • Sung Soo Yoon;Su-jeong Ha;Moon Soo Jeong;Seong Woo Yoon
    • Journal of Korean Traditional Oncology
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    • v.28 no.1
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    • pp.25-31
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    • 2023
  • Objectives: With antibiotic resistance one of the biggest threats to global health, we report a case of surgical site infection (SSI) after breast cancer surgery that improved only with the treatment of Taglisodog-eum (托裏消毒飮), Korean herbal medicine, without the use of antibiotics. Methods: The patient diagnosed with ductal carcinoma in situ of left breast underwent nipple areola skin sparing mastectomy and reconstruction using deep inferior epigastric perforator flap. About a month later, superficial SSI occurred at the incision site of breast cancer surgery with general weakness, and Taglisodog-eum treatment was started. To evaluate the effectiveness of the treatment, we compared the infection site conditions before and after treatment. Results: About three weeks after taking Taglisodog-eum, the SSI improved along with the improvement of general weakness. Conclusions: This study shows that Taglisodog-eum may be effective for SSI after breast cancer surgery, and the potential for alternatives to reduce antibiotic use and antibiotic resistance.

Analysis of Survey of Interdisciplinary Unification of Biomedical Laboratory Science (임상병리학과 학제단일화에 대한 설문조사 분석)

  • Kim, Hong Sung;Kang, Ji-Hyuk;Yang, Man-Gil;Park, Chang-Eun;Shin, Kyung-A;Kwon, Pil Seung
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.289-296
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    • 2018
  • Opinions regarding interdisciplinary unification of medical laboratory science were analyzed by an online questionnaire distributed to 255 professors and 4,000 hospital practitioners in January of 2018. The recovery rate was 79 (30.9%) for professors and 1,368 (34.2%) for hospital practitioners. In the perception survey on the duality of interdisciplinary, both the professors and the hospital practitioners reported that they felt interdisciplinary integration is necessary. The prerequisite of four-year integration was the establishment of institute of accreditation and standardization of curriculum, and the requirements for the four-year integration were considered important for adjustment of student quota and standardization of curriculum. In the four-year integrated approach, the opinion that only universities that passed the accreditation evaluation should operate a four-year system was highest among professors and hospital practitioners. The optimum capacity of university students was less than 40 in cases of 4-year integration. In conclusion, the above results suggest that the professors and hospital practitioners realize 4-year interdisciplinary integration is necessary to produce a competent medical technologist, and the institute of accreditation, standardization of curriculum, and student quota adjustment should be presupposed for 4-year integration.

Integrated Medical Information System Implementation for the u-Healthcare Service Environment (u-Healthcare 서비스 환경에서의 통합의료정보시스템 구축방안 연구)

  • Sok, Yun-Young;Kim, Seok-Hun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.1-7
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    • 2014
  • Nowadays hospitals have been improving their job performances through informatization and also establishing an advanced, integrated medical information system through their manager's decision making support system in order to play roles as a hub hospital providing high quality medical services integrated with ICT technology. This study connects the OCS system and HIS system to the integrated medical information system to design an optimized, customized mobile health care and medical treatment environment and also investigates the systematic medical system that can perform patients' cure and medical treatment promptly and accurately in order to maximize convenience of treatment by inquiring into patients' information and information of medical treatment promptly.

A Study on the Architectural Characteristics of the Operating Department in Army Hospitals - Focused on the Utilization of A.F.M.H. - (군병원 수술부의 건축적 특성에 관한 연구 - 통합병원의 이용실태를 중심으로 -)

  • Kweon, Oh-Bong;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.5 no.9
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    • pp.61-68
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    • 1999
  • The purpose of this study was to get the design guidelines of the operating department in army hospital. New A.F.M.H. is now under construction but army hospital's characteristics are not reflected. This research is accomplished through an understanding of the characteristics of operating department in army hospitals by analyzing the plans and behavior survey of some A.F.M.H. This study attempts to examine the current status of domestic army medical center and to establish the design guideline of the operating department of the army hospitals.

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A Study on the Architectural Characteristics and Planning for the Wards in A.F.M.H. - Focused on Case Studies - (군 통합병원 병동부의 건축적 특성과 계획에 관한 연구 - 사례분석을 중심으로 -)

  • Kim, Ho-Young;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.5 no.9
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    • pp.69-79
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    • 1999
  • Now new A.F.M.H. is under construction but it didn't reflect army hospital's characteristics. The purpose of this study was to get the design guidelines of the wards for the design of wards in army hospital. This research is accomplished through an understanding of the characteristics of wards in army hospitals by analyzing the plans of the bundang A.F.M.H. and behavior survey of other A.F.M.H. This study attempts to examine the current status of domestic and to establish the design guideline of the wards of the army hospitals.

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Strategic Approaches to Integrated Delivery System(IDS): Vertical Integration and Strategic Alliance (통합의료시스템(Integrated Delivery System, IDS)의 전략적 접근: 수직적 통합과 전략적 제휴)

  • Suh, Won S.
    • Korea Journal of Hospital Management
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    • no.spc
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    • pp.39-50
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    • 2016
  • This paper discusses the strategic concepts applied to integrated delivery system(IDS). IDS is rooted in vertical integration(VI) and strategic alliance(SA), but only few knows about the theoretical backbone of the IDS. The paper explains how VI and SA applies to IDS, then provides cases of IDS rooted in strategic concepts; Kaiser Permanante Model, Mayo Clinic Model, and ACO(Accountable Care Organizations). Finally the paper provides the implication of IDS on Korean healthcare delivery system.

Effect of Resource Mindfulness on Emotional State, Focusing on Anxiety and Stress Reduction (리소스 마인드풀니스에 관한 효과성 연구)

  • Seung Ho Lee;Do-Eun Lee;Yeoung-Su Lyu;Moon Joo Cheong;Hyung Won Kang
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.2
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    • pp.177-189
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    • 2024
  • Objectives: This study aimed to evaluate the impact of Resource Mindfulness on participants' emotional state, focusing on anxiety and stress reduction and to explore the importance of psychological resources in this process. The effectiveness of Resource Mindfulness was investigated through both quantitative and qualitative analyses, examining its influence on subjective distress, mindfulness, core emotions, and identification of personal resources. Methods: This study involved 27 participants, including Korean medicine students, psychological counselors, clinical psychologists, and Korean medicine specialists, who attended a 2-night, 3-day M&L psychological support education program from July 2 to July 4, 2022. Participants were informed of the study's purpose and procedures. They provided written consent. Quantitative measures included Subjective Units of Disturbance Scale (SUDS), Five Facet Mindfulness Questionnaire (FFMQ), and Core Seven-Emotions Inventory Short Form (CSEI-s). Qualitative analysis was conducted using the "Drawing the Rooms of the Mind" technique. Pre- and post-program assessments were conducted to compare changes in subjective distress, mindfulness, and core emotions. Data were analyzed using paired t-tests and qualitative content analysis methods. Results: Significant reductions in subjective distress and improvements in mindfulness components were observed. Core emotions showed significant decreases in negative emotions. Qualitative analysis revealed increased tranquility, relief, and confidence, with resourceful places often being nature-related. Conclusions: Resource Mindfulness effectively reduced anxiety and stress and enhanced self-awareness and self-efficacy. It is useful for managing various mental health issues. Further research is needed to generalize these findings.